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Hagerstown Community College
Syllabus Document
COURSE: PHR 103 Pharmacy Applications
INSTRUCTOR:
2 credits
SEMESTER/YEAR:
COURSE DESCRIPTION: This skills-focused course introduces best practices of receiving
prescriptions or medication orders, dispensing, counting, labeling, and compounding of medications.
Laboratory fee required. Total of 30 hours of lecture.
TEXTBOOK: Lab Experiences for the Pharmacy Technician, Mary E. Mohr
STUDENT LEARNING OUTCOMES:
a. Student will receive and evaluate prescriptions and medication orders for completeness and
authenticity. Students will assist pharmacists in collecting, organizing, and evaluating
information for direct patient care, medication use review, and departmental management.
b. State the components of a complete prescription/medication order including
prescription/medication orders for controlled substances, DEA #’s and obtain additional required
information from the patient.
c. When given an abbreviated instruction for medication use, state the full wording of the
instruction.
d. State the schedule for controlled substances and commonly used medications that fall into each
category.
e. Explain how state laws and regulations determine what activities associated with preparing
medications for distribution can be delegated by pharmacists to technicians.
f. Accurately count, measure, or prepare finished dosage forms as specified by the
prescription/medication order.
g. Follow safety policies and procedures in the preparation of all medications.
h. Follow established policies and procedures for recording the preparation of bulk, unit dose, and
special doses of medications prepared for immediate or in anticipation of future use.
i. Gain competence with computer prescription software
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COURSE CONTENT OBJECTIVES:
Chapter 1, Communicating with Patients and Healthcare Professionals
a. Evaluate a prescription for completeness.
b. Develop techniques for gathering information from patients and healthcare professionals.
c. Assist pharmacist in collecting, organizing, and evaluating information for direct patient care,
medication use review, and departmental management.
d. Demonstrate the ability to defuse difficult situations with anxious and irate patients or
healthcare professionals.
e. List ways to accommodate special-needs patients.
f. Assess the urgency of orders and prioritize work.
Chapter 2, Data Entry of Prescriptions/computerized applications
a. List various interactions encountered during data entry of prescriptions.
b. Demonstrate appropriate actions when computer software indicates an interaction.
c. Describe procedures for attaining refill authorization when required.
d. Discuss steps involved in transferring prescription to another pharmacy.
e. List basic procedures for third-party billing.
f. Use computerized applications of record keeping and drug distribution systems.
Chapter 3, Filling and Labeling Prescriptions/medication orders
a. Receive and screen prescription/medication orders for completeness, authenticity, and
accuracy.
b. Demonstrate labeling for an outpatient prescription.
c. Correctly file prescriptions for controlled and non-controlled medications.
d. Compare the label with the hard copy of the prescription to ensure accuracy.
e. Check the appropriateness of the dose and dosage form for the patient.
f. Procure the correct medication from the shelf and check the expiration date.
g. Choose the proper size and type of container needed for the medication.
h. Count or measure the medication, place in a container and affix the label.
i. Place the prescription and paperwork in an organized manner for the pharmacist to perform a
final check.
Chapter 4, Nonprescription Drugs/Vaccines
a. List therapeutic category, directions of use, and precautions for selected over-the-counter
(OTC) products.
b. List products that are sugar-free and alcohol-free and their uses.
c. Discuss the risk of exceeding maximum daily dose of acetaminophen when using OTC
products in addition to prescription products.
d. Describe the technician’s role in the sale of OTC-exempt narcotics.
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e. Differentiate between water-soluble and fat-soluble vitamins.
f. Recognize the role of preparing vaccinations for administration by the pharmacist. Explain
aseptic technique in administering vaccines
Chapter 5, Medication Orders – Inpatient
a. Demonstrate the ability to interpret medication orders using knowledge of medical
terminology and abbreviations.
b. Determine which entries on the medication order from are pertinent to the pharmacy.
c. Accurately enter medication information to produce labels for cart fills.
d. Prepare unit dose packages
e. Fill patient-specific trays for medication carts.
f. Fill an automated dispensing system.
Chapter 6, Prescription Balances
a. Explain the parts and the functions of balances on a torsion and electronic balance.
b. Level and tare balances.
c. Using laboratory balances, accurately weigh a substance.
d. Demonstrate proper cleaning and maintenance of balances.
Chapter 9, Solutions and Syrups
a. Discuss the advantages of oral solutions as a dosage form.
b. List the physical characteristics of common solvents.
c. Discuss methods of facilitating solution formation.
d. Demonstrate the ability to compound selected solutions.
Chapter 10, Suspensions and Lotions
a. Demonstrate proper technique for reconstituting dry powders for oral suspensions.
b. Calculate powder displacement for accurate reconstitution.
c. Prepare an oral suspension using a flocculated suspending agent.
d. Compound a lotion for topical use.
Chapter 11, Ointments and Creams
a. Discuss the rationale for topical formulations with ointments and cream bases.
b. Know the physical characteristics of common bases used.
c. Demonstrate selected compounding techniques.
d. Prepare selected topical formulations.
e. Evaluate the ointment and cream formulations for consistency and pharmaceutical elegance.
Chapter 16, Large-Volume Parenterals
a. Discuss the uses of single-use large-volume parenterals.
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b.
c.
d.
e.
List disadvantages of parenteral therapy.
Demonstrate proper hand-washing and gowning techniques.
Effectively clean and prepare the laminar flow hood.
Demonstrate appropriate aseptic technique for injecting an additive into a large-volume bag.
Chapter 17, Intravenous Piggybacks and Small-Volume Parenterals
a. Discuss the difference between a large-volume parenteral and small-volume parenteral.
b. Describe how an intravenous (IV) piggyback is used in conjunction with a large-volume
parenteral.
c. Demonstrate reconstitution of sterile powders for addition to an IV piggyback.
d. Demonstrate proper technique for withdrawing medication from an ampule.
e. Demonstrate proficiency in addition of medications to a small-volume parenteral bag.
ASSESSMENT PROCEDURES:
The final grade will be made up of a combination of grades from:
In-Class Exercises/Quizzes - 50% of overall grade
Exam 1 – 20% of overall grade
Take-Home Review – 5% of final grade
Final Exam – 25% of final grade
Quizzes may be announced or unannounced and tend to contain questions from the previous weeks
laboratory. All assignments must be turned in on their due date for credit. The final exam will focus on
the later material but will, by necessity include information from the first half of the semester.
The following scale will be used to determine grades:
A….90-100
B….80-89
C….70-79
D….60-69
F…. less than 60
COURSE POLICIES:
Attendance: Attendance is mandatory and roll will be taken at the start of every class period.
Laboratories may not be available to be made up if they are missed. Students should contact the
professor in advance if they must miss class and assume responsibility for making up all missed work
and quizzes.
Required Reading: You must read the laboratory indicated on the syllabus prior to class. Prelaboratory exercises may be required. Material in the laboratory manual will closely correlate with what
is covered in class and will be seen on quizzes and exams.
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Class Participation: Class participation and active participation in all laboratories is essential. Each
student should take responsibility for completing all assignments. Students are expected to behave in a
professional manner during laboratory sessions.
Class Schedule: The attached schedule/syllabus will be followed, however changes will be made, as
the instructor deems necessary. Please let the instructor know in writing in advance of any absences.
Disclaimer: The instructor reserves the right to modify this syllabus as needed.
Honor Code: Students will adhere to the HCC Honor Code. Strict compliance with the Honor
Code will be enforced.
Services for Students with Special Needs: Students who have special needs are encouraged to
identify themselves to the coordinator of special student services as early as possible. Reasonable
accommodations based on current documentation are provided to qualified students.
Total Hours of Coursework: To earn one academic credit at HCC, students are required to complete a
minimum of 37.5 clock hours (45 fifty-minute “academic” hours) of coursework per semester. Those
hours of coursework may be completed through a combination of hours within the classroom and hours
outside the classroom. Certain courses may require more than the 37.5 minimum hours of coursework
per credit. For most classes, students should expect to do at least 2 hours of coursework outside of class
for each hour of in-class coursework.
CONTACT INFORMATION:
Phone: 301-991-8514
E-mail: [email protected]
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TOPIC OUTLINE:
Spring 2012
Week of:
Topic
1/11
2/22
1. Communicating with Patients and
Healthcare Professionals, Introductory
activity.
2. Filling and Labeling Prescriptions,
Introductory activity – CD ROM
3. Filling and Labeling Prescriptions
Components of a prescription/filling
4. Data Entry of Prescriptions
Introductory activity
5. Data Entry of Prescriptions/labeling
Third party payers and insurance cards
6. Medication Orders
Reading/Evaluating, dispensing systems
7. Prescription Balances/Inventory
2/29
Exam #1
3/7
Spring Break – No class
3/14
8. Solutions and Syrups
9
3/21
9. Nonprescription Drugs/Vaccinations
4
3/28
10. Capsules
8
4/2
10
4/11
11. Suspensions and Lotions
Reconstituting Suspension Activity
12. Ointments and Creams
4/18
13. Sterile Compounding - Intro
4/25
14. Sterile Compounding activity
Take Home Final Review
Final Exam Week
1/18
1/25
2/1
2/8
2/15
5/1
PHR 103
Chapter
6
1
2,3
2, 3
5
6
11
16, 17