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August 20, 2015 Angelina College Health Careers Division PHRA 1266 Practicum I General Syllabus I. BASIC COURSE INFORMATION: A. Course Description: PHRA 1266 Practicum I/Pharmacy Technician/Assistant: 2 hours credit. Practical, general workplace training supported by an individualized learning plan developed by the employer, college, and student. End-of- Course Learning Outcomes: As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.Prerequisites: PHRA 1301, PHRA 1305, PHRA 1309, PHRA 1313, BIOL 1409. (240+ practicum hours) Lab fee B. Intended Audience: First-Year Students already enrolled in the Pharmacy Technology Program C. Instructor: Elaine Young Office Location: Health Careers II Building room 222E Office Hours: Thursday 3-4 pm, Friday 8:00am-12:00 noon or by appt. only Monday or Tuesday Phone: 936-633-5433 E-mail Address: [email protected] II. INTENDED STUDENT OUTCOMES: A. Core Objectives Required for this Course 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Course Learning Outcomes for all Sections 1. Obtain practical experience, knowledge, and skills to enable student to gain proficiency in a structured learning environment 2. Learn employer expectations of pharmacy technician. 3. Develop work ethic skills. Revised: 8/20/15 III. ASSESSMENT MEASURES A. Assessments for the Core Objectives: 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Assessments for Course Learning Outcomes CORE COMPETENCIES: SCANS – (Secretary’s Commission on Academic Necessary Skills) Students are expected to demonstrate basic competency in academic and workforce skills. The following are competencies with evaluation are included in PHRA 1266. SCANS SKILLS Foundation skills EVALUATION Required Readings Critical Thinking/Workbook/Lab Manuals Computer Assisted instruction Practicum Participation Journal writings Workforce Competencies Computer Assisted Instruction Application of Knowledge and skills in the practicum or lab settings Application of Knowledge of Legal Ethical Issues IV. INSTRUCTIONAL PROCEDURES: The methods of instruction will include but not limited to performance of prescription processing, IV admixtures and, sterile compounding as well as customer service under direct instruction of the preceptor/pharmacist V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks and Recommended Readings, Materials and Equipment 1 inch notebook for training/degree plan The Pharmacy Technician’s Pocket Drug Reference 7th Edition, APHA 2013 Basic calculator for simple math calculations Pioneer Rx Software for Prescription Processing-Morris Dickson 2014 Pharmacy Labs for Technicians, 2nd Edition, Sparks, Jason, EMC Paradigm 2013 HIPAA Rx Privacy Rule Training for Pharmacies Pearson/Prentice Hall Virtual Pharmacy Externship for Technicians Delmar CD Activities and Labs-Pharmacy Technician Practice and Procedures McGraw Hill Revised: 8/20/15 State Board of Pharmacy Registration Card All students must be registered with the Texas State Board of Pharmacy and have received the State Board of Pharmacy registration card prior to the first clinical rotation. (November 2, 2015). Failure to receive the registration card by the deadline, November 2, 2015 will result in the withdrawal of all PHRA courses in progress (PHRA 1266, 1301, 1305, 1309, and 1313) NO STUDENT IS ALLOWED TO START TRAINING IN A PHARMACY WITHOUT THE REGISTRATION CARD! All students were notified of this situation on June 29, 2015 at AC as they began the process of registering with the state board of pharmacy. All students were notified on June 29, 2015 to begin the fingerprinting process within 1 week from June 29th . All students were notified at information sessions and again on June 29, 2015 that in order to practice as a Pharmacy Technician or Pharmacy Technician Trainee one must not have a criminal background or a felony history. Upon a satisfactory background and completion of fingerprinting, the student will be granted an “Active” Pharmacy Technician Trainee status. B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook. 1. Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. Angelina College (AC) admits students without regard to race, color, religion, natural origin, sex, disability, or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Dr. Patricia McKenzie, Vice President and Dean of Instruction, 3500 South First, Lufkin, TX 75904, telephone 936-633-5201. 2. Attendance – Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped from the class. Records will be turned in to the academic dean at the end of the semester. Do not assume that non-attendance in class will always result in an instructor drop. You must officially drop a class or risk receiving an F. This is official Angelina College Policy. 3. Additional Policies Established by the Instructor Attendance – Practicum: Students must call the program coordinator and facility prior to practicum to report any absence. Instructors will accept telephone calls from only the student. All absences must be made up. If a student has one absence, the student will be counseled and given a 1st warning. The second absence will result in student being given a second warning and placed on probation. More than three absences in the practicum area will result in withdrawal from the practicum course in progress. Any medical absence will require a physician’s release stating that the student may return to full clinical (practicum) activities. Cell Phone Policy-students are not allowed to have cell phones in clinical sites. Student will sign the cell phone policy the first class day. Students may miss up to three (3) days during their educational year without penalty for documented death of immediate family. Immediate family is defined as spouse, child, mother, father, sibling, in-laws or grandparents. After three days, absences will be counted as per the attendance policy. The Pharmacy Technology Program Coordinator must be contacted and documentation must be submitted prior to return to classes. If documentation is not submitted prior to return of first class period, any missed time will be recorded as an absence. Revised: 8/20/15 V. COURSE OUTLINE: Description of the Course Activities including due dates, schedules, and deadlines. Content Outline Fall semester: Application of the theory, concepts, and skills through practicum assignments aligned with PHRA 1313 Community Pharmacy Practice, PHRA 1301 Intro to Pharmacy, PHRA 1309 Pharmaceutical Math, PHRA 1305 Drug Classification-Spring Semester: PHRA 1345 Compounding Sterile Preparations & Aseptic Technique, PHRA 1349 Institutional Pharmacy Practice, PHRA 1441 Drug Therapy & Treatment, PHRA 1102 Pharmacy Law Unit I: Preparing for Your Career as a Pharmacy Technician Upon completion of this unit, the student should be able to: 1. Define externship and explain its significance. 2. Define professionalism 3. Identify expectations of the pharmacy technician student during the externship. 4. Differentiate between national certification and state board of pharmacy. 5. Describe methods by which the pharmacy technician can seek employment. 6. List positive interviewing strategies for the job applicant. Course Resources: Textbook pp.468-484 Pharmacy Technician Practice and Procedures Case Study p. 482 Critical Thinking Questions p.483 B. Additional Content – MODEL CURRICULUM FOR PHARMACY TECHNICIAN TRAINING Goal Statements The Pharmacy Technology Program Goals are based on the objectives found in the "ASHP Accreditation Standard for Pharmacy Technician Training Programs, published in the Practice Standards of ASHP. The Model Curriculum goals are categorized into the following areas. Goal Categories • Personal/Interpersonal Knowledge and Skills • Foundational Professional Knowledge and Skills • Processing and Handling of Medications and Medication Orders • Sterile and Nonsterile Compounding • Procurement, Billing, Reimbursement and Inventory Management • Patient- and Medication-Safety • Technology and Informatics • Regulatory Issues • Quality Assurance The goals are listed by category below. Goals Revised: 8/20/15 Personal/Interpersonal Knowledge and Skills (1) Demonstrate ethical conduct in all job-related activities. (2) Present an image appropriate for the profession of pharmacy in appearance and behavior. (3) Communicate clearly when speaking and in writing. (4) Demonstrate a respectful attitude when interacting with diverse patient populations. (5) Apply self-management skills, including time management, stress management, and adapting to change. (6) Apply interpersonal skills, including negotiation skills, conflict resolution, and teamwork. (7) Apply critical thinking skills, creativity, and innovation to solve problems. Foundational Professional Knowledge and Skills (8) Demonstrate understanding of healthcare occupations and the health care delivery system. (9) Demonstrate understanding of wellness promotion and disease prevention concepts, such as use of health screenings; health practices and environmental factors that impact health; and adverse effects of alcohol, tobacco, and legal and illegal drugs. (10) Demonstrate commitment to excellence in the pharmacy profession and to continuing education and training. (11) Demonstrate knowledge and skills in areas of science relevant to the pharmacy technician’s role, including anatomy/physiology and pharmacology. (12) Perform mathematical calculations essential to the duties of pharmacy technicians in a variety of contemporary settings. (13) Demonstrate understanding of the pharmacy technician’s role in the medication-use process. (14) Demonstrate understanding of major trends, issues, goals, and initiatives taking place in the pharmacy profession. (15) Demonstrate understanding of nontraditional roles of pharmacy technicians. (16) Identify and describe emerging therapies. Processing and Handling of Medications and Medication Orders (17) Assist pharmacists in collecting, organizing, and recording demographic and clinical information for direct patient care and medication-use review. (18) Receive and screen prescriptions/medication orders for completeness, accuracy, and authenticity. (19) Assist pharmacists in the identification of patients who desire/require counseling to optimize the use of medications, equipment, and devices. (20) Prepare non-patient-specific medications for distribution (e.g., batch, stock medications). (21) Distribute medications in a manner that follows specified procedures. (22) Practice effective infection control procedures, including preventing transmission of blood borne and airborne diseases. (23) Assist pharmacists in preparing, storing, and distributing medication products requiring special handling and documentation (e.g., controlled substances, immunizations, chemotherapy, investigational drugs, drugs with mandated Risk Evaluation and Mitigation Strategies [REMS]). (24) Assist pharmacists in the monitoring of medication therapy. (25) Prepare patient-specific medications for distribution. (26) Maintain pharmacy facilities and equipment, including automated dispensing equipment. (27) Use material safety data sheets (MSDS) to identify, handle, and safely dispose of hazardous materials. Sterile and Nonsterile Compounding (28) Prepare medications requiring compounding of sterile products. (29) Prepare medications requiring compounding of nonsterile products. (30) Prepare medications requiring compounding of chemotherapy/hazardous products. Revised: 8/20/15 Procurement, Billing, Reimbursement and Inventory Management (31) Initiate, verify, and assist in the adjudication of billing for pharmacy services and goods, and collect payment for these services. (32) Apply accepted procedures in purchasing pharmaceuticals, devices, and supplies. (33) Apply accepted procedures in inventory control of medications, equipment, and devices. (34) Explain pharmacy reimbursement plans for covering pharmacy services. Patient- and Medication-Safety (35) Apply patient- and medication-safety practices in all aspects of the pharmacy technician’s roles. (36) Verify measurements, preparation, and/or packaging of medications produced by other healthcare professionals (e.g., tech-check-tech). (37) Explain pharmacists’ roles when they are responding to emergency situations and how pharmacy technicians can assist pharmacists by being certified as Basic Life Support (BLS) Healthcare Providers. (38) Demonstrate skills required for effective emergency preparedness. (39) Assist pharmacists in medication reconciliation. (40) Assist pharmacists in medication therapy management. Technology and Informatics (41) Describe the use of current technology in the healthcare environment to ensure the safety and accuracy of medication dispensing. Regulatory Issues (42) Compare and contrast the roles of pharmacists and pharmacy technicians in ensuring pharmacy department compliance with professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements. (43) Maintain confidentiality of patient information. Quality Assurance (44) Apply quality assurance practices to pharmaceuticals, durable and nondurable medical equipment, devices, and supplies. (45) Explain procedures and communication channels to use in the event of a product recall or shortage, a medication error, or identification of another problem. Assignments Students will train at Angelina College for the first ten weeks from 8:00am-4:00pm, Monday thru Thursday for a total of 245 hours. This will include courses, PHRA 1301, PHRA 1305, PHRA 1309, PHRA 1313, and PHRA 1266 for lecture and labs teaching the basic skills and covering the ASHP goals. Simulated pretraining basic lab skills will be a total of 88 hours at AC. These basic skills will be re-enforced at the part-time instructors workplace during Fridays in October of the first semester prior to students starting their practicum training. MHSET orientation will take place in October on a Friday for 8 hours. They will rotate and observe for 2 hours through each pharmacy starting the following Fridays in October. As students accomplish these basic clinical skills they will be given a practicum site to start training on November 2, 2015. Students will train each Monday-Thursday for 8 hours each day for 12.5 days at the first rotation site for a total of 100 hrs. The 8 hour time frame will be determined by the student and preceptor. The second rotation will include Monday-Thursday for 12.5 days for a total of 100 hrs. Rotation sites are determined by the Program Coordinator. The Program Coordinator will visit sites on a weekly basis. Students will attend Angelina College on November 23, 2015 from 12-4pm and December 15, 2014 from 8am-12 noon for self-evaluations, preceptor evaluations, 1st rotation evaluation, 2nd rotation evauation and lab *Adjustments to the schedule may be necessary. Revised: 8/20/15 PHRA 1266 PRACTICUM I Date Time Day of the week 9-3-15 9-10-15 9-17-15 9-24-15 10-6-15 10-8-15 10-13-15 10-15-15 10-20-15 10-22-15 10-29-15 10-2-15 12noon-4pm 8:00-4:00pm 8:00-4:00pm 8:00-4:00pm 12noon-4pm 8:00-4:00pm 12noon-4pm 8:00-4:00pm 12noon-4pm 8:00-4:00pm 8:00-4:00pm 8:00-5:00pm 10-9-15 10-16-15 10-21-15 10-28-15 10-23-15 10-30-15 11-2-15 11-3-15 11-4-15 11-5-15 11-9-15 11-10-15 11-11-15 11-12-15 11-13-15 11-16-15 11-17-15 11-18-15 11-19-15 11-23-15 8:00-5:00pm 8:00-5:00pm 12noon-4pm 12noon-4pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-12:00 noon Thursday Thursday Thursday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Thursday Friday-make up/remedial Friday Friday Wednesday Wednesday Friday Friday Monday Tuesday Wednesday Thursday Monday Tuesday Wednesday Thursday Friday-Nair Monday Tuesday Wednesday Thursday Monday 11-23-15 1:00 noon-5pm Monday 11-24-15 11-30-15 12-1-15 12-2-15 12-3-15 12-7-15 12-8-15 12-9-15 12-10-15 12-14-15 12-15-15 12-15-15 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-5:00pm 8:00-12:00 noon 1:00-5:00pm Tuesday Monday Tuesday Wednesday Thursday Monday Tuesday Wednesday Thursday Monday Tuesday Tuesday Skills-B -(Basic/AC P-Practicum site B B B B B B B B B B B Review Basic/sites Hours Review Basic/sites Review Basic/sites B B Review Basic/sites Review Basic/sites P -start 1st rotation P 1st rotation P 1st rotation P 1st rotation P 1st rotation P 1st rotation P 1st rotation P 1st rotation site P 1st rotation P 1st rotation P 1st rotation P 1st rotation P End of 1st rotation AC-Evaluations-meet preceptor for 2nd rotation P start 2nd rotation P 2nd rotation P 2nd rotation P 2nd rotation P 2nd rotation P 2nd rotation AC-Evaluations/Labs P 2nd rotation P 2nd rotation P end of 2nd rotation P end of 2nd rotation AC-Evaluations/Labs 8 8 4 4 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 4 4 7.5 7.5 7.5 4 7.5 4 7.5 4 7.5 7.5 8 4 8 8 8 8 8 8 8 8 8 8 4 4 Revised: 8/20/15 Any absences must be made up by Dec. 15, 2015 and all packets must be turned in completed for a passing completion grade. Journals should be submitted weekly on blackboard and should be completed by Dec. 15, 2015. Use the form on blackboard for journal writing. VII. EVALUATION AND GRADING: PASS/FAIL Students must also pass PHRA 1301 Intro to Pharmacy, PHRA 1305 Drug Classification, PHRA 1309 Pharmaceutical Math, PHRA 1313 Community Pharmacy Practice with a C or better (750pts) prior to starting clinicials. Students are not allowed to start practicum without receiving their Texas State Board of Pharmacy technician trainee registration card. B. Determination of Grade – Pass or Fail Completion of Time Sheets-1st and 2nd rotation Completion of Basic Simulated Skills Retail Completion of Basic Simulated Skills-Institutional Journal Writing Experience Completion of Evaluation 1st rotation Completion of Evaluation 2nd rotation The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. Revised: 8/20/15