Nemours Children's Health is seeking a Certified Pharmacy Technician to join our Outpatient Pharmacy team in Wilmington, DE.

1. Performs various functions associated with the NCH-DE drug distribution system and demonstrates familiarity with the general duties and responsibilities of a Pharmacy technician including knowledge, competency and understanding of the position to which they are assigned which may include: cart fill, Pyxis functionality, unit dose packaging, filling outpatient prescriptions (data entry, third party processing, barcoding), unit inspections, oral liquid compounding, stock inventory maintenance and replenishment, code cart process, selling prescriptions at POS, delivery of prescriptions, and fielding phone calls.

1. Prepares accurately, through the proper use of equipment and techniques; transfer of oral solid and liquid dosage forms, preparing non- sterile extemporaneous medication and injectable products, in an appropriate container, labeled in an appropriate manner and stored at the recommended temperature
   • Calculates the concentration and volume of the medication to be used prior to its preparation 100% of the time.
   • Medications are correctly and accurately prepared and labeled. Preparation is appropriately documented as per policy and procedure.
   • Medication is prepared and stored in a manner that is compatible and stable within the anticipated time of use.
   • Weighs, measures, mixes ingredients; compounds and prepared compounds, and prepares capsules, emulsions, liquids, suspensions, powders, ointments and using such equipment as graduates, balances, mortars, pestles, and funnels in a correct manner 100% of the time.
   • Provide proper information on labels as per policy & procedures. Enter proper medication expiration dating as per expiration dating policy and procedure.
   • Prepares medication in a manner that minimizes cost due to wastage.
   • Ensure all doses prepared are verified with a pharmacist prior to dispensing to ensure medications prepared and dispensed are correct and accurate, in an appropriate container, labeled in an appropriate manner and stored at the recommended temperature.
   • Prepares medications to assure that the turnaround time for all uncomplicated medication orders and for all stat medication orders does not exceed 1 hour and 15 minutes respectively, 100% of situations.
   • Patient Specific Batch PO Production and Patient Medication Bin Fill
     • Complete daily PO Production process in the designated start time and sequence of patient care units
     • Discontinued medications are removed from patient bins and refrigerator bins during batch delivery process.
     • Patient medication bins are maintained 100% accurate during medication bin fill process utilizing patch label, DC drug label, and DC patient labels.
     • Places all prepared and checked medications in the correct patient cassette 100%.
   • Patient Specific Batch IV Production
     • Prepares patient specific batch IV production for daily exchange within standard cycle time.
     • Refrigerated medications are properly segregated from non-refrigerated medications.
     • Discontinued medications are removed from production bin, patient bins and refrigerator bins during batch delivery process.
     • Places all prepared and checked medications in the correct nursing unit bins 100%.
     • Follow USP 797 and USP 800 Guidelines and Compliance

1. Medication Delivery. Pharmacy products are distributed accurately, with the appropriate quantity and at the time the product is needed during hourly medication delivery and Batch delivery if delivering for inpatient needs. For bedside delivery of medications, pharmacy products are distributed accurately and delivered directly to patient caregiver and payment transactions are taken care of at the bedside.
   • Check all doses remaining in patient bin : multi-dose drugs, inhalers, new doses, prns. Check expiration date. Alert pharmacist to replace expired medications.
   • Check expiration date of all patient specific medications including IVs, POs and refrigerated items during monthly inspections and for dispensing of medications. Return all expired items to the pharmacy.
   • Remove discontinued medication from pharmacy return bin and return to pharmacy.
   • Return all expired /unauthorized medication to pharmacy (i.e., medication of discharged patient, medication removed from Pyxis)
   • Remove non-pharmacy items from medication refrigerator ( lab tubes/specimens, non-pharmacy formula) and give to nurse
   • Insulin Vials- Remove any dated vials from refrigerator and place in patient bin or other proper storage location
   • Delivers medication on an hourly basis to the appropriate storage area (med bins, refrigerator) on the nursing unit with 100% accuracy.
   • Delivers medication to the appropriate patient bin on nursing unit to assure the correct drug is available for administration to the patient.
   • Delivers medication for ambulatory administration to the guardian or designee at the bedside during regular delivery runs.
   • Initiates special deliveries of medications to assure that the turnaround time for all uncomplicated medication orders and for all stat medication orders does not exceed 1 hour and 15 minutes respectively, 100% of situations.
   • Retrieves all medications that are discontinued or expired from nursing units at time of bin exchange and hourly deliveries.
   • New patients are provided with a labeled medication bin in alphabetical order 100% of time.

1. Inventory Control
   •  Kanban Inventory system is adhered to 100% of the time (inpatient pharmacy). Maintains and organizes inventory supply in a manner, which minimizes inventory storage cost, wastage, and stock-outs. Ensures inventory is rotated properly, stored in appropriate conditions and location with 100% accuracy.
   • Complete monthly medication expiration dating assignments in a timely manner. Identify and reorder expired medications inventory and ensures that stock is stored in accordance with manufacturer requirements.
   • Assures the proper replacement of prescription drugs to stock upon requisitions from various departments of the hospital either manually or through the Pyxis System.
   • Ensures the secure storage of narcotics and other controlled substances.
   • Document every transaction completely and accurately.
   • No generation of discrepancies in the C2 Safe, Pyxis Medstation, or Inventory Logs.
   • Ensure the destruction of returned controlled substance continuous medication infusions.
   • Ensures secure storage of narcotics and other controlled substances on a regular basis. Maintains inventory records on narcotics and other forms of drugs as required by law.
   • Performs inventory counts of controlled substances with a pharmacist as per policy and procedures.

1. Participates in hospital and departmental Continuous Improvement (CI) activities
   • Utilizes the Lean Principals of to analyze and resolve problems in a systematic manner.
   • All improvement must be made in accordance with the scientific method
   • Participation to departmental Rapid Process Improvement (RPI) activities
   • Work OT to allow coworkers to participate in department RPI
   • Achieve patient safety and satisfaction through the use of lean principles:
     • 5S
     • Elimination of Waste
     • Just In Time (JIT)
     • Standard Work
     • Quality
     • Promote and Comply to Standardized Procedures.
     • Promote and Comply to Standard Work.
     • Identify “waste” in ownership process and recommends solutions for implementation.
     • Correct abnormal conditions.

Job Requirements

High School Diploma required.

One (1) year of Pharmacy Technician experience preferred.

Certified Pharmacy Technician required.

Hospital Pharmacy experience preferred; Children’s Hospital Pharmacy experience preferred