Sterile Compounding Supervisor

A Day in the Life of a Sterile Compounding Supervisor: 

Works under the supervision of the Pharmacy Operations Manager and the pharmacist(s) on duty. Designated person of responsibility for USP 795, 797, 800 regulatory standards and all nonsterile, sterile, and hazardous medication compounding programs for Cheyenne Regional Medical Center. Provides all supervisory functions for the nonsterile and sterile compounding areas and technical functions.  Ensures department objectives for timely, efficient pharmacy care are met.   

Why Work at Cheyenne Regional?

• ANCC Magnet Hospital
• 403(b) with 4% employer match
• 21 PTO days per year (increases with tenure)
• Education Assistance Program
• Employer Sponsored Wellness Program
• Employee Assistance Program
• Loan Forgiveness Eligible 

Here Is What You Will Be Doing:

• Monitors the daily operations of the sterile and nonsterile compounding processes for Pharmacists and Pharmacy Technicians to ensure accuracy and compliance with USP 795, 797, and 800 standards. 
• Monitors packaging, sterile, and nonsterile compounding operations to ensure necessary inventory levels are maintained and oversees recordkeeping to comply with state and federal laws. 
• Maintains expertise with and ensures compliance with Joint Commission, OSHA, and other regulatory standards.  Continuously monitors changes to USP 795, 797 and USP 800 requirements and implement changes using lean principles when needed.
• Develops and conducts audits as necessary to ensure functions are performed as designed.
• Ensures compounding equipment is clean, accurate, appropriate, and properly inspected and the compounding environment is properly maintained, isolated, and inspected.
• Ensures ingredients have their correct identity, quality, and purity and opened or partially used containers are properly stored and inspected.  Ensures completed compounded sterile preparations are appropriately packaged, labeled, and assigned an appropriate BUD, and evaluated for safety.
• Ensures deficiencies in compounding can be rapidly identified and corrected.
• Ensures a written Quality Assurance program is established for monitoring, evaluating, correcting, and improving the activities, systems, and processes that support the preparation of compounded sterile preparations.  Ensures policies and procedures are prepared and updated per USP 795, 797 and 800 for the compounding, dispensing, delivery, administration, storage, and use of sterile pharmaceutical products appropriate for their facility.
• Coordinates with Leadership and Pharmacy Education to ensure comprehensive training materials are developed and maintained to reflect and meet current standards of practice for USP 795, 797, 800.  Ensures that staff have completed required training and competencies that is documented in their records.  
• Participates in performance improvement activities that include membership on all Pharmacy shared governance committees.
• Acts as the Pharmacy Buyer in absence of the Pharmacy Buyer or as scheduled and acts as a Pharmacy Technician as needed.
• Conducts unit inspections as assigned for Cheyenne Regional Medical Group (CRMG) and hospital-based clinics ensuring compliance with regulatory standards and medication storage not less than quarterly.

Desired Skills:

• Effective oral, written, interpersonal communication and listening skills
• Ability to define appropriate lines of authority for the department/program in keeping with administrative and committee structure
• Ability to use all methods of communication to disseminate information to staff in a timely manner
• Ability to use Lean Methodology for process improvement.
• Ability to professionally handle physician encounters with the patient’s best interest in mind
• Ability to follow HIPAA regulations when discussing personnel, patient, and staff related issues
• Ability to comply with the system for ongoing competency maintenance and develop a self-assessment plan to maintain personal competency
• Ability to demonstrate sound professional judgment consistent with clinical/academic background
• Ability and willingness to seek appropriate guidance when situation dictates advanced knowledge or judgment
• Knowledge of USP 795, 797, and USP 800 standards
• Knowledge of State Board of Pharmacy regulations for sterile and nonsterile compounding
• Ability and willingness to exhibit behaviors consistent with standards for performance improvement and organization values
• Ability and willingness to exhibit behaviors consistent with principles for service excellence

Here Is What You Will Need:

• Three (3) or more years of hospital pharmacy technician experience
• Three (3) or more years of sterile and non-sterile compounding experience
• Pharmacy Technician License from the Wyoming State Board of Pharmacy prior to start date
• 4 Months: Peer-to-Leader or equivalent course completion within four (4) months of start date
• 4 Months: Lean Training within four (4) months of start date
• 12 Months: Pharmacy Technician Certification Board (PTCB) Sterile Compounding Certification (CSPT) within twelve (12) months of start date
• 12 Months: Pharmacy Technician Certification Board (PTCB) Hazardous Drug Management Certificate within twelve (12) months of start date

Nice to Have:

• Health-system experience
• Pharmacy Technician Certification Board (PTCB) Sterile Compounding Certificate
• Certified Pharmacy Technician – Advanced Certification (CPhT-Adv)

About Cheyenne Regional:

Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of Integrity, Caring, Compassion, Respect, Service, Teamwork and Excellence to I.N.S.P.I.R.E. great health.

Our team makes a difference every day by providing trusted healthcare expertise through a passionate and I.N.S.P.I.R.E.(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today!