Nemours is seeking a Pharmacy Student Intern (CASUAL/PRN), to join our Nemours Children's Health team in Wilmington, Delaware. Enrollment and in good standing status with an accredited school of pharmacy is required.

This is a whole year internship program, during the school year students work every 3rd weekend (both Saturday and Sunday). During the summer, interns work 2-3 shifts weekly for 5 weeks (it can be nonconsecutive weeks) and during wintertime, interns works 2-3 shifts per week. There is a commitment to work 3 holidays in a year. Currently the shifts could start as early as 7:00 am or as late as 2:30pm. These are 8.5 hours shifts which are subject to change based on department needs.

This Pharmacy Student Intern position is responsible for providing Pharmacy Services within the Inpatient and Outpatient Pharmacy Department of the Nemours Alfred I DuPont Hospital for Children (AIDHC). The position is responsible for assisting in the preparation (including technical aspects of preparation) and delivery of all medications to patients. This position is responsible for providing customer service to internal and external customers, working under the operational supervision of the pharmacist. The majority of tasks and responsibilities are related to preparing, dispensing and distributing medications.

1. Performs various functions associated with the AIDHC drug distribution system and demonstrates familiarity with the general duties and responsibilities of a Pharmacy Student Intern including knowledge, competency and understanding of the position to which he/she is assigned, which may include: cart fill, Pyxis functionality, IV preparation (e.g. syringes, admixtures, hazardous, continuous renal replacement therapy, total parenteral nutrition, etc.), unit dose packaging, filling outpatient prescriptions (data entry, third party processing, barcoding), unit inspections, oral liquid compounding, stock inventory maintenance and replenishment, code cart process, selling prescriptions at POS, delivery of prescriptions, and fielding phone calls.
2. Prepares accurately, through the proper use of equipment and techniques; individualized doses of sterile and non- sterile extemporaneous medication, in an appropriate container, labeled in an appropriate manner and stored at the recommended temperature
   • Calculates the concentration and volume of the medication to be used prior to its preparation 100% of the time.
   • Unit dose medications are correctly and accurately prepared and labeled. Preparation is appropriately documented as per policy and procedure.
   • Medication is prepared and stored in a manner that is compatible and stable within the anticipated time of use.
   • Weighs, measures, mixes ingredients; compounds and prepared compounds, and prepares capsules, emulsions, liquids, suspensions, powders, ointments and intravenous solutions using such equipment as graduates, balances, mortars, pestles and funnels in a correct manner 100% of the time.
   • Provide proper information on labels as per policy & procedures. Enter proper medication expiration dating as per expiration dating policy and procedure.
   • Prepares medication in a manner that minimizes cost due to wastage.
   • Ensure all doses prepared are verified with a pharmacist prior to dispensing to ensure medications prepared and dispensed are correct and accurate, in an appropriate container, labeled in an appropriate manner and stored at the recommended temperature.
   • Prepares medications to assure that the turnaround time for all uncomplicated medication orders and for all stat medication orders does not exceed 1 hour and 15 minutes respectively, 100% of situations.
   • Patient Specific Batch PO Production and Patient Medication Bin Fill
     • Complete daily PO Production process in the designated start time and sequence of patient care units
     • Discontinued medications are removed from patient bins and refrigerator bins during batch delivery process.
     • Patient medication bins are maintained 100% accurate during medication bin fill process utilizing patch label, DC drug label, and DC patient labels.
     • Places all prepared and checked medications in the correct patient cassette 100%.
   • Patient Specific Batch IV Production
     • Prepares patient specific batch IV production for daily exchange within standard cycle time.
     • Refrigerated medications are properly segregated from non-refrigerated medications.
     • Discontinued medications are removed from production bin, patient bins and refrigerator bins during batch delivery process.
     • Places all prepared and checked medications in the correct nursing unit bins 100%.
     • Follow USP 797 and USP 800 Guidelines and Compliance
   • Sterile products (IV, LVP, TPN and Hazardous) prepared in compliance to USP 797 and USP 800.
     • Aseptic Test, Aseptic Validation / Practical , Aseptic Validation Sample, Finger Tip Sample passed 100%
     • Single dose vials discarded within established timeframe after opening 100% of time based on random tracer
     • Multiple dose vials discarded within 100% of time based on random tracer
     • Proper sterile PPE Garb - 100% compliance based on a sample size inclusive of every 6 months (daily; random; minimum: 100 days per 6 months)
3. Medication Delivery. Pharmacy products are distributed accurately, with the appropriate quantity and at the time the product is needed during hourly medication delivery and Batch delivery
   • Check all doses remaining in patient bin : multi-dose drugs, inhalers, new doses, prns. Check expiration date. Alert pharmacist to replace expired medications.
   • Check expiration date of all patient specific medications including IVs, POs and refrigerated items. Return all expired items to the pharmacy.
   • Remove discontinued medication from pharmacy return bin and return to pharmacy.
   • Return all expired /unauthorized medication to pharmacy (i.e. Home medication of discharged patient, medication removed from Pyxis)
   • Remove non-pharmacy items from medication refrigerator ( lab tubes/specimens, non-pharmacy formula) and give to nurse
   • Insulin Vials- Remove any dated vials from refrigerator and place in patient bin or other proper storage location
   • Delivers medication on an hourly basis to the appropriate storage area (med bins, refrigerator) on the nursing unit with 100% accuracy.
   • Delivers medication to the appropriate patient bin on nursing unit to assure the correct drug is available for administration to the patient.
   • Initiates special deliveries of medications to assure that the turnaround time for all uncomplicated medication orders and for all stat medication orders does not exceed 1 hour and 15 minutes respectively, 100% of situations.
   • Retrieves all medications that are discontinued or expired from nursing units at time of bin exchange and hourly deliveries.
   • New patient are provided with a labeled medication bin in alphabetical order 100% of time.
4. Inventory Control
   • Kanban Inventory system is adhered to 100% of time.
   • Maintains and organizes inventory supply in a manner, which minimizes inventory storage cost, wastage, and stock-outs. Ensures inventory is rotated properly, stored in appropriate conditions and location with 100% accuracy.
   • Complete monthly medication expiration dating assignments in a timely manner. Identify and reorder expired medications inventory and ensures that stock is stored in accordance with manufacturer requirements.
   • Assures the proper replacement of prescription drugs to stock upon requisitions from various departments of the hospital either manually or through the Pyxis System.
   • Ensures the secure storage of narcotics and other controlled substances.
   • Document every transaction completely and accurately.
   • No generation of discrepancies in the C2 Safe, Pyxis Medstation, or Inventory Logs.
   • Ensure the destruction of returned controlled substance continuous medication infusions.
   • Ensures secure storage of narcotics and other controlled substances on a regular basis. Maintains inventory records on narcotics and other forms of drugs as required by law.
   • Performs inventory counts of controlled substances on safes as per policy and procedures.
5. Participates in hospital and departmental Continuous Improvement (CI) activities
   • Utilizes the Lean Principals of to analyze, and resolve problems in a systematic manner.
   • All improvement must be made in accordance with the scientific method
   • Participation to departmental Rapid Process Improvement (RPI) activities
   • Work OT to allow coworkers to participate in department RPI
   • Achieve patient safety and satisfaction through the use of lean principles:
     • 5S
     • Elimination of Waste
     • Just In Time (JIT)
     • Standard Work
     • Quality
     • Promote and Comply to Standardized Procedures.
     • Promote and Comply to Standard Work.
     • Identify "waste" in ownership process and recommends solutions for implementation.
     • Correct abnormal conditions.
6. Performs other related duties as assigned by authorized personnel to provide departmental flexibility to patient care needs including those for emergency situations.
   • Provides help or coverage to others when needed.

Job Requirements

• High School Diploma required. Enrollment and in good standing status with an accredited school of pharmacy is required.
• Delaware Pharmacy Intern License-proof of license required within 90 days of hire.
• Hospital experience preferred.

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