NC 05694 OSP Rev. 8/84 FACILITY SURVEY PHARMACY CONSULTANT This is professional, administrative, and consultative pharmacy work in surveying health care facilities and institutions to determine compliance with a variety of professional, State and Federal rules, regulations, and policies. Positions axe located within the Division of Facility Services, Department of Human Resources. Employees serve as a member of a facility survey team comprised of a variety of professional areas and are responsible for providing professional opinions, judgments, and evaluations in certifying the pharmaceutical services in a variety of facilities ranging from chronic renal analysis units to general and specialty hospitals; identifying and documenting deficiencies; and providing subsequent consultations and educational assistance in order to resolve deficiencies and facilitate optimal patient care consistent with current regulations, lave, and professional standards. Employees are also responsible for responding to and investigating complaints and/or abuses of patient care as it impacts on the professional pharmacy standards. Employees oust possess and demonstrate a working knowledge of a variety of Federal, State and professional rules, regulations, standards and policies as well as a knowledge of the field of pharmacy as it relates to the care of the patient. Work may include other related assignments as determined by fit. Work is supervised by a Facility Survey Regional Supervisor. I. DIFFICULTY OF WORK: Variety and Scope - Work assignments include serving as a professional member of a multidisciplinary team with the primary responsibility for surveying health care facilities. As a part of a survey team, employees review the facility file, note the findings of past surveys, corrections made, consultation visits accomplished, and pertinent idiosyncrasies applicable to the particular facility; arrange with the administrator, pharmacist, director of nursing, etc., for the orderly evaluation of the pharmaceutical services provided in the facility; interview patients, facility personnel and family members of patients; examine patient records for information supportive of the drug regimen and its application to the patient's plan of care. Employees observe the preparation and administration of medications; examine medication storage facilities; evaluate policies and procedures relating to the pharmaceutical services provided; evaluate the reports submitted by the pharmacist; review minutes of the meetings of the pharmaceutical services, patient care policy, utilization review and infection control committees. Employees determine the qualifications of the pharmacist providing services to the facility and assess the quality of the supportive staff in the delivery of pharmaceutical services in the facility. Employees also assess the facility's degree of compliance with applicable Federal, State and local laws. Upon the completion of the formal ca-site survey, employees correlate their findings with the remainder of the team members and prepare for the exit conference with the facility's administrator and staff to note deficiencies and then submit written reports to the team leader, providing the documentation necessary to substantiate the deficiencies cited. The team leader conveys the assembled report of all the members of the team to the administrator of the facility; then the employees examine and evaluate the written plan of correction submitted by the facility for its appropriateness, and coordinate with team members representing other professional disciplines in cases of overlap of specific requirements in order to assure that the plan of correction is acceptable to the team. Based on the plea of correction, the employees recommend for certification, recertification, decertification (or, in the case of hospitals, deferred certification) of the facility as it relates to pharmaceutical services. Intricacy - Employees participate in a multidisciplinary team in surveying health care facilities, providing consultation in upgrading patient care systems, and responding to patient, public, and clinician health care complaints. Employees must be able to detect subtleties in pharmacy related patient care treatment plans and pharmaceutical systems in order to ensure compliance to standards and guidelines; recommend modifications in pharmacy systems in order to effectiveness, and exercise tact and discretion in discussing discrepancies of federal, State, and professional standards with facility and medical administrators. NC 05694 OSP 8/84 Subject Matter Complexity - Employee must have a complete understanding of pharmaceutical policies and procedures and the profession of pharmacy, an in-depth understanding of State and federal NC licensure and certification program standards and regulations, and general knowledge of State and federal drug laws. Guidelines - Guidelines include State licensure regulations for health facilities and federal standards and regulations. Additionally, State and federal drug laws as well as previous facility records, reports, and organizational materials are available. II. RESPONSIBILITY: Nature of Instructions - Monthly schedules for facility surveys and consultative visits are scheduled by the team leader with input from these employees and other professional consultants on the team. Daily work is self-planned and performed with considerable independence. With approval from the supervisor, employees often plan, schedule and conduct individual consultative and complaint investigation visits to facilities. Nature of Review - Work is subject to review and discussion with the team leader and regional supervisor during surveys and upon completion of the reporting documents. Reviews are broad in scope on an administrative level and narrow on a professional basis. Scope of Decisions - A significant portion of the general public is affected by the decisions of these employees as they are determining if health care facilities meet minimum required standards for pharmaceutical services for State licensure or participation in the Medicare-Medicaid programs. Consequence of Decisions - Employees' decisions could have a substantial impact on, a significant portion of the public as they directly relate to the delivery of health care services being rendered by facilities. In addition, facility operations are affected by these sane decisions, as they relate to the certification of facilities for participation in the Medicare-Medicaid program and recommendations for facility licensure status. III. INTERPERSONAL COMMUNICATIONS: Scope of Contacts - Work contacts are with a wide variety of health care professionals, clinicians, managers, and health care facility administrators. Nature and Purpose - Employees work with health care professionals, managers, and clinicians in providing information on pharmaceutical standards, practices, and procedures. Employees also interview these individuals in the survey process to ensure compliance. Employees meet with health care facility managers to discuss the survey process and discuss any findings from their survey. Work Conditions - Employees work in either an office setting, or in a hospital or pharmacy setting. Generally, good working conditions prevail, but may include some exposure to toxic or hazardous chemicals and drugs, and to patients with multisystemic conditions. Hazards - Work requires employees to travel extensively throughout the State. Exposure to serious dangers rarely occurs; hover, employees may contend with risks resulting from exposure to patients with infectious and/or contagious diseases, as well as toxic chemicals and drugs. NC 05694 OSP 8/84 V. RECRUITMENT STANDARDS: Knowledges, Skills, and Abilities - Thorough knowledge of professional pharmacy theory, techniques, practices and procedures. Thorough knowledge of trends, current technology, and standards of pharmacy practice. Considerable knowledge of agency program and personnel policies and procedures. Considerable knowledge of pharmacy as it impacts on disease pathophysiology. Considerable knowledge of State and federal standards, guidelines, and regulations. Considerable knowledge of the principles and practices of health care organization, and management. General knowledge of physician services, nursing, dietetics, medical records, social services, civil and patient rights and proper utilization of facilities as they relate to pharmacy services. Skill in public relations techniques. Ability to organize and work independently. Ability to interpret and apply rules, regulations, and policies to different situations and facilities. Ability to establish and maintain effective communications and work relationships with facility management and professional consultants. Minimum Education and Experience - Graduation from a recognized school of pharmacy and two years of experience in pharmaceutical service delivery; or an equivalent combination of education and experience. Minimum Education and Experience for a Trainee Appointment - Graduation from a recognized school of pharmacy. Necessary Special Qualifications - Must be licensed to practice pharmacy in the State of North Carolina.
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