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PHM 113 (Lecture/lab) Pharmacy Calculation & Sterile Compounding INSTRUCTOR’S PERSONAL INFORMATION: Instructor’s Name: Professor B. Kelly Ammons, CPhT Office Location: GS Speir Bldg 1000, Rm 1134 Office Telephone Number: 843-477-2117 (Dr. Ibrahim’s office phone) E-mail Address: [email protected] Office Hours: TBA Aug ’13 1 PHM 113 INSTRUCTIONAL PACKAGE Pharmacy Technician Math/ Sterile Compounding PHM 113 COURSE PREFIX: PHM 113 COURSE TITLE: Pharmacy Technician Math CONTACT HOURS: 3.0 Lecture/lab CREDIT HOURS: 3.0 RATIONALE FOR THE COURSE: This course allows the student to perform calculations of pharmaceuticals that will be calculated in a retail or hospital pharmacy. COURSE DESCRIPTION: This course includes a review of basic mathematics focusing on its application to common pharmaceutical calculations. PREREQUISITES: Admission to the Pharmacy Technician Program, MAT 155 or appropriate COMPASS or SAT scores CO REQUISITES: PHM 101, MAT 101 TEXTBOOKS AND OTHER REQUIRED MATERIAL (purchased by student) Textbooks “Pharmacy Calculations for Technicians” 5th edition, by Don Ballington Sterile Compounding and Aseptic Technique: 1st edition by Lisa McCartney Supplies a. Pocket Calculator (4 function only!!!!) i. This is the only type allowed for the certification exam, so this is what we will use. b. Pencils for all tests (NO PENS!!!!) REQUIRED COURSE MEASURES/ARTIFACTS Assignments, homework, quizzes, and tests. EVALUATION OF REQUIRED MEASURES/ARTIFACTS EVALUATION Homework, Quizzes...…………………….………10% Chapter Tests ……………………………………. 35% Class Participation and attendance….…………….5% Cumulative Final…………………………………..10% Lab Participation………………………………….5% Lab Quizzes………………………………………..25% Lab Final Exam …………………………………..5% Lab Practicum……………………………………..5% Aug ’13 2 PHM 113 GRADING POLICY: The following scale will be used to assign final letter grades. A = 90 – 100 B = 80 – 89 C = 70 – 79 D = 60 – 69 F = Below 60 Students must receive a “C” or better to continue in the Pharmacy Technician Program In class quizzes cannot be made up Late assignments & homework will receive point deductions. The student grade will be deducted 5% for every day past the due date. Missed exams will be handled as stated in Policies & Procedures Manual. 10 points will be deducted from test grade. o Contact Professor prior to missed Exam & state Emergency Situation…. Can only make up ONE exam. Grades earned in courses impact academic progression and financial aid status. Before withdrawing from a course, be sure to talk with your instructor and financial aid counselor about the implications of that course of action. D’s, F’s, W’s, WF’s and I’s also negatively impact academic progression and financial aid status. PLAGIARISM & CHEATING: Refer to the College catalog & Student handbook. The student maybe assigned a failing grade for the course, or maybe required by the professor to withdraw the course ATTENDANCE POLICY: Students are expected to limit absences to those that are absolutely unavoidable. Per college policy, there are no “excused” absences. You will either be marked as present or absent. Horry-Georgetown Technical College maintains a general attendance policy requiring students to be present for a minimum of eighty percent (80%) of his/her classes in order to be eligible to receive credit. However, as per the guidelines stated in the Policies and Procedures manual this course will require students to be present for ninety percent (90%) of the contact hours to be eligible to pass the course. This translates to missing no more than 3 classes per semester if your class meets twice a week. Also, tardy is defined as five (5) minutes late after role has been called. Three (3) tardies constitutes one (1) absence. Students who exceed this allotment will be withdrawn from the course and the Pharmacy Technician Program. Attention HGTC students: The faculty and administration of HGTC are committed to enhancing your learning experience at the college through improved methods of instruction and support services. For information on student support services or questions about your curriculum, please refer to your Wave-net homepage. As part of the SACS Quality Enhancement Aug ’13 3 PHM 113 Project, the college has developed a guided plan for success. Part of the effectiveness of this program is to identify and evaluate students who are not achieving the expected outcomes in class. Students receiving scores below 74% will be required to meet with their instructor to review the evaluation. Students identified as needing additional help will be referred to the academic center for study skills and tutoring. ACCOMODATIONS FOR STUDENTS WITH SPECIAL NEEDS: The College will make reasonable accommodations for persons with documented disabilities or medical conditions. Please inform your instructor on the first day of class. This information will be kept in strict confidence. ELECTRONIC COMMUNICATION DEVICES IN CLASSROOMS: Pagers, telephones and IPods are NOT allowed to be turned “on” in the classroom, or at experiential sites. Under no circumstances will text messaging be tolerated during class. Students will be asked to leave the classroom. The ONLY exception to these rules will be for on-call emergency personnel (police, fire, EMS), who will be required to notify their instructors in writing at the beginning of the term. However, emergency personnel will not be permitted to leave a testing situation or receive communications during testing. Alternative testing times will be arranged if necessary. COURSE LEARNING OUTCOMES 1. Perform basic mathematical computations. 2. Perform conversions to: Metric, Apothecary, and Household Systems 3. Measure correctly prescription doses. 4. Interpret the IV drug order 5. Explain co-payments and AWP Student Learning Outcomes for lecture: Chapter 1 Number Systems Upon mastery of this chapter the student will be able to perform basic mathematical computations that involve fractions and decimals, and estimates. Chapter 2: Ratios, Percents, Simple Equations, and Ratio-Proportion Upon mastery of Ch 2, the student will be able to perform basic mathematical computations that involve ratios, percents, simple equations, and proportions. Chapter 3: Literacy Skills Upon mastery of Ch 3, the student will be able to express the basic systems of prescription language. Aug ’13 4 PHM 113 Chapter 4: Conversions: Metric, Apothecary, and Household Systems Upon mastery of Ch. 4, you will be able to complete step 1, conversion, in the three-step process of dosage calculations Chapter 5: Household Measures Upon mastery of Ch 5, the student will be able to: Convert between traditional and international time. Convert between Celsius and Fahrenheit temperature. Chapter 6: Injectable Medications Upon mastery of Ch 6, the student will be able to correctly measure the prescribed dosages that you calculate for injections. COURSE LEARNING OUTCOME FOR LAB: Employ the methods for learning that are best suited to individual learning needs. Identify the ethical and legal obligations of sterile compounding personnel, including training and assessment requirements, and the procedures for avoiding and reporting medication errors. Describe the pharmacy environment appropriate for sterile compounding as defined by USP Chapter <797>. Identify supply items used in sterile compounding, and describe appropriate technique to maintain the sterility of their critical sites. Translate pharmacy and medical terminology, abbreviations, and symbols that are used on the medication orders and CSP labels utilized in sterile compounding. Perform the calculations required for dosage determination and solution preparation. Demonstrate aseptic technique in garbing, hand washing, and hood cleaning utilizing technique defined in USP Chapter <797>. Perform sterile compounding procedures to prepare various vial-based or ampulebased large-volume and small-volume parenteral preparations. Prepare specialty admixtures such as narcotic preparations and pediatric CSPs. Display appropriate technique in the compounding of a TPN preparation. Identify the procedures for handling hazardous materials such as chemotherapy CSPs. Aug ’13 5 PHM 113 Exhibit excellent aseptic technique during process validation and assessment of the sterile compounding procedures presented in the textbook. STUDENT LEARNING OUTCOME FOR LAB: Sterile Compounding as pharmacy Technician- Chapter One Upon mastery of this chapter, the student will be able to: - Gain an awareness of the historical roots of pharmacy and sterile compounding. - Define sterile compounding and aseptic technique. - Describe the ways in which sterile compounding and aseptic technique processes may affect patient health and safety. - Define the objectives of USP Chapter <797>. - Understand the training requirements for pharmacy technicians who prepare sterile products, and describe the process validation tool used for technique evaluation. - Recognize various quality assurance and end-product testing procedures. - Determine appropriate responses to medication safety questions. - Demonstrate an awareness of the ethical issues in pharmacy. The sterile Compounding Environment- Chapter Two Upon mastery of this chapter, the student will be able to: - Identify the origin of the pharmacy clean room and procedures for sterile compounding. - Describe anteroom and clean room setup and characteristics. - Understand the various ISO levels that are appropriate for sterile compounding. - Identify the different types of hoods used for sterile compounding. - Classify the four sterile compounding risk levels. - Recognize potential contaminants in the sterile compounding environment. Sterile Compounding Supplies- Chapter Three Upon mastery of this chapter, the student will be able to: - Discover the origins of several sterile compounding supplies. - Identify a variety of supplies used for preparing sterile compounds. - Describe various components of the most frequently used sterile compounding supplies. - Understand the rationale for using particular supplies in specific compounding situations. - Identify the critical sites of commonly used sterile compounding supplies. Medication Orders and Labeling- Chapter Four Upon mastery of this chapter, the student will be able to: - Gain an awareness of the historical roots of prescriptions, the Rx symbol, and the signa. - Recognize the infl uence of early Greek and Roman healthcare practitioners on current medical terminology and abbreviations. - Understand the difference between a prescription and a medication order. - Understand common medical and pharmacy terminology, abbreviations, acronyms, and symbols. - Identify pharmacy directions written in signa language. Aug ’13 6 PHM 113 - Recognize physician instructions and other pertinent information on a medication order. - Identify the various components of a compounded sterile preparation label. Calculation for Sterile Compounding- Chapter Five Upon mastery of this chapter, the student will be able to: Explore the evolution of mathematical formulas used in sterile compounding. - Understand the principles of pharmacy dosage calculations. - Practice several types of pharmaceutical calculations using a basic formula, ratio and proportion, dimensional analysis, intravenous flow rates, intravenous drip rates, and alligations. - Determine the best method of solving pharmaceutical dosage questions based on the medication labeling and sterile compounding procedure required. Aseptic Garbing, Hand Washing, and gloving- Chapter Six Upon mastery of this chapter, the student will be able to: - Gain an awareness of the connections between early concepts of germ transmission and current procedures for aseptic garbing, hand washing, and gloving. - Understand the procedures for aseptic garbing, hand washing, and gloving according to USP Chapter <797> guidelines. - Identify ways that aseptic garbing, hand washing, and gloving protect the patient from infection. - Recognize and respond appropriately to actions that compromise asepsis during aseptic garbing, hand washing, and gloving procedures. - Demonstrate excellent technique in aseptic hand washing, garbing, and gloving. Cleaning the Horizontal Laminar airflow Hood- Chapter Seven Upon mastery of this chapter, the student will be able to: - Gain an awareness of early cleanliness methods and disinfection practices. - Understand the rationale for using a hood when preparing sterile products. - Describe the components of the horizontal laminar airflow hood. - Explain the proper methods for cleaning the horizontal laminar airflow hood. - Demonstrate excellent technique in the cleaning of the horizontal laminar airflow hood. Large Volume Parenteral Preparation- Chapter Eight Upon mastery of this chapter, the student will be able to: - Gain an awareness of the historical roots of large-volume parenteral preparations. - Understand the physiology of fluid balance and the chemical properties of parenteral products. - Identify the risks associated with parenteral administration. - Describe the components and critical sites of various large-volume parenteral preparation supply items. - Identify the USP Chapter <797> procedures that must be performed prior to compounding Aug ’13 7 PHM 113 large-volume parenteral preparations. - Demonstrate correct aseptic technique in preparing large-volume parenteral products. Small Volume Parenteral Preparation- Chapter Nine Upon mastery of this chapter, the student will be able to: - Recognize the origins of small-volume parenteral preparations—in particular, antibiotics. - Understand the USP Chapter <797> procedures that must be performed prior to sterile compounding procedures. - Identify the critical sites of various small-volume parenteral preparation supply items, and describe compounding situations in which certain supply items should be used. - Discover the USP Chapter <797> procedures that must be performed during small-volume parenteral preparation. - Demonstrate effective technique in the preparation of two small-volumes compounded sterile preparations. - Small-volume parenteral (SVP) preparations—antibiotics, in particular—came to the for Ampoule based Preparation- Chapter Ten Upon mastery of this chapter, the student will be able to: - Gain an awareness of the history of ampules. - Understand the identifying characteristics of ampules and their purpose in sterile compounding procedures. - Identify the USP Chapter <797> procedures that must be performed during the compounding of ampule-based preparations. - Demonstrate excellent aseptic technique in the compounding of ampule-based preparations. - Recognize the safety issues associated with the opening of ampules. Narcotic Preparations- Chapter Eleven Upon mastery of this chapter, the student will be able to: - Gain an awareness of the history of narcotic medications. - Understand the legal regulations and procedures that must be followed when preparing various controlled substances for parenteral administration. - Identify the USP Chapter <797> procedures that must be performed when preparing narcotic compounded sterile preparations (CSPs). - Demonstrate correct technique in the preparation of narcotic CSPs Pediatric Preparations- Chapter Twelve Upon mastery of this chapter, the student will be able to: Recognize the origins of pediatric medicine and pharmacy. - Identify the special situations and actions that must be considered when preparing medicine for pediatric use. - Identify the USP Chapter <797> procedures that must be performed when compounding pediatric preparations. - Demonstrate correct technique in preparing a pediatric special dilution. Aug ’13 8 PHM 113 Total Parenteral Nutrition- Chapter Thirteen Upon mastery of this chapter, the student will be able to: Recognize the origins of total parenteral nutrition. - Identify the special situations and actions that must be considered when preparing total parenteral nutrition. - Identify the risks associated with parenteral preparations. - Identify the USP Chapter <797> procedures that must be performed when compounding total parenteral nutrition. - Demonstrate correct technique in the preparation of a total parenteral nutrition solution. Chemotherapy Products and Procedures- Chapter Fourteen Upon mastery of this chapter, the student will be able to: - Gain an awareness of the historical roots of using chemotherapy to treat cancer. - Identify the special situations and actions that must be considered when preparing chemotherapy. - Identify the USP Chapter <797> procedures that must be performed when compounding chemotherapy. - Demonstrate correct technique in preparing chemotherapy CSPs. REQUIRED COURSE OBJECTIVES: (Based on ASHP Core Curriculum) According to the accreditation standards, ASHP recommends the following as goals and objectives for all technician training programs. - OBJ 1.1 (Comprehension) Explain how state laws and regulations determine what activities associated with collection of patient specific information can be delegated by the pharmacist to technicians. - OBJ 1.2 (Application) When presented with a specific patient case, collect pertinent patient information for use by the pharmacist from the medical chart, patient profile or medical record with efficiency and accuracy. - IO 1.2.1 (Comprehension) Explain the purposes for which pharmacists collect patient-specific information. - IO 1.2.3 (Knowledge) State the definitions of medical terms commonly used in the range of patient care settings. - IO 1.2.4 (Knowledge) When given a list of commonly used medical terms, write the accepted abbreviation for each, or when given the abbreviation, write the term. - OBJ 1.6 (Evaluation) When collecting patient-specific information for use by the pharmacist, identify situations where the patient requires the attention of the pharmacist. - IO 1.6.1 (Knowledge) State potential problem situations to which the technician should alert the pharmacist. - OBJ 2.1 (Comprehension) Explain how state laws and regulations determine what activities associated with receiving and screening prescription/medication orders for completeness and authenticity can be delegated by pharmacists to technicians. - IO 2.3.1 (Knowledge) State the components of a complete prescription/medication order including prescription/medication orders for controlled substances. Aug ’13 9 PHM 113 - - - - Aug ’13 IO 2.3.2 (Knowledge) When given an abbreviated instruction for medication use, state the full wording of the instruction. OBJ 2.5 (Analysis) When presented with a prescription/medication order, accurately and efficiently screen for authenticity. IO 2.5.1 (Knowledge) State the schedule for controlled substances and commonly used medications that fall into each category. IO 2.5.3 (Comprehension) Explain techniques for detecting forged or altered prescriptions. IO 2.5.4 (Comprehension) Explain the importance of alerting the pharmacist if a prescription/medication order appears to be illegitimate. OBJ 3.1 (Comprehension) Explain how state laws and regulations determine what activities associated with preparing medications for distribution can be delegated by pharmacists to technicians. IO 3.2.1 (Application) Accurately use the metric system for inputting prescription/medication order information. IO 3.2.3 (Application) Accurately use the household system for inputting prescription/medication order information. IO 3.4.2 (Comprehension) Explain typical storage arrangements for medications and devices. IO 3.5.1 (Application) Accurately use the metric system to count and measure. IO 3.5.5 (Complex Overt Response) Demonstrate skill in the operation of common pharmaceutical measurement and weighing devices. IO 3.5.6 (Application) Accurately convert among the measurement systems, depending upon the desired endpoint. OBJ 3.6 (Application) Collect the correct ingredients for sterile or nonsterile products that require compounding. IO 3.6.1 (Knowledge) Define the term "compounding". IO 3.6.2 (Comprehension) Explain why certain medications must be compounded. IO 3.6.3 (Knowledge) Define the terms "sterile" and "non sterile" as applied to pharmacy. IO 3.6.4 (Comprehension) Explain why certain medications must be sterile. IO 3.6.5 (Application) Demonstrate the proper procedure for maintaining the sterility of materials being collected for compounding a sterile product. OBJ 3.7 (Application) Accurately determine the correct amounts of ingredients for a compounded product. IO 3.7.1 (Application) Given mathematical problems using Roman numerals, Arabic numerals, fractions, apothecary symbols, and decimals, perform the mathematical steps to solve for the correct answer. IO 3.7.2 (Application) Given mathematical problems involving conversion of weights and measures and direct ratio and proportion, perform the mathematical steps to solve for the correct answer. IO 3.7.3 (Application) Given mathematical problems involving reducing and enlarging formulas, perform the mathematical steps to solve for the correct answer. 10 PHM 113 - - - - - - Aug ’13 IO 3.7.4 (Application) Given mathematical problems involving specific gravity, percent strength, weight-in-volume, weight-in-weight, and volume-in-volume, perform the mathematical steps to solve for the correct answer. IO 3.7.5 (Application) Given mathematical problems involving ratio strength calculations for pharmaceutical preparations, perform the mathematical steps to solve for the correct answer. IO 3.7.6 (Application) Given mathematical problems involving dilution and concentration, perform the mathematical steps to solve for the correct answer. IO 3.7.7 (Application) Given mathematical problems involving dilution and concentration, perform the mathematical steps to solve for the correct answer using the alligation method. IO 3.7.8 (Application) Given mathematical problems involving milliequivalents, perform the mathematical steps to solve for the correct answer. IO 3.7.9 (Application) Given mathematical problems involving compounded products that require an overfill, perform the mathematical steps to solve for the correct volume to be added. OBJ 3.8 (Complex Overt Response) Compound sterile products using appropriate techniques, equipment and devices. IO 3.8.1 (Knowledge) State one’s state regulations regarding technician compounding of sterile products. IO 3.8.3 (Comprehension) Explain therapeutic, pharmaceutical, and chemical incompatibility. IO 3.8.4 (Comprehension) Explain how the effects of incompatibilities can be overcome when compounding sterile products. IO 3.8.5 (Complex Overt Response) Demonstrate the proper use of equipment and devices used in compounding sterile products. IO 3.8.5.1 (Comprehension) Explain the uses of horizontal and vertical laminar flow hoods. OBJ 3.10 (Complex Overt Response) Compound cytotoxic and other hazardous medication products using appropriate technique. IO 3.10.1 (Knowledge) State one’s state regulations regarding technician compounding of cytotoxic and other hazardous medication products. IO 3.10.2 (Comprehension) Explain risks involved in the preparation and handling of cytotoxic and other hazardous medication products. IO 3.10.3 (Comprehension) Explain the logic of each of the steps in cytotoxic or other hazardous medication product preparation technique. OBJ 3.11 (Application) Follow safety policies and procedures in the preparation of all medications. IO 3.11.1 (Comprehension) Explain the importance of following safety policies and procedures in the preparation of all medications in order to protect oneself and one's coworkers. IO 3.11.2 (Knowledge) Describe standard safety policies and procedures for preparing medications. IO 3.11.3 (Complex Overt Response) Demonstrate skill in cleaning up a cytotoxic or other hazardous medication product spill using the accepted procedure. 11 PHM 113 - - - - Aug ’13 OBJ 3.12 (Application) Follow safety policies and procedures in the disposal of all hazardous and non hazardous wastes generated during medication preparation. IO 3.12.1 (Knowledge) Describe standard safety policies and procedures in the disposal of hazardous and non hazardous wastes generated during medication preparation. OBJ 3.13 (Application) Package the product in the appropriate type and size of container using a manual process or automated system. IO 3.13.2 (Knowledge) Describe the various sizes and types of containers available for the packaging of pharmaceuticals in all pharmacy settings. IO 3.13.3 (Knowledge) Describe options for the packaging of products for the physically impaired, aged, and children. IO 3.14.1 (Comprehension) Explain the importance of accurate labeling of pharmaceuticals. IO 3.14.2 (Knowledge) Describe the necessary pieces of information in a complete product label. OBJ 3.15 (Application) Affix the appropriate primary and auxiliary labels to containers. IO 3.15.1 (Knowledge) State categories of medications which require auxiliary labels and what those labels are. IO 3.15.2 (Comprehension) Explain the importance of placing labels so that all information on all labels is visible. OBJ 3.18 (Application) Follow established policies and procedures for recording the preparation of controlled substances. IO 3.18.1 (Knowledge) State the meaning of the term "controlled substance". IO 3.18.2 (Knowledge) State obligations prescribed by law in the recording of the preparation of controlled substances. OBJ 3.19 (Application) Follow the manufacturer's recommendation and/or the pharmacy's guidelines for storage of all medications prior to distribution. IO 3.19.1 (Comprehension) Explain the importance of proper storage of compounded sterile products, non sterile medication products, and cytotoxic and other hazardous medication products. IO 3.19l2 (Comprehension) Explain the storage requirements of compounded sterile products, non sterile medication products, and cytotoxic and other hazardous medication products. OBJ 10.9 (Application) Follow established policies and procedures to deter theft and/or medication diversion. IO 10.9.1 (Comprehension) Explain the importance of deterring theft and/or medication diversion. IO 10.9.2 (Comprehension) Explain the difference between tolerance and physical dependence. IO 10.9.2 (Comprehension) Explain the relationship between the prevalence of chemical dependency and medication diversion. IO 10.9.3 (Knowledge) Describe common methods for deterring theft and/or medication diversion. IO 10.9.4 (Knowledge) Describe methods of reporting theft and/or medication diversion. 12 PHM 113 - - - - - - Aug ’13 OBJ 10.10 (Application) Follow established policies and procedures to maintain a record of controlled substances received, stored, and removed from inventory. IO 10.10.1 (Knowledge) State the legal requirements for recording controlled substances received, stored, and removed from inventory. IO 10.10.2 (Knowledge) State the procedure for destroying controlled substances. OBJ 11.1 (Application) Follow established policies and procedures for monitoring the practice site and/or service area for compliance with federal, state, and local laws; regulations; and professional standards. IO 11.1.1 (Knowledge) Describe the concepts of laws, regulations, and professional standards. IO 11.1.2 (Comprehension) Explain the importance of the pharmacy's compliance with federal, state, and local laws; regulations; and professional standards. IO 11.1.3 (Comprehension) Explain the effect on pharmacy practice of laws, regulations and professional standards in the state in which the technician training program operates. OBJ 12.1 (Application) Follow policies and procedures for sanitation management, hazardous waste handling (e.g., needles), and infection control (e.g., protective clothing). IO 12.1.1 (Comprehension) Explain the need for sanitation management in the pharmacy setting. IO 121.2 (Knowledge) Define "hazardous waste." IO 12.1.3 (Knowledge) Define "infection control." IO 12.1.4 (Comprehension) Explain OSHA regulations as they pertain to pharmacy practice, including regulations for blood-borne pathogens. IO 12.1.5 (Comprehension) Explain state regulations as they pertain to the handling of hazardous waste and infection control. IO 12.1.6 (Comprehension) Explain institutional policies and procedures as they apply to hazardous waste management and infection control. OBJ 12.2 (Application) Clean laminar flow biological safety cabinets using approved technique. IO 12.2.1 (Comprehension) Explain the logic of each step in the proper procedure for cleaning a laminar flow biological safety cabinet. OBJ 12.3 (Application) Maintain a clean and neat work environment. OBJ 12.4 (Application) Given a weighing or counting device, fluid compounder, or syringe pump used at a specific site, accurately calibrate the device, compounder or pump. IO 12.4.1 (Knowledge) Describe the equipment and pharmacy devices common to pharmacy practice. IO 15.1.2 (Knowledge) List daily tasks of the technician that require special attention to accuracy and double checking to assure that medication misadventures do not occur. IO 15.1.2.1 (Comprehension) Explain the role of multiple checks in avoiding medication misadventures. IO 15.1.2.2 (Comprehension) Explain age-related medication errors that may be detected by technicians. 13 PHM 113 - - Aug ’13 OBJ 15.2 (Comprehension) Explain the programs currently in place for reporting medication misadventures on a global and institutional level. OBJ 15.3: (Analysis) When a clinically significant adverse medication event (ADE) is identified, participate in determining the presence of any similar potential ADE’s. OBJ 15.4: (Analysis) When a clinically significant ADE is identified, participate in formulating a strategy for preventing its reoccurrence. OBJ 17.1 (Characterization) Act ethically in the conduct of all job-related activities. IO 17.1.1 (Knowledge) Define the term "ethics." IO 17.1.2 (Comprehension) Compare and contrast ethics with laws. IO 17.1.4 (Comprehension) Explain situations which may present ethical questions for the pharmacy technician. OBJ 18.1 (Application) Dress in attire that follows the site's dress code. IO 18.1.1 (Comprehension) Discuss attire which is appropriate for wear by the pharmacy technician. OBJ 18.2 (Application) Maintain personal hygiene. IO 18.2.1 (Comprehension) Discuss the importance of maintaining personal hygiene while in the practice environment. OBJ 18.3 (Characterization) consistently maintains personal self-control and professional decorum. OBJ 23.1 (Comprehension) Explain the benefits of obtaining technician certification. IO 23.1.1 (Knowledge) State the differences between certification, licensure, and registration. OBJ 23.2 (Comprehension) Explain the process by which one can become a nationally certified pharmacy technician. OBJ 23.3 (Comprehension) Explain technician certification processes other than the national process and how they may be pursued. OBJ 27.1 (Application) Demonstrate consistent use of a systematic approach to solving problems encountered in one's work as a technician. IO 31.1.3 (Comprehension) Explain the difference in priority to be given a STAT versus a PRN order. OBJ 35.1 (Application) Apply the principles of quality assurance to all technician activities. IO 35.1.2 (Knowledge) Describe quality assurance methods IO 35.1.3 (Knowledge) State technician tasks that require quality assurance procedures. IO 35.1.4 (Comprehension) Explain the technician’s role in preventing and detecting medication errors. 14 PHM 113