LAMAR STATE COLLEGE - ORANGE PHARMACY TECHNOLOGY PROGRAM ALLIED HEALTH DIVISION SYLLABUS FOR INTRAVENOUS ADMIXTURES AND STERILE COMPOUNDING PHRA 1445 (4 Credit Hours) SPRING 2010 ROOM: Room 102 Monday 9:00 12:00 Room 209 Wednesday 9:00-12:00 INSTRUCTOR: Randy Ford, CPhT. OFFICE NUMBER: Room 123 Allied Health OFFICE PHONE: (409) 882-3035 E-MAIL: Randy.Ford@lsco.edu CELL PHONE: (409) 791-2688 OFFICE HOURS: Monday and Wednesday 8:30-9:00 and 3:15-4:15 Tuesday and Thursday 8:30 9:30 and 3:00 4:15 Course Description: This course includes mastery of skills in compounding sterile products. Introduction to sterile products, hand washing techniques, pharmaceutical calculations, references, safety techniques, aseptic techniques, in parenteral compounding, proper use of equipment (robotics, auto-injectors and pumps), preparation of sterile products (intravenous, irrigation, ophthalmic, total parenteral nutrition and chemotherapy drugs), and safe handling of antineoplastic drugs. General: This program consists of a sequence of courses designed to prepare students for employment as a pharmacy technicians. The pharmacy technicians functions under the direct supervision of the registered pharmacist. This program is competency based and will teach the appropriate skills, knowledge, and perspectives need to succeed within the pharmacy technology field. be given the opportunity to attain competence in oral and written communication as well as math and computer skills specific to the workplace. Prerequisites: Pre-requisites PHRA 1301 - Introduction to Pharmacy; PHRA 1305 Drug Classifications; PHRA 2260 Clinical I Pharmacy Technician; HITT 1305 --Medical Terminology. Required Co-requisite: PHRA 2361 Clinical II; Pharmacy Technician PHRA 1309 Pharmaceutical Mathematics I. Required Textbook: The Pharmacy Technician Series Sterile Products, Pearson Prentice Hall, by Mike Johnston. Course Objectives: In accordance with the mission of Lamar State College - Orange, this course develops in the student the particular skills, knowledge, and attitudes needed for success in the field of Pharmacy Technology. Upon completion of PHRA 1445, the student will have had the opportunity to begin to: 1. Assist the pharmacist in collecting, organizing, and evaluating information for direct patient care, drug use review, and departmental management; 2. Appreciate the need to adapt the delivery of pharmacy services for the culturally diverse; 1
3. Communicate clearly orally and in writing; 4. Use computers to perform pharmacy functions; 5. Display compassion for patients and their care givers; 6. Maintain confidentiality of patient information; 7. Purchase pharmaceuticals, devices, and supplies according to an established purchasing program; 8. Control the inventory of medication, equipment, and devices according to an established plan. 9. Receive and screen prescription/medication orders for completeness; 10. Prepare medications for distribution; 11. Assist the pharmacist in monitoring the practice site and/or service area for compliance with federal, state, and local laws, regulations, and professional standards; 12. Assist the pharmacist in assuring the quality of all pharmaceutical services, and 13. Demonstrate critical thinking skills as evidenced by the ability to analyze facts, synthesize factual information, and evaluate opinions in light of the facts presented throughout this course. Critical Thinking: Critical thinking is a process that involves higher order thinking skills. These skills include, but are not limited to, application, analysis, synthesis, and evaluation of factual information. Lamar State College Orange Advances Critical Thinking Skills (LSC-O ACTS) through assignments of varying natures within the course that are designed to challenge and improve the student s critical thinking processes. In this course, PHRA 1445, the student will learn mastery of skills in compounding sterile products. Introduction to sterile products, hand washing techniques, pharmaceutical calculations, references, safety techniques, aseptic techniques in parenteral compounding, proper use of equipment, preparation of sterile product, and safe handling of chemo-therapy drugs. A well cultivated critical thinker 1 : Raises vital questions and problems, formulating them clearly and precisely; Gathers and assesses relevant information, using abstract ideas to interpret it effectively; Comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards; Thinks open-mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; and Communicates effectively with others in figuring out solutions to complex problems. 1 Paul, Richard & Elder, Linda. (2005). The Miniature Guide to Critical Thinking Concepts & Tools. Dillon Beach: The Foundation for Critical Thinking. Evaluation Method: 1. Examinations will be based on module objectives. 2. There will be 3 grades comprised from 1; IV check offs, 2; unit exams and 3; a comprehensive final, for a total of three exam grades. All exams will have equal value, including the final examination grade. All exam grades will be averaged along with the IV grades and along with homework grade for final grade. A final course grade of 75%, independent of all other requirements, is necessary for the student to pass this course. Failure is defined as a grade of 75 or less OR Unsatisfactory clinical performance. 3. Students are strongly encouraged to take exams as scheduled. However, in the event that 2
an exam is expected to be missed, the student is required to notify Phyllis Crow at 882-3044 or leave a message on the instructor s voice mail BEFORE the exam and give the reason for the absence. A make-up exam may be scheduled at the discretion of the instructor. The make-up exam must be taken within one week after the original examination. If you do not call Ms. Crow or leave a message on the voice mail of the instructor, no make up exam will be provided and the student will receive a zero for the test. Results of exam grades will be withheld until all students have taken the exam. The final examination must be taken, with no provision for make-up. 4. If a student fails a unit examination, he/she is expected to make an appointment within one week after the examination with the course instructor. At that time, the student will review the examination and, with the assistance of the instructor, identify strategies to improve examination performance. Any student can review the examination with the course instructor within two weeks after the examination is given. 5. Exams will be given on scheduled dates (refer to course calendar). 6. Letter grades will be assigned as follows: A = 93 100, B = 84 92, C = 75 83, F = 0-74.99 Policy on a Grade Incomplete: The grade of I may be given when any requirement of the course, including the final examination, is not completed with instructor approval. Arrangements to complete deficiencies in a course must be made with the instructor. Incomplete work must be finished during the next long semester; if not, the Admissions and Records Office must change an I grade to the grade of F. The course must then be repeated, if credit is desired. An I grade also automatically becomes an F if the student registers for the course before removing the deficiencies and receiving a grade change. The instructor may record the grade of F for a student who is absent from the final examination and/or is not passing the course. Procedure for Review of Test Grades: If the student has an issue about his/her grade, the instructor must be contacted no later than three (3) days after receiving the grade. Attendance: 1. Students are responsible for all material covered in their absence. 2. Students on campus but not in class are considered absent. Classroom Policies: 1. No cell phones are allowed to be on while in classroom. 2. No children or visitors allowed on campus. 3. No eating, drinking, or smoking is allowed in the classroom. 4. No profanity, littering, or talk of personal drug use in allowed in the classroom, sidewalks, or hallways. Withdrawals and Drops: Never attending or ceasing to attend classes DOES NOT constitute a withdrawal or drop. You remain registered until you file a Drop/Withdrawal Form at the Registrar's Office by the appropriate deadlines. Failure to act in a timely manner will result in an "F" grade for the course. It is the student's responsibility to turn in all Drop/Withdrawal Forms and follow up to ensure that they were processed as desired. 3
Instructor-Initiated Drop: 1. The program director has the right to initiate the administrative withdrawal of any student whose attendance, conduct or scholastic abilities for the role of the pharmacy technician makes it inadvisable for the student to continue in the program. This includes, but is not limited to, a randomly acquired screening for alcohol or illicit drugs. 2. Students considering withdrawal from classes or the pharmacy technology program should talk to the director for withdrawal or reentry information. When a student does drop a course but does not follow the College drop or withdrawal policy, an F will appear on the transcript. 3. Immediate dismissal from the Pharmacy Technology Program will follow documented evidence of the following: A. Willful lying or deceit. B. Verbal or physical abuse of faculty or pharmacy personnel. C. Falsification. D. Academic dishonesty. E. Theft of any personal or company property F. Working under the influence of alcohol or illicit drugs. G. Insubordination to faculty or pharmacy personnel. H. Unethical conduct or unsafe performance of the training duties of the pharmacy technician. 1. Violating or threatening the physical, psychological, microbiological, chemical, or thermal safety of the client. 2. Violating previously mastered principles/ learning objectives in carrying out delegated pharmacy technician functions. 3. Assuming inappropriate independence in actions or decisions. 4. Failing to recognize own limitations, incompetence, and/or legal responsibilities. 5. Failing to accept moral and legal responsibility for his/her own actions; thereby violating the professional integrity of the pharmacy technician. 6. Falsifying or altering academic records, medical records and prescription orders. 7. Representing yourself as a Pharmacist. 8. Engaging in dispensing, counseling, supervising other supportive personnel or other duties only belonging to a registered pharmacist. 9. Unlawful or unauthorized delivery of any prescription to anyone but the patient or his/her agent. 10. Accepting monetary compensation for fulfilling or not fulfilling technician duties during clinical. 11. Unauthorized distribution, delivery, or possession of any prescription, controlled substance, or illegal drug on clinical site premises and classroom. Academic Honesty: LSCO will not tolerate cheating or plagiarism. Plagiarism is defined as "taking and using as one's own the writings or ideas of another." Any student caught cheating or plagiarizing, or aiding another student in cheating or plagiarizing on a quiz, test, individual assignment, or examination will be immediately dropped from the program. Students subject to penalty due to academic dishonesty have the right to appeal to the department chair and eventually to the dean 4
and/or academic vice president before imposition of the penalty. Student with Disabilities: A request for special accommodations must be made through the ADA Counselor and the appropriate form submitted to the instructor two weeks in advance of need. Any student with a verifiable learning or physical disability who requires special accommodations is encouraged to speak to the instructor in private regarding his/her special accommodations need. Syllabus Content: The instructor reserves the right to make changes to this syllabus, if deemed necessary. All changes will be provided to the students orally or in writing before the implementation of the change. EQUAL OPPORTUNITY/AFFIRMATIVE ACTION NOTICE: Lamar State College - Orange is an equal opportunity/affirmative action institution that does not discriminate on the basis of race, color, sex, religion, handicap, or ethnic origin. TRANSFERABILITY: This course is transferable to any other Texas college that has the same Workforce Education Course Manual (WECM) course number. Students must check in advance with the particular college to which they plan to transfer credit. QUALIFICATIONS FOR TRAINING PROGRAM APPLICANTS: The American Society of Health-System Pharmacists (ASHP) recommends students in pharmacy technology programs should have demonstrated abilities as evidenced by successful completion of relevant high school courses or other appropriate educational programs or have acceptable grades on written entrance examination. These abilities and knowledge include general basic chemistry, arithmetic, basic algebra, reading, and writing. Other requirements are: adequate command of the English language: ability to acquire skill in the use of pharmaceutical apparatus, instruments, and equipment: ability to follow oral and written instructions with accuracy, precision and dependability: and ability to distinguish routine functions from those requiring a pharmacist s judgement. PHARMACY TECHNOLOGY PROGRAM GOALS/OBJECTIVES: At the completion of the Pharmacy Technology Program, the pharmacy technician student will have been given the opportunity to: I. Demonstrate appropriate knowledge and understanding of the retail, institutional, and long-term pharmacy departments; II. Demonstrate a thorough knowledge and understanding of the duties and responsibilities of his/her position, including standards of ethics governing pharmacy practice; III. Have a working knowledge of the pharmaceutical-medical terms, abbreviations, and symbols commonly used in the prescribing, dispensing, and charting of medications in the retail, institutional, or long-term pharmacy; IV. Have a working knowledge of the general chemical and physical properties of all drugs handled in manufacturing and packaging operations in the pharmacy department; V. Demonstrate the ability to carry out the calculations required for the usual dosage determinations and solutions preparation, using weight and volume equivalents in both the metric and apothecary systems; VI. Demonstrate the ability to perform the essential functions relating to drug purchasing and inventory control; VII. Demonstrate a working knowledge of drug dosages, routes of administration, and dosage forms; VIII. Have a working knowledge of the procedures and operations relating to the 5
manufacturing, packaging, and labeling of drug products. IX. Have a working knowledge of the procedures and techniques relating to aseptic compounding and parenteral admixture operations; X. Demonstrate the ability to perform the usual technician functions associated with a retail, institutional or long-term distribution system; and, XI. Demonstrate the ability to perform manipulative and record keeping functions associated with the dispensing of prescriptions for ambulatory and hospitalized clients. **Program Objectives represent the American Society of Health-System Pharmacists Outcome Competencies and Training Guidelines for Institutional Pharmacy Technician Training Programs. ADRAGOGICAL METHODOLOGY: This course meets once weekly, on Friday for lecture and discussion. Each session consists of two hour lecture and four hours of lab. The student is responsible for self-directed learning and must be an active, continual learner. Students are responsible for all information outlined in the course syllabus whether or not presented in class. The student is expected to attend class, read assignments, answer objectives, and complete other learning assignments and activities in pursuit of the program s aims and objectives of the individual units of study. Assignments, if any, must meet deadlines established by the faculty or they will be regarded as unsatisfactory. As a self-reliant, autonomous, and independent learner, the student will interact in the teaching/learning process with the faculty in class. Academic dishonesty WILL NOT be tolerated. Academic dishonesty includes but is not limited to the following: 1. Cheating - the act of looking on another person s paper or computer to obtain an answer during an examination. 2. Plagiarism - to take and use as one s own, the ideas or writings of another, without giving that person credit. 3. The submission for credit, someone s work as your own. ANY of these methods of academic dishonesty are grounds for dismissal from the college according to the Lamar State College - Orange Student Handbook. SCAN AND COMPETECIES FOR PHRA 1445 Course 1 Reading PHRA 1445 Intravenous Admixture and Sterile Compoundin g show competency by reading textbook 2 Writing use note taking skills, essay question on tests, and writing of practice prescriptions 3 Arithmetic Mathematics perform calculations from the text measuring syringes, and graduates. 4 Speaking/ listening role play to learn communicati on skills 5 Thinking Skills Student learns skills in compounding drugs an d how drugs work in the body and drug classifications 6 Personal Qualities be able to discuss policies of pharmacy. 7 Workplace Competencies learn duties of Pharmacy Technician retail, hospital and long-term care 8 Basic Use of Computers N/A 6
Course Out line for PHRA 1445 01/11 Read Syllabi get to know each other (Read chapter 1and 2). 01/13 Lecture chapter 1, 1 st video, hand washing. 01/18 Martin Luther King Day 01/20 Lecture chap. 2, 2 nd video, hand washing hand washing check off. 01/25 3 rd video, hood cleaning. Hood cleaning check off. 01/27 Outlook for Chapters 1-2. 02/01 1 st TEST (read chapter 4 and 5). Ampule practice. 02/03 Review test, lecture chapter 4, lab video. Lecture chap. 5. Ampule practice, (read chap. 6). 02/08 Lecture chapter 6. Outlook for Chapters 4-6. Ampule check off. 02/10 2 nd TEST (read chapter 7). Vial practice. 02/22 Review test, lecture chapter 7, (Read Chapter 8). 02/24 Lecture chapter 8 cancer videos, (read chapter 9). Vial practice. 03/01 3 rd TEST 03/03 Film day 03/08 Spring Break 03/10 Spring Break 03/15 Lecture chapter 9,. 03/17 Outlook for chapters 7-9. Vial check off 03/22 IV practice 03/24 Review 3 rd test. IV practice 03/29 IV Final 03/30 IV Final 04/05 IV Final 04/07 PTCB REVIEW 04/12 PTCB REVIEW 04/14 PTCB REVIEW 04/19 PTCB REVIEW 04/21 PTCB REVIEW 04/26 PTCB REVIEW 04/28 PTCB REVIEW 05/03 Final Review 05/05 Final Review Final TBA 7
Lamar State College-Orange Pharmacy Technology Program Level II I.V. 1445 Students and Instructor Agreement Expectation: Maintaining a Positive Learning Environment As your instructor and as a student in this class, it is our shared responsibility to develop and maintain a positive learning environment for everyone. Your instructor takes this responsibility very seriously and will inform members of the class if their behavior makes it difficult for him/her to carry out this task. As a fellow learner, you are asked to respect the learning needs of your classmates and assist you instructor in achieve this critical goal. Creating Opportunities for Learning As your instructor, it is my responsibility to present learning opportunities through the course syllabus, lectures, labs, in-class and out-of-class exercises and assignments. It is your responsibility to do the learning by completing the readings, by attending class and by participating in class discussions and assessment exercises. Tracking Your Success at Learning Your instructor will conduct quizzes, exams and assessments that you can use to determine how successful you are at achieving the course leaning outcomes (mastery of course content and skills) outlined in the syllabus. If you find you are not mastering the material and skills, you are encouraged to reflect on how you study and prepare for each class. Your instructor welcomes a dialogue on what you discover and may be able to assist you in finding resources on campus that will improve your performance. Student s name Student s signature Instructor s Signature 8