|1. Description - |
|A general study of the usual technician functions associated with an institutional drug distribution system. Practical experience in the manipulative and record-keeping functions of extemporaneous preparations in an inpatient pharmacy. Intended for students in the Pharmacy Technology Program.|
|Prerequisite: Admission to Pharmacy Technology Program.|
|2. Course Objectives - |
|The student will be able to: |
- demonstrate proficiency purchasing procedures in the inpatient pharmacy setting.
- demonstrate proficiency in inventory in the inpatient pharmacy setting.
- maintain records of controlled substances in an inpatient pharmacy.
- inspect and maintain nursing unit drug supplies.
- follow established policies and procedures for recording and distributing the extemporaneous preparation of bulk, unit dose, and special doses of medications prepared for immediate or in anticipation of future use.
- describe various automated and manual distribution systems in the inpatient setting.
- prepare various bulk, unit dose, and special doses of medications.
- skillfully maintain manual distribution systems, including cassette filling.
- follow established policies and procedures for documenting the removal from inventory of expired/discontinued pharmaceuticals, durable medical equipment, devices, supplies, or recalled items in these same categories.
|3. Special Facilities and/or Equipment - |
|Medications cart, Cassettes with drawers, Unit dose package materials, measuring and weighing devices, labels, stationery supplies necessary for record keeping and patient profiles. Textbooks, overhead, videotapes, multimedia cart, charts. College Library with generalized and specialized references. |
|4. Course Content (Body of knowledge) - |
- Purchasing procedures (L-L)
- Requisition Orders
- Purchase orders
- Identifying pharmaceuticals to be ordered.
- Types of suppliers
- Alternative methods of ordering for pharmaceuticals not available from regular suppliers
- Methods of communicating to pharmacy personnel, patients, and health care professionals any changes in pharmaceutical availability.
- Lab: Preparing requisition orders and purchase orders. Receiving and handling procedures for invoices and placing goods into stock.
- Inventory procedures (L-L)
- Methods of inventory control
- Receiving goods into stock and verifying specifications on original order
- Placing stock in the pharmacy or into storage
- Handling of expired, discontinued or recalled pharmaceuticals
- Record-keeping of pharmaceutical recalls and returns.
- Lab: Processing invoices and packing slips. Receiving and handling procedures.
- Controlled substances (L-L)
- Record-keeping of controlled substances received into stock and removed from stock.
- DEA Form 222
- Ordering of scheduled drugs
- Receiving of scheduled drugs
- Maintenance of acceptable levels of drug supplies in the nursing unit.
- Pyxis Machine
- Floor stock items
- restocking protocols
- Crash Carts
- Lab:Maintenance of nursing unit supplies and specialized trays according to standardized lists.
- Extemporaneous preparation (L-L)
- Labeling requirements
- Bulk preparations
- Special doses
- Unit dose
- Maintaining a log
- Lab: Extemporaneous preparation of randomly selected formulation and packaging requests into a unit dose form, procedures and operations to include:
- Correct selection of equipment and drug
- Accurate calculation and measurement of each ingredient
- Proper record keeping
- Correct label
- Correct calculation of new expiration date
- Cassette filling (L-L)
- Understanding and filling medications (physicians) orders
- Handling scheduled medications, controlled substances, bedside medications, and PRN's
- Patient profile
- Lab: Setting up doses for patients according to physician's orders, and completing all the necessary dispensing records. Delivery to the ward of cassettes by means of a medications cart.
- Preparation on medication (L-L)
- Bulk Medications
- Unit Dose
- pill form
- oral syringe
- oral unit dose cup
- Special doses
- Lab: Bulk medication processing, preparing various unit dose packaging to include blister packs, oral cups, oral syringes, powders and creams.
- Manual distribution (L-L)
- Transfer cart
- Medications cart
- Automated point-of-use unit dose drug distribution system (Pyxis)
- Expired and Discontinued Medications (L-L)
- Policy and procedures
- Devices and Equipment
- Documentation process
|5. Repeatability - Moved to header area.|
|6. Methods of Evaluation - |
|The following evaluation methods may be used but are not limited to: |
- Objective exams
- Lab Practical Exams
- Laboratory Notebook
|7. Representative Text(s) - |
|American Pharmacists Association, Perspective Press. The Pharmacy Technician. Fourth Edition. Englewood:Morton Publishing Company, 2010. |
|8. Disciplines - |
|Pharmacy Technology |
|9. Method of Instruction - |
- Lecture presentations and classroom discussion regarding topics.
- Small group recitation sessions to discuss concepts.
|10. Lab Content - |
- Drug Organization in a Pharmacy
- Recording and management of Schedule II drugs
- Reading and translating physicians orders, medical profiles and medication administration records
- Bulk Compounding and log maintenance
- Various Unit Dose preparations
- Cassette and medication cart filling and documentation
- Simulated Pyxis Machine/Automation
- Crash Carts
|11. Honors Description - No longer used. Integrated into main description section.|
|12. Types and/or Examples of Required Reading, Writing and Outside of Class Assignments - |
|Reading Assignments: Weekly reading assignments from text, online curriculum, lab manual, and outside sources ranging from 20 to 25 pages per week. |
|13. Need/Justification - |
|This course is required core course for the A.S. degree and the Certificate of Achievement in the Pharmacy Technician Program. |