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Controlled Drugs

Under the supervision of the Senior Pharmacy Technician for the dispensary, lead the management of the Controlled Drugs (CDs) including

- Investigating, resolving and reporting on stock and computer discrepancies, including written reports for all errors and stock adjustments

- Organising and facilitating the dispensary CD stock balance and expiry checks monthly

- Organising and facilitating patients own CD destruction

- Organising and facilitating the destruction of stock CDs with the registered accountable witness

- Contribute to reviews of CD SOPs

- Ensuring all documentation is filed and retained legally in accordance with legislation

- Maintain sample signature lists where appropriate

- Provide KPI data as requested by senior team

- Compiling and sharing quarterly and annual reports on errors and usage of CDs to senior management and CDAO

- Ensure high levels of dispensing accuracy of staff involved in dispensing of CDs through robust training and continued observations

- Identify any additional training requirements for staff with high CD error rates

- Facilitate the CD training for all new pharmacy staff and any staff needing additional training/ support

- Have lead responsibility for the receipt, storage, dispensing and implementation of legislation relating to controlled drugs

- Monitor on a monthly basis and report on any irregularity in the issues of controlled drugs or the suspected diversion or misuse to each destination, principally external entities but also internal wards

- Monitor and maintain the stock levels of controlled drug stationery and other sundry items such as bungs, cable ties, delivery slips etc

- Contribute to other projects/reports surrounding CDs where necessary

- Organise and maintain methotrexate syringes located in CD room

Pharmacy Procurement, Distribution & Stores

Under the supervision of the Senior Pharmacy Technician.

- Deputise when required for the Senior Pharmacy Technician, to ensure that Distribution & Stores ATOs have the support they require to manage the service as per daily rota and in compliance with GDP.

- Be a super user for the pharmacy robot.

- Deputise for the Purchasing Manager when required to cover annual leave and sickness absence.

- To generate and send orders for medicines to suppliers by the most appropriate means, by using electronic data interchange (EDI) or telephoning and emailing.

- To manage urgent medicines request placing orders with appropriate suppliers to ensure timely delivery of medicines in line with patient needs

- To liaise with Purchasing Manager, and suppliers regarding outstanding orders, and to resolve problems regarding deliveries.

- To download invoices via EDI and to process invoices, ensuring all financial information is processed in accordance with the Trust’s standing financial instructions and standards for public bodies.

- To perform regular checking and validation of stock re-order levels within the department.

- To pro-actively review out of stock lines and delays in supply from manufacturers and seek alternative suppliers and pack sizes as appropriate.

- Authorise any change in price at the invoicing stage ensuring any increase in price is accurate and appropriate escalating any issue to the Purchasing Manager.

- To bring to the attention of the Purchasing Manager any critical out-of-stocks and changes in supplier in a proactive and timely manner.

- To liaise with the Purchasing Manager about “drug recalls” issued by the Medicines and Health Products Regulatory Agency (MHRA) and or manufacturers and be responsible for return of affected stock to the original supplier.

- To assist with the compliance to local, regional and national procurement contracts.

- To participate in the regular checking of stock levels within the department and to contribute to the investigation and rectification of any stock discrepancies.

- To review and assist with updating SOPs in line with change of practice to ensure current working procedures.

- To assist with the training of all Preregistration Trainee Pharmacy Technicians and Foundation pharmacists undertaking basic workplace assessments as necessary.

- To assist in the training of all purchasing staff in ordering, receiving and invoicing.

- To perform general office duties relevant to Pharmacy procurement/stores.

- To co-operate and participate in any training and development in procurement, attending such study days and courses as necessary for service development.

- Work with the Senior Pharmacy technician to develop and maintain systems to demonstrate cost savings obtained from any contracting and procurement agreement.

- To monitor changing usage rates and adjust buying patterns accordingly.

- To assist in the development and management of “off contract” credit claims ensuring the Trust receives maximum financial rebate for all out-of-stock contract lines.

- Authorise purchasing in line with the frame work set out in the departments purchasing for safety policy.

Dispensary

Under the supervision of the Senior Pharmacy Technician for the dispensary

- Final accuracy check prescriptions, orders and Controlled Drugs carrying out all tasks required to maintain checking technician status.

- To ensure the ward based one stop service and the dispensary develop and grow together and to contribute to policies as such.

- Accurately dispense prescriptions for patients (inpatients, outpatients or discharge), liaising with medical & nursing staff where clarification is required and also when there are drug supply problems.

- Accurately dispense controlled drug orders for wards & departments, and patients, making register entries, checking stock balances and reporting discrepancies that cannot be resolved to the Senior Pharmacy Technician

- To receive prescriptions and fees from the general public at the hatch and process the payment

- To answer the staff hatch to other hospital staff, dealing with their requests.

- To answer the telephone if required, dealing with queries regarding work in progress, dealing with the enquiry to the caller’s satisfaction or passing the call on to the most relevant person.

- Use the prescription tracking system to book in and track prescriptions at each stage in the process

Medicines Optimisation & Discharge

Under the supervision of the Chief Pharmacy Technician or nominated deputy

- Work with minimal supervision to provide an admission, supply and discharge service to nominated wards.  Liaising directly with pharmacists, doctors and nursing staff over clinical issues as appropriate.

- On admission, checking that the medicines prescribed for each patient conform with information from the patient, JUYI, SCR, GP letter and/or Nursing Home, carrying out medicine reconciliation for individual patients

- Operate the patient’s own drug scheme at all levels, assessing whether any medicines brought in by the patient are fit for use and removing (with patient’s permission) any medicines not needed

- Participate and develop a one stop dispensing pharmacy service, ward based including the education of training of nurses and ward staff in the systems operated.

- Initiate & accurately supply medication labelled ready for discharge and medicines needed on an individual basis for patients on the ward

- Counsel patients to use their medication and providing written information as required

- Prioritising and organising daily workload to ensure that all required tasks are completed within allocated timescale

- Aid discharge planning in conjunction with ward pharmacist and ward staff.

- Liaise with GP surgeries, Community Pharmacies, Patient’s and Carers to ensure that continuing supply of medicines are provided in compliance aids at discharge

- Check transcriptions of discharge prescriptions and check medications before bagging up for discharge involving checking the accuracy of the take home prescription against the drug chart and locker contents.

- The post holder will be responsible for the general medicinal ‘housekeeping’ of the wards, e.g.: 3 monthly CD balance checks (stock & patients own), returning unwanted medicines into stock, keeping control of general ward stock levels, and the cost effective use of medicines

- Participate in the audit of the medicines management service through quality standards and robust auditing methods and to maintain such documentation and records of work as may be required

- Share best practise, seeking out new developments, informing other staff and implementing new practises where appropriate.

- Participate in the supervision, training and/or mentoring of student technicians, new or existing technicians, pre-registration pharmacists and junior pharmacists concerning the medicines management role on the wards

General

- Ensure the standard operating procedures are adhered to and Health and Safety procedures followed. There is a responsibility for stock control and security of medicines within daily duties.

- Foster & maintain good relationships with pharmacy, medical & nursing staff. Promote positive & effective communication within the department & service users.

- Be pro-active in risk assessment and ensuring safe systems of work.

- Contribute to policies & procedures.

- Be willing to re-arrange duties and prioritise according to service need if required to cover for absence and assist in ensuring that wards have adequate cover during absence.

- To be actively involved in instruction, mentoring, training and appraisal of technicians undertaking the regional medicines management course, and students, junior technicians and assistants within the dispensary.

- Participate in internal audit & surveys of service delivery as required, gathering reliable data and being able to collate it into a report if required to do so.

- Provide Saturday, Sunday and Bank Holiday cover as per rota.

- Comply with the code of expectations & values that the trust expects

- Complete any additional roles as required by line manager