Community Pharmacy Practice PHRA 1313 / 1013 Synonym 36891, Section 001

Transcription

1 Community Pharmacy Practice PHRA 1313 / 1013 Synonym 36891, Section 001 Marcy May, MEd, CPhT, PhTR Fall 2011 Adjunct Associate Professor Department of Pharmacy Technology Office mmay@austincc.edu Office Phone: ext Office Hours: M/W 4:30pm 6pm EVC Rm 9223 Other times available by appointment - please to set up an appointment Lecture: 6:05pm 7pm EVC Room # 9227 Lab: 7:10pm 8:30pm EVC Room # 9223 Course Prerequisites None Course Description (CIP ) Mastery of skills necessary to interpret, prepare, label, and maintain records of physicians' medication orders and prescriptions. Designed to train individuals in the administration of supply, inventory, and data entry. Topics include customer service and advisement, count and pour techniques, prescription calculations, drug selection and preparation, non-sterile compounding, over-the-counter drugs, price labeling, record keeping, stock level adjustment, maintenance of new drug requests, data input and editing, and legal parameters. The course will be conduction with lecture and practical (lab) modalities. When appropriate, the instructor will also utilize various forms of technology. Total Hours: 96 Course Rationale To provide an overview of the duties of a pharmacy technician in the various community pharmacy settings along with legal and ethical responsibilities and to put it into action in the lab setting. To provide a fundamental platform of knowledge and understanding that assists students in their progression through the pharmacy technician program. To prepare the student for the Pharmacy Technician Certification Exam (PTCE) and eventual employment. End of Course Outcomes Demonstrate a medical and pharmaceutical vocabulary including abbreviations and symbols used in processing prescriptions in a community pharmacy; summarize the importance of environmental safety standards, pharmacy safety, and personal safety and hygiene; utilize computer support operations in a classroom setting; demonstrate the procedures and operations relating to processing prescriptions and preparing medications for ambulatory patients; and demonstrate entry level operations in an ambulatory setting to include stock maintenance, inventory, record keeping, and purchasing. Learning Objectives A. List and describe different types of community pharmacies. B. Identify the past, present, and future functions of community pharmacies. C. Define pharmaceutical care. D. List the roles/job duties of a pharmacy technician in a community pharmacy. E. Define formulary. F. Identify the purpose of a formulary. G. Define a Pharmacy and Therapeutics Committee. H. Describe the purpose of a Pharmacy and Therapeutics Committee. I. Define drug. J. Identify the various classifications of drug products. K. Identify the ingredients used in pharmaceutical products. L. Identify the sources of drugs. M. Identify the uses of drugs. N. Identify the different dosage forms available, and advantages and disadvantages of the dosage form. O. Identify the different routes of administration, and advantages and disadvantages of the route of administration. P. Describe the research and manufacturing process used to identify, test and market drugs. Q. Identify the different Schedules of controlled substances. R. Identify proper procedures for maintaining new drug requests. S. Describe ways to identify forged prescriptions. T. Identify proper record keeping procedures required by law in a community pharmacy. U. Identify and describe how to identify a valid DEA number. V. Identify the various DEA forms used in tracking controlled substances.

2 W. Identify and describe the various parts of a National Drug Code. X. Identify the classifications of recalls. Y. Identify FDA pregnancy categories. Z. Define Pharmaceutical Equivalent. AA. Define Pharmaceutical Alternative. BB. Describe AB rating. CC. Describe how prescriptions are priced. DD. Identify the components of prescription pricing. EE. Define Third Party Plan. FF. Identify different types of third party plans. GG. Describe how third party plans price prescriptions. HH. Define copay/co-payment. II. Describe how to bill a third party prescription. JJ. Identify a Universal Claim Form. KK. Accurately fill and dispense prescriptions for controlled, non-controlled and over-the-counter drugs. LL. Identify over-the-counter ingredients, uses and warnings associated with the ingredient. MM. Given a list, select definition, uses, and procedures required for specific application in the pharmacy compounding section. NN. Given a Master Formula Record, prepare a batch sheet and manufacture a product, to include packaging and labeling. OO. Identify types of medication errors. PP. Describe methods used to avoid medication errors. Program Student Learning Outcomes See the Pharmacy Technician Program student handbook (provided to you during program orientation) for a list of the program student learning outcomes. Textbook Lecture Pharmacy Practice for Technicians, Fourth Edition, Don Ballington/Robert Anderson Lab Pharmacy Labs for Technicians, First Edition, Jason Sparks/Lisa McCartney Instructional Methodology This course incorporates the use of lecture, assignments related to coursework, role playing, guest lecturers, student selfstudy, labs to apply lecture knowledge, and various other methods of instruction. Grading Lecture = 70% of grade Laboratory = 30% of grade Exams 1, 2, 3 30% (100 points each) On-Site Labs 12% Final Exam 20% Lab Midterm 8% Quizzes/ Lab Final 10% Assignments 20% (20 points each) A passing grade (75% or better) is required in both lecture and lab components of the course in order to receive a passing grade for this course. A minimum passing grade of 75% is required in order to receive a passing grade for the course. A: % B: 80 89% C: 75 79% D: 60 74% F: 59% and below Incomplete An instructor may award a grade of I (Incomplete) if a student was unable to complete all of the objectives for the passing grade in a course. An incomplete grade cannot be carried beyond the established date in the following semester. The completion date is determined by the instructor but may not be later than the final deadline for withdrawal in the subsequent semester. To receive an I, a student must have a passing average (75% or better) and have completed at least 80% of the course work. The student will NOT be permitted to register for PHRA 2266 (Pharmacy Practicum) until the course has been completed. Withdrawal Policy It is the responsibility of each student to ensure that his or her name is removed from the roll should he or she decide to withdraw from the class. The instructor does, however, reserve the right to drop a student should he or she feel it is necessary. If a student decides to withdraw, he or she should also verify that the withdrawal is submitted before the Final Withdrawal Date. The student is also strongly encouraged to retain their copy of the withdrawal form for their records.

3 Students who enroll for the third or subsequent time in a course taken since Fall, 2002, may be charged a higher tuition rate, for that course. State law permits students to withdraw from no more than six courses during their entire undergraduate career at Texas public colleges or universities. With certain exceptions, all course withdrawals automatically count towards this limit. Details regarding this policy can be found in the ACC college catalog. Exams Four exams, three lecture exams and comprehensive final exam, will be given over lecture material (class notes) and will comprehensively assess the student's knowledge of concepts, principles, techniques, and procedures related to the course material. Exams must be completed in one session - the student cannot take the exams in "parts." Additionally, two lab exams will be given and will be taken during lab sessions; please see course calendar for dates. The Pharmacy Technician Program at Austin Community College has adopted a uniform testing policy. There will be no retests. If a student misses one exam for a documented medical or family emergency, the grade of the final exam will be averaged in the place of the missed exam grade. If any other exams are missed or if an exam is missed for any other reason, a grade of "0" will be given. If use of a calculator is permitted on an exam, students are only permitted to use a silent, hand-held, nonprogrammable calculator without a fraction key. Calculators must only be battery or solar powered. Students using cell phones and other calculators are considered cheating. Quizzes One (1) quiz will be given over the syllabus and orientation material. The quiz will be submitted to the instructor upon completion through Blackboard. The student will receive their score immediately after submission and the instructor will review the quiz for proper grading. The student will also receive feedback regarding the questions that were answered incorrectly. The quiz is due by 10pm of the due dated listed on the course calendar - the quiz will no longer be available after that time. In addition, the quiz must be completed on the first attempt. You will only have one (1) opportunity to complete the quiz once you have "logged" on to the quiz. Please be sure when you take the quiz your Internet connection is sufficient and reliable to ensure completion. There will be no "retakes". The quiz will be reviewed by the instructor after submission to ensure the proper credit is given. If you have any questions, please contact the instructor. NOTE: When completing assignments (quizzes and assignments) the student should ensure that their Internet connection is sufficient and reliable while completing them. Please also be sure to NOT hit the back button once you have logged into a quiz - you will be locked out of the quiz and will be unable to complete it. Once you have logged into a quiz, it must be complete during the allotted time NO EXCEPTIONS. Assignments Assignment Submission Guidelines All assignments must be submitted to the Instructor through Blackboard in the Assignment folder by the designated due date unless otherwise specified. All assignments will be graded within one week from the due date posted on the syllabus. Please be sure that your file is in the proper format and has the proper file name when necessary. Again, if your assignment is improperly formatted or has an incorrect file name, it will not be graded and will be subject to late penalties. All assignments are due by the designated date on the course calendar. Assignments not following the stated guidelines will not be graded. If you have any questions, please contact the instructor. Late Work As a general rule, it is best to submit assignments ahead of the deadline as to avoid last-minute problems. Last minute problems may include but are not limited to your Internet connection is down, the ACC server is down, or general computer problems. Late assignments will be subject to a 10-point penalty if submitted after the posted deadline and then a reduction of 10-points per day thereafter. Assignments will not be accepted if submitted 4 or more days after the posted deadline. THIS INCLUDES WEEKENDS. However, it is best to turn in an assignment late than not at all. Not turning in an assignment can cause an unsatisfactory grade for the course. If an assignment is late, you must submit the assignment through the Blackboard Digital Dropbox. The assignment file must be either a Microsoft Word Document (*.doc or *.docx) or Rich-Text Format (*.rtf). The name of the file must be Last Name Assignment X example: Smith Assignment 1. All other formats are unacceptable, will not be graded, and will be returned to the student. Calculator Policy If use of a calculator is permitted on an exam, students are only permitted to use a silent, hand-held, nonprogrammable calculator without a fraction key. Scientific, business or other complex-operation calculators are not permitted. Calculators must only be battery or solar powered. Students using cell phones and other calculators are considered cheating.

4 Course Requirements and Attendance Policy Attendance/Class Participation Attendance is required. Regular and punctual class and laboratory attendance is expected of all students. If attendance or compliance with other course policies is unsatisfactory, the instructor may withdraw students from the class. Students will sign-in at every class meeting. Your signature constitutes your presence. The student is required to notify an instructor if an absence is anticipated. A student who is five (5) minutes late is considered tardy. Three (3) tardies constitute one absence. It is the student s responsibility to keep track of his/her attendance record and for all assignments, materials, examinations, etc., missed. Students who miss more than three (3) class sessions, with exception to documented medical or family emergencies, will lose one (1) letter grade for each additional unexcused absence. This means that if a student s final grade in a course is a C (75-79%) and he/she has had four unexcused absences, his/her final grade that will be posted for the semester will be a D. If a student is absent, the student is responsible for contacting the instructor to obtain any handouts or missed assignments. If you miss a lab day, there will be no make-up except for documented emergencies. Dress Code The student will be expected to attend class clean and neatly dressed. The dress code for lab is what a student would expect in an actual community or hospital environment. During lab, students are required to wear close-toed shoes, and long pants (NO SHORTS OR JEANS ALLOWED). If you show up to lab in flip-flops, any open-toed footwear, shorts, or jeans (not properly dressed for lab) you will be asked to leave and you will be considered absent for that lab. Cell Phones and Pagers Students must turn off or mute all cell phones and pagers during lab and class time. Food and Beverages Other than sealable bottles, food and beverage items are prohibited in the classroom and laboratory. Promotion, Failure, and/or Dismissal from the Department A minimum grade of "C" (75%) is required in both lecture and laboratory components of all pharmacy technician courses. If a student fails either component of a combined lecture/lab course, the final grade posted will be that of the failed portion of the course. Any student may be withdrawn from the program due to excessive absences and/or consistently failing to meet class assignments, for disruptive conduct during lecture or lab, or for displaying conduct detrimental to the ethics of a Pharmacy Technician. The student may utilize the approved Student Grievance Procedure of Austin Community College as detailed in the ACC Student Handbook in the disposition of a grievance or complaint without fear of recrimination or retaliation as a result of filing a grievance. The Pharmacy Technician faculty and staff understand that learning in group-situations can be beneficial. Some assignments will involve group participation; however, each student is expected to demonstrate his/her own competency by doing his/her own work. Any student caught cheating on examinations or other assignments will be subject to disciplinary action, including academic penalty and possible withdrawal from the program. Students with Disabilities Each ACC campus offers support services for students with documented disabilities. Students with disabilities who need classroom, academic or other accommodations must request them through the Office for Students with Disabilities (OSD). Students are encouraged to request accommodations when they register for courses or at least three weeks before the start of the semester, otherwise the provision of accommodations may be delayed. Students who have received approval for accommodations from OSD for this course must provide the instructor with the Notice of Approved Accommodations from OSD before accommodations will be provided. Arrangements for academic accommodations can only be made after the instructor receives the Notice of Approved Accommodations from the student. Students with approved accommodations are encouraged to submit the Notice of Approved Accommodations to the instructor at the beginning of the semester because a reasonable amount of time may be needed to prepare and arrange for the accommodations. Additional information about the Office for Students with Disabilities is available at Student Concerns Any student who has a complaint involving the course should first attempt to resolve the matter with the instructor directly involved. If the student is unable to resolve the complaint with the instructor, the student must contact the department chair in writing by in an attempt to resolve the matter.

5 Statement of Scholastic Dishonesty A student attending ACC assumes responsibility for conduct compatible with the mission of the college as an educational institution. Students have the responsibility to submit coursework that is the result of their own thought, research, or self-expression. Students must follow all instructions given by faculty or designated college representatives when taking examinations, placement assessments, tests, quizzes, and evaluations. Actions constituting scholastic dishonesty include, but are not limited to, plagiarism, cheating, fabrication, collusion, and falsifying documents. Penalties for scholastic dishonesty will depend upon the nature of the violation and may range from lowering a grade on one assignment to an F in the course and/or expulsion from the college. See the Student Standards of Conduct and Disciplinary Process and other policies at Student Rights and Responsibilities Students at the college have the rights accorded by the U.S. Constitution to freedom of speech, peaceful assembly, petition, and association. These rights carry with them the responsibility to accord the same rights to others in the college community and not to interfere with or disrupt the educational process. Opportunity for students to examine and question pertinent data and assumptions of a given discipline, guided by the evidence of scholarly research, is appropriate in a learning environment. This concept is accompanied by an equally demanding concept of responsibility on the part of the student. As willing partners in learning, students must comply with college rules and procedures. Safety Statement Austin Community College is committed to providing a safe and healthy environment for study and work. You are expected to learn and comply with ACC environmental, health and safety procedures and agree to follow ACC safety policies. Additional information on these can be found at Because some health and safety circumstances are beyond our control, we ask that you become familiar with the Emergency Procedures poster and Campus Safety Plan map in each classroom. Additional information about emergency procedures and how to sign up for ACC Emergency Alerts to be notified in the event of a serious emergency can be found at Please note, you are expected to conduct yourself professionally with respect and courtesy to all. Anyone who thoughtlessly or intentionally jeopardizes the health or safety of another individual will be dismissed from the day s activity, may be withdrawn from the class, and/or barred from attending future activities. You are expected to conduct yourself professionally with respect and courtesy to all. Anyone who thoughtlessly or intentionally jeopardizes the health or safety of another individual will be immediately dismissed from the day s activity, may be withdrawn from the class, and/or barred from attending future activities. Use of ACC All College communication to students will be sent solely to the student s ACCmail account, with the expectation that such communications will be read in a timely fashion. ACC will send important information and will notify you of any college related emergencies using this account. Students should only expect to receive communication from their instructor using this account. Likewise, students should use their ACCmail account when communicating with instructors and staff. Instructions for activating an ACCmail account can be found at Student and Instructional Services ACC strives to provide exemplary support to its students and offers a broad variety of opportunities and services. Information on these services and support systems is available at: Links to many student services and other information can be found at: ACC Learning Labs provide free tutoring services to all ACC students currently enrolled in the course to be tutored. The tutor schedule for each Learning Lab may be found at: For help setting up your ACCeID, ACC Gmail, or ACC Blackboard, see a Learning Lab Technician at any ACC Learning Lab. SCANS Competencies In 1990, the U.S. Department of Labor established the Secretary's Commission on Achieving Necessary Skills (SCANS) to examine the demands of the workplace and whether our nations' students are capable of meeting those demands. The Commission determined that today's jobs generally require competencies in the following areas: A. Resources: Identifies, organizes, plans, and allocates resources B. Interpersonal: Works with others C. Information: Acquires and uses information D. Systems: Understands complex interrelationships E. Technology: Works with a variety of technologies The Texas Higher Education Coordinating Board requires that all degree plans in institutions of higher education

6 incorporate these competencies and identify to the student how these competencies are achieved in course objectives. This course, Community Pharmacy Practice, incorporates the SCANS competencies in the following ways: A. Resources 1. Performs procedures, such as data entry and editing, compounding creams, ointments, solutions, and suspensions 2. Organizes work area for filling prescriptions 3. Identifies proper resources to be used for laboratory assignments 4. Manages time when filling prescriptions, compounding, and completing other assignments B. Interpersonal 1. Demonstrates an understanding of the profession of Pharmacy 2. Exhibits ethical behavior 3. Appreciates the knowledge and talent of other members of the health care team 4. Participates as a member of a team 5. Teaches others through assignments 6. Exercises leadership in group situations 7. Negotiates to arrive at a decision when completing assignments C. Information 1. Processes prescriptions efficiently and correctly 2. Evaluates prescriptions for accuracy and completeness 3. Uses computer and typewriter efficiently for completing assignments D. Systems 1. Understands relationship between pharmacy technicians and other members of the health care team 2. Monitors and corrects performance 3. Improves and designs systems E. Technology 1. Selects proper technology to use for completing assignments 2. Uses computer efficiently 3. Uses typewriter efficiently 4. Uses compounding equipment properly F. Basic Skills 1. Demonstrates ability to read assignments 2. Demonstrates ability to write effectively when completing assignments 3. Demonstrates ability to listen to lecture material 4. Demonstrates ability to speak effectively in front of class for laboratory assignments G. Thinking Skills 1. Demonstrates creative thinking when completing laboratory assignments 2. Demonstrates decision making ability when filling prescriptions and compounding 3. Demonstrates ability to problem solve when filling prescriptions and compounding H. Personal Qualities 1. Demonstrates integrity and honesty when completing assignments 2. Demonstrates ability to handle responsibility when completing assignments 3. Demonstrates ability to manage self when completing assignments

7 Community Pharmacy Practice PHRA 1313/1013 Lecture Course Calendar Week Date Topic Reading Assignment/Quiz/Exam 1 8/22 Community Pharmacy and The Chapters 1 & 2 Intro to Bb Quiz Due 8/24 Role of the Pharmacy Technician 8/24 Prescription Processing I Chapter 6 Assignment 1 Due 8/31 2 8/29 Prescription Processing II Chapter 6 8/31 Prescription Processing III Chapter 6 3 9/5 LABOR DAY HOLIDAY COLLEGE CLOSED 9/7 Dosage Forms and Routes Chapter 4 Assignment 2 Due 9/14 of Administration Assignment 3 Due 9/14 4 9/12 Drugs, Approvals, and Recalls p Assignment 4 Due 9/21 9/14 Non-Prescription Items I p /19 Drug Classification, FDA Rating System, Assignment 5 Due 9/28 and Pregnancy Categories 9/21 Exam 1 (Weeks 1 4) 6 9/26 Inventory Management p /28 Pricing, Billing, and 3 rd Parties p Assignment 6 Due 10/ /3 Formulary and P&T Committee Assignment 7 Due 10/19 10/5 Extra Lab Time 8 10/10 LAB MIDTERM 10/12 Exam 2 (Weeks 5 7) 9 10/17 Extemporaneous Compounding Chapter 8 10/19 Extemporaneous Compounding Chapter /24 Non-Prescription Items II p /26 Non-Prescription Items II p Assignment 8 Due 11/ /31 Medication Errors Chapter 12 Assignment 9 Due 11/9 (p ) Appendix B 11/2 Lab Catch-up Day 12 11/7 Customer Service Chapter 13 Assignment 10 Due 11/16 11/9 Pharmacy Practice Chapter 14

8 13 11/14 Immunizations in the Pharmacy 11/16 Extra Lab TIme 14 11/21 Exam 3 (Weeks 9 13) 11/23 Review/Catch-up 15 11/28 Lab Clean-up Lab Final Review 11/30 LAB FINAL 16 12/5 Final Exam (Comprehensive) This calendar is a tentative means to gauge the progression of the course. It is subject to change and will adjust as necessary. Unless otherwise noted or stated, all assignments are due via Bb drop box by 10pm on the due date stated. Quiz is due by 10 PM on the noted date.

9 Community Pharmacy Practice PHRA 1313/1013 Lab Course Calendar Week Date Labs to be Worked on Lab Reading Lab Assignment 1 8/22-8/24 Patient Profiles Lab Lab 4 and Lab 7 Complete Lab 4 and 7* in lab book before lab time 8/24 2 8/29-8/31 Patient Profiles Lab Lab 4 and Lab 7 Due 9/7 Prescription Processing Lab Lab 5, Lab 6, and Complete Lab 5, 6, and 8* in lab book before Lab 8 lab time 9/7 Drugs F&C Lab Lab 1 USP DI Lab Lab 2 3 9/7 Prescription Processing Lab Lab 5, Lab 6, and Lab 8 Drugs F&C Lab Lab 1 USP DI Lab Lab 2 4 9/12-9/14 Prescription Processing Lab Lab 5, Lab 6, and Lab 8 Drugs F&C Lab Lab 1 USP DI Lab Lab 2 5 9/19-9/21 Prescription Processing Lab Lab 5, Lab 6, and Lab 8 Drugs F&C Lab Lab 1 USP DI Lab Lab 2 Red Book Lab Lab 3 6 9/26-9/28 Prescription Processing Lab Lab 5, Lab 6, and Lab 8 Drugs F&C Lab Lab 1 USP DI Lab Lab 2 Red Book Lab Lab 3

10 7 10/3-10/5 Prescription Processing Lab Lab 5, Lab 6, and Due 10/5 Lab 8 Drugs F&C Lab Lab 1 Due 10/5 USP DI Lab Lab 2 Due 10/5 Red Book Lab Lab /10-10/12 LAB MIDTERM 10/ /17-10/19 Red Book Lab Lab 3 Due 10/17 Processing a Refill Lab Lab 9 Complete Lab 9* in the lab book before lab time 10/17 Refill Authorization Lab Lab 10 Complete Lab 10* in the lab book before lab time 10/19 Reconstituting Powders Lab Lab 20 Due 10/ /24-10/26 Processing a Refill Lab Lab 9 Refill Authorization Lab Lab 10 Processing Third Party Claims Lab Lab 11 Complete Lab 11* in the lab book before lab time 10/24 OTC Labeling Lab OTC Therapy Lab Filling Capsules Lab Lab 21 Due 10/ /31-11/2 Processing a Refill Lab Lab 9 Due 11/2 Refill Authorization Lab Lab 10 Due 11/2 OTC Labeling Lab Due 11/2 OTC Therapy Lab 12 11/7-11/9 OTC Therapy Due 11/9 Making Suppositories, Magic Mouthwash, Hand Sanitizing Gel Lab 13 11/14-11/16 Making Suppositories, Magic Mouthwash, Hand Sanitizing Gel Lab Due 11/16 Working in a Busy Pharmacy 14 11/21-11/23 Working in a Busy Pharmacy

11 15 11/28-11/30 Working in a Busy Pharmacy Lab Clean-up Lab Final Review LAB FINAL 11/ /5 Review Lab Final Grade This calendar is a tentative means to gauge the progression of the course. It is subject to change and will adjust as necessary. All labs denoted with an * has a CD component that must completed. You must print the grade received for the each component of the labs in order to earn a grade.