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
Presentation Style Orientation
Supplies and Materials
Payment for Services
What is payable and what is not. Orientation Checklist : Orientation Checklist Guest Speakers/Representatives
Review Questions Orientation : Orientation Lecture Formats: Presentation Style
Please view enhancing presentations
Case based teaching
Privacy and Security Orientation : Orientation Case scenarios continued:
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:
Manual problems Pharmacy Labs : Retail Simulation Lab
Purpose: To provide students an opportunity to obtain hand on experience in retail pharmacy processing and dispensing.
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
Have students count by 5’s as they pour & count the “pills”
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
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.
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:
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
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)
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.
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
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
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
Privacy, Security, and Safety
Practice your lectures
Case Based Lectures
Enrollment of students to achieve success Concluding Points