STATE OF THE PHARMACY TECHNICIAN EXPANDING ROLES & TRAINING TIPS TECHNICIAN ASSOCIATION 2015 DISCLOSURE No disclosures WSPA TECHNICIAN BOARD MEMBERS Tara Millar, Technician Kelley-Ross Compounding Pharmacy Seattle, WA Bridgett Edgar, CPhT and Co-owner Pharm-A-Save Monroe Monroe, WA tmillar@krrph.com bridgett@pasmonroe.com 1
CO-PRESENTER Kyle Sullivan, PharmD Candidate 2016 Kelley-Ross Compounding Pharmacy Intern Seattle, WA ksullivan@krrph.com WSPA TECHNICIAN ASSOCIATION 2014 HIGHLIGHTS Last year was an exciting time of growth and accomplishment for technicians in the WSPA Technician membership increased over 30% Pam Simison was recognized as the Technician of the Year 10 hours of online CE were approved by the board as part of technician membership 28 technicians participated in our Technician CE Day in Renton, WA WSPA TECHNICIAN ASSOCIATION 2014 HIGHLIGHTS As of 2015, 10 hours of online continuing education are now included in your WSPA membership! You will have access to these online courses through the WSPA website. Topics include: pharmacy law, patient safety as well as many others specific to pharmacy technicians. Members: 1) Get the member access code 2) Go to www.gotocei.org. Click on the white Partner icon 3) Locate and click on the WSPA logo 4) Enter the member code and click " Apply" 5) You will be prompted to login or if you are new to CEI, begin by clicking LOGIN and create an account 6) Click CONFIRM at the bottom of the page 2
WSPA TECHNICIAN ASSOCIATION 2014 HIGHLIGHTS Re-branding the Technician Academy After hearing your feedback, we are moving forward with renaming the Technician Academy to the Technician Association. Previously there had been some confusion with the term academy, some members and non-members thought our group existed for technicians in training programs. We hope to eliminate any confusion and spread the word that all WSPA technician members are included and invited to participate. WSPA TECHNICIAN ASSOCIATION Want to get involved? If you are interested in teaching a CE course to technician members at either Northwest Pharmacy Convention or Annual Meeting, please let us know, we would love to have you! Also, please help us spread the word about WSPA. As our technician membership increases we hope to create a broad network from all practice settings that can advocate for the advancement of our roles as technicians. CURRENT STATE RATIOS TECHNICIANS : PHARMACISTS Idaho 6:1 Montana 3:1 Washington 3:1 2014 Florida Bill CS/HB 323 Pharmacist may supervise more than 3, but not more than 6 registered pharmacy technicians. Utah currently allows a pharmacist to have as many technicians as he/she feels comfortable supervising How do these ratios effect safety and quality standards? https://www.nabp.net/news/florida-house-of-representatives-approves-bill-to-increase-the-number-ofpharmacy-technicians-a-pharmacist-can-oversee 3
TECHNICIANS ENTERING THE WORKPLACE As of 2010 approximately 12,000 technicians graduate annually from accredited programs http://www.ajhp.org/content/68/12/1128.full?related-urls=yes&legid=ajhp;68/12/1128 TIME FOR STANDARDIZATION pharmacy technician 47 states unlicensed personnel Colorado ancillary ypersonnel DC pharmaceutical technician Nevada unlicensed persons New York registered pharmacy technicians North Dakota and Wyoming qualified pharmacy technicians Ohio BUREAU OF LABOR AND STATISTICS (BLS) Technician Employment Projected to increase by 20% from 2012 2022 In 2014-368,760 techs in the US (Approximately 18% worked in health systems) http://www.bls.gov/oes/current/oes292052.htm 4
BUREAU OF LABOR AND STATISTICS (BLS) http://www.bls.gov/oes/current/oes292052.htm BUREAU OF LABOR AND STATISTICS (BLS) http://www.bls.gov/oes/current/oes292052.htm BUREAU OF LABOR AND STATISTICS (BLS) 2014 US Employment 400000 350000 300000 250000 200000 150000 100000 50000 0 Pharmacists Technicians 2014 Mean Salary 140000 120000 100000 80000 60000 40000 20000 0 Pharmacists Technicians http://www.bls.gov/oes/current/oes292052.htm 5
REDUCING TURNOVER Current technician turnover rates are more than double that of pharmacists approximately 13% Technicians who feel their contributions are respected and appreciated experience higher job satisfaction and are less likely to resign. http://www.pppmag.com/article/1525/june_2014/advancing_pharmacy_technician_roles/ EXPANDING THE ROLE OF THE TECHNICIAN Reduced costs Improved patient care Enhanced nursing/pharmacy communication Increased job satisfaction Areas for advancement Specific responsibilities Autonomy ASHP S PHARMACY PRACTICE MODEL INITIATIVE (PPMI) IN ACTION Children s Mercy Hospital (CMH), Kansas City Team Technician Model Provide each nursing unit with a dedicated pharmacy tech Liaison between pharmacy and nursing Improve communication and simplify workflow Point person to call with questions about the location or expected delivery time of medications Single individual who prioritizes their units specific needs and enables quick resolution to daily challenges Pharmacy Purchasing & Products by Rachel Eckles and Jennifer Comford, both CPhT s of Children s Mercy Hospital (CMH) of Kansas City. 6
ASHP S PHARMACY PRACTICE MODEL INITIATIVE (PPMI) IN ACTION Supports a positive relationship between the departments Allows the technician the freedom to complete tasks independently and troubleshoot challenges without direct supervision. Pharmacy Purchasing & Products by Rachel Eckles and Jennifer Comford, both CPhT s of Children s Mercy Hospital (CMH) of Kansas City. CMH TECHNICIAN TEAM RESULT Improved patient care Improved technician job satisfaction Nurses are pleased with the program Increased communication Improved employee morale Enhanced time management Allowed pharmacists to focus on tasks that require clinical expertise Pharmacy Purchasing & Products by Rachel Eckles and Jennifer Comford, both CPhT s of Children s Mercy Hospital (CMH) of Kansas City. TEACHING FELLOW TECHNICIANS, INTERNS & ROTATION STUDENTS Teach by example Demonstrate (step by step) Specify the amount of time a task should generally take This timeframe helps guide the student and sets an expectation Allow the student to participate (hands on) Give feedback Allow autonomy for the student to practice Offer support 7
TEACHING FELLOW TECHNICIANS, INTERNS & ROTATION STUDENTS Nobody likes to be under the microscope GOALS WHEN TEACHING FELLOW TECHNICIANS, INTERNS & ROTATION STUDENTS Set clear expectations Allow open dialogue Student is free to engage and ask questions Time for drug information research Student is able to duplicate tasks and learns to recognize obstacles and problem solve independently PROVIDING EFFECTIVE FEEDBACK Assess the location feedback is given, if possible in a private area Offer feedback in a non-threatening tone Give positive feedback first, then an area that still needs work Remember AND, not BUT Follow up with suggestions for improvement Verify the student understands Offer support 8
TEACHING FELLOW TECHNICIANS, INTERNS & ROTATION STUDENTS Know the student s and your own limitations Legal restrictions Are they prepared/familiar with this medication and comfortable counseling patients? Is this the first time they have done anything of this sort? Defer clinical questions to the preceptor or PIC Proprietary information PHARMACIST DUTIES THAT MAY NOT BE DELEGATED Receipt of a verbal Rx, other than refill authorization Consultation of patient regarding a Rx Consultation with a prescriber regarding the patient or the Rx Extemporaneous compounding except bulk compounding from a formula and IV admixture products Interpretation of data in patients medical record Ultimate responsibility of all aspects of a completed prescription http://app.leg.wa.gov/wac/default.aspx?cite=246-863-095 LEARNING FROM EACH OTHER Technique Insurance/Billing/Typing Computer Systems Valid Prescription Requirements Clinical Patterns New Drug/Treatment Methods Handling Angry Patients Disclosure of Mistakes 9
TIME MANAGEMENT TIPS Prioritize your tasks Do most important 1 st Deal with interruptions and distractions Avoid procrastination TIME MANAGEMENT TIPS Organize Map out your day, utilize desktop/software calendars and to-do lists Delegate tasks make good use of the resources and staff around you TIME MANAGEMENT TIPS Avoid stress through delegation Set up deadlines - mini goals, benchmarks Avoid multi-tasking focus and concentrate Take a break Go for a walk, listen to music, stretch 10
PROFESSIONALISM Defined as one s conduct at work 10 TRAITS OF A PROFESSIONAL 1) Knowledge and skills within profession 2) Commitment to self-improvement of skills and knowledge 3) Service oriented 4) Pride in the profession 5) Respects relationships with patients 10 TRAITS OF A PROFESSIONAL 6) Creativity and innovation 7) Trustworthiness 8) Accountability for his/her work 9) Ethically sound decision making 10) Leadership 11
PROFESSIONALISM DO S & DON TS Make being on time a priority Check your attitude at the door Dress appropriately Pay attention to what you say Offer to help colleagues Don t hide from your mistakes Don t air your dirty laundry Don t gossip Stay positive 12