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**Summary** :

This leadership position is primarily responsible for overseeing and coordinating sterile compounding activities in locations that compound sterile products. This includes:

- Developing and leading a comprehensive sterile compounding training program to ensure we have adequate staff trained to support our sterile compounding needs

- Responsibility for ensuring our compounding spaces meet all regulatory compliance requirements (e.g., EM sampling, certification, cleaning, personnel requirements, etc.)

- Use metrics and employee observations to ensure staff members follow policies and standard procedures and meet staffing needs while building teamwork and increasing employee engagement in daily operations.

- Triages workload and escalates issues as necessary to the Pharmacy Leadership team, including assessing workload to adjust staffing as needed.

- Uses staff engagement to identify and prioritize process improvement needs relating to workflow

- Oversees the management of all pharmacy automation and technology related to the clean room space

**Job Requirements** :

**1)** Education/Training:

- Develops, Updates, and Coordinates training for new personnel in USP 797, USP 800, and all sterile compounding processes and equipment (e.g., TPN, equipment, devices, etc.)

- Monitors, assesses, and updates workflows based on the new process, regulations, etc.

- Ensures standardized practices/workflows are being followed by working with designated trainers to observe and refine practice

- Responsible for oversight of trainee sign-off

**2)** Regulatory / Compliance:

- EM Sampling, Cleaning, Certifications, and Employee testing/competency

- Maintains knowledge of regulatory requirements (USP, Massachusetts, JC, etc.) and updates workflows and policies/procedures as needed

**3)** Sterile Compounding Safety and Performance/Workflows

- Uses data to assess sterile compounding (DE, EM, etc.) performance and quality, including compounding volumes to support insourcing/outsourcing

- Maintains accurate barcode scanning to ensure safe medication practices

- Identifies and addresses employee performance issues

- Maintains and develops policies and procedures to establish standard practice expectations for compounding personnel

- Responsible for reporting data/metrics to the team which demonstrate workflow quality, safety concerns, staffing/volume information, or other data points to help support departmental goals or address issues/concerns

**Minimally Work Experience** :

**1)** 3 years leadership

**2)** 5 years preceptor/educator experience

**Preferred Work Experience** :

**1)** None listed

Skills and Competencies:

**1)** Undergraduate and Graduate Education Requirements and Accreditation Standards

**2)** Interpersonal, verbal, and written communication skills

**3)** Knowledge of computer systems (i.e., Microsoft applications, Clinical Information Systems, PharmAcademic)

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.

DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.

Education:

Doctor of Pharmacy (Required)

Certifications:

Board Certified Pharmacotherapy Specialist - Board of Pharmacy SpecialistBoard of Pharmacy Specialist, Licensed Pharmacist - OtherOther

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.