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Activities
To achieve the objectives of this rotation, you should complete the following activities, and other additional activities suggested by your preceptor:
Activities—Drug Distribution
Tour the pharmacy department and all other areas in the hospital where pharmacists are located
Tour the main areas of the hospital, noting where any drug distribution system areas are located
If possible, tour other regional hospitals to observe different drug distribution systems
Complete the general staff orientation activities
Observe the main steps in the drug distribution system, from the time a medication order is written, to the time when the medication is administered to the patient
and recorded by the nurse
Review the references available in the pharmacy, and note how they are used to solve drug distribution problems
Review the policies and procedures for each of the activities that you observe and/or participate in during the rotation
Observe and assist technicians in their various assignments within the drug distribution system, including all record keeping:
 Purchasing/inventory control
 Dispensary
 Narcotics
 Prepackaging/bulk manufacturing
 Unit dose manufacture
 Wardstock/night cupboard
 Nonsterile compounding
 Returns/drug recalls
 Crash cart medications
 Regional services (Shipping/Receiving, prepacks)
 Tech-check-tech program
Observe and assist pharmacists and/or technicians in all dispensary functions, including record-keeping where required: (Minimum # of tasks to be performed
independently)
 Computer order entry and profile review (40 orders, 10 patient profiles)
 Verification of orders/clarification problem prescriptions (5 cases)
 Stat medications and individual prescriptions (5 cases)
 Nonformulary drugs/unavailable drugs (3 cases)
 Automatic substitutions (3 cases)
 Restricted drugs
 Investigational/emergency release drugs
 Pass medications
 Patient’s own medications
Observe and assist pharmacists in their supervisory role in various areas of the department
Activities—Intravenous Admixtures
Observe the administration of all types of parenterals and discuss the advantages/limitations of each with nurses and pharmacists
Discuss and compare specific parenteral therapy concerns and needs for different types of patients (eg. neonatal, pediatric, elderly, critically ill)
Observe the preparation of all types of IV admixtures
 Large volume parenterals
 Small volume parenterals
 TPN
 CADD cassettes, Its, outpatient IV
 Syringes
 Chemotherapy
Participate in a training program in aseptic technique
Review principles and proper use of equipment used in the preparation of sterile products
Prepare IV admixtures using appropriate sterile technique, including order entry, calculations, concentration calculation, pump programming, etc.
Assist with supervision of IV admixture preparation
Review policies and procedures for preparation and administration of admixtures, chemotherapy and TPN
Review the hazards, precautions, and guidelines for preparation, administration, and disposal of antineoplastics
Complete all records and workload measurement reports required by the IV admixture service
Review departmental resources that provide information on parenteral drug stabilities, compatibilities, administration, policies and procedures, and use these
resources to solve drug-related problems with parenteral therapy