PHARMACY TECHNICIAN PROGRAM

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1 Cleveland Heights-University Heights City School District PHARMACY TECHNICIAN PROGRAM COURSE OF STUDY August, 2004 Deborah S. Delisle Superintendent of Schools

2 STATEMENT OF APPROVAL THIS COURSE OF STUDY HAS BEEN EXAMINED BY THE CLEVELAND HEIGHTS-UNIVERSITY HEIGHTS BOARD OF EDUCATION. THE DOCUMENT WAS FORMALLY APPROVED FOR ADOPTION BY THE BOARD OF EDUCATION ON AUGUST 23, 2004 RESOLUTION #

3 TABLE OF CONTENTS PHARMACY TECHNICIAN PROGRAM CLEVELAND HEIGHTS-UNIVERSITY HEIGHTS CITY SCHOOL DISTRICT Table of Contents i Recommendation of the Advisory Committee ii Acknowledgements iii District Philosophy iv District Goals vi Program Design Scope and Sequence Student Assessment Policy i

4 RECOMMENDATION BY CAREER & TECHNICAL ADVISORY COMMITTEE PHARMACY TECHNICIAN PROGRAM CLEVELAND HEIGHTS UNIVERSITY HEIGHTS CITY SCHOOL DISTRICT The Advisory Committee of the Pharmacy Technician Program, Cleveland Heights-University Heights City School District has reviewed this course of study and recommends it for use as the foundation for instruction in classroom, laboratory and cooperative occupational experiences. The developers of the course of study have considered local labor market needs and the school district s ability to offer specialized programs. The competencies found in the ITAC and course of study for this program have been reviewed and accepted as being congruent with our school district s philosophy and student outcome measures. Additional competencies related to the local health care field have been incorporated into the course of study. We believe that this course of study adequately and correctly focuses upon the development of technical competencies, attitudes, values and appreciation s critical to successful employment in the pharmacy field. The Pharmacy Technician Program Advisory Council recommended this course of study. ii

5 ACKNOWLEDGEMENTS PHARMACY TECHNICIAN PROGRAM CLEVELAND HEIGHTS-UNIVERSITY HEIGHTS CITY SCHOOL DISTRICT Sincere appreciation goes to the following individuals for their assistance and cooperation in preparing this vocational program s course of study: Dr. Joseph S. Micheller, Exec. Director of Educational Services Cleveland Heights-University Heights City School District Mrs. Deborah Delisle, Superintendent Cleveland Heights-University Heights City School District Mr. James Cipolletti, Principal Cleveland Heights High School Ms. Thelma D. Williams, Coordinator of Career-Technical Education Cleveland Heights-University Heights City School District Ms. Lisa Marie Lawson, CPhT, Program Instructor Cleveland Heights High School PHARMACY TECHNICIAN PROGRAM ADVISORY COUNCIL Mr. Greg Braylock, RPh Registered Pharmacist/Walgreen s Pharmacy Member, Ohio Board of Pharmacy Mr. Eric Tawney, RPh Registered Pharmacist/Kaiser Permanente Ms. Lori L. Woodson, RPh Registered Pharmacist Ms. Thelma D. Williams Coordinator of Career-Technical Education ADDITIONAL ACKNOWLEDGEMENTS Ms. Thelma Williams Coordinator of Career-Technical Education Mr. John Caine DHO Instructor, Cleveland Heights High School Ms. Pamela Chance, CPhT. Pharmacy Technician Instructor, Tri-C Walgreen s Pharmacy iii

6 6121* (Policy Notebook) PHILOSOPHY OF EDUCATION DISTRICT PHILOSOPHY The educational organization, administration, development and programs within our school system are to be guided by the following premises: 1. All children are entitled to a public education that will encourage the fullest development of their individual talents. 2. Learning is essential to individual independence and the general welfare of the changing American society. 3. Effective learning develops both intellectual and emotional qualities and is for action; its proper evaluation lies in the quality of resultant activity, not mere response. 4. Organized education, a deployment of human and material resources as means toward learning, implies learning for all - - students, teachers, administrators -- at different levels of understanding and maturity. 5. Organized education is at its best when graced with experimental attitudes and dedicated to the proposition that all issues between organization and learning shall be resolved in favor of learning. 6. All rewards and penalties adopted in the organization of education become legitimate only insofar as they assist learning. 7. For purposes of learning and growth, internal motivations are more valuable than the external, such as, grades and competition. The primary people in our school system are first, the students, and next, the teachers. Accordingly, they will be given primary consideration in any action taken by the Board of Education. iv

7 Our school system will provide training in the basic skills. Our school system should provide a framework in which basic problem-solving and personal adjustment methods can be learned in an orderly, phased, and wholly accessible manner. Our school system should educate toward both responsibility and responsiveness. It should provide greatly enriched conditions for individual growth in self-awareness, in a larger social awareness, and in controlled and meaningful response both to inner and outer influences. It should strive to heighten the developing student s appreciation of the cultural and individual diversity within the human family, and improve his/her skill in working harmoniously and creatively with that diversity, since this is a rich resource for innovative and successful growth. A major effort of the teaching-learning process should be the early development of positive self-assurance and the continuing development of individual potential to deal with a changing society, to think rationally and creatively, to be independent and productive, and to choose rewarding life activities. Thinking, creativity, independence, productivity, and activity are also characterized by individual differences. Yet they must meet external requirements, and these change with the changing society. *Ohio Administrative Code Approved by Board of Education February 9, 1970 Revised by Board of Education January 31, 1977 Re-adopted by Board of Education January 3, 1978; March 14, 1983; December 11, 1989 v

8 DISTRICT GOALS PHARMACY TECHNICIAN PROGRAM CLEVELAND HEIGHTS-UNIVERSITY HEIGHTS CITY SCHOOL DISTRICT WE, THE COMMUNITY, PARENTS, STUDENTS AND STAFF OF CLEVELAND HEIGHTS HIGH SCHOOL PROMOTE education as a process of continual growth and development preparing students to function as independent life-long learner. WORK to foster a climate of educational excellence characterized by concern, mutual respect and trust. EMPHASIZE rigorous instruction to insure learning. ENHANCE initiative, promote independence, and encourage self-discipline. NURTURE the total development of students: their emotional, social, physical and intellectual growth. STRESS COMMUNICATION as the heart of education. VALUE the heterogeneous ethnic, racial and religious character of our community, staff and students. STRIVE to meet the individual needs and abilities of each student. EXPECT students to work hard and challenge themselves to achieve their full potential. vi

9 PROGRAM DESIGN PHARMACY TECHNICIAN PROGRAM CLEVELAND HEIGHTS-UNIVERSITY HEIGHTS CITY SCHOOL DISTRICT We believe, with the rapid advances occurring in the pharmacy field due to new therapies and treatments being developed daily, average life expectancy, the rise of healthcare moving out of the hospitals and long-term care facilities and into the home, the pharmacy technician field is one of the most rapidly growing careers today. As the students make the transition into adulthood and realize the demand this carries, they can be confident that by completing this course and becoming certified, they have guaranteed themselves a very challenging and rewarding profession. We believe that with strong motivation behind them these young adults will see this as a stepping stone to furthering their education. We believe the responsibility of the parents, community, industry and school is to provide the students with information, opportunity, and encouragement to pursue those skills that will allow the student to maximize his/her interests and abilities. With this support the student will be better able to select and grow in this ever-changing world. We believe that through the combined efforts of parents, community, industry and school we must be involved in helping meet the workforce needs of today. We must set an example for the students that it takes a team. A team working cooperatively can provide the positive experiences and skills our young adults need to be successful citizens. We believe the philosophy of the Cleveland Heights-University Heights Pharmacy Technician Program should reflect one primary objective: to prepare student to be productive citizens both in their chosen profession and as fully functioning members of society. Our purpose and duty is to provide our students the opportunity and the means to master the technical skills and attitudes essential to employment in various pharmacy occupations. We believe that given the expectations and distractions of today s society, we must go beyond the manipulative and allow the students the opportunity to master decision-making and problem-solving skills. We must also offer the students the opportunity to experience and realize the need for developing interpersonal skills, a positive work ethic, and employability and job-seeking skills. We believe students are individuals that do not bring the same level of skills or initiative to the classroom or laboratory. Instruction and evaluation will be individualized as much as possible, with the understanding that student employability and employer expectations are not compromised. 1

10 PROGRAM GOALS The Pharmacy Technician Program is a one-year program designed to prepare the students for the Pharmacy Technicians Certification Test and enable the students to use this education to settle into a career as a Certified Pharmacy Technician and/or apply it to further their education. Students are scheduled 3 consecutive periods a day 5 days a week. They will experience related instruction and lab requirements, as well as clinical education out in the field. Upon successful completion, the students may earn up to 3 units of credit for the year. Our programs goals are to meet or exceed the following: Utilize the school-business partnership as a vehicle for improved educational opportunity for students; Provide skill training that will enable students to gain entry-level employment in pharmacy related field; Prepare students for post-secondary training in health-related fields; Produce skilled personnel to fill the growing demand for employees in pharmacy related fields; Increase Career Prep opportunities for Cleveland Heights-University Heights, Shaker Heights and Warrensville students; Promote Cleveland Heights High School as a role model for service and commitment to the community; Enrich conditions for individual growth in self-awareness and a larger social awareness, in a controlled and meaningful manner; Heighten the student s appreciation of cultural, ethnic, and individual diversity within the human family, and improve his/her skill in working harmoniously and creatively; Encourage self-assurance, discipline and motivation. PROGRAM OVERVIEW Curriculum and learning activities for the Pharmacy Tech Program include the basic principles and processes of pharmacy; anatomy and physiology; medical terminology; biology and chemistry; clinical and administrative competencies; communications and leadership development; safety; personal and career development; and the attainment of life-long learning skills. 2

11 POPULATION TO BE SERVED The Pharmacy Technician Program is open to all senior students interested in pursuing employment in the health field. Educationally, economically, and/or physically disadvantaged students are mainstreamed unless the disability prevents a student from benefiting from the program or creates a significant safety hazard to self or others. HOUSING OF THE PROGRAM The program consists of related and lab experiences in the classroom at Cleveland Heights High and includes supervised field trips off school grounds and clinical rotations to be done in area pharmacies. SUPERVISOR OF THE PROGRAM Coordinator of Career-Technical Education OCCUPATIONS ADDRESSED BY THE PROGRAM The program consists of basic core competencies required of those students preparing for the Pharmacy Technician Certification test and entry-level employment as a Pharmacy Technician. BASIC PROGRAM OPERATION The program activities include classroom instruction and laboratory experiences with an occasional field trip to retail and hospital pharmacies. Laboratory experiences are designed to enhance clinical and administrative competencies as determined by the state through Ohio s Competency Analysis Profile with recommendations and deletions made by the Pharmacy Technician Program s Advisory Committee. FIELD EXPERIENCE The Pharmacy Technician Program includes in-school laboratory and out-of-school occupational clinical rotations for students who meet the minimum placement requirements. These experiences are planned by the student, teacher, parent/guardians and the employer. The instructor supervises all field experiences. The student and employer are required to keep the appropriate records of experiences. SCHOOL BUSINESS PARTNERSHIP The Pharmacy Technician Program presently has a friendship with Walgreen s Pharmacy who has gone over and above to get this program off the ground. APPLIED ACADEMICS The Pharmacy Technician Program provides 12 th grade students theoretical instruction and laboratory experiences. Math, biology and communications are integrated into the curriculum. 3

12 TECHNOLOGY The Pharmacy Technician Program promotes knowledge and skill development in customer relations, interpersonal skills, manipulative skills and other technological applications. This program teaches the underlying concepts and principles as applied and transferable knowledge. CRITICAL THINKING AND DECISION-MAKING The Pharmacy Technician Program develops the use of critical thinking in making appropriate decision as an integral part of classroom instruction, laboratory learning and field experiences. The Pharmacy Technician Program teaches decision-making techniques through the problem-solving approach, which includes the identification of options, the selection and testing of an option and determination of a positive solution or conclusion. DISCLAIMER STATEMENT This course of study conforms to all federal, state and local laws and regulations including Title IX and does not discriminate on the basis of age, race, color, national or ethnic origin, sex or handicap in the administration of the educational program or any of its activities. 4

13 Pharmacy Technician Program Course competencies ITAC 5.2: Investigate career options TPO: Using information supplied, investigate career options according to example presented Identify the range of available career information sources Research knowledge, abilities, and skills needed in each occupation using a variety of resources (e.g., handbook, career material, labor market information, computerized career-information delivery systems, and role models/mentors) Assess labor market information pertaining to career options Explore future trends and occupations in the world of work COMPETENCY 1.1: Be an effective health occupations worker TPO: Using examples presented be an effective healthcare worker to meet the standards set by the Pharmacy Technician Certification Board Display behavior appropriate to setting Maintain appropriate personal appearance Wear uniform and or professional attire Practice proper hygiene Exhibit a positive attitude Demonstrate flexibility Apply creative problem thinking and problem solving techniques COMPETENCY 1.2: Describe the role of the Pharmacy Technician. TPO: Using the info supplied describe the role of the pharmacy technician in a written scenario List the personal qualities of a Pharmacy Technician List the professional qualities of a Pharmacy Technician Identify and describe the duties and primary job responsibilities of a Pharmacy Technician Identify and describe the duties and primary job responsibilities of a Pharmacist Present an overview of the organization and functioning of a pharmacy Comply with legal and professional standards of the pharmacy including FDA, DEA, and OSHA rules Describe the legal accountability of the pharmacy staff Describe the responsibility and legal liability of the Pharmacy Technician Demonstrate the proper use and storage of controlled substances in the pharmacy List the ethical standards of the Pharmacy Technician role Cite reasons for the importance of patient confidentiality and HIPPA Privacy Rule ITAC 2.5: Apply listening skills TPO: Using information supplied apply listening skills in a given situation to meet guidelines Identify major points of the message (including key information, directions, specific details) Determine real needs or goals by attending to both verbal and nonverbal messages Overcome communication barriers 5

14 COMPETENCY 1.3: Demonstrate communication skills needed in the pharmacy technician occupation TPO: After receiving oral instructions demonstrate communication skills needed in the pharmacy technician occupation to complete assignment Read, interpret and follow written instructions Interpret and follow oral instructions Clarify instructions Apply basic grammar rules Use pharmaceutical terminology correctly Construct effective sentences Check spelling and correct usage of words Use correct punctuation, capitalization, abbreviations and numbers Proofread, edit, and correct documents Refine verbal and non-verbal communication skills Write and speak concisely Use effective listening skills Participate in group discussions Write legibly COMPETENCY 1.4: Maintain positive customer relations. TPO: Demonstrate by role-play how to maintain positive customer relations in any given situation Display proper phone etiquette Demonstrate positive relations with customers Respect patient confidentiality Provide prompt and courteous service Demonstrate an understanding of workload priorities Recognize the importance of repeat customers to a business Resolve customer inquiries, needs, and complaints Analyze customer needs and wants ITAC 1.6: Apply statistical analysis skills TPO: Following directions apply statistical analysis skills with at least 80% accuracy Estimate probability using standard techniques and formulas COMPETENCY 12.1: Perform basic arithmetic computing TPO: Following directions perform basic arithmetic computing with 100% accuracy ITAC 1.4: Apply mathematical processes Recognize numeral system in pharmacy Recognize numerators, denominators, and reciprocals of fractions Demonstrate converting fractions to lowest terms Demonstrate adding and subtracting fractions Demonstrate multiplying and dividing fractions Demonstrate writing fractions in decimal form Demonstrate rounding decimals and significant decimal numbers Demonstrate adding, subtracting and multiplying decimal numbers Convert ratios and proportions Convert percents Convert household and metric measurements 6

15 Convert apothecary and metric measurements Convert between the different temperature scales ITAC 6.5: Implement safety procedures and programs TPO: Given the criteria implement safety procedures and programs to meet guidelines Identify safety requirements Demonstrate knowledge of safety rules and guidelines Interpret safety signs and symbols Demonstrate desirable safety attitudes and habits Use safety equipment in accordance with established procedures COMPETENCY 3.4: Practice methods of sterilization and use sterile techniques TPO: Following guidelines practice methods of sterilization and use sterile techniques with 100% accuracy Demonstrate and explain principles of aseptic technique (hand washing, etc.) Demonstrate cleaning routines for equipment and surfaces that promote asepsis COMPETENCY 2.1: Use appropriate pharmaceutical-medical terminology TPO: Demonstrate appropriate pharmaceutical-medical terminology without the use of reference materials with 90% accuracy Use and comprehend pharmaceutical-medical abbreviations and symbols used in prescribing drugs Use and comprehend pharmaceutical-medical abbreviations and symbols used in dispensing drugs Use and comprehend pharmaceutical-medical abbreviations and symbols used in charting drugs Identify a fraudulent prescription Demonstrate use of drug classification systems and drug nomenclature Interpret the prescription correctly ITAC 3.3: Demonstrate computer literacy TPO: Using information supplied demonstrate computer literacy according to criteria Comply with ethical standards in the acquisition, organization, analysis, and communication of information Keep informed of legal parameters regarding computers ITAC 3.4: Use database software in work-related situation TPO: After a demonstration use database software in work-related situation with 80% accuracy Demonstrate knowledge of the functions and features of database software Identify the type of data needed Locate needed operations information using software documentation of help functions 7

16 COMPETENCY 8.7: Utilize computers ITAC 3.2: Access/transmit information using electronic communication system TPO: Using the computer access/transmit information using electronic communication system with 90% accuracy Explain the pharmacy technician's computer responsibilities at various retail and hospital pharmacy settings Correctly perform an order entry on a computer Modify existing orders when necessary Perform label printing on the computer Use the computer to: review patient diagnosis, review allergies and sensitivities, monitor drug interactions, monitor inventory control, bill/credit customers Resolve rejected claims COMPETENCY 2.3: Utilize third party insurance as payment for prescriptions TPO: Using guidelines utilize third party insurance as payment for prescriptions so that a label will be generated Identify proper prescription coverage Differentiate correctly among prescription plans Check patient and dependent eligibility Fill prescription according to plan coverage Bill co-pay amount correctly Run computerized third party payment form (where appropriate) Locate patient assistance programs ( under or un insured) COMPETENCY 2.2: Follow procedure in processing prescriptions TPO: Follow procedure in processing prescriptions according to example presented Describe normal prescription workload flow Ask patient appropriate questions for information on the profile Determine whether the prescription is valid and properly written Retrieve refill prescription from files Interpret prescription correctly Fill order correctly Demonstrate different types of drug packaging i.e. multi-dose, single dose, aerosol spray, tubes, etc Label drug order correctly Select proper container for prescription Correctly complete proper records Reconstitute prescription into dosage form suitable for administration Demonstrate appropriate use of auxiliary labels Price product according to policy Bill patient correctly for prescription File insurance forms if appropriate Follow "final check" system Refer appropriate problems to the pharmacist Complete cash and charge transactions accurately Calculate doses when necessary Keep work area neat and clean Demonstrate use of PPI or drug information sheets List factors that determine when to substitute a generic drug for a brand name 8

17 COMPETENCY 10.2: Select proper form of dosage administration for a given patient situation TPO: Using the prescription select proper form of dosage administration for a given patient situation with 100% accuracy List the various routes of administration such as oral, sublingual, buccal, rectal, etc Describe various dosage administration forms such as tablet, capsule, syrup, and specialized preparations (extended release, dermal patches, enteric coated, etc) Relate dosage forms to route of administration (e.g. tablets administered orally) COMPETENCY 10.5: Demonstrate pharmaceutical formulation and packaging on- the-job at a retail pharmacy, under the direction of a licensed pharmacist TPO: Using guidelines demonstrate pharmaceutical formulation and packaging on- the-job at a retail pharmacy, under the direction of a licensed pharmacist with 100% accuracy Package pharmaceutical products for retail sale to customers as directed by the pharmacist or lead technician COMPETENCY 4.1: Follow store policy for inventory and purchasing procedures and record keeping. ITAC 6.10: Utilize an inventory control system to track supplies, materials, and equipment TPO: To meet guidelines utilize an inventory control system to track supplies, materials, and equipment with 90% accuracy Perform purchasing process via phone and computer Maintain drug inventory and purchase records Use computer terminals to generate drug inventory and purchasing records Utilize a reorder list Generate inventory reports Properly check and reorder inventory Handle return goods (expired and not expired) and credits Describe inventory goals (turnover rate, minimum levels, and reorders) Verify correctness of price via invoice Complete inventory delivery (Check for backorders, shortages, damages, and correct price) Schedule drug handling/storage (Schedule II, III, IV and V) Provide proper storage of legend Vs non-legend (Rx Vs OTC items) Observe special storage requirements of medications Keep department clean at all times COMPETENCY 4.2: Stock medications correctly TPO: Using examples presented stock medications correctly so that they are found easily by others Stock medications correctly, including rotation of stock, generic Vs trade name, by manufacturer, in refrigerator, etc Retrieve meds from stock as needed Describe procedure for drug recalls Describe procedure for expired medication Arrange layout of stockroom to meet efficiency and security requirements Return meds to stock Describe refund process 9

18 4.2.8 Describe inventory adjustments COMPETENCY 12.2: Calculate for community pharmacy ITAC 1.4: Apply mathematical processes TPO: According to procedures apply mathematical processes with 90% accuracy Calculate for days supply Adjust refills for short-filled prescriptions Calculate for dispensing fees, co-pays, difference pricing Calculate for billing compounds Demonstrate cash register calculations Define usual and customary prices Apply discounts Calculate gross and net profits Analyze and determine inventory control Organize and calculate daily cash report COMPETENCY 7.1: Perform office duties, including filing insurance claims TPO: Using reference materials perform office duties, including filing insurance claims according to criteria Identify proper prescription insurance coverage Differentiate between different insurance prescription plans and coverages Check patient and dependent eligibility Fill prescription according to plan coverage Accurately file claim to third party Bill co-pay correctly Run computerized third party payment form when appropriate Use accurate diagnostic coding on claim as required Comply with federal, state, local laws regarding insurance claims Perform bookkeeping tasks required for insurance payments COMPETENCY 4.3: Handle controlled substances according to policy and legal guidelines TPO: Using information supplied handle controlled substances according to policy and legal guidelines based on federal, state and local pharmacy laws Properly maintain controlled substances inventory Maintain controlled substances records Use computer terminals to generate drug inventory and purchasing records Follow federal, state and local pharmacy laws Follow procedure for special storage conditions for controlled substances Use procedure for Schedule V over-the-counter drugs Cite and follow regulations governing the sales of needles/syringes Cite and follow refill policies for all controlled substances 10

19 COMPETENCY 11.1: Demonstrate quality assurance practices on-the-job ITAC 6.9: Ensure the quality of products and services TPO: Following criteria demonstrate quality assurance practices on-the-job according to retail pharmacy policies Explain the general principles used in Continuous Quality Improvement or Total Quality Management State the primary goal of a pharmacy quality assurance program 11.3 State at least 5 benefits of a pharmacy quality assurance program State requirements of hospital pharmacist and technician regarding quality control List the function of the Joint Commission on Accreditation of Health Organizations (JCAHO) Cite the retail pharmacy policies and procedures for quality control Cite control guidelines for purchasing drugs Describe equipment and functioning of a quality control lab Maintain quality control record Maintain quality assurance regarding clean air center Maintain medication quality assurance Describe a drug recall program Describe the functioning of a drug defect-reporting program Complete incident reporting and follow-up COMPETENCY 10.1: State and explain the general concepts of pharmacology TPO: After reviewing state and explain the general concepts of pharmacology with out the use of text Define general pharmacological terminology such as: pharmacodynamics, pharmacokinetics, pharmacotherapeutics, pharmacy, toxicology Explain general drug action theory such as agonist, antagonist, receptor site, site of action, mechanism of action Illustrate general methods of drug responses such as the dose-response curve and time-response curve Define basic concepts of drug safety such as LDSO (legal dose), EDSO (effective dose) and therapeutic index Identify major sources of drugs Identify major purposes of drugs Cite general categories of drugs such as analgesic, antibiotic, etc. COMPETENCY 10.2: Select proper form of dosage administration for a given patient situation TPO: Using the prescription select proper form of dosage administration for a given patient situation with 100% accuracy Describe the factors responsible for the existence of different routes of administration List advantages and limitations of various routes of administration Describe drug actions and body responses that occur with different routes and forms of administration of dose COMPETENCY 10.3: Describe the principles of pharmacokinetics TPO: Using information supplied describe the principles of pharmacokinetics with 80% accuracy at first to increase to no less than 90% Define absorption, dissolution, solubility, ionization, bioavailability 11

20 Define distribution in terms of protein binding, tissue binding, blood flow, blood brain barrier Define metabolism in regard to hepatic enzymes, active metabolites, metabolic process Define excretion, half-life, G.I. excretion, renal excretion, respiratory excretion Describe how absorption, distribution, metabolism, and excretion effect blood serum level COMPETENCY 10.4: Chart the major therapeutic classification of drugs TPO: Using examples presented chart the major therapeutic classification of drugs so that they can be used for your reference Categorize common drugs by their therapeutic classification Sketch the relationships between major therapeutic classifications of drugs COMPETENCY 6.1: Demonstrate use of compounding equipment and their proper storage TPO: After receiving information demonstrate use of compounding equipment and their proper storage without constant reminders with 90% accuracy Practice precautions to prevent contamination while compounding Properly operate a prescription balance Demonstrate proficient use of: mortar & pestle, spatula, graduate, ointment pads, special containers for packaging (ointment jars, dropper bottles, applicator bottles) capsule machines, baker cells, counting machines, parenteral bags/bottles, administration sets and related products Correctly compound ointments, solutions, suspensions, capsules, other medications Demonstrate proper technique for using a syringe and needle for aseptic withdrawal of the contents of: 1. a rubber-capped vial, 2. a glass ampoule Demonstrate proper techniques for aseptic reconstitution of an antibiotic injection Demonstrate techniques for preparing parenteral admixtures, including the proper preparation of the label and completion of the control records Demonstrate procedures for functioning in laminar flow correctly hood (vertical and horizontal) Interpret IV orders Correctly perform I.V. calculations Select and correctly measure needed ingredients for IV admixture Identify proper stability information for IV admixture Explain storage requirements of finished products Explain properties of a sterile room including appropriate clothing Identify different routes of parenteral administration Identify different types of syringes Identify different types of needles Identify equipment and systems used in parenteral administration (needles and syringes, administration sets, fluid containers, filters, and pumps) Maintain quality control and document this on appropriate record COMPETENCY 3.1: Describe basic solution theory of chemicals TPO: With out the use of notes describe basic solution theory of chemicals with 90% accuracy Define a solute Define a solvent Define a solution Explain the difference between a solution and a suspension Perform calculations for creating solutions of various strengths Name reference materials where the information on solution theory is available COMPETENCY 3.2: List factors affecting drug stability 12

21 TPO: After reviewing list factors affecting drug stability with 90% accuracy Monitor proper drug storage conditions in regards to heat/ light/ moisture. COMPETENCY 12.3: Calculate for institutional pharmacy ITAC 1.6: Apply statistical analysis skills TPO: TPO: According to procedures apply mathematical processes with 90% accuracy Calculate parenteral doses using ratio and proportions Demonstrate powdered drug preparations Calculate percentages Calculate ratio solutions Calculate dosage based on body weight Calculate dosage based on body surface weight Calculate infusion rate and drip rates Calculate dilutions Demonstrate parenteral nutrition COMPETENCY 9.2: Demonstrate the use of different medication distribution systems TPO: After reviewing demonstrate the use of different medication distribution systems to meet guidelines of the Pharmacy Technician Certification Board Explain and demonstrate a unit dose medication distribution system Explain and demonstrate the distribution of floor stock / narcotics Explain and demonstrate the distribution of l.v. s and piggybacks Demonstrate pass labels and take home medication distribution Tell why community pharmacy practice is an important medication distribution system COMPETENCY 5.1: Package and label medications TPO: After reviewing demonstrate how to package and label medications to meet guidelines of the Pharmacy Technician Certification Board Identify proper pre packaging equipment Assemble and use unit dose equipment Clean and store unit dose equipment Select correct medication for prepackaging Access stability information for prepackaging Accurately perform calculations and measurements Use correct procedures for mixing and preparing formulations Select and prepare containers and closures appropriate for packaging task Demonstrate correct packaging technique Select and prepare label for unit dose medications Identify proper drug storage requirements to list on label USP requirements for labeling on all prepackaged products (Rx #, date, patient name, directions, physician name, product name/generic equivalent quantity, refill information, Pharmex labels) Stock manufacturer package (including drug name, lot #, expiration date; NDC#, price code) Print label on computer and affix to package Prevent contamination of unit dose medications Prepare "oral specials" Follow procedure for drug recalls Identify and follow quality control procedures 13

22 Price product according to policy COMPETENCY 9.1: Demonstrate a general knowledge of pharmacy practice at a retail pharmacy ITAC 6.2: Use reference materials to obtain information appropriate to a given problem, topic or situation TPO: Using reference material demonstrate a general knowledge of pharmacy practice at a retail pharmacy with 90% accuracy Comply with all regulatory agencies, including FDA, DEA, OSHA that govern pharmacy practice Practice professional ethics such as patient confidentiality and HIPAA Privacy Rules Utilize pharmaceutical reference sources when necessary Explain the organization and management of the pharmacy department Complete an orientation to the pharmacy as a part of the in-store training program Identify personnel policies and describe where to find a collection of written personnel policies on various topics ITAC 6.4: Determine the impact of government regulations and business/industry procedures on the performance of particular work functions TPO: Using information researched determine the impact of government regulations and business/industry procedures on the performance of particular work functions to meet guidelines Identify the purpose of government regulations and their impact of the management of resources Identify which regulations or guidelines take priority in a given situation COMPETENCY 3.3: Comply with all federal, state, and employer requirements for safe drug and chemical handling. TPO: Using information supplied comply with all federal, state, and employer requirements for safe drug and chemical handling to meet all guidelines Comply with OSHA requirements regarding toxic and caustic substances Comply with safety requirements regarding flammability of drugs/chemicals Demonstrate asepsis and microbiological contamination control Demonstrate hand washing Practice universal precautions Identify and demonstrate use of all personal safety apparatus Observe effective worker safety habits, including using proper body mechanics to avoid injury Dispose of waste using environmentally safe, approved methods Use and file Material Safety Data Sheets (MSDS) ITAC 5.1: Identify how personal interests, abilities, and skills relate to choosing a career TPO: Using examples presented identify how personal interests, abilities, and skills relate to choosing a career to be completed within 3 days Determine own interests and aptitudes Relate personal interests to academic and occupational skills Identify impact of abilities and skills on career development Identify how self-knowledge relates to making career choices 14

23 ITAC 5.2: Investigate career options TPO: Using the internet and reference material investigate career options so that resume writing can proceed Select careers that best match interests and aptitudes Identify how career choices influence family, personal life and lifestyle ITAC 5.3: Chart career using career-planning skill TPO: Using information while investigating career options chart career using career-planning skill to be completed within one week Demonstrate use of career information Identify elements of career planning Summarize the educational requirements of various occupations Identify skills that apply to a variety of occupations Identify challenges that may interfere with individual career plan (e.g., gender issues, misinformation, expectations of others, and conditions of labor market) Identify short-term and long-term goals for achieving career plan ITAC 5.4: Demonstrate skills needed to enter or reenter the workforce TPO: Using gathered material demonstrate skills needed to enter or reenter the workforce according to criteria Develop job-seeking tools (including resumes, letters of application, portfolios) Apply interpersonal skills in relating to others on the job ITAC 5.5: Demonstrate job-keeping skills TPO: In a role play demonstrate job-keeping skills showing pro s and con s based on information gathered Apply thinking skills to job tasks (including creative thinking, decision making, reasoning, problem solving, interpretation of information Apply interpersonal skills in relating to others on the job Identify an awareness of employer expectations for the job Carryout job tasks in accordance with employer expectations Display positive work ethics ITAC 5.6: Upgrade career skills TPO: Using reference materials available explain the upgrade in career skills according to guidelines of the said career Identify personal and workplace changes that require upgrading of own skills Analyze various education/training options for securing needed upgrading Identify professional development opportunities Recognize need for lifelong upgrading of career skills COMPETENCY 8.1: Examine promotional activities TPO: Before beginning examine promotional activities to stay within guidelines Recognize the importance of personal selling Recognize legal aspects of advertising Compare types and costs of advertising media 15

24 8.1.4 Identify opportunities for publicity COMPETENCY 8.2: Prepare products/services for sale ITAC 1.9: Demonstrate knowledge of the economy and how it functions as a whole ITAC 2.9: Convey information through multimedia presentation TPO: Once guidelines are met prepare products/services for sale so that a profit can be made Identify products/services to be presented Plan the presentation Coordinate presentation with promotional plan Determine space allocation and layout Appropriate needed space Obtain necessary fixtures Monitor area for neatness and/or rotation Group products by category, size, and/or color Select appropriate signage COMPETENCY 8.6: Price products correctly TPO: Using reference material supplied price products correctly with 90% accuracy Examine factors affecting selling price Determine selling prices Accurately figure sales and discount pricing COMPETENCY 8.3: Sell products TPO: After review demonstrate how to sell products using criteria supplied with 90% accuracy Perform opening procedures Perform point-of-sale operations Perform closing procedures Demonstrate product knowledge, benefits, features Apply selling techniques to present, demonstrate, describe products COMPETENCY 8.4: Implement procedures for risk management TPO: Using guidelines implement procedures for risk management to meet standard of pharmacy Minimize external theft Minimize internal theft Control errors Utilize safety precautions to maintain a safe working and shopping environment COMPETENCY 8.5: Utilize a systematic distribution process TPO: Having retail site available utilize a systematic distribution process so that the information can be shared with classmates on other cites to compare differences Examine factors in distribution decisions 16

25 8.5.2 Examine the receiving process Store merchandise on sales floor and/or in storage area Examine the shipping process Managed inventory 17

26 STUDENT ASSESSMENT POLICY PHARMACY TECHNICIAN PROGRAM CLEVELAND HEIGHTS-UNIVERSITY HEIGHTS CITY SCHOOL DISTRICT The students shall perform the competency builders in a manner acceptable in the medical field. There shall be a specific number of Assigned competencies and competency builders that students must achieve in order to receive credit from the course. The program will use pre-assessments, formative assessments and summative assessments. Testing will be done by the following methods of evaluation: 1. oral 2. written 3. observation 4. performance The teacher(s) will compile performance records as needed for employment recommendations. The student will receive one combined grade for related and lab instruction. The grading scale is as follows: 100% - 90% = A 89% - 80% = B 79% - 70% = C 69% - 60% = D 59% - 0% = F 18

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