Staff Recommendation: Approved NO...2020/01/31 · Staff Recommendation: Approved Requirements for...
Transcript of Staff Recommendation: Approved NO...2020/01/31 · Staff Recommendation: Approved Requirements for...
WASHINGTON STATE BOARD OF PHARMACYReview Form
PHARMACY TECHNICIAN TRAINING PROGRAMS
Type of approval: New Program M Re-approval/Renewal: II Date program expired:
Program Type: On-the-Job (OJT): || Formal/Academic: II Online: ||
Facility/ Institution name: Mercury Pharmacy Services Inc Credential # (if applicable):
Location Address : 22316 70th Ave W Ste E, Mountlake Terrace, WA 98043
Mailing Address (if different:
Name of Program Director : Sarah Wue Phone Number: 425-673-5200
Email Address for Director:
Corporate/institution Contact Information:
Staff Recommendation: Approved
Requirements for all program types:
Multicultural health awareness and education effective July 1,2005 -New requirement RCW 43.70.615
1. The training program must adequately prepare the trainee to
pass an approved national pharmacy technician certificationexamination/ such that the trainee successfully passes prior to
license application.
2. Prior to starting an OJT training program in Washington, thetrainee is required to show proof of high school graduation or ahigh school equivalency certificate, such as a GED.
3. Minimum of 8 hours of instruction is designated for review of
relevant Washington state pharmacy law. This must include
access to and use of the WA Pharmacy Commission's website to
obtain the most current information. This is in addition to areview of all other applicable state and federal laws.
4. Trainee is registered with the Pharmacy Commission as a
pharmacy assistant prior to starting an OJT program or an
externship through an academic program in Washington state.
5. Director of the program isa registered pharmacist. For WA
YES
x
x
x
x
x
NO
See page 5 of this form forcomplete info.
WAC 246-901-060 states proofof passing an NCCA-accreditednational certification exam is
required for licensure
(effective 1/1/09).
Out-of-state applicants must
submit a completed"Verification of Law' form that
is signed off by a pharmacistwho is licensed in WA (but
does not have to reside here
& can have licenses in more
than one state).
This does not apply to traineeswho are in or have completed
out-of-state technician
training programs that are notphysically located in WA.
Program directors of WA state
Page 1
state - the director must also be a licensed preceptor. WAC 246"
901-050 states that the "director shall be a pharmacist."
Pharmacists directing or supervising the training of pharmacytechnicians must meet the same requirements as those of
pharmacy intern preceptors. The program direction or delegates
must sign off on an applicant's application verifying successfulcompletion of the program.
6. Specify the names, license numbers, and training experience of
the Director and all program instructors. Describe training
responsibilities and functions
7. Length of the program is 12 months or less for whatever is
sufficient to meet the requirements in hours and/or credits foreither OJT or academic programs. Note that there are 3 types of
programs that are recognized: (1) OJT programs at licensedpharmacies; (2) academic programs; & (3) online programs. NOTE:Anyone who works in a pharmacy in WA must be licensed in WA.Trainees are licensed as pharmacy assistants and can only work as
technicians
8. The training and resource materials are current, relevant and
are listed by title and publication date, with a description of howthey will be used.
9. The minimum passing score fora final exam of/ierthan the
PTCE or ExCPT is 75%. However, an option is to use proof of
passing an NCCA-accredited national technician exam as your
program's final examination.
10. The Pharmacy Commission must be notified in writing or emailprior to any significant changes to the program, including changein the Director, course content/ and time frames.
11. All student-specific records must either be retained on-site
and kept for a minimum of 2 years, as well as be made availablewithin 72 hours upon request.
Additional requirements for OTJ programs:
1. The program consists of 520 total hours of supervised work
experience which includes: didactic instruction and 12 hours ofindividualized instruction provided when the trainer is not working'on-line'. All work experience within this time frame must be
supervised by pharmacists and be part of the training programrequirements.
2. The program must also include training on job functions that
are unique to a particular practice setting (eg, preparing parenteral
products; extemporaneous compounding; providing long term
care services; etc.). These job functions must be documented on
the ancillary utilization plans submitted for review.
x
x
x
x
x
x
Yes
x
x
No
programs must also be
licensed as preceptors. [WAC
246-858]
The Board must be notifiedimmediately of any changes inprogram director or delegates
and must have an updated list
at all times.
Eg/ 520 hours for OJTprograms to include didactictraining & supervised work
experience training at thepharmacy. 30 credits for
academic, vocational,
technical, online, and similar
types of programs.
The passing scores for thePTCE and ExCPT are eachcalculated in different waysand not by percentage.
Changes in director and/orother training personnel do *
not require resubmission of
the entire program for
approval.
These records must be readily
retrievable.
The requirement for 12 hoursof individualized instruction isspecific for pharmacieslicensed inWA.
Ancillary personnel utilizationplans are required of allpharmacies licensed in WA.
[RCWs " 18.54.011,18.64A; &
WACs - 246-863, -869, -901].
http://www.doh.wa.gov/hsaa
/Professions/Pharmacy/defaul
Page 2
3. The utilization plans for ancillary personnel are included,
namely, pharmacy assistants and technicians. [See the web
document on 'Developing a Pharmacy Technician Training
Program" for resources.]
x
t.htm
These plans must describe themanner in which ancillarypersonnel will be utilized. Thisrequirement only applies topharmacies licensed in WA.
Additional requirements for academic programs:
1. The academic program consists of a minimum of 2 quarters
equal to 30 quarter credits (or equivalent in semester hours) andincludes a mandatory externship of a minimum of 160 hours.
2. The vocational program consists of a minimum of 800 hours of
instruction and includes a mandatory externship of a minimum of160 hours.
3. A comprehensive training manual is provided and includes the
following: list of faculty (names/ licenses/ training experience/ &program responsibilities); institutional policies & procedures;description of the Advisory Committee functions & list of
members; complete curriculum description & goals; training andtesting methods; description of facilities (eg/ drug preparationlabs, computer labs, etc.) & equipment used; description of thequality assurance program; and anything else relevant to the
program and its administration and operations.
4. The externship is described by practice site and number ofhours spent at each site/ as well as description of tasks,
expectations and required outcomes. Students in externships are
evaluated by their externship site supervisor and their academicprogram instructor (based on a midterm and final clinicalevaluation form, as well as the student's work reports, attendance
and performance). Students evaluate their externship experience
and include a self-evaluation of each experience. The program's
policy and procedure for dealing with negative evaluations ofstudents and by students is included.
5. Program requirements and expectations are included with a
description of what constitutes misconduct and how it is handled.
One example would be the criteria for expulsion from the
program.
6. If the vocational or academic institution is accredited by an
accreditation organization and/or licensed in a state, provide thisinformation.
Yes No
Additional requirements for online programs:
1. Online programs must meet the same requirements as
academic programs.
2. Program staff must be available to students on a 24-hour basis
daily/ with a policy & procedure in places for this.
Yes No
INCLUDE THE POLICY &PROCEDURE FOR THIS.
Page 3
ADDITIONAL REQUIREMENTS
1. All programs are approved for a 5"year period and must be submitted for renewal before their
expiration date. Typically programs that are submitted for renewal do not have to be presented at
a board meeting for re-approval. However, if such a program is completely revamped, a
determination will be made if formal board approval will be necessary/ at which time your program
would be notified.
2. For OJT programs offered through pharmacies that are licensed in Washington and for
academic/vocational programs based in Washington/ the documented director (or delegates) of a
training program must sign the Director's Certification . The director may designate delegates who
can sign this section of the application on his or her behalf/ but a letter must be submitted to the
board by the director of the program stating who these delegates are and the effective dates. Any
changes to this document must be submitted in writing. If either a director s or delegate s names
are not on record with the board, this will cause delays in the processing of applications.
3. For pharmacies licensed in Washington/ you must maintain an on-site file containing ail
documentation related to your approved technician training program, including your most current
approved ancillary utilization plans. This documentation will be requested as part of the inspection
process.
4. Anyone who works in a pharmacy in WA must be licensed in WA. Trainees must first be licensed as
pharmacy assistants and can only work astechnicians-in-trainingwhen they are being trained!
Trainees cannot /fill in' as technicians /as needed'. Their work experience must be part of the
approved training program. And/ since proof of passing one of the NCCA-accredited national
certification exams is a requirement for Ijcensure/ trainees should be preparing for an exam while
they re in training. The training program should be preparing them to take an exam. The national
exam should be taken sooner rather than later, meaning that your trainee can't be a tech-in-training
indefinitely/ especially after they have completed the training program. At the latest, trainees
should be ready to take a national exam when they have Just completed a training program.
5. Always remember to access the Board of Pharmacy website for the most current pharmacy
technician or assistant applications/ as the applications are periodically updated. The same applies
for the most current information on Board of Pharmacy laws, rules/ policies/ guidelines, and the like.
6. Training programs that are reviewed as part of a specific applicant's application process wil! only be
approved for that applicant. Out-of-state training programs that are interested in obtaining board
approval must submit all the documentation requirements listed in the review form above.
Note: 'Formal' academic programs include the following settings: universities; community colleges; technical colleges;technical/community colleges; vocational/technical schools. These are institutional-based programs, whereas OJTprograms are emptoyer-based.
Page 4
http://www.doh.wa.fiov/hsqa/Professions/Pharmacy/forms.htm - Pharmacist Preceptor Application
Packet and Experiential Training Manual.
NEW REQUIREMENT FOR ALL TRAINING PROGRAMS APPROVED in WASHINGTON
Cultural Competency Resources
The legislature finds that it shall be a priority for the state to develop the knowledge/ attitudes/ and
practice skills of health professionals and those working with diverse populations to achieve a greater
understanding of the relationship between culture and health and gender and health. By July I/ 2008, each
program with a curriculum to train health professionals for employment in a profession credentialed by a
disciplining authority under chapter 18.130 RCW shall integrate into the curriculum instruction in
multicultural health as part of its basic education preparation curriculum.
The Washington State Department of Health (department) is pleased to announce a new resource to help
health care providers serving diverse populations of patients. A law passed in 2006 requiring all health care
providers licensed by the department to receive multicultural health awareness education and training. The
Cultural Competency in Health Services and Care - A Guide for Health Care Providers is a tool in that effort.
The law did not mandate anything more specific than this. There are no requirements for how the training
is conducted/ what resources should be used, and number of contact hours or credits. There are many
resources for this. A sampling of resources is listed on the review form.
This guide is intended to increase the knowledge/ understanding/ and skills of those who provide health
care in cross-cultural situations. The guide is available on our Web page. We hope it will broaden your
awareness of health disparities, provide a better understanding of why cultural competency is important/
and illustrate some of the resources available to you. There are several online resources that offer
continuing education credits. There are also resources with important information and statistics on the
populations you serve.
Page 5
'.hN<lu^(n Iwr ft [u iim ^
WedlfftPhammcy Quality AssunCommissionPO Box 47877Olympio, WA 98504-7863360-236-4700
Mercury Pharmacy Services Inc22316 70th AveWSteEMounttake Terrace, WA 98043-2184TRNG.TG.61021980-PTEC-0
-D
RECEIVED
NOV. 13 2019•f \ •/
>ON/HSQwee^Pharmacy Technician
Education and Training Program Approval FormThe complete program of study including resource materials, content of instruction, and detailed programadministration must accompany this application as well as a description of the criteria for admission orselection into the training program, and details on how the program will measure the student's proficiency.Application Type
0Priginal Q RenewalCheck One
Association
Corporation
D Federal Government Agency
^- Limited Liability Company
d Limited Liability Partnership
d Limited Partnership
Municipality (City)D Municipality (County)D Non-Profit Corporation
D Partnership
D Public Hospital District
F] Sole ProprietorD Slate Government Agency
D Tribal Government AgencyD Trust
1. Demographic InformationUBI#
60Z Oe\^ ^^Federal Tax ID (FEIN)#
9/--2/ot/J7JLegal Owner/Operator Name
?T'€pV\ffy\ l^OulcmOl"^Mailing Address
m& 2-3?Tt-
Sc^-1City
/oo ^ 0^-
Phone (enter 10 digit #)
2-0&X\S- MM (^
yState
u<JAZip Code
^c^oCell (enter 10 digit #)
^ObS(?Lf4ic<
County
Sndko^\-.s^
Fax (enter 10 digit #)
^^-^3-S'L30Legal Name of Institution or Employer-based Program
Pk^rmAcy Series , /A/C.Physical Address
223^ ^70' 41/^ [^ Su^e eCity
^ou^^e T^aceState
(A/AZip_Cod8
fyoi^County
^rtd4oi^<r^
Facility Phone (enter 10 digit #)
13L&G -735Z.OOCell (enter 10 digit #)
W^ l/Y/L(Fax (enter 10 digit #)
f2r672 5-ZJ<?Mailing Address
olZ3/^ 70^ ^t/< UJ o*^e fc-
City^uo^Tl<i.(<A r»//t^
State\^/A
Email address
^re^^Q Me<cu/-^rX- c^^\
Zip Code
L?-6^1County
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Web Addresstai^<^ ^ c^r^\
DOH69&-279 May 2014 Paoelof3(&""
2. Type of ProgramPlease check which type of pharmacy technician education and training program or school.
[_] Formal/Academic Training Q3.0n-the-job Training at a licensed pharmacy D Vocational Training
D Military Training D Other, explain
3. Contact Information
Name of Contact Person
S^nk \i^vtuTitle
C\f<%W ^rPhysical Address
"•yw^ ^- h^ vJ. ^L^City
oi^iftke ^w^.State
w-Zip Code
rW3>Couo!
lOK^sllEmail Address
<5A \^ ^ ^f<^ (^.^MPhone (enter 10 digit #)
'w,-w^zw ^^-4. Program Director InformationAttached additional paass If Ihejrainma prosram uses multiple directors.Name o^Program Director
wJia/Title
^Xfuky ^ (^unw^ ^ J^D^i^ \)[r€^n^Pharmacist Credential Number
P^- \ot>V^lA'^Preceptor Certification Number
^ fc0^2i^Physical Address
yi^\^ ^t>^^ ^ \\A^'iCity
MouAl?t T^me-tate"luA-
Zip Code3ode I Count
^W3 | ^>yu^^is[Email Address
Slt^ \(J 8- IV^LT^ ^ .CSMPhone (enter 10 digit #)
^-W?-^U)0 Wi-5. Additional Pharmacies and Program Directors
List all pharmacies associated with this training program.Pharmacy Name and Address Pharmacy Licenso # Program Director Pharmacist's License 8
^eru^Z-^tfc .1^^tcv<. J\AJ, S*^eBpM^T i LJlfr <?tb4^
pt^.c-F.^?3W4 S&ns^mi Pfr W^i\.
RECEIVED
w M-2N-
DOH/^SQA/OCSDOH 690.279 May 2014 Page 2 o» 3
6. Signature
I certify that I have received, read, understood, and agree to comply with state laws and rules regulating educationand training programs. I also certify that the information herein submitted is true to the best of my knowledge andbelief.
Program Director/authorized representative
<A^- VJ^Print Name
H^/l^Date
V^€i^>r ^ H^rPrint Title
•<fl
Additional Forms and Resources
Pharmacy Weboaae
Guidelines to Implementation
RECEIVED
NOV \ 3 2019DOH/HSQA/OCS
DOH69&-279 May 2014 Page 3 or 3
Mercury Pharmacy Services22316 70th AveW. Suite EMountlake Terrace, WA 98043(425)673-5200
November 6, 2019
Washington Slate Pharmacy Quality Assurance CommissionP.O. Box 47863Olympia, WA 98504-7863
Dear Ladies and Gentlemen of the Commission:
Please find outline for the Mercury Pharmacy Services basic training program for pharmacytechnicians. Our program will take a minimum of 24 weeks to complete and musi be completedwithin 1 year.
Please feet free to review the plan and advise on any additions, corrections, or clarifications thatmay be needed.
Thank you.
Sincerely,
"^k^v^ <^e<^_Sarah Wue, PhannD Stephen Boulanyer R,Ph.Program Director, Director of Pharmacy Pharmacy President
RECEIVED
NOV 13 2019DOH/HSOA/OCS
Instruction Process '
CurriculumDidactic lessons will follow a combined outline of theNational Pharmacy Technician Training Program. 7th edition in preparation for The Exam for theCertification of Pharmacy Technicians (ExCPT) and the Pharmacy Certified Technician TrainineManual. 12th edition in preparation for the Pharmacy Technician Certification Exam (PTCE).Top 200 drugs review will follow the latest list with suggested readings from the ReferenceGuide for Pharmacy Technician Exam. 2014-2015. Calculations review will be provided fromUnderstanding Pharmacy Calculations. Washington Stale pharmacy law review will follow thecurrent edilion of Washington Pharmacy Law: A User's Guide and online access to the PQACplus pertinent WAC and RCW rererences. Other supplemental materials may be provided asneeded.
Curriculum
Didactic lessons will follow a combined outline of The Pharmacy Technician (APhA BasicPharmacy & Pharmacoloiiv Series). 6Ih edition and Manual for Pharmacy Technicians fASHP).4th edition in preparation for the Pharmacy Technician Certification Exam (PTCE) and the Examfor Certification of Pharmacy Technicians (ExCPT). Top 200 drugs review will follow the latestlisl using PharmacyTrainer Top 200 Druu Flashcards. 2019 (or current edition). Calculationsreview will be provided from Pharmacy Calculations. An Inlroduction for Pharmacy TechniciansfASHP). Ist edilion. Washington State pharmacy law review will follow the current edition ofWashirmton Pharmacy Law; A User's Guide and online access to the PQAC plus pertinent WACand RCW references. Other supplemental materials may be suggested as needed.
Practicum hours will be in a long-term care setting covering the three major areas of focus forthe PTCE:1. Assisting the phannacisl in serving patients.2. Maintaining medications and inventory control systems.
3. Participating in administration and management of the pharmacy practice.
Emphasis of lessons will follow the latest Pharmacy Technician Certification Board (PTCB)examination for Certified Pharmacy Technicians (CPhT) PTCE Blueprint (current 2013 update).
PTCE Blueprint Domains
KnowledgeDomains
I
2
Domain
Description
Pharmacotogyfor Technicians
Pharmacy Law
% ofPTCE
Content
13.75
12.50
KnowledgeAreas
6
15 RECEIVED
NOV 1 3 2019
OOH/HSQA/OCS
3
4
5
6
7
8
9
andRegulations
Sterile andNon-sterile
Compounding
MedicationSafely
PharmacyQualityAssurance
MedicationOrder Entryand FillProcess
PharmacyInventoryManagement
PharmacyBilling andReimbursement
PharmacyInformationSystems Usageand
Application
8.75
12.50
7.50
17.50
8.75
8.75
10.00
7
6
5
7
5
5
2
Technician Trainee (TT) will complete mulliplc quizzes, three midlerms, and a comprehensivefinal exam with a score of 80% or better to pass. Remedial education and rctesting opportunitieswill be provided on any topic necessary unlil a passing grade is reached.
No more than five technicians will receive training at the same time.
Requirements for Admission to Program:• TT must provide proof of high school graduation or GED prior to beginning program.• TT must be able lo type 50 words per minute.• TV must sign acknowledgement indicating that they understand completion ofthis
program is not a guarantee for employment as a Pharmacy Technician.
• Required books:o The Pharmacy Technician (APhA Basic Pharmacy & Pharmacology S^rjg^jg^
edition
NOV \ 3 2019DOH/HSQA/OCS
o The Pharmacy Technician Workbook and Certification Review (APhA BasicPharmacy & Pharmacology Series), 6th edition
o PharmacyTrainer Top 200 Dmg FIashcards, (currenl edition)• Optional books:
o Complete Math Review for the Pharmacy Technician (APhA PharmacyTechnician Training Series), 5' edition
o Washington Pharmacy Law: A User's Guide
Records of evaluations, final exam, and proof of high school graduation or successful completionofGED will be retained at Mercury Pharmacy Services fora period of 3 years upon completionof program and will be provided within 72 hours of request.
A basic training program will be utilized for training pharmacy assistants to upgrade ihem topharmacy technicians (working under the immediate supervision of a pharmacy preceptor). Theon the job training (OJT) program will normally last 24 weeks and must be completed within 12months. The program will entail of a minimum of 600 hours consisting oF didactic (40+ hours),simulated (40+ hours) and experiential (520+ hours) training.
The teaching methods will consist of individual discussion and inslruction both in classroom andon the job. When the trainer is not responsible for the prescription area, TV will receivesupervised work experience, reading references, a training manual, plus written and practicalexaminations requiring 80% passing score or competency. Program may have slightmodifications based on individual trainee needs. The Pharmacy Commission will be notified inwriting or email prior to any significant changes to the program, including change in iheDirector, course content, and time frames
RECEIVED
NOV 13 2019DOH/HSQA/OCS
Ancillary Personnel Utilization Plan
Filed with the Pharmacy Commission and at the PhiirmacyDecember 2017
This is a long-term care pharmacy serving the needs of adult family homes, nursing homes andassisted living facilities.
Technicians:
The following is a list of functions our pharmacy technicians will be doing under thesupervisions and control of a licensed Pharmacist.
1. Handles the ordering ofmedicalions, medical supplies and DME from wholesalers. Thisincludes all phone calls, checking in inventory, adding inventory to computers, pricingevaluations and rcstocking,
2. Takes phone calls from customers and nurses regarding prescriptions. Typical callsinclude medication requests for customers, status updates (e.g. delivery times) and billingissues.
3. Organizes prescription and other pharmacy records.4. Enters prescription informalion into computer (i.e. data entry).5. Fills cassettes for automated packaging machine(s).6. Operates aulomated packaging machinc(s).7. Organizes medication for delivery.8. Prints restock reports and analyzes usage of emergency kit medications.9. Rcstocks Emergency Kits as needed.10. Pulls medication from shelves for new and refilled prescriptions and places inio tote for
pharmacy assistants to package.
11. Delivers medications to nursing facilities, adult family homes, and assisted livingfacilities.
12. Counts and pours medication from slock boltles for individual prescripiions. Fills unitdose medication packages.
13. Compounds medications that may involve adding ingredients to a final prescription. Allmath and measurements are double checked by a licensed pharmacist.
14. Enters new patient informaiion into pharmacy soflware and prints labels and invoices.15. Makes outbound calls to physician's oITiccs and takes calls regarding refill information.16. Handles non-discrelionary phone calls to and from:
• Physician ofTices for refill authorization.• Any cuslomer checking the availability ofgoods ofmedicalions.• Patients or nurses to gel patient demographic information (i.e, allergies,
diagnoses, doctor info, etc.).
• Obtains stock bottles for Hlliny prescriptions, labels prescriptions, and countsmedication under the supervision of a licensed pharmacist.
RECEIVED
5 NOV 13 2019
DOH/HSQA/OCS
Pharmacy Technicians w/Specialixfrtl Functions for IV Room ComDoundine:
1. Criteria for selection of pharmacy technicians for IV compounding:• Prior IV compounding experience or 3 months minimum experience in all areas
of production.
2. Methods of training and initial demonstration of proficiency:• Didactic review of sterile compounding, aseptic technique, and maintenance of IV
room.
• Hands on training by expert personnel,
• Score of at least 90% on a written exam.
• Score of 100% competency in garbing and aseplic work practices.• Media-Hll test with negative culture result.
• Score of 100% an assessment of IV room cleaning procedures.
3. Quality assurance plan regarding IV compounding technicians:• Exams and assessments will be given annually or as otherwise specified in current
Mercury Pharmacy Services Policy & Procedurei. Written exam
ii. Garbing and aseptic work practicesiii. Mcdia-fill testiv. IV room cleaning procedure
Compounding personnel who fail written tests, obscrvational audits, or produce positivemedia-fill tests will be re-instructed and re-evalualed by expert compounding personnelto ensure correction of all aseplic work.
Pharmacy Technicians Pcrfurmine Administrative Tasks: (Per SB6203 licensed technicianswho arc not directly involved with disncnsine of medications).
The following is a list offunclions Mercury Pharmacy Services pharmacy technicians mayperform while working as an assistant or in an administrative role. When a technician is staffedor scheduled to work in the following departments they will not work in the dispensingenvironment unless the white ratio board allows them to check in as a technician and switchroles. The "white ratio board" is where we log in the Pharmacists and technicians each day to
ensure our Pharmacist to Technician ratios are appropriate. When Administrative Pharmacy
Technicians are working they will not perform data entry ofnew prescriptions or pullmedications off the shelf. The ratio ofnon-administrative technicians to licensed pharmacistswill always be tracked in real time on the "while board" showing: 1) pharmacists on duty 2)technicians involved in dispensing functions on duty. See Addendum A for picture of "whiteboard"
1. Medical records administrative technician.
• Entering patient information including allergies and diagnoses.• Profiling and updating medication orders for paiienis that we do not dispense
medications for.
• Entering and updating nursing notes.• Printing and organizing medication adminislralion records (MARs) for monthly
delivery.
- RECEIVED6
NOV 13 2019DOH/HSQA/OCS
• Entering in activities of daily living, diet parameters, nursing instructions.2. Billing Adminislralive Technician.
• Billing setup for new admits.
• Answering customers' billing questions regarding insurance copays, plans, bills,etc.).
• Solving insurance problems and issues.
• Helping customers to choose appropriate Medicare Part D plans.• Managing accounts receivable and accounts payable-
• Managing prior authorizations and provider insurance relations for certainmedications.
• Calling insurance companies to get overrides and obtain other coverageinformation.
3. Delivery Administrative Pharmacy Technician.• May work in warehouse to scan and tote medications for delivery.
• Manage delivery personnel and process.
• Deliver medications to skilled nursing facilities, assisted living facilities, andadult family homes,
• Get totes, IPADs, and delivery manifests ready for contracted delivery personnel.4. IT Administrative Technician
• Maintain, troubleshoot and train employees regarding pharmacy computersystems and Robotics.
• Maintain and train technicians on the equipment used for packaging or officeactivities.
• Assist Facilities with EMAR (electronic medication administration record)troubleshooting and training.
» Install, train and fix emergency kits in skilled nursing facililies.5. Purchasing & Inventory Administrative Technician
• Places, receives and unpacks drug orders
• Review and remove outdated medications
• Maintain formulary• Inventory control and maintenance
6. New Facility Coordinator• Gathers data and patient information at the Facility• Inputs information into the pharmacy management system
• Trains slaffat Facility in regard to Pharmacy procedures
Assistants;
The following is a list of funclions our pharmacy assistants will be doing under the supervisionof a licensed Pharmacist.
I. May place, receive and unpack medication and medical supply orders.2. Packages medications into bubble packs after technician pulls drug from inventory.3. Files pharmacy records including prescriptions, nr"^^.-.. ^.
4. Delivers medications to nursing facililies, assisted living facilities and ^dyrcRn^Kdfries. •*
NOV 13 2013
OOH/HSQA/OCS
5. All aspects of maintaining warehouse and shipping functions.6. Faxes Physicians for refill authorizations.7. Gets prescription orders ready for delivery and prints packaging slips.8. Performs general ofltce and secretarial funclions,9. Keeps pharmacy area clean and orderly.10. Process billing.11. Prints patient invoices and handles billing questions.12. Delivers emergency kit medications to skilled nursing facilities. Prints reslock reports and
analyzes usage of emergency kit medications.
13. Puts medication bottles back on shelf and puts away wholesaler orders.14. Handles non-discretionary phone calls to and from.
• Patients or nurses requesting medication refills, delivery status and/or patientdemographic information (i.e. allergies, diagnoses, doctor info, eic.).
• Physician offices regarding refill requests. Any inquiries or changes by thephysician's office will be referred to a licensed pharmacist.
• Physician oflices authorizing refills. Any inquiries or changes by the physician'soffice will be referred to a licensed pharmacisl,
• Patients, nurses and insurance companies regarding pricing or billing;• Patients and nurses regarding the availability of medication, medical equipment,
supplies and services.
• Wholesalers regarding the pricing and ordering of medications.• Insurance companies regarding patient information and billing.
RECEIVED
NOV 1 3 20)9
°OH/HSQA/OCS
Prouram Director: Sarah Wue
Pharmacy Preceptor: Sarah Wue, PharmDPharmacist License: PH60277642 Preceptor License: PH60479212
Experience in training: Licensed preceptor since 2014Background infonnation:
• BA Communications, California State University, Fullerlon, 1996• Pharmacy Technician, Hoag Hospital, Newport Beach, CA 2005- 2008• PharmD, University of Washington, 2012• Experience in long term care pharmacy 2008-2019• Director of Pharmacy, Mercury Pharmacy Services 2016-2019
Pharmacy Prcccptor; Stephen Boulangcr, RPhPharmacist License: PH00013587 Preceptor License: PH60007723
Experience in training:• Preceptor/menlor for pharmacy interns and technicians since 1999
Background information:
• Received Bachelor of Pharmacy from Washington State University in 1988.• Gerialrics Certificate Inlennountain Wesi Geriatrics program Ihrouyh University
of Utah 1990.• Experience in hospital pharmacy 1989-2001• Experience in long tenn care pharmacy 2001-2019• WSPA Board member 1998-2004• WSPA President 201 6 Board member 2015 - 2018
Pharmacy Prcceptor: Lia Bcth Noges Schmilz, PharmDPharmacist License: PH602I9204 Preceplor License: PH60411549
Experience in training: Licensed preceptor since 2013
Background information:
• PharmD w/ Geriairic Certincate, University ofWashinylon 2011• Experience in independent retail and compounding 2011-2018• Pharmacisi-in-Charye 2013-20 18
• Experience in long tenn care 2014-201 9
NOV 13 20199 DOH/HSQA/OCS
Mercury Pharmacy Services22316 701hAveW. Suite E
Mountlakc Terrace, WA 98043(425) 673-5200
Fax (425) 673-5230Pharmacy License: PHAR.CF.60832484
Curriculum based on Updated PTCE Blueprint (2013) and Washington Stale Board of PharmacyReview Form for Pharmacy Technician Training Programs (April 2013)
Weeks One. Two. Three
1.0 Pharmacology for Technicians1.1 Generic and brand names ofpharmaceuticals1.2 Therapeutic equivalence
1.3 Drug interactions (e.g., druy-disease, drug-drug, drug-dietary supplement. dru^OTC,drug-laboratory, drug-nutrient)1.4*Slrengths/dose, dosage forms, physical appearance, routes of administration, andduration of drug therapy1.5 Common and severe side or adverse effects, allergies, and therapeuticcontraindications associated with medications
1.6 Dosage and indication of legend, OTC medications, herbal and dietary supplements
HIV-AIDS training (4-hour webinar)
Weeks Four. Five
2.0 Pharmacy Law and Regulations2.1 Storage, handling, and disposal of hazardous substances and wastes (e.g., MSDS)2.2 Hazardous substances exposure, prevention and treatment (e.g., eyewash, spilt kit,
MSDS)2.3 Controlled substance transfer regulations (DEA)2.4 Controlled substance documentation requirements for receiving, ordering, returning,loss/thefl, desiruclion (DEA)2.5 Formula to verify the validity of a prescriber's DEA number (DEA)2.6 Record keeping, documentatioiit and record retention (e.g., length of limeprescriptions maintained on file)2.7 Restricted drug programs and related prescription-proccssing requirements (e.g.,Ihalidomide, isotretinoin, cloxapinc)2.8 Professional standards related lo data integrity, securily, and confidentiality (e.g,,HIPAA, backing up and archiving)2.9 Requirement for consultation (c.g., OBRA'90)2.10 FDA's recall classification2.11 Infection control standards (e.g., laminar air flow, clean room, hand washing,
cleaning counting trays, countertop, and equipment) (OSHA, USP 795 and 797)2.12 Record keeping for repackaged and recalled products and supplies (TJC,
10 NOV 13 2019
DOH/HSQA/OCS
2.13 Professional standards regarding the roles and responsibilities of pharmacists,pharmacy technicians, and other pharmacy employees (TJC, BOP)2.14 Reconciliation between slate and federal laws and regulations2.15 Facility, equipment, and supply requiremenis (e.g., space requirements, prescriptionfile storage, cleanliness, reference materials) (TJC, USP, BOP)
WSPA Technician Law Certificate (8-hour webinar)'.
Week SixMidterm#t
Weeks Seven, Eieht3.0 Sterile and Non-Sterile Compounding
3.1 Infection control (e.g., hand washing, PPE)3.2 Handling and disposal requirements (e.g., reccptacles, waste streams)
3.3*Documentation (e.g., batch preparation, compounding record)3.4*Determine product stability (e.g., beyond use dating, signs of incompatibility)3.5 Selection and use of equipment and supplies3.6*Sterile compounding processes3.7*Non-slerile compounding processes
Week Nine4.0 Medication Safely
4.1 Error prevention strategies for daia eniry and packaging (e.g., prescription ormedication order to correct patient)4.2 Patient package insert and medication guide requirements (e.g., special dircclions andprecautions)4.3 Identify issues that require pharmacist intervention (c.g., DUR, ADK, 0'1'Crecommendation, therapeutic substitution, misuse, missed dose)4.4 Look-atike/sound-alike medications
4.5 Hiyh-alert/risk medications4.6 Common safety strategies (e.g., tall man lettering, separating invenlory, leading andtrailing zeros, limit use oferror prone abbreviations)
Week Ten5.0 Pharmacy Quality Assurance
5.1 Quality assurance practices for medication and inventory control systems (e.g.,
matching National Drug Code (NDC) number, bar code, data entry)5.2 Infeclion control procedures and documeniation (e.g., personal protective equipment
[PPE], needle recapping)5.3 Risk management guidelines and regulations (c.g., error prevention strategies)5.4 Communication channels necessary to ensure appropriate tbllow-up and problemresolution (e.g., produci recalls, shortages)5.5 Productivity, efficiency, and customer satisfaction measures
NOV 13 2019OOH/HSQA/OCS
Week ElevenMidierm #2
Weeks Twelve. Thirteen, Fourteen6.0 Medication Order Entry
6.1 *0rder entry process refills, prescription authorizaiions.6.2*Intake, interpretation, and data entry of new admits and new prescriptions
6.3*Calculale doses required6.4 Understand cycle fill. Medication Administration Records (MAR), Electronic
Medication Administration Records (EMAR)6.6 Customer service and professionalism in pharmacy
Weeks Fifteen. Sixteen
7.0 Production Department Fill Process7. 1 Fill process (e.g., select appropriate product, apply special handling requirements,measure, and prepare product for final check)7.2 Labeling requirements (e.y., auxiliary and warning labels, expiration date, patientspecific information)7.3*Packaging requirements (e.^., type of bags, syringes, glass, pvc, child resistant, li^htresistant)7,4 Dispensing process (e,g., validation, documentaiion and distribution)7.5 Double checking others7.6 Shipping procedures
Week Seventeen
8.0 Pharmacy Inventory Management8.1 Function and application ofNDC, lot numbers and expiration dales8.2 Formulary or approved/preferred product list8.3*0rdering and receiving processes (e.g., maintain par levels, rotate stock)8.4 Storage requirements (e.g., refrigeralion, freezer, warmer)8.5 Removal (e.g., recalls, returns, ouldales, reverse distribution)
Week EiehteenMidterm #3
Week Nineteen9.0 Pharmacy Billing and Reimbursement
9.1 Reimbursement policies and plans (e.g., HMOs, PPO, CMS, private plans)9.2*Third pany resolution (e.g., prior authorixation, rejected claims, plan limitations)9.3 Third-party reimbursement systems (e.g., PBM, medication assistance programs,
coupons, and self-pay)9.4 Heallhcare reimbursement systems (e.g., home health, long-term care, home infusion)9.5 Coordination of benefits
RECEIVED
NOV 13 2019
OOH/HSQA/OCS
Week Twenty
10.0 Pharmacy Infonnalion System Usage and Application10.1 Pharmacy-related computer applications for documenting the dispensing of
prescriptions or medication orders (e.g,, maintaining the electronic medical record,patient adherence risk faciors, alcohol drug use, drug allergies, side effects)
10.2 Databases, pharmacy computer applications, and documeniation management (e.g.,user access, drug database, interface, inventory report, usage reporls, ovemdereports, diversion reports)
Week Twentv-One11.0 Robotics in Lony-Temi Care Pharmacy
11.1 Pharmacy robotics
11.2 E3 Omnicell training and operation11.3 TCGRx strip packaging training and operation11.4 VBM Omiucell training and operation11.4 Problem solving and troubleshooting procedures
Week Twentv-Two
Comprehensive Final Exam
Week Twentv-Thrce12.0 Practice for PTCE
12.1 Overview of questions missed on final exam12.2 PTCE practice tesi
Week Twenhr-Four
13.0 Review of PTCE13.1 Overview of questions missed13.2 Signing up for the PTCE
Denotes content including calculations
RECEIVED
NOV \ 3 2019
,3 DOH/HSQA/OCS
RESOURCES
The Pharmacy Technician CAPhA Basic Pharmacy & Phamiacolonv Series^. 6lh edition,
The Pharmacy Technician Workbook and Certification Review CAPhA Basic_Pharmacv_&Pharmacolocv Series). 61h edition,
Complele Math Review for Ihe Pharmacy Technician (APhA Pharmacy Technician TrainirmSeries). 5th edition
PharmacvTrainer Top 200 Druu Flashcards, (current edition)
Top 200 dru^s. hHps://www. c/rugs. com/lop200/
Washington Pharmacy Law: A User's Guide, current edition, by William E. Fassett
Pharmacy State Pharmacy Laws and Rules, Washington Slate Department of Health, PharmacyQuality Assurance Commission, 2016
Revised Code ofWashinelon rRCW)htlp&\y/www.doh.wa.gov/Lk'ensesPermitswfICerUflca{es/Pr<)fessionsNewReneworUp(iafc/Pharm
acyCommission/La m/RCWs
Washinuton Administrative Code_CWAC)hHps://www.doh.wa.gov/LicemesPermtlswciCerU/icates/ProfessionsNewRt!neworUpeia!e/PharmacyCommission/Laws/WACs
DEA laws, rules-in-progress, significant guidance documents, FAQs, publications (e.g., thenewly revised 'Pharmacists Manual1) must be accessed direclly from their website
http://www.cleadivcrsiortMscloj.gov/mdex.hlmf
Link to Title 21 CFR Part 1300 -1399 "Drugs"hlfp://www.c/eadiversion.usc/oj.gov/2/cfr/cfr/index.hfttil
NIOSH Alert: Prevenlinc OccuDalional Exposures to Antineoplastic and Other Hazardous Druesin Health Care Settings, Department of Health and Human Services
NIOSH List ofAntineoplastic & Other Hazardous Drugs in Healthcare Settings, current
edition
RECEIVED
,4 NOV 13 2019DOH/HSQA/OCS