As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
Nemours is seeking a Diversion and Regulatory Compliance Coordinator, to join our Nemours Children's Hospital team in Orlando, Florida
Located in Orlando, Fla., Nemours Children’s Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region
This Pharmacy Diversion and Regulatory Compliance Coordinator position is responsible for providing oversight and direction for the daily operations of the Drug Diversion Prevention, Detection and Response Program. They are responsible for evaluating organizational compliance with medication standards required by the regulatory agencies Drug Enforcement Agency (DEA), Board of Pharmacy (BOP), Department of Health (DOH), Joint Commission (TJC), Food and Drug Administration (FDA), Agency for Health Care Administration, Office for Civil Rights (HIPPA) and other relevant regulations. The Pharmacy Diversion Compliance Specialist is accountable for all aspects of drug diversion education, prevention, monitoring, investigation and reporting at Nemours Children’s Hospital. This position works under the operational supervision of the Clinical Manager.
Maintains an advanced knowledge of Pharmacy operations and the expected state of operations
Unit dose cart fill, Pyxis functionality, IV preparation (e.g. syringes, admixtures, chemotherapy, continuous, total parenteral nutrition, etc.), unit dose packaging, filling outpatient prescriptions, barcoding, Pharmacy inspections, oral liquid compounding, stock inventory maintenance and replenishment, code cart process, aseptic compounding of parenteral admixtures and other sterile dosage forms, appropriate personnel protective equipment.
Assists Director of Pharmacy or designee with auditing internal regulatory requirements including safety walks, USP 797 documentation, Board of Pharmacy documentation, and regulatory visits.
Carries out rules and regulations pertaining to the professional policies of the pharmacy department and ensures compliance with State and Federal regulations.
Establish and maintain a coordinated, comprehensive and systemic surveillance and auditing program to detect and prevent drug diversion.
Collect and track institution wide diversion related data, including medication-handling issues, medication security issues, concerns about healthcare provider behavior/performance and patient complaints related to pain.
Maintain a diversion database containing all data collected that may relate to diversion
Responsible for distributing the controlled substance audit summary to the Nurse Managers and Department of Anesthesiology on a monthly basis.
Conduct mock inspections and Diversion Risk Rounds to assess overall compliance.
Provide leadership and actively participate in Hospital multidisciplinary education activities relating to drug diversion.
Establish and maintain an effective drug diversion education program for all Hospital staff as appropriate for their work responsibilities.
Lead the investigation process of suspected drug diversion incidents.
Coordinate with the Diversion Response Team and direct any Response Team activities.
Ensure that internal and external regulatory reporting occurs as required following each diversion event.
Present institutional drug diversion reports to the Drug Diversion Operating Committee, the CEO and Board of Directors as appropriate.
Assist with materials and presentation at the Controlled Substance Oversight Committee.
Develop or contribute to drug handling and diversion prevention, detection policies and procedures.
Work collaboratively with all relevant departments and serve as a diversion resource for staff.
Conduct audits of all records and log deficiencies identified during inspections that are related to poor or incomplete record keeping and documentation.
Ensure control and security over controlled substances inventory, document accurately and identify inventory movement or diversion in a timely and retrievable manner.
Review the diversion literature and reported diversion events in the press on a routine basis to share at Oversight Committee, which then should be used to determine recommendations for processes in place at Nemours.
Serves in hospital committees as assigned and performs other duties as assigned by the Director of Pharmacy.
Able to maintain punctual attendance consistent with Nemours policies, regulatory, and federal, state, and local standards.
Strong communications skills are required. Prepared to interact with both internal and external customers and respond appropriately
Bachelors Degree required
Florida Pharmacy Technician licensure preferred
Certified Pharmacy Technician preferred
Minimum of 3 years Hospital Pharmacy experience required
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
Nemours is a pediatric health system of hospitals and specialty clinics serving children and families throughout the Delaware Valley and Florida. Our dedicated professionals integrate medical care, research, health education, and prevention to help improve the lives of children every day.