AIR FORCE SPECIALTY CODE: 4P0X1 PHARMACY TECHNICIAN

Transcription

1 AIR FORCE SPECIALTY CODE: 4P0X1 PHARMACY TECHNICIAN 4P0X1 Qualification Training Package (QTP) 8.4. Controlled Substances Management QTP 4P0X1-8.4 Oct 2007 OPR: CMSgt Maurial/TSgt Rueckert

2 AIR FORCE SPECIALTY CODE: 4P0X1 PHARMACY TECHNICIAN CONTROLLED SUBSTANCES MANAGEMENT TABLE OF CONTENTS MODULE OBJECTIVE PAGES 1. Controlled Substance Management 3-24

3 INTRODUCTION 1. This Qualification Training Package (QTP) was developed to enhance and standardize on-the-job training for 4P0X1 personnel. As a trainer, the QTPs provide teachable elements of task breakdowns. The teachable elements will assist in guiding the trainee towards independent task performance, proficiency, and serve as an evaluation tool for task certifiers/certification officials. 2. Review the volume(s) of the Career Development Course (CDC) and identify which module(s) of the QTP are needed for the trainee s job position or upgrade skill-level training. The QTP training for each module should be accomplished in the order which most closely mirrors the area the trainee is working in. Items in column 2 of the Pharmacy Career Field Education and Training Plan (CFETP) marked with a 5 or 7 are the core tasks for the 4P career field. Additional proficiency training may be required for these tasks at the supervisor s discretion. 3. Ensure the trainee reviews the training references in each module prior to attempting any task or QTP evaluation. Review the performance checklist and training objective with the trainee. If the trainee has questions about the objective, clarify the desired outcome/results of performance, demonstration or completion for the task. Remember the objective of each QTP is to standardize training and allow sufficient time for the trainee to learn each task thoroughly in order to perform the task independently. 4. When the trainee has received sufficient training and is ready to be evaluated on the objective, follow the evaluation instructions. The performance checklist must be used as you evaluate each task objective. When the trainee successfully demonstrates and accomplishes the objective, document task completion appropriately in the member s 6- part training/competency folder. 5. The QTP task completion is to be annotated on an AF Form 1098 Special Task Certification and Recurring Training, filed in part 3, section A of the 6-part training/competency folder. NOTE: The individual checklists and final evaluations are not filed in each member s 6-part training/competency folder. A master checklist is filed in part 3, section A of the Master Training Plan (MTP). 6. If the trainee does not accomplish the objective, review the areas needing further instruction. Conduct feedback for each module with the trainee, and document appropriately in the member s 6-part training/competency folder. As the trainer, once you are satisfied the trainee is ready to perform the task, he/she will be re-evaluated until the objective is met. 7. If a task being trained requires third party certification by a task certifier/certifying official, the trainer ensures the trainee is qualified to perform the task independently. The trainee will then be evaluated by certifier/certifying official. Tasks requiring third party certification are identified in column 2 of CFETP with a number sign (#). The third

4 party certifier will ensure documentation in column 3E of the CFETP and appropriately documented in the members 6-part training/competency folder. 8. The QTPs are a necessary tool for standardizing task qualifications for upgrade training or job position training. Such standardization benefits the CFETP training concept throughout a member s career. These documents also may be used in assessing/certifying pharmacy technicians upon arrival at a new duty station. 9. Feedback is a vital and important part of improving our educational process for pharmacy technicians. Your first-hand expertise is valued and feedback is highly encouraged ensuring we have the most up-to-date information and training possible. Please direct all inquires to your immediate supervisor.

5 SUBJECT AREA: Controlled Substances Management TASK NAME(S): Procedures Adding drug to CHCS; Issues; Turn-ins (decrement); Increment; Adjustment; Complete RX Transaction; Return RX Transaction; Remove RX Transaction; Cancel Function; Discontinue Function CFETP/STS REFERENCE(S): EQUIPMENT REQUIRED: 1. Composite Healthcare System Program (CHCS) TRAINING REFERENCE(S): CDC 4P051A, Volume 3 and CHCS User s Manual REMARKS/NOTES: Controlled Substances Management is vital to compliance with all guidelines and the success of accreditation inspections. Reports for CII and reports for CIII-CV must be filed separately. Trainee must have Narcotic System Reports key enabled by systems to perform task(s) OBJECTIVE: 1. Effectively and accurately manage controlled substances according to Air Force, Federal, State, and local laws and instructions. EVALUATION INSTRUCTIONS: 1. After the trainee has received instructions, allow sufficient practice on each part of the task. 2. Use the performance checklist to ensure all steps of the task are accomplished without assistance and without error. 3. Document task competency upon completion of the evaluation in the trainee s 6-part training/competency folder. Initial evaluation should be documented in the CFETP. All recurring evaluations should be documented on AF Form STEPS IN TASK PERFORMANCE: 1. Identify appropriate need to Add, Issue, Turn-in (decrement), Increment, Adjust, Complete RX Transaction, Return RX Transaction, Remove RX Transaction, Cancel RX Transaction or Discontinue Transaction in CHCS. 2. Identify information required to Add, Issue, Turn-in (decrement), Increment, Adjust, Complete RX Transaction, Return RX Transaction, Cancel RX Transaction or Discontinue Transaction in CHCS. 3. Insert pertinent information in required fields in CHCS. ATTACHMENT(S): None

6 PERFORMANCE CHECKLIST: 1. Add Medications to CHCS PROCEDURES PERFORMANCE ITEMS SAT UNSAT a. Identify appropriate need to add medication to inventory (new medication added to formulary) b. Identify information required to add medication to CHCS c. Follow menu path SFM FOM ADN d. Drug name e. Route f. Dosage strength g. Content unit h. Dosage form i. Insert pertinent information in required fields of CHCS j. Drug name k. Route l. Dosage strength m. Content unit n. Dosage form o. Drug check p. Legal status q. Label print name r. Synonym s. Drug Authorization key (under ordering restrictions enter doc if POE) 2. Issue Medications a. Identify appropriate need to issue controlled medication b. Receive order/issue request c. Identify information required to issue medication d. Follow menu path NAR ISM - ISI e. Medication f. Requestor s Name g. Issue to Location h. Units Dispensed i. Received by j. Expiration Date of Product k. Manufacturer l. Lot Number m. Insert pertinent information in required fields in CHCS

7 n. Medication o. Requestor s Name p. Issue to Location q. Units Dispensed r. Received by s. Expiration Date of Product t. Manufacturer u. Lot Number 3. Turn-Ins (decrement) a. Identify appropriate need to decrement from controlled inventory (return medication to medical logistics) b. Identify information required to decrement inventory c. Follow menu path NAR INV - DCI d. Medication e. Delivery list from logistics f. Voucher number for medication g. Quantity h. Insert pertinent information in required fields in CHCS i. Voucher number for medication j. Medication being decremented k. Quantity 4. Increment a. Identify appropriate need to increment controlled inventory (receive medication from medical logistics) b. Identify information required to increment inventory c. Follow menu path NAR INV - ADD d. Medication e. Delivery list from logistics f. Voucher number for medication g. Quantity h. Insert pertinent information in required fields in CHCS i. Voucher number for medication j. Medication being incremented k. Quantity 5. Adjustment a. Identify appropriate need to adjust controlled inventory (manufacturer overage or shortage) b. Identify information required to adjust controlled inventory c. Follow menu path SFM NAR ADJ d. Controlled item

8 e. Vault f. Increment or Decrement g. Quantity h. Insert pertinent information in required fields of CHCS i. Controlled item j. Vault for adjustment k. Increment or Decrement inventory l. Quantity m. Reason for adjustment (be exact) 6. Complete RX Transaction a. Identify appropriate need to complete RX transaction b. Identify information required to complete RX transaction c. Follow menu path NSM CPM CRT d. RX number e. Insert pertinent information in required fields of CHCS f. Select appropriate RX number g. Complete process as required 7. Return RX Transaction a. Identify appropriate need to return RX transaction b. Identify information required to return RX transaction c. Follow menu path NSM CPM RRT d. RX number e. Insert pertinent information in required fields of CHCS f. Select appropriate RX number g. Complete process as required 8. Remove RX Transaction a. Identify appropriate need to remove RX transaction b. Identify information required to remove RX transaction c. Follow menu path NSM CPM REM d. RX number e. Insert pertinent information in required fields of CHCS f. Select appropriate RX number g. Complete process as required 9. Cancel Function a. Identify appropriate need to cancel a prescription b. Identify information required to cancel a prescription c. Follow menu path OPM PM SPM - CAP d. RX number e. Insert pertinent information in required fields of CHCS f. Select appropriate RX number g. Complete process as required 10. Discontinue Function a. Identify appropriate need to discontinue a prescription b. Identify information required to discontinue a prescription c. Follow menu path OPM PM DAP d. RX number e. Insert pertinent information in required fields of CHCS

9 f. Select appropriate RX number g. Complete process as required FINAL RESULTS: Trainee: Trainer: Certifier: Date: FEEDBACK: Using the performance checklist as a review reference, discuss the trainee s performance, indicating strengths, weaknesses, suggested improvement, etc. If trainee performed all task steps satisfactorily, document appropriately in trainee s 6-part training/competency folder.

10 SUBJECT AREA: Controlled Substances Management TASK NAME(S): Reports...Supply Voucher Reports; Drug Utilization Review; Specific/General Transaction Reports; Outstanding Issue Report; Narcotic Movement Report; Inventory Report CFETP/STS REFERENCE(S): EQUIPMENT REQUIRED: 1. Composite Healthcare System Program (CHCS) 2. Printer TRAINING REFERENCE(S): CDC 4P051A, Volume 3 and CHCS User s Manual REMARKS/NOTES: Controlled Substances Management is vital to compliance with all guidelines and the success of accreditation inspections. Reports for CII and reports for CIII-CV must be filed separately. Trainee must have Narcotic System Reports key enabled by Systems to perform task(s) OBJECTIVE: 1. Generate Controlled Substance Reports EVALUATION INSTRUCTIONS: 1. After the trainee has received instructions, allow sufficient practice on each part of the task. 2. Use the performance checklist to ensure all steps of the task are accomplished without assistance and without error. 3. Document task competency upon completion of the evaluation in the trainee s 6-part training/competency folder. Initial evaluation should be documented in the CFETP. All recurring evaluations should be documented on AF Form STEPS IN TASK PERFORMANCE: 1. Identify appropriate need to generate Supply Voucher Reports, Drug Utilization Review, Specific/General Transaction Reports, Outstanding Issue Report, Narcotic Movement Report or Inventory Report in CHCS. 2. Identify information required to generate Supply Voucher Reports, Drug Utilization Review, Specific/General Transaction Reports, Outstanding Issue Report, Narcotic Movement Report or Inventory Report in CHCS. 3. Insert pertinent information in required fields in CHCS. ATTACHMENT(S): None

11 PERFORMANCE CHECKLIST: 1. Supply Voucher Report REPORTS PERFORMANCE ITEMS SAT UNSAT a. Identify need to generate supply voucher report (ex. Disinterested inventory, trouble shooting perpetual inventory etc.) NOTE: This option will print the Supply Voucher information. By (R)eceipts: by (T)urn-ins: (to logistics or returns company) b. Identify information required to generate Supply Voucher Report c. Follow menu path PRM NRR - SVR d. Insert pertinent information in required fields in CHCS e. Select either receipts or turn-ins (when doing a disinterested inventory both would be provided to the inspector) f. Select vault for review g. Select first date logged (depending on how far back you need to review) h. Select last date logged (normally that would be today--if it's for a disinterested inventory it would be the actual date string (1 July 2006 to 31 July 2006 etc.) i. Select device to print on. j. Print report 2. Drug Utilization Review a. Identify the need to generate an outpatient pharmacy drug utilization report (may use when needing to call patients a particular drug was dispensed to provides the same information as an STR with the addition of the patient s name, social security number, doctors name and the SIG of each prescription) b. Identify information required to generate Drug Utilization Review c. Follow menu path PRM DUR ODU d. Insert pertinent information in required fields of CHCS e. Select sort option (1-6): 1 f. Select report option combination: 1 g. Select medical center division: (Name of your medical center/clinic) then hit enter h. Select outpatient site: all// or the pharmacy you need the report to compile from then hit enter i. Select medical center division--hit enter j. Select patient: typically ALL//ENTER k. Select Drug: <drug name> then enter (if other drugs are needed add them here. l. Select physician: typically all...but may need to do by name m. Select earliest fill date:

12 n. Select latest fill date: o. Queue on device: select appropriate printer you wish to print from p. Requested start time: Now or a later time 3. Specific/General Transaction Report a. Identify need to generate specific or general transaction report(s) b. Identify information required to generate Specific/General Transaction Report(s) c. Follow menu path PRM NRR STR or GTR d. Insert pertinent information in required fields in CHCS e. Select (D)rug, (I)ssue, (P)rescription, or (S)upply Vouchers f. Select Controlled Item, Issue Number, Prescription RX #, or Supply Transaction Voucher Number g. Select Vault Dispensed From h. Enter Earliest Date Transaction Completed i. Enter Latest Date Transaction Completed j. Input Printer Device 4. Outstanding Issue Report NOTE: This option will print outstanding issues in the following formats. (this report is useful when performing biennial inventory and when determining where controlled drugs are in your facility) (A)ll (D)rug - Specific (L)ocation - Specific (R)ange of Dates Asked a. Identify need to generate outstanding issue report (new calendar year) b. Identify information required to generate Outstanding Issue Report c. Follow menu path PRM NRR - OIR d. Select from All/Drug Specific/Location Specific/Range of Dates Asked) e. Queue on device: select appropriate printer you wish to print from f. Requested start time: Now or a later time g. Print report 5. Narcotic Movement Report a. Identify need to generate narcotic movement report b. Identify information required to generate narcotic movement report c. Follow menu path PRM NRR- NMR d. Select Vault for movement report e. Enter Earliest Date f. Enter Latest Date g. Select Queue on Device h. Request start time i. Print document 6. Inventory Report a. Identify need to generate inventory report (biennial, disinterested inventory, perpetual inventory) b. Identify information required to generate inventory report. c. Follow menu path PRM NRR - INR d. Sort by (A)lphabetic Name, (D)EA Schedule, or (N)ational Stock Number

13 e. Select Vault Name f. Select Printer Device FINAL RESULTS: Trainee: Trainer: Certifier: Date: FEEDBACK: Using the performance checklist as a review reference, discuss the trainee s performance, indicating strengths, weaknesses, suggested improvement, etc. If trainee performed all task steps satisfactorily, document appropriately in trainee s 6-part training/competency folder.

14 SUBJECT AREA: Controlled Substances Management TASK NAME(S): Forms and Files 85; 579; 781; 582; 701; 702; 115a CFETP/STS REFERENCE(S): EQUIPMENT REQUIRED: 1. Computer Terminal 2. Access to Air Force Forms and Publications Website 3. Printer 4. Blue or Black Pen TRAINING REFERENCE(S): AFI AFI CDC 4PO51A, Volume Two AFMAN Pharmacy Practice Manual, Chapter Three AFRIMS REMARKS/NOTES: Controlled Substances Management is vital to compliance with all guidelines and the success of accreditation inspections. Reports for CII and reports for CIII-CV must be filed separately. OBJECTIVE: 1. Accurately complete Air Forms as directed by Air Force Instructions (AFI) and local policies 2. Disposition forms IAW AFI s and local policies EVALUATION INSTRUCTIONS: 1. After the trainee has received instructions, allow sufficient practice on each part of the task. 2. Use the performance checklist to ensure all steps of the task are accomplished without assistance and without error. 3. Document task competency upon completion of the evaluation in the trainee s 6-part training/competency folder. Initial evaluation should be documented in the CFETP. All recurring evaluations should be documented on AF Form STEPS IN TASK PERFORMANCE: 1. Identify appropriate need for AF Forms 85, 579, 781, 582, and Standard Forms 701, 702 and 115a. 2. Identify information required for AF Forms 85, 579, 582, and Standard Forms 701, 702 and 115a.

15 3. Retrieve the correct form 4. Complete information as required 5. Disposition as required ATTACHMENT(S): None

16 PERFORMANCE CHECKLIST: 1. AF Form 85 FORMS AND FILES PERFORMANCE ITEMS SAT UNSAT a. Identify appropriate need for AF Form 85 (adjust inventory) b. Identify information required for AF Form 85 Inventory Adjustment Voucher c. Adjustment justification d. Quantity over/short e. Voucher number (may create local policy/form for voucher number tracking--see attachment below) f. Medication name g. Actual Inventory Count h. Actual recorded balance in CHCS or automation unit (PYXIS Etc.) i. Actual cost per unit short/over j. Retrieve form k. Complete form l. Route for approval (flight commander and MTF commander) m. File AF Form 85 Adjustment voucher as indicated on file plan. Technician should be able to describe time period required to keep voucher as indicated by AF RIMS and AF MAN AF Form 579 a. Identify appropriate need for AF Form 579 (issue controlled substance to ward, clinic, remote site) b. Identify information required to complete AF Form 579 Controlled Substances Register c. Requesting unit/clinic d. Date initiated e. Individual initiated by f. Medical Treatment Facility g. Register number h. Article nomenclature i. Register number of 579 that balance was transferred from (if new state initial issue) j. Balance forwarded (if zero state zero) k. Initials of individual that transferred/transcribed balance l. Date of issue m. Time of issue n. Identify if item was issued from pharmacy o. Identify if item was returned to pharmacy p. Identify the amount issued or returned q. Identify balance of item r. Identify Initials of pharmacy personnel and unit/clinic representative

17 s. Identify if balance will be forwarded to new 579 register document register number forwarded to t. Retrieve form u. Complete form (issue from CHCS) or return form (in CHCS) v. File AF Form 579 as indicated on file plan. Technician should be able to describe time period required to keep controlled substances register as indicated by AF RIMS and AFMAN AF Form 781 a. Identify appropriate need for AF Form 781 (controlled substance prescription) b. Identify information required to complete AF Form 781 Multiple Item Prescription form c. Medication nomenclature d. Strength e. Amount (up to 90 days depending on local policy) must be identified by both alpha and numeric documentation f. Directions g. Refills (up to 6 months or 5 refills on Sch III-V only, Sch II-no refills) h. Full name of patient (age and weight if under 12) i. SSN of sponsor j. Work/home telephone number k. Address l. Date m. Signature of prescriber n. Prescriber Identification (Name, SSN or BNDD, Grade, Degree, Service, Facility, and DEA # if civilian provider) o. Enter pertinent information into CHCS p. Attach appropriate pharmacy generated label to AF Form 781 q. File AF Form 579 as indicated on file plan. Technician should be able to describe time period required to keep multiple item prescription as indicated by AF RIMS and AFMAN AF Form 582 a. Identify appropriate need for AF Form 582 (controlled substances activity) b. Identify information required to complete AF Form 582 Pharmacy Stock Record c. Article d. Unit of issue e. Date f. Pharmacy tracking number g. Name of provider h. Patient or inpatient unit i. Voucher number j. Amount received k. Amount dispensed l. Recorded balance m. Retrieve form n. Complete form (Transfer information to new form once all fields have

18 been completed on current form or in other words full) o. File AF Form 582 as indicated on file plan. Technician should be able to describe time period required to keep pharmacy stock record as indicated by AF RIMS and AFMAN Standard Form 701 a. Identify appropriate need for SF 701 (pharmacy security) b. Identify information required to complete SF 701 Security Checklist c. Division/branch/office d. Room number e. Month/year f. Time security inspection was accomplished g. Retrieve form h. Complete form (checkmark appropriate blocks to indicate item was inspected, initials of individual that performed inspection, annotate time security inspection was accomplished) i. Physically check identified items to ensure security or resource protection j. File SF 701 as indicated on file plan. Technician should be able to describe time period required to keep security checklist as indicated by AF RIMS and AFMAN Standard Form 702 a. Identify appropriate need for SF 702 (open, close, check security container) b. Identify information required to complete SF 702 Security Container Check Sheet c. Room number d. Building e. Container number f. Month/year g. Date h. Opened by initials/time i. Closed by initials/time j. Checked by initials/time k. Physically check to ensure security container is open/closed according with pertinent regulations and operating instructions l. File SF 702 as indicated on file plan. Technician should be able to describe time period required to keep security container check sheet as indicated by AF RIMS and AFMAN Standard Form 115a a. Identify appropriate need for SF 115a (track 579 or issued controlled substances) b. Identify information required to complete SF 155a register of controlled numbers c. Organization or unit d. Control number on 579 e. Location issued to or received from f. Nomenclature of issued medication g. Date issued or returned h. Initials/signature of individuals involved in transaction

19 i. File SF 115a as indicated on file plan. Technician should be able to describe time period required to keep register of controlled numbers as indicated by AF RIMS and AFMAN FINAL RESULTS: Trainee: Trainer: Certifier: Date: FEEDBACK: Using the performance checklist as a review reference, discuss the trainee s performance, indicating strengths, weaknesses, suggested improvement, etc. If trainee performed all task steps satisfactorily, document appropriately in trainee s 6-part training/competency folder.

20 SUBJECT AREA: Controlled Substances Management TASK NAME(S): Inventories Biennial; Disinterested; Perpetual CFETP/STS REFERENCE(S): EQUIPMENT REQUIRED: 1. Computer terminal with Composite Healthcare Computer System (CHCS) access 2. Printer TRAINING REFERENCE(S): CDC 4P051A, Volume 3 and CHCS User s Manual REMARKS/NOTES: Controlled Substances Management is vital to compliance with all guidelines and the success of accreditation inspections. Reports for CII and reports for CIII-CV must be filed separately. Trainee must have Narcotic System Reports key enabled by Systems to perform task(s) OBJECTIVE: 1. Correctly perform inventory procedures 2. Disposition inventories IAW AFI s and local policies EVALUATION INSTRUCTIONS: 1. After the trainee has received instructions, allow sufficient practice on each part of the task. 2. Use the performance checklist to ensure all steps of the task are accomplished without assistance and without error. 3. Document task competency upon completion of the evaluation in the trainee s 6-part training/competency folder. Initial evaluation should be documented in the CFETP. All recurring evaluations should be documented on AF Form STEPS IN TASK PERFORMANCE: 1. Identify appropriate need for completing biennial, disinterested or perpetual inventories. 2. Identify information required for completing biennial, disinterested or perpetual inventories. 3. Insert pertinent information into required fields in CHCS. 4. Perform biennial, disinterested or perpetual inventory functions. 5. Disposition as required.

21 ATTACHMENT(S): None

22 PERFORMANCE CHECKLIST: 1. Biennial Inventory INVENTORIES PERFORMANCE ITEMS SAT UNSAT a. Identify appropriate need for completing biennial inventory (required 1 May every odd year). b. Identify information required for completing biennial inventory. c. Outstanding Issue Report d. PYXIS inventory reports e. CHCS inventory reports f. Insert pertinent information into required fields in CHCS (see reports checklists) g. Perform biennial inventory (physically count on-hand quantity of every controlled substances) h. File Biennial Inventory as indicated on file plan. Technician should be able to describe time period required to keep biennial inventory as indicated by AF RIMS and AF MAN Disinterested Inventory a. Identify appropriate need for completing disinterested inventory (Monthly requirement, report of survey or command directed) b. Identify information required for completing disinterested inventory c. Insert pertinent information required for completing disinterested inventory d. Perform disinterested inventory e. File Disinterested Inventory as indicated on file plan. Technician should be able to describe time period required to keep disinterested inventory as indicated by AF RIMS and AF MAN Perpetual Inventory a. Identify appropriate need for completing perpetual inventory (daily or shift change) b. Identify information required for completing perpetual inventory c. Insert pertinent information into required fields in CHCS (see reports checklists) d. Perform perpetual inventory e. File perpetual inventory as indicated on file plan. Technician should be able to describe time period required to keep perpetual inventory as indicated by AF RIMS and AF MAN *** NOTE*** If any numbers do not match up, an explanation of why must be at the bottom of inventory report. Here are 3 examples of what may be written at the bottom:

23 1. Medication +1 pending AF Form 85 for signature 2. RXJ not CRT d before inventory 3. RXJ filled and CRT d after inventory FINAL RESULTS: Trainee: Trainer: Certifier: Date: FEEDBACK: Using the performance checklist as a review reference, discuss the trainee s performance, indicating strengths, weaknesses, suggested improvement, etc. If trainee performed all task steps satisfactorily, document appropriately in trainee s 6-part training/competency folder.

24 BIBLIOGRAPHY AND OTHER REFERENCES 1. McAllister, Everett B. Lt Col., et al. Pharmacy Practice Manual. Andrews Air Force Base, Washington, DC: Associate Chief, Biomedical Science Corps for Pharmacy. 2. Pharmacy Law Digest. St. Louis, Missouri: Facts and Comparisons. 3. AFMAN , USAF Supply Manual, 1 July AFI , The Air Force Installation Security Program, 1 March AFI , Medical Logistics Support, 10 March AFI , Medical Care Management, 1 May AFRIMS 8. Pharmacy Technician Career Development Course (CDC) Set A and Set B 9. CHCS Users Manual