DISPENSING RESPONSIBILITIES

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Medication order/ prescription preparation

Prepare inpatient nonparenteral medication order or prescription.

Prepare inpatient parenteral medication order or prescription.

Prepare outpatient or retail prescription.

Package and label all medications.

PHYSICIAN ORDERS

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Transcription

Transcribe any number of medication orders or prescriptions accurately.

Translation

Translate any common Latin abbreviations used in a pharmacy to English equivalents.

CONTROLLED SUBSTANCES

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Terminology

Define controlled substance.

Differentiate between Federal and State definitions of controlled substances.

Controlled substance schedules

Differentiate between the controlled substance schedules.

Give examples of drugs that fall into each schedule.

Federal and State record keeping requirements

Order controlled substances.

Describe the requirements any pharmacy must meet to order controlled substances.

Describe the procedure used to order a schedule II controlled substance and a schedule III-V controlled substance.

Controlled substances receipt

Describe the verification of a controlled substance shipment.

Discuss the added responsibility in receiving controlled substances.

Describe recordkeeping requirements.

State the length of time all ordering/ inventory controlled substance records must be kept.

Controlled substances inventory

Describe the difference between biennial inventory requirements for schedule II controlled substances and those for schedule III-V controlled substances.

Describe the advantages of perpetual inventory systems.

Controlled substances storage

Describe the differences between storage requirements for schedule II controlled substances and those for schedule III-V controlled substances.

Inpatient dispensing

Describe the proper means of intrahospital controlled substance requisitions.

Give advantages and disadvantages of the single sheet/modified sheet system, the schedule sheet system, the special issue sheet system, and the Pyxis/Documed systems.

Controlled substance return and disposal

Describe the procedure for handling returned controlled substance doses.

Differentiate between the nursing/ pharmacy procedures involving the return of partial and unopened doses.

Describe the use of the controlled substance discrepancy form.

Outpatient/Retail dispensing

List the additional information required on a controlled substance prescription.

Describe the dispensing procedure, including recordkeeping for schedule II, schedule III-V, and exempt schedule V controlled substances.

Controlled substances destruction

Differentiate between small scale and large scale controlled substance destruction.

Describe the procedures and recordkeeping involved in destruction of large amounts of controlled substances.

HYPERALIMENTATION

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Types of hyperalimentation

Demonstrate understanding of various types of hyperalimentation (TPN) and conditions for use.

Products handling

Demonstrate proper handling of products used in TPN preparation.

Hyperalimentation preparation

Demonstrate TPN preparation using both an automatic compounding device and syringe method.

Demonstrate appropriate use of bags, spikes, sets, and filters used in TPN preparation.

Automatic compounder

Demonstrate the appropriate "set up" of an automatic compounding/mixing device using associated supplies.

Demonstrate an aseptic change or add-on of supplies/products to an automatic compounder.

Storing TPN products

Demonstrate proper techniques in handling, labeling, and storing TPN products.

Recordkeeping

Demonstrate proper recordkeeping for TPN preparations.

CHEMOTHERAPY

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Chemotherapy log

Demonstrate an understanding of the significance of a chemotherapy log.

Safety

Demonstrate the appropriate use of a spill kit.

Identify and demonstrate the various pieces of available protective equipment used for handling cytotoxic agents.

Chemotherapy product preparation

Demonstrate proper use of a vertical flow hood in chemotherapy product handling/preparation.

Demonstrate the preparation of not less than three cytotoxic drug products.

Transportation and storage

Demonstrate proper packaging for transport of cytotoxic drug products.

Demonstrate the proper storage for prepared and unprepared cytotoxic drug products.

PATIENT PROFILES

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Patient profile information

Explain the information required in a patient profile.

Compare manipulations required in computerized and manual patient profiles.

PHARMACY DATA SYSTEMS

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FAX machines

Demonstrate the use of FAX machines to send and receive data.

Computer use

Use a computer terminal and printer to record and retrieve pharmacy data.

Demonstrate at least six different uses of computer systems in modern pharmacy.

Demonstrate the use of protected access for security of computer maintained pharmacy records.

Computerized records

Build a computerized patient profile.

Demonstrate the disposition of computer maintained records within the laws of pharmacy.

Demonstrate computer use to check prices, order drug products, and locate usage/volume reports.

Demonstrate computer use to check and maintain inventory/reorder levels and to take actual physical inventory.

Demonstrate computer use to generate all elements of ambulatory patient prescriptions (e.g., storing information for refills, pricing, etc.).

Demonstrate computer use to prepare various types of labels (e.g., IV labels, prescription labels, extemporaneous preparation labels, etc.)

Maintenance

Demonstrate the ability to correctly maintain computer hardware, including cleaning, replacing ribbon/ ink, and replenishing paper/labels.

OPHTHALMIC PREPARATIONS

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Ophthalmic preparation

Demonstrate the preparation of an ophthalmic preparation using sterile technique.

Demonstrate the proper preparation and filtration of an appropriate ophthalmic preparation used in surgical procedures (e.g., local injections, etc.).

Demonstrate proper area preparation, proper container(s)/ devices and sizes, and proper labeling and storage of sterile ophthalmic preparations.

Demonstrate the appropriate ingredients check prior to and after the preparation of an ophthalmic preparation.

Ophthalmic medication administration

Demonstrate the local administration of ophthalmic medications in various dosage forms (e.g., solutions, suspensions, and ointments).

HOSPITAL/RETAIL/HOME HEALTH

 PHARMACY TECHNIQUES

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Hospital

Illustrate and interpret the institution's organizational chart considering the responsibilities of the pharmacy director and the Pharmacy Department personnel.

Recite the general responsibilities and job status of personnel in other institutional departments with whom the technologist will have contact when carrying out assigned duties and activities.

Locate major hospital departments and service units.

Escort another person to any department or unit.

State at least three reasons for patient information confidentiality.

State at least five reasons for initiation of a disciplinary action in the institution (e.g., absenteeism, tardiness, incompetency, dishonesty, etc.).

State institutional and departmental policies applicable to each of the pharmacy job responsibilities.

Describe the procedure for each pharmacy job responsibility.

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.

Cite at least 10 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.

List transcription techniques, abbreviations, and symbols used to effect order transcription.

Use various weighing and measuring techniques.

List inventory control techniques.

Demonstrate techniques of audits/ inspection.

List pricing techniques.

Demonstrate packaging techniques.

Demonstrate recordkeeping techniques for various medication types (e.g., controlled substances, investigational drugs).

Retail

Complete monetary transactions.

Communicate face-to-face with customers and exhibit good public relations.

Explain third party payment forms.

Complete third party payment forms.

Suggest over-the-counter products and supplies for minor injuries and ailments.

Select correct syringes, needles, and supplies for diabetics, etc.

Receive and initiate calls.

Transfer the correct prescription to the correct patient.

Measure ingredients using various measuring devices.

Describe durable medical equipment and the selection process for customers.

Explain inventory control/ordering techniques and the required recordkeeping.

Home health

Receive complete patient information by telephone for enrollment in home health program services.

Explain third party payment forms.

Complete third party payment forms.

Communicate with third party provider(s) in solving problems or assuring coverage of services.

Describe filing systems for patient information.

Discuss recordkeeping for any medication dispensed and product/ device sold.

Price medication dispensed and products/devices sold.

Perform legal requirements of technologists in relation to duties performed/responsibilities carried out.

Explain inventory control/ordering techniques and the required recordkeeping.