Pharmacy Technician Orientation

MRxI CorporationPharmacy Technician Training Program Instructor Orientation. : 

MRxI CorporationPharmacy Technician Training Program Instructor Orientation. By, Mayur Shah, Pharm.D. President of MRxI Corporation and Kushan LLC 2010

MRxI Corporation : 

MRxI Corporation Professional Pharmacy Technician Training Program History of the program Goal of the program Your involvement

Orientation Checklist : 

Orientation Checklist Paperwork for Independent Contractor MyMRxI Orientation Inventory Control Presentation Style Orientation Supplies and Materials Payment for Services What is payable and what is not.

Orientation Checklist : 

Orientation Checklist Guest Speakers/Representatives Grading: Scales Syllabus: Topics Required Reading Review Questions

Orientation : 

Orientation Lecture Formats: Presentation Style Please view enhancing presentations Case based teaching Disease States Pharmacy Processing Pharmacy Law Privacy and Security

Orientation : 

Orientation Case scenarios continued: Sterile Compounding Syringes Equipment Hazards Contamination Pharmacy errors Drug dispensing Pharmacy Processing

Pharmacy Calculations : 

Pharmacy Calculations Sample Test in Textbook Do On Day 1 Enroll students in understanding that pharmacy calculations can not be taught, it must be practiced, repetition over and over again. Only pharmacy calculation concepts can be taught. Review pharmacy calculation programs: Textbook problems MyMRxI problems Manual problems

Pharmacy Labs : 

Retail Simulation Lab Purpose: To provide students an opportunity to obtain hand on experience in retail pharmacy processing and dispensing. Procedure: One prescription should be given to each student Student should identify the error on the prescription – there are 0, 1 or 2 errors on each prescription After making sure all the pertinent & legal information has been addressed, the student should proceed to enter the data into the computer & generate a label. If you choose, you may have the students count out the # of “pills” & place them in a vial & label it. Otherwise, you may grade them on the label generated. Pharmacy Labs

Pill Counting : 

Materials Counting tray & spatula Empty prescription bottle Candy to count Procedure Have students count by 5’s as they pour & count the “pills” Learning Objective Learn to count by 5’s & fill a prescription Pill Counting

Slide 10: 

http://pharmlabs.unc.edu/labs/prescriptions/labs.htm

Retail Simulation Lab : 

Materials Needed a. Computer System with FastRx Software b. Printer to print labels c. Prescription Labels to print on d. Vials & caps to place the label on e. Counting Trays & “pills” if you choose f. Prescriptions for students to enter into the computer i. Copies of prescriptions are at page 31 of this instructor packet ii. Give each student one prescription iii. Each prescription has 0-2 errors that need to be found by the student Outcomes: Clear understanding and appreciation of the prescription processing tasks and process. Clear understanding and apprecation of the pharmacy dipensing process. Retail Simulation Lab

Sterile Compounding/Aseptic Technique : 

Purpose: To provide students an uderstanding of proper sterile compounidng of intravenous medictions. Process: . During the IV Prep, the instructor will need to observe the full aseptic technique of each student & be sure everyone is using their syringes for class purposes only. Have only 2 students demonstrating the procedure at a time so you are better able to watch their technique. You may want to have 2 desks set up that act as the flow hood. Students should clean this as if it were a real flow hood. Procedure before entering the flow hood Remove all jewelry and scrubs hands and arms to the elbow with suitable antibacterial agent. Stand far enough away from sink so clothing does not come in contact with sink. Sterile Compounding/Aseptic Technique

Slide 13: 

http://pharmlabs.unc.edu/labs/parenterals/labs.htm

Sterile Compounding/Aseptic Technique : 

Process Continued: Turn on water, wet hands and forearms thoroughly, keeps hands pointed downwards. Scrub hands vigorously with antibacterial soap. Work soap under fingernails by rubbing them against the palm of the other hand. Interlace fingers and scrub the spaces between the fingers. Wash wrists and arms up to the elbows. Thoroughly rinse the soap from hands and arms. Dry hands and forearms thoroughly using a non shedding paper towel. Uses a dry paper towel to turn off water faucet. Sterile Compounding/Aseptic Technique

Sterile Compounding/Aseptic Technique : 

Materials: IV Bag Alcohol Swabs Syringes Sharps container Normal saline vial (10ml) Calculation to make the IV (ex. 1.5 mg of X into 500 ml D5W. X is available in a concentration of 1mg/7ml) Outcomes: Students should demonstrate proper sterile compounding. Sterile Compounding/Aseptic Technique

Slide 16: 

Procedure for using the Laminar Flow Hood Turn on and let run for at least 30 minutes prior to use. No Jewelry, long sleeves, or other non sterile materials within the hood. Use Clean gauze/sponge to clean hood with 70% isopropyl alcohol. Use long side to side motions on the back surface of the hood and works from top to bottom to clean hood. Use back to front motions, working from the top to bottom of each side to clean the sides of the hood. Use back to front motions to clean the surface of the hood. Take care so that cleaned surfaces do not become contaminated during cleaning. Take care when placing items in hood so that airflow is not blocked. Take care when preparing admixtures, that airflow is not blocked by hands or other objects. Take care so that hands remain under the hood during admixture preparation, and do not leave the hood during admixture preparation. Do not utilize outer 6 inches of hood opening or work to closely to sides and back of hood during drug preparation and manipulations. Do not contaminate hood by coughing, sneezing, chewing gum, or excessive talking.

Slide 17: 

Adding a Drug (SVP) to an LVP Remove protective covering from LVP package. Assemble the needle and syringe. If drug is in powder form, reconstitute drug with recommended diluent. Swab the SVP with an alcohol swab and draws the necessary volume of drug solution. Swab the medication port of the LVP with an alcohol swab. Insert needle into the medication port and through the inner diaphragm (medication port is fully extended). Inject the SVP solution. Remove the needle. Shake and inspect the admixture.

Compounding a Cream or Ointment : 

Materials needed Petroleum Jelly Spatula Parchment Paper Eucerin Samples or Aquaphor jar One Ointment Jar (if available) Prescription for an ointment (you can make that up – ex. 5% Eucerin in Petroleum Jelly –dispense 8 ounces) Procedure Have the students spread some petroleum jelly on the parchment paper & use geometric dilution to incorporate a small amount of the Eucerin cream. If you have an ointment jar available, have the students put the ointment into the ointment jar & produce a neat product. Objective Learn how to make an equally distributed product Present a nice product to a patient Perform proper calculations needed to fill a prescription Compounding a Cream or Ointment

Slide 19: 

http://pharmlabs.unc.edu/labs/suspensions/videos.htm

Punching a capsule : 

Materials Empty Gelatin Capsules Talc (may be in an ointment jar) Plain white paper Procedure Place some talc on a piece of paper Fold the paper in ½ and press the powder Take an empty gelatin capsule and punch it into the powder to fill the capsule Learning Objective Capsule should look very neat & clean in appearance Learn techniques to prevent the oil on our hands from making the capsule dirty/oily Punching a capsule

Slide 21: 

http://pharmlabs.unc.edu/labs/capsules/videos.htm

Concluding Points : 

Drug Names Brand Name/Generic Names Pharmacy Calculations Medication Errors/Prevention Privacy, Security, and Safety Disease States Practice your lectures Case Based Lectures Enrollment of students to achieve success Concluding Points