Maintains manual documentation and data files on all purchase orders and invoices for controlled substances.
• Keeps up on all controlled substances stock outs and loading of any new orders for controlled substances.
• Evaluates the automated medication dispensing machine (ADM) to controlled substance inventory report, Return Bin Activity report
and outdate report for potential diversion, and reconciles any related issues.
• Ensures all discrepancies are resolved properly in the pharmacy vault and in ADMs on nursing floors in accordance with hospital,
state, and federal policies.
• Completes a physical inventory of all controlled substances monthly at a minimum.
• Ensures all nursing units are doing a weekly ADM inventory of narcotics at med stations, and monitors controlled substance utilization
to determine if a product should be unloaded.
• Assists nurses in documenting waste on the Controlled Substance Variance form.
• Screens the Controlled Substances activity log daily and monitors for any suspicious activity.
• Responsible for keeping track of short dated and expired controlled substances.
• Oversees and participates in the unit dose packaging of all controlled substances.
• Performs batch controlled substance compounding and patient specific compounding as needed
• Returns all unloaded controlled substances to the controlled substance inventory management system and pharmacy vault.
• Processes controlled substances refill report to fill all ADMs
• Performs a manual count with each controlled substance transaction to ensure that the inventory is correct.
• Analyzes ADM usage of controlled substances on an ongoing basis to manage and optimize inventory in order to decrease refilling of
high use products and lower stock out events.
• Evaluates controlled substance data in reference to loads and unloads of medications in ADM to determine which products need to
be added to floor stock.
• Evaluates controlled substances usage data to decrease narcotic inventory at ADMs in order to avoid diversion, decrease out dates,
and increase pharmacy control over controlled substances.
• Monitor and evaluate the Continuous Quality Improvement program data and reported medication errors related to controlled
substances to prevent future medication misadventures.
• Responsible for maintenance of unit-dose packaging log for controlled substances to comply with state and federal regulations.
• Responsible for training all new personnel on the controlled substance inventory management system and the development and
maintenance of policies and procedures related to controlled substances.
• Responsible for processing expired controlled substances and securing inventory for outside vendor to process and remove when
needed.
• Oversees the diversion report monthly, and coordinates with nursing managers to investigate and track nursing personnel that
dispense a quantity of controlled substances that is 2 standard deviations above the mean on their nursing unit.
• At some sites, reconciles anesthesia packs against the Anesthesia narcotic administration record, and surgery charges and ensures
all surgery charges are complete.
• At some sites, prepares new Anesthesia packs and refills the appropriate ADM.
• At some sites, verifies authenticity of anesthesia controlled substance returns utilizing a refractometer.
• At some sites, delivers controlled substances to ADMs.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state
and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
Education/Training
High school diploma or equivalent required.
Licensure/Certification
• Must be currently registered with the Florida State Board of Pharmacy, renewed every two years.
Experience
Two (2) years’ pharmacy technician experience required.
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