This employee is responsible for assuring facility compliance with all applicable laws, regulations, directives, policies, and procedures applying to the dispensing, storage, transfer, inventory, and accountability of controlled substances. They will perform a variety of general and specialized technical and clerical support functions in Pharmacy Service and enhance the efficiency and effectiveness of the professional staff. Major Duties Controlled Substance Dispensing Collates and prepares prescriptions for distribution (pick-up and/or mail out) Ensures digital signature is valid for each narcotic prescription before filling Maintains proficiency in transacting controlled substance prescriptions in applicable software systems Assists with mail packaging of controlled substances, as staffing necessitates Ensures packaged narcotic prescriptions for mail out are brought to the main mail cart each day before mail leaves the outpatient pharmacy area Upholds complete vault and drug security when working in the vault, including vault entry logo Exhibits an ability to function independently with elevated level of productivity and accuracy Demonstrates comprehensive knowledge of all applicable laws, regulations, directives, policies, and procedures applying to the dispensing, storage, transfer, inventory, and accountability of controlled substances Conducts and maintains accurate inventory of all controlled substances in the outpatient pharmacy in accordance with VA policies and procedures to include front and back narcotic vaults Reports all count discrepancies to a supervisor immediately Provides proper information and assistance to the supervisor for balance adjustment and inventory management Completes all orders for controlled substances, according to VACO directives, DEA, and other state and local requirements Maintains stock/inventory control to ensure sufficient quantities are available to meet dispensing demands, preventing shortages and/or conditions of excessive stock for both the front and back narcotic vaults. This may include the transfer of controlled substance stock from the back-narcotic vault to the front narcotic vault Is responsible for storage and stock rotation of all controlled substances, REMS medications, and investigational controlled substance inventory. Checks expiration dates Complies with all submission and documentation rules for REMS medications and maintains appropriate records in a clear and organized system, when applicable Is responsible to ensure the accuracy of controlled substance records Develops and maintains a process to keep records and/or files in a legal and orderly fashion for all routine and unscheduled inspections Maintains records of transactions of the outpatient pharmacy as required by policies necessary to maintain adequate control and accountability of all controlled substances (i.e. receiving receipts, logistics, CSOS, hard copy of controlled substance prescriptions for CII-V from Non-VA providers, etc.)o Reconciles CII-V hard copy requirements daily and maintains CII-V hard copy files in a clear and organized system Interacts with controlled substance inspection officials Identifies and reports any potential problem(s) of waste, fraud, diversion, and/or abuse to appropriate supervisors Tracks and trends reported patient controlled substance issues with pharmacy supervisor(s)o Displays an ability to gather appropriate amount of information needed to ascertain and resolve problems; in addition, makes recommendations for appropriate action Maintains effective verbal and written communication between other technicians and pharmacists regarding storage and dispensing of controlled substances Answers questions from pharmacy and non-pharmacy personnel regarding drug distribution of controlled substances Follows correct procedures for recalled controlled substances based on level of severityo Is responsible for receipt, return to stock, and destruction of controlled substances Assists with securing all damaged or expired controlled substance medication(s) for destruction Participates in reverse distributor process for controlled substances Responds to any technological down time and is highly sensitive to the impact on pharmacy customer service Instructs pharmacy staff (technicians and pharmacists) on controlled substance policies and procedures. Provides written instruction and reference materials when required, particularly for new tasks. On occasion, may need to provide education to inspectors, students, residents, etc. Receives and maintains separate methadone and buprenorphine/naloxone inventory and storage for Outpatient Treatment Program. Ensures medications for the Outpatient Treatment Program are ordered on the correct DEA form with correct DEA number for the Outpatient Treatment Program Uses safe handling of hazardous drugs as outlined in facility/department policy and USP 800 Is responsible for storage and inventory maintenance of controlled substances in cache Is responsible for storage, distribution, and record keeping of VA prescription blanks (VA Form 10- 2577F) Work Schedule: Full-time, Monday - Friday, 7:00am to 3:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.