Standard

R State Standard £ Institutionally Developed College: n/a

PHR 1050 - Pharmacy Technology Practicum
Course Description Orients students to the clinical environment and provides experiences with the basic skills necessary for the pharmacy technician. Topics include: aseptic and sterile techniques, storage and control, documentation, inventory, filing, compounding, parenteral admixtures, filtering, disinfection, medication delivery, and hospital pharmacy techniques.
Competency Areas		Hours
Aseptic and Sterile Techniques		Class	0
Storage and Control		D. Lab	0
Documentation		P. Lab/O.B.I.	21
Inventory and Billing		Credit	7
Community Practice
Compounding
Parenteral Admixtures
Filtering
Disinfection
Medication Delivery
Institutional Pharmacy
Prerequisite:	PHR 1010, PHR 1020
Corequisite:	PHR 1030

Course Guide

Competency	After completing this section, the student will be able to:	Hours
		Class	D.Lab	P.Lab/ O.B.I.
STORAGE AND CONTROL		0	0	(210)
Storage requirements	Follow storage requirements for all classification of drugs.
	Follow storage requirements of floor stock and controlled drugs in the pharmacy and on nursing units through a floor check.
	Prepare a controlled drug record.
	Store caustic, poisonous, and flammable substances.
	List references used to guide decisions on drug storage and control.
Medication control	Demonstrate the control of emergency medications through an emergency, medication cart/kit inventory/check.
	Demonstrate quantity control of outpatient medications through use of profile or a physician’s order. .
DOCUMENTATION		0	0
Documentation	Explain the disposition of various drug classifications from receipt to use (e.g., controlled drug, etc.).
	Prepare required dispensing documentation for controlled drugs, investigational drugs, and nonprescription drugs.
	Identify those items a technologist cannot document.
	Demonstrate the ability to participate in the pharmacy’s quality control and medication error prevention plan.
INVENTORY and BILLING		0	0
Inventory and purchasing procedures	Employ inventory and purchasing procedures to include ordering from wholesaler, want book entry, or returns.
	Record inventory and purchases.
	Maintain controlled substances records.
	Inspect nursing-unit drug supplies including various automated functions such as stock outs, expired drugs, or replenishment.
	Use a computer for inventory and purchases.
COMMUNITY PRACTICE		0	0
Delivery	Prepare medications for automated system.
	Prepare, order, or deliver controlled substances with emphasis on security and control.
Prescription interpretation	Prepare prescriptions to include interpretation, data entry, retrieval of medication from stock, insurance information.
	Prepare medication for dispensing including counting, pouring, or repackaging.
Discontinued medications	Retrieve discontinued medications from shelves and return accordingly.
Compounding	Use compounding equipment.
	Clean equipment used in compounding.
	Store equipment used in compounding.
	Select ingredients.
	Calculate amount of ingredients.
	Measure amount of ingredients.
	Complete worksheet including record of weights and volumes, and manufacturer's lot numbers.
	Mix product.
	Prepare product.
Packaging and labeling	Demonstrate selection and preparation of packages/containers and closures.
	Use proper packaging technique.
	Demonstrate correct selection and preparation of labels.
Immunizations	Uses proper knowledge of aseptic technique to assist the pharmacist in administration of immunizations.
INSTITUTIONAL PRACTICE
Recordkeeping	Complete necessary records for repackaged drugs. (unit dose or blister package)
Syringes and needles	Demonstrate the proper use of syringes and needles to withdraw contents of rubber-capped vials and glass ampoules.
	Distinguish types and sizes of needles and syringes.
Parenteral admixture preparation	Use laminar-flow hoods, filters, pumps and vacuum sets, drug additive systems and packages, and other equipment related to parenteral admixture preparation.
	Demonstrate the appropriate technique for aseptic preparations of an antibiotic injection.
	Demonstrate the correct techniques and procedures for preparing complete parenteral admixtures, including proper label preparation and records completion.
	Prepare a TPN admixture with and without the use of an automatic compounders.
	Visually inspect completed parenteral admixtures.
	Assemble intravenous admixtures, fluid containers, filters, and extensions with various intravenous admixture sets.
	Fill cassettes used for epidural and other parenteral admixture administration via pump.
	Use the pump set.
	Demonstrate the proper use of chemotherapy product preparation devices.
	Demonstrate the appropriate assembly of products and devices used for preparing parenteral admixtures under a laminar-flow hood.
	Demonstrate the correct programming and application of an automatic filling device used to prepare admixture or dilute drug products.
Filtering techniques	Use various types of filter straws, filter needles, and other filters that are used in-line for intravenous drug product preparation.
	Demonstrate proper filtering techniques in product preparation other than intravenous.
Filter types	Demonstrate situations for use of various filter types.
	Choose appropriate filter.
Infection	Demonstrate proper hand washing technique.
	Describe microbial growth and transmission.
Disinfection techniques	Use attire and accessories that contribute to disinfection.
	Demonstrate proper cleaning techniques on work surface areas.
	Demonstrate work practices that inhibit possibilities of infection transmission.
	Clean equipment used in drug product preparation.
	Perform tasks that demonstrate sterility, heat sterilization, and "cold" sterilization.
	Demonstrate touch contamination and avoidance of touch contamination.
Delivery	Deliver medications to the Pyxis or other automated system.
	Deliver controlled substances with emphasis on security and control.
	Deliver stock medications to various departments.
	Deliver intravenous or chemotherapy medications.
	Complete cart exchanges using appropriate approach to personnel and interaction with same.
Policies and Procedures	Discuss importance of good work habits such as absenteeism, tardiness, incompetency, dishonesty, and conflict resolution.
	State institutional and departmental policies applicable to each of the pharmacy job responsibilities.
	Discuss examples of "a decision requiring a pharmacist's judgment."
	State legal aspects of technologist functions, such as accountability, pharmacy regulations, and use and storage of controlled substances.
COMMUNICATION
	Demonstrate verbal face-to-face communication as well as correct telephone communication techniques to be used when receiving and initiating calls.
	Prepare a written communication conveying a change in procedure.
	Demonstrate the ability to resolve conflicts through negotiation.
	Appreciates the need to adapt to cultural differences.
	Takes personal responsibility in direct patient care including information for medication management therapy, completing profiles, and phone interactions when required.
Recordkeeping and HIPAA	State at least three reasons for patient information confidentiality.
	Demonstrate recordkeeping techniques for various medication types (e.g., controlled substances and investigational drugs).
Error Prevention and Quality Control
	Uses knowledge in receiving and screening prescriptions/medication orders for completeness, accuracy, and authenticity.
	Assists the pharmacist in collecting, organizing, and evaluating information for direct patient care, medication use review, and medication management therapy.
	Assists in monitoring practice site and/or service area for compliance with federal, state, and local laws.
	Actively participates in the prevention of medication error through the site’s process in multiple practice settings.

Suggested Resources

Media Print Audio/Visual Web Other

Books

Abood, Richard. “Pharmacy Practice and the Law”. 5^th ed. Jones and Bartlett; 2008. Bucher, Richard. “Diversity Consciousness” 2^nd ed. Pearson; 2004. Krager, Dan. “ HIPAA for the Health Care Professional”. Delmar. 2008. Makeely, Sherry. “ Professionalism in Health Care”. 3^rd ed. Pearson. 2008. Moini, Jhangir. “Pocket Guide for Pharmacy Technicians” Thomson. 2008. Q&A review for the Pharmacy Technician by Marvin Stoogenke & Peter Le; 2^nd edition; Pearson Prentice Hall Publishing Co.; Shannon. “Health Professional Drug Guide” 2007-2008, Prentice Hall, 2007 The Pharmacy Practice for Technician, Don Ballington, 3^rd edition; EMC Paradigm Publishing Mosby’s Pharmacy Technician Principles & Practice,  2^nd ed.Teresa Hopper, Elsevier, Inc. Weill, Barbara. “Information Technology for the Health Professions” 2^nd ed. Pearson. 2005.

Posted: 12/17/09