Registration as a Pharmacy Technician Student

Transcription

1 Registration as a Pharmacy Technician Student

2 Application for Registration as a Pharmacy Technician Student Please read all pages carefully to be sure you understand the requirements for you to be registered as a pharmacy technician student in New Brunswick. Table of Contents Apprenticeship and Time Service... 5 Responsibilities of Preceptors and Students... 6 RESPONSIBILITIES OF THE STUDENT... 7 RESPONSIBILITIES OF THE PRECEPTOR... 9 Application Form Certification statements Statutory Declaration of Good Character NBCP Policy Statement and Privacy Policy In the Regulations of the New Brunswick College of Pharmacists, Section 25.1 states students must be covered by personal professional liability (errors and omissions) insurance that (b) for pharmacy technicians, pharmacist students and pharmacy technician students provides a minimum of $1,000,000 per claim or per occurrence and a minimum $2,000,000 annual aggregate; For more information about the New Brunswick College of Pharmacists, please visit New Brunswick College of Pharmacists September,

3 Pharmacy Technician Students - Application Requirements Checklist 1. (Select either a, b or c) a ) Enrolled in a Pharmacy technician education program approved by the Canadian Council for Accreditation of Pharmacy Programs or Accreditation Council for Pharmacy Education in US (CCAPP & ACPE): This is confirmed in Section 2 (a) of the application form for registration. (Path 2) or b) Successful completion of a Pharmacy technician education program approved by the Canadian Council for Accreditation of Pharmacy Programs or Accreditation Council for Pharmacy Education in US (CCAPP & ACPE): This is confirmed in Section 2 (b) of the application form. (Path 2) or c) Successful completion of the four bridging modules (must be approved by the Canadian Council for Accreditation of Pharmacy Programs CCAPP) and the PEBC evaluating exam as a requirement for licensure as a pharmacy technician. This is confirmed in Section 3 of the application form. (Path 1) 2. Submission of the application form to the NB College of Pharmacists for registration as a Pharmacy Technician student. 3. Proof of identity: You must provide identification documents that prove your legal name and date of birth and that preferably contain a photo. Valid Canadian or provincial government-issued photo ID (such as a passport or driver s license) are accepted. Canadian Birth or Citizenship Certificates may be accepted if accompanied by a notarized passport-sized photo of the applicant. NOTE: A copy of the identification document(s) will only be accepted if they are an exact replica and have been notarized* by a Commissioner of Oaths or a lawyer. The copied photo must be clear enough to identify the applicant or it will be rejected. 4. Language Proficiency: Must be proficient in either of Canada s official languages (English or French) 5. Criminal Record Check Original document required; dated within 6 months prior to application date. (Royal Canadian Mounted Police (RCMP) or any other Canadian police service (includes a Canadian Police Information Centre (CPIC) assessment) documenting that you do not have a record of conviction under the Criminal Code (Canada), the Controlled Drugs and Substances Act (Canada), the Food and Drugs Act (Canada). 6. Personal Liability Insurance - (minimum $1,000,000 per claim or per occurrence and a minimum $2,000,000 annual aggregate) Signed Certification statement Signed Statutory Declaration of Good Character 9. Read the Policy Statement and the Privacy Policy ( New Brunswick College of Pharmacists September,

4 10. Signed statement regarding the NBCP Policy Statement and Privacy Policy 11. Payment of all applicable fees *Notarized documents: A pharmacist s signature is not accepted. New Brunswick College of Pharmacists September,

5 Pharmacy Technician Students Apprenticeship and Time Service All applicants must be registered with the NB College of Pharmacists as a Pharmacy Technician Student to be eligible to complete the required training as described below. Path 1 - If you are not enrolled in an accredited pharmacy technician program You may apply for registration after successfully completing the four bridging modules and the evaluating exam at PEBC Successful completion of the Pharmacy Technician Assessment (PTA) is required. Path 2 - If you are enrolled in or have graduated from an accredited pharmacy technician program A minimum of 14 weeks of practical training in New Brunswick is required for licensure as a pharmacy technician to be served as follows: a minimum of 8 weeks of structured practice experience as part of the accredited education program a minimum of 6 weeks practice experience to be served in New Brunswick following graduation which shall include the Structured Practical Evaluation (SPE). APPRENTICESHIP DOCUMENTATION AND PRECEPTOR ACCEPTANCE (RESPONSIBILITIES AND DUTIES) The student is responsible for sending the required forms to the NB College of Pharmacists office. It is not the responsibility of the preceptor. Apprenticeship Agreement: o Must be completed and submitted to the NB College of Pharmacists before starting a block of time-service with a preceptor. Preceptor qualifications are stipulated in Section of the Regulations of the NB College of Pharmacists. Preceptors must read the Responsibilities of Preceptors and Students document (attached) to understand their duties and responsibilities as a preceptor. The preceptor and the student must sign the Apprenticeship Agreement. Evidence of Time Service: o Must be filed with the NB College of Pharmacists no later than 2 weeks after completion of each time-service period. Please contact the office if you have any questions about the registration process, or require additional information. info@nbpharmacists.ca Phone: New Brunswick College of Pharmacists September,

6 Responsibilities of Preceptors and Students During Structured and Unstructured training periods New Brunswick College of Pharmacists September,

7 RESPONSIBILITIES OF THE STUDENT As a student it is your responsibility to: 1. Be aware of the time required to process your registration and submission of relevant documentation to the NB College of Pharmacists office before starting, during, and after completion of your structured/unstructured placements. 2. Identify yourself as you are registered, either as a pharmacist student or pharmacy technician student. Do not represent yourself as a pharmacist or pharmacy technician. 3. Review this document with your preceptor and give them a copy for their reference. Identify and agree on the objectives for your stay. 4. Be aware of, and adhere to, all of the policies and procedures of the practice site. 5. Exhibit a professional appearance in both manner and dress. 6. Assume responsibility for your own learning. 7. Approach your training with a commitment to all learning experiences. 8. Begin to develop lifelong learning skills: self-assessment, self-directed learning, etc. 9. Keep all store policies, operations, records and client information strictly confidential. If you are asked to sign a Confidentiality Agreement, be sure to carefully read and understand what you are signing. Ask questions if you are unsure! 10. Acquire knowledge and develop new skills by: - observing, - asking questions, - researching information, - being open-minded, and - being willing to cooperate 11. Perform a variety of tasks and activities to apply your acquired knowledge and skills in practice situations under the direct supervision of your preceptor. 12. Do not make professional decisions or judgments without the approval or supervision of your preceptor. 13. Do not question the advice, direction or criticism of your preceptor or a colleague in public. Discuss any concerns in private. 14. Consult regularly with your preceptor to obtain feedback on your performance. New Brunswick College of Pharmacists September,

8 15. Seek help when you are unsure of what you should do. 16. Comply with the Pharmacy Act and the Regulations, codes, practice directives and standards of the New Brunswick College of Pharmacists which govern the profession of pharmacy. 17. Evaluate your experience fairly and objectively offering constructive feedback to your preceptor. 18. If you withdraw from the training program or education program, you must notify the NB College of Pharmacists. 19. If you require a leave of absence (LOA) from the program, contact the NB College of Pharmacists office for approval of the expected LOA period. 20. Be sure to complete any forms and documentation required for the training period. It is your responsibility to ensure they are submitted to the NB College of Pharmacists immediately following the training period. If not submitted promptly, you may not receive credit for completed service. New Brunswick College of Pharmacists September,

9 RESPONSIBILITIES OF THE PRECEPTOR Preceptor qualifications are stipulated in Section of the Regulations of the NB College of Pharmacists. Competency # 3 of the Standards of Practice identifies the pharmacist s role as a preceptor. As a preceptor, it is your responsibility to: 1. Become knowledgeable about the goals and objectives of the structured/unstructured training program of the student for whom you are serving as preceptor. 2. Establish a learning plan (objectives) with the student for the training period. Take into consideration the student s academic background, previous experience in a pharmacy and the learning experiences and resources available at your practice site. 3. Be aware of the expected level of knowledge and skills of the student. 4. Act as a role model in the development of the student s professional and ethical values and attitudes. 5. Encourage active participation and involve the student in appropriate decision making situations under supervision. 6. Provide time to answer questions or discussion with the student. 7. Provide instruction and demonstrate desired skills before the student is expected to undertake new tasks or skills. 8. Make the student feel at ease by including him or her in informal discussions and any pharmacy continuing education or social functions. 9. Encourage critical thinking and problem solving by frequently posing problems to the student and asking him or her to formulate answers or responses. 10. Supervise the student and provide constructive feedback to assist in the further development of his or her skills and competencies. 11. Review the student s progress and revise the learning plan accordingly. Discuss the student s accomplishments and any areas that need improvement. Suggest constructive activities to strengthen any areas of weakness. 12. At the end of the training period, constructively review the student s training plan with him or her. Point out areas of strength and possible weaknesses of the student s skills, abilities and knowledge development over the period in a tactful, supportive manner. 13. Consider the role of preceptor as a learning experience and be open to new ideas and suggestions. 14. Discuss questions, criticisms or disagreements in private. 15. Seek feedback from the student in order to assess your contributions as a preceptor. New Brunswick College of Pharmacists September,

10 16. Evaluate the training program fairly and objectively, offering constructive feedback. 17. Evaluate the professional and communication skills of the student. 18. If the student withdraws, or ceases training at a site, the preceptor must notify the NB College of Pharmacists office. UNSTRUCTURED TIME SERVICE When serving as a preceptor for unstructured practice experience (e.g. student hired for the summer months) the following activities and information should be reviewed with the student: 1. Orientation to the pharmacy a. Dispensary layout b. Hours of operation c. Services offered d. Drug information resources e. Dress code f. Confidentiality g. Third party billing h. Staff roles and functions i. Store Policies and procedures j. Computer systems 2. Introduce the student to staff members 3. Review the role and functions of the following organizations: 1. New Brunswick College of Pharmacists (NBCP) 2. New Brunswick Pharmacists Association (NBPA) 3. Canadian Pharmacists Association (CPhA) 4. Canadian Society of Hospital Pharmacists (CSHP) 5. National Association of Pharmacy Regulatory Authorities (NAPRA) 4. Review the following with the student: Food & Drugs Act Controlled Drugs and Substances Act The Pharmacy Act, Regulations, practice directives, standards and guidelines of the NB College of Pharmacists. (These may be found at New Brunswick College of Pharmacists September,

11 1224 ch. Mountain Rd., Unit(é) 8 Moncton, N-B E1C 2T6 Tel: (506) Fax / Téléc: (506) info@nbpharmacists.ca Pharmacy Technician Student Registration Application Form *All fields must be complete SECTION 1 (Please print) First Name: Middle Name(s): Last Name: Street Address: Apt. #: City: Province: Postal Code: Phone (home): Phone (cell): address: Date of Birth: Gender: Male Female Year Month Day Place of Birth: City, Province and Country SECTION 2 (a)-complete this section if you are enrolled in an accredited pharmacy technician program. My expected date of graduation is:.. Year Month Day Faculty Declaration - This is to certify that the above mentioned name is enrolled in a Pharmacy Technician Program at: (name and location of educational facility) Signature of Program Administrator or Approved Personnel Title SECTION 2 (b)-complete this section if you have graduated from an accredited pharmacy technician program. My date of graduation was:.. Year Month Day A notarized copy of your certificate of graduation must accompany this application. APPLICATION PAGE 1 OF 2 New Brunswick College of Pharmacists September,

12 1224 ch. Mountain Rd., Unit(é) 8 Moncton, N-B E1C 2T6 Tel: (506) Fax / Téléc: (506) info@nbpharmacists.ca SECTION 3 Complete this section if you have successfully completed the four bridging modules and the PEBC evaluating exam as a requirement for licensure as a pharmacy technician. An official transcript of successful completion of the bridging modules and proof of successful completion of the PEBC evaluating exam must accompany this application. SECTION Signature of Applicant Date Payment must be included with form. See the Fee Schedule on website for applicable fee. Cheque, MasterCard or Visa are acceptable forms of payment. Credit Card #:... Expires (mm/yy):... 3-digit code on back of card:... Name as it appears on credit card:... New Brunswick College of Pharmacists September,

13 1224 ch. Mountain Rd., Unit(é) 8 Moncton, N-B E1C 2T6 Tel: (506) Fax / Téléc: (506) info@nbpharmacists.ca Certification statements I HEREBY CERTIFY THAT: I have sufficient ability to: Speak: English Read: English French French as to be competent to discharge my duties and obligations as a member of the New Brunswick College of Pharmacists. I am a: Canadian citizen Resident of Canada I have not been convicted in Canada or elsewhere of any offence that would be considered unprofessional conduct or conduct unbecoming of a person. I meet all the requirements necessary for registration/licensure as specified in the Pharmacy Act and Regulations of the New Brunswick College of Pharmacists. Have you ever been convicted of an offence under the Controlled Drugs and Substances Act or the Food and Drugs Act? (See application requirements for Criminal Record Check). No Yes (if yes, provide particulars thereof on the back of this page) Date: Signature: New Brunswick College of Pharmacists September,

14 1224 ch. Mountain Rd., Unit(é) 8 Moncton, N-B E1C 2T6 Tel: (506) Fax / Téléc: (506) info@nbpharmacists.ca Statutory Declaration of Good Character I, declare that 1. I have not been convicted in Canada or elsewhere of any offence that, if committed by a person registered under the Pharmacy Act, or any other profession or occupation, would constitute unprofessional conduct or conduct unbecoming of a person registered under these regulations. 2. My entitlement to practice pharmacy or any other health profession has not been limited, restricted or subject to any terms, limits or conditions or disciplinary action in any jurisdiction at any time. 3. At the present time, no investigation, review or proceeding is taking place in any jurisdiction which could result in the suspension or cancellation of my authorization to practice pharmacy or any other health profession. 4. My past conduct does not demonstrate any pattern of incompetence or untrustworthiness, which would make registration contrary to the public interest. 5. I am aware of and will practice at all times in compliance with the Pharmacy Act and the Regulations of the New Brunswick College of Pharmacists. 6. I shall provide the Registrar with the details of any action impacting on the above statements that relate to me, or that occur or arise prior, during, or after my registration with the New Brunswick College of Pharmacists: On a separate sheet of paper, provide details if any of the above are not true. Details to include: a. Criminal offence/disciplinary action/investigation b. Date when offence was committed/applicable health profession/applicable jurisdiction c. Disposition of charge including details of penalty-imposed d. Extenuating circumstances you wish taken into account for your application. I hereby declare, as indicated by my agreement below, that the contents of this application are true and complete to the best of my knowledge and belief. I understand and agree that if I make a false or misleading statement or representation in respect of my application, I shall be deemed not to have satisfied the requirements for registration/licensure. I further understand and agree that if registration/licensure is issued to me based upon a false or misleading statement or representation that registration/licensure is subject to immediate cancellation Name (please print) Signature Dated at this day of (city) (month) New Brunswick College of Pharmacists September,

15 NBCP Policy Statement and Privacy Policy All registrants must read the New Brunswick College of Pharmacists Policy Statement and Privacy Policy on the Collection, Use and Disclosure of Registration Information by the NBCP. The NBCP has a defined policy of protecting the privacy of its Registrants in all of the operations of the NBCP. The majority of personal information contained in each Registrant s record is collected, stored and used by the NBCP for the Identified Purposes as defined in the NBCP Privacy Policy. The Personal Information collected by the NBCP from its Registrants includes: Demographic Information: Name, date of birth, home address, home telephone number, home fax number, address, gender, place of birth Education Information: Educational facility and credentials, date of graduation, Pharmacy Examination Board of Canada registration number, all other certification in regards to the pharmacy profession Registration Status: Registration Category, Conditions on practice, competency information, complaint or discipline information, current or past registration with other jurisdiction or Pharmacy Regulatory Authorities Employment Information: Place of all employment, name of employer, address of employer, telephone, fax number and address of employer. The NBCP consent and disclosure statement for Registrants as it reads in the statement on the Registrant s application form and/or consent form will advise the Registrant that their Personal Information is being Collected and will be Used and Disclosed for the following purposes: a) Professional Development and education b) Practice based Research c) Health promotion programs d) Populating electronic health systems e) Workforce planning and management f) Confirmation of registration and standing to other Pharmacy Regulatory Authorities g) Confirmation of registration to Third Party Payers h) Confirmation of registration to Medication distribution Centers (wholesalers and manufacturers) i) Confirmation of registration to any member of the public or media j) Information access by an organization contracted to manage registration information for conducting business that the NBCP is mandated to perform under provincial legislation k) Information access by an organization involved in providing the Registrants with communications for the purposes of: i. Professional development and education Page 1 of 2

16 ii. Practice based information iii. Health Canada Notices iv. Practice based research v. Health promotion programs The NBCP collects Personal Information from its Registrants for the following Identified Purposes: To admit and regulate Registrants and oversee their conduct; To discipline, where appropriate; To conduct business as mandated under federal and provincial legislation. The NBCP Privacy Policy is available online: I certify I have read and understand the NBCP Policy Statement and the Privacy Policy on the Collection, Use and Disclosure of Registration Information by the NBCP Name (please print) Signature Date: Page 2 of 2