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Home > Hospital PharmacyTraining Programs

Overview:

 

Pharmacorner TM   training program is a tailor-made program in regard to accreditation requirements, practice areas, and other specific activities. This program is designed to provide pharmacists with a competency based training in hospital pharmacy practice. It is expected that providing such program will have a direct positive effect on the pharmacy performance in specific and to the patient care in general.

 

The program consists of 2 parts:

1.       Structured organized training defined by time length, modules (practice areas), and learning objectives.

2.       Structured organized competence assessment to assure that applicants or clients have the essential knowledge and skills necessary to perform a job and actually perform the job according to defined expectations.

 

Training takes place in a hospital setting to allow participants practice all aspects of hospital pharmacy.

 

The program is designed into different practice areas as following:

 

              I.      Inventory Management

           II.      Repacking, Compounding, and Extemporaneous Preparations.

         III.      Unit Dose (UD) Distribution System

         IV.      Handling of Physician order

            V.      Intravenous Preparations

         VI.      Hazardous Drugs (HD)

       VII.      Ambulatory Care

    VIII.      Drug Information

         IX.      Quality Improvement and Medication Safety

 

 

Each practice area has different training modules and learning objectives. Modules will be further tailored according to level of participants, and their needs and expectations.

 

Timelines, schedules, and fees will be determined according to program acceptance.

 

 

I. Inventory Management

 

·         Module 1: Computer applications.

·         Module 2: Formulary, non-formulary, and investigational drugs.

·         Module 3: Maintaining and controlling inventories

·         Module 4: Storage requirements

·         Module 5: Floor stocks

·         Module 6: Controlled/Narcotic drugs management.

 

Learning Objectives


At the end of the training program in Inventory Management participants will be able to

 

§         Know the related policies and procedures.

§         Know the Inventory-related computer software and/ or manual systems for documenting the purchased and dispensed medication and pharmaceutical materials orders.

§         Be aware of all Inventory Terms

§         Know the documentation requirements, and record keeping.

§         Be aware of formulary or approved stock list.

§         Understand the par and reorder levels and drug usage

§         Know the inventory receiving process

§         Handle floor stocks orders, check floor stocks, and recall of expired items.

§         Appreciate the systems to identify and return expired and unsalable products

§         Know the rules and regulations for the removal and disposal of products

§         Understand the requirements related to controlled substances.

§         Know of medication distribution and control systems requirements for controlled/ Narcotic substances, investigational drugs, and hazardous materials and wastes

 

II. Repacking, Compounding, and Extemporaneous Preparations.

 

·         Module 1: Repackaging.

·         Module 2: Extemporaneous preparations.

·         Module 3: Pharmaceutical Calculations. 

 

At the end of the training program participants will be able to

 

§         Know the related policies and procedures.

§         Know the documentation requirements, and record keeping.

§         Aware of all Storage requirements, and conditions.

§         Be aware of repackaging procedures.

§         Know the products used in packaging and repackaging (for example, child-resistant caps and light-protective unit-dose packaging)

§         Know of repackaging, storage requirements, and documentation for finished dosage forms prepared in anticipation of prescriptions or medication orders

§         Know and understand the required information for Extemporaneous preparation, labels, and auxiliary labels.

§         Know and practice basic pharmacy calculations and measurement systems.

§         Compound non-sterile products (for example, ointments, mixtures, liquids, emulsions).

§         Know of preparation, storage requirements, and documentation for medications compounded in anticipation of prescriptions or medication orders

 

 

III. Unit Dose (UD) Distribution System

 

·         Module 1: Computer applications.

·         Module 2: UD Cassettes filling.

·         Module 3: Discharge medications.

 

Learning Objectives


At the end of the training program participants will be able to:

§         Know the related policies and procedures.

§         Understand the different types of forms used in the UD area (patient profile, different order forms, refill orders, etc).

§         Know the UD-related computer soft ware and/ or manual systems for documenting the dispensing of prescriptions or medication orders.

§         Appreciate UD  packaging requirements.

§         Prepare oral dosage forms (for example, tablets, capsules, liquids) in unit-dose or non–unit-dose packaging

§         Recognize the action to be taken in the event of a missed dose.

§         Understand the requirements for dispensing controlled substances.

§         Understand the  requirements for dispensing investigational/ non-formulary/restricted drugs, and drugs for unapproved indications

§         Know and practice UD Cassettes filling, checking.

§         Manage returned patient medication.

§         Handle Discharge and out on pass medications.

 

 

IV. Handling of Physician order

·         Module 1: Computer applications

·         Module 2: Type of Orders.

·         Module 3: Order review.

·         Module 4: Communication and Clarification.

 

At the end of the training program participants will be able to:

 

§         Understand the element of a complete physician orders.

§         Understand and handle stat orders.

§         Know the automatic stop system..

§         Know the renewal, hold, discontinue, PRN, and refill orders.

§         Know the required physician order refill information.

§         Aware of handling restricted, non-formulary, and investigational drug orders.

§         Understand the physician orders review and be aware of techniques for detecting orders errors (for example, abnormal doses, early refill, incorrect quantity, incorrect patient ID #, incorrect drug).

§         Understand the procedures of drug order profiling (manual and electronic)

§         Know and understand the required information for prescription, medication order labels, and auxiliary labels.

§         Know the proper way of communication and clarification with physicians, nurses and other healthcare personnel.

§         Handle out of stocks drugs.

 

 

V. Intravenous Preparations

 

·         Module 1: USP Chapter 797, and definitions.

·         Module 2: Computer/manual documentation.

·         Module 3: Aseptic technique.

·         Module 4: Stability and Compatibility.

·         Module 5: Total Parenteral preparations and related Pharmaceutical Calculations.

·         Module 7: Sterile non-injectable products preparation.

 

 

Learning Objectives


At the end of the training program participants will be able to:

§         Know the related policies, procedures.

§         Understand the characteristic of sterile preparation areas (laminar flow hood, filters, positive airflow, etc.)

§         Know the different types of equipments and IV preparation( syringes, needles, tubings, vials, ampules, SDV,MDV, Piggybags, etc).

§         Understand the different Types of forms used in the IV area (patient IV cards,  different order forms, stat IV orders, etc).

§         Know the IV-related computer soft ware and/ or manual systems for documenting the dispensing of IV and TPN orders.

§         Knowledge of equipment calibration techniques.

§         Comprehend aseptic techniques (hand washing, gowning, Manipulation, etc).

§         Recognize the required procedures of reconstituting and preparing IV admixtures including total parenteral nutrition (TPN) solutions.

§         Know and practice TPN calculation.

§         Know Stability and Compatibilities, importance, guidelines, references..

§         Compound sterile non-injectable products (for example, eye drops).

 

 

VI. Hazardous Drugs (HD)

 

·         Module 1: Safe Handling of HDs (OSHA standards and regulations)

·         Module 2: HD IV preparation.

·         Module 3: Hazardous drug waste.

·         Module 4: Preparation and dispensing of non-injectable HDs.

·         Module 5: HD communication Program.

 

Learning Objectives

At the end of the training program participants will be able to:

 

§         Know the OSHA regulations.

§         Know the related policies, procedures.

§         Understand the practices regarding storage and handling of hazardous materials and wastes (for example, Flammable cabinets, Materials Safety Data Sheet [MSDS])

§         Recognize the required  procedures of reconstituting and preparing IV HDs safely( Biological safety cabinets, PPE, bagging, labeling, etc)

§         Clean different kind of HDs spills.

§         Dispose Hazardous drug waste materials properly.

§         Preparation and dispensing of non-injectable HDs.


 

 

 

VII. Ambulatory Care

 

·         Module 1:Handling Prescription.

·         Module 2: Medication Dispensing.

·         Module 3: Patient Counseling.

·         Module 4: Basic Pharmaceutical Calculation.

 

Learning Objectives


At the end of the training program participants will be able to:

 

§         Know the related policies and procedures.

§         Know the Ambulatory Care -related computer software/ manual systems for documenting the dispensing of prescriptions.

§         Know the documentation requirements for controlled substances.

§         Understand the prescription review process, and the techniques for detecting prescription errors (for example, abnormal doses, incorrect quantity, incorrect patient ID #, incorrect drug).

§         Know and understand the required information for prescription labels, and auxiliary labels.

§         Aware of double checking procedures.

§         Know the professional way of communication with physicians and Nurses.

§         Aware of prescribed drugs dispensing.

§         Understand the assessment of patient educational needs.

§         Know the patient counseling methods.

§         Know and practice basic pharmacy calculations and measurement systems.

 

 

VIII. Drug Information

 

Learning Objectives:

Upon completion of this training course the trainee should be able to:

§         Understand the role of the pharmacist as a drug information provider.

§         Describe the difference between drug information centers and poison information centers.

§         Understand the different resources and determine the place each hold in a drug information center.

§         Classify drug information requests as a first step in formulating the answer.

§         Formulate an answer to a drug information request and deliver it either verbally or written.

§         Understand the role of the internet as a source for drug information.

 

 

Module1: Basic information about drug information centers

a) History.

b) Setting and establishment.

c) Pharmacist role in either drug or poison information center.

 

Module 2: Drug Information Resources                     

a) Primary, secondary, and tertiary.

b) Use the appropriate reference in each situation.

c) List of all landmark references in drug information centers.

 

Module3: Handling of Drug Information Requests                

a) How to classify the request.

b) Drug information forms.

c) How to collect relevant information.

d) How to formulate an answer.

e) Documentation of the work.

 

Module 4: Role of the Internet as a source of information              

a) When to use.

b) How to select reliable pharmaceutical websites

 

Module 5: Exploring other functions of the drug information pharmacist       

a) Drug evaluations for the P&T committee.

b) Publishing newsletters.

c) Providing education for the staff.

 

Module 6: Practical Application

 

 

 

 

 

IX. Quality Improvement and Medication Safety

 

·         Module 1: Quality concepts.

·         Module 2: Performance measurements/ improvement

·         Module 3: Risk management.

·         Module 4: Medication safety practices.

·         Module 5: Accreditation and standards.

 

 

Learning Objectives
At the end of the training program participants will be able to:

 

§         Know definitions, principles, and concepts of quality management

§         Understand the Casual Relationship between structure, process and outcome

§         Appreciate the concept of customer in healthcare quality

§         Recognize the different roles and responsibilities in quality teams( Team leader/ member/ facilitator)

§         Know the  concept of process variation, its measurement and impact on outcomes

§         Understand the basis of performance measures/indicators

§         Identify different approaches/ models to performance improvement

§         Identify opportunities for improvement and understand the prioritization criteria of performance improvement activities

§         Learn about the different tools for quality/ performance improvement :  Brainstorming, Affinity Diagram, Flow Chart,  Cause and Effect Diagram, Pareto Diagram,  Run Chart, histogram, Bar Chart, Control Chart,  and the Action Planning

§         Understand the different accreditation standards/ survey processes and their relation to quality improvement

§         Understand the different adverse drug events ( Medication Errors/ Adverse Drug Reactions)

§         Appreciate the concept of non-punitive/ system-based reporting and analysis medication errors

§         Understand the policy of Incident/Occurrence Reporting & Sentinel Events

§         Learn the different medication safety practices such as ( high alert medications/ Look-Alike-Sound-Alike medications / Unapproved abbreviations/ medication Reconciliation).

§         Recognize the different International Patient Safety Goals.

§         Appreciate the basic relation between risk management and quality improvement

§         Recognize the different risk management tools ( FMEA, RCA, RA) .

 

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