1. Staff Pharmacist and Pharmacy Training & Education Coordinator
Responsible for operational oversight of Sterile Compounding Areas and Clinical Monitoring Program
A. Coordination of Pharmacy Department Training & Education
1. Manages all competency assessment, training, in-service, and other on-going educational programs
2. Writes, reviews, and updates all policies, procedures and training materials
3. Training: Orients new staff and trains existing staff in new areas of responsibility
4. Education
• Provides in-service training on new policies, products, processes, etc.
• Disseminates information by e-mail on changes to work processes, policies, procedures
• Prepares work aids to assist staff with above changes
5. Competency Assessment
• Submits yearly Pharmacy Department Competency/Education Plan to the Education Department
• Administers and evaluates competency assessments with feedback and reassessment if needed
6. Maintains all training, education and competency records
7. Acts as liaison to Overnight Pharmacy service for all training and competency issues
8. Teaches Pharmacy portion of Nursing Orientation and various topics at Nursing Education Days
B. Sterile Compounding Areas (Anteroom, IV Room and Chemo Room)
9. Oversight
i. Ensures only trained and competent staff are scheduled to compound
ii. Assists with work assignment modifications as needed due to illness, etc.
iii. Oversees compliance with policies and procedures
iv. Assists with resolution of issues arising in the course of daily work
v. Provides up to date reference and resource materials
10. Policy & Procedure: writes, reviews and updates all policies and procedures
11. Training:
• Maintains a sterile product training program that meets the requirements of accrediting and
regulating entities
• Creates visual aids to enhance compliance with policies and procedures
12. Environmental Testing
• Schedules and performs environmental testing on all sterile compounding areas
• Evaluates environmental testing results, takes appropriate action, and reports to manager
13. Quality Assurance
• Evaluates compliance with policies and procedures through ongoing review of logs and work
process documents
• Develops and executes quality improvement activities, as needed
14. Compliance
• Works to ensure compliance with USP Chapters 797 and 800
• Ensures compliance with NJ Board of Pharmacy regulations for sterile compounding areas
15. Coordination with other Pharmacy functions and other hospital departments
• Assists Pharmacy buyer with sourcing supplies and equipment
• Acts as liaison to Environmental Services department to ensure compliance with cleaning and
disinfection policies
• Responsible for updates and additions to Nursing policy involving compounded sterile products
C. Clinical Monitoring Program
• Writes, reviews and updates all clinical monitoring SOPs, work aids, forms, etc
• Trains pharmacists on clinical monitoring program
• Initiates periodic review of monitors, addition of new monitors

2. Staff Pharmacist and Pharmacy Training & Education Coordinator
Responsible for operational oversight of Sterile Compounding Areas and Clinical Monitoring Program
• Compiles quarterly and yearly data on pharmacist interventions and clinical monitoring