August 20, 2015 Angelina College Health Careers Division PHRA 1313 Community Pharmacy Practice General Syllabus

I. BASIC COURSE INFORMATION:

A. Course Description:

PHRA 1313 Community Pharmacy Practice: 3 hours credit Introduction to the skills necessary to process, prepare, label, and maintain records of prescriptions in a community pharmacy to include customer service, count and pour techniques, prescription calculations, drug selection and preparation, over-the-counter drugs, inventory management and legal parameters. End-of-Course Outcomes: Interpret medical and pharmaceutical abbreviations and symbols used in processing prescriptions in a community pharmacy; utilize information technology; demonstrate the procedures and work flow operations relating to processing prescriptions and preparing medications in an ambulatory setting. Co-requisites: PHRA 1301, PHRA 1305, PHRA 1309, PHRA 1266 BIOL 1409 (64 hours) Two hours lecture/Two hours lab.

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 8:00-12:00 or call for appt. hrs for Monday or Tuesday only 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. Able to accurately produce prescription labels at a rate consistent with industry standards. 2. Working knowledge of the forms commonly used in an ambulatory setting; can select and accurately complete appropriate form for task. 3. Able to apply pharmacy calculations to accurately prepare and dispense pharmaceuticals. 4. Demonstrate ability to compound selected prescriptions according to formula. 5. Compare and contrast the use and availability of non-legend drugs and legend drugs.

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 1313.

SCAN Skills Assessments

Foundation Skills Written Assignments Oral Presentations/Role Playing Required Readings Critical Thinking/Learning Activities Demonstrated Competency in Lab Experience

Workplace Competencies Computer Assisted Instruction Written Prescription Compounding Formulas Demonstrated Competency in lab

IV. INSTRUCTIONAL PROCEDURES: The methods of instruction used in this course includes but not limited to the following: Lecture/powerpoint presentations, lab, demonstration, laboratory practice, audio visual materials, and individualized instruction as needed.

V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks and Recommended Readings, Materials and Equipment Pharmacy Practice for Technicians 5th Edition, Ballington, Anderson, Paradigm Inc.2014 Pharmacy Labs for Technicians Sparks 2nd Edition, McCartney, Paradigm Inc. 2013 The Pharmacy Technician’s Pocket Drug Reference 7th Edition APHA 2013.. Pioneer Rx Software Morris-Dickson Shreveport, LA 2014 HIPAA Rx Privacy Rule Training for Pharmacies Pearson/Prentice Hall Folders for learning activities/weekly lab assignments

B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook.

Revised: 8/20/15 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.

1. 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.

2. Additional Policies Established by the Instructor The student’s attendance/participation grade will be deducted by ten points for each absence (excused or unexcused). You must be present to participate in class. Weekly attendance lab assignments will be made up on Friday only.(excused or unexcused) Student will sign and abide by the cell phone policy on the first class day

V. COURSE OUTLINE: Description of the Course Activities including due dates, schedules, and deadlines. VI. A. Content/Topics Read assigned chapters prior to class from the required textbook. Forms and powerpoint presentations are on blackboard.

Unit I: Dispensing Medications in the Community Pharmacy

Objectives: 1. Discuss overall community pharmacy operations including restricted area, hours of operation, drive-through options, and general responsibilities of the pharmacy technician with regard to dispensing prescription drugs. 2. Identify the parts of a patient profile, detail the steps required to select a patient from the database, and discuss the importance of including up-to-date allergy & adverse drug reaction information. 3. Describe the parts of a prescription & identify the most commonly used abbreviations for amounts, dosage forms, times of administration, and sites of administration. 4. Describe controls necessary for reviewing prescriptions of scheduled drugs, including the identification of possible forgeries. 5. Explain the typical procedures for processing new and refill prescription orders. 6. Identify the parts of a prescription stock label & know the importance of comparing NDC numbers in medication selection & filling. 7. Describe the parts of a typical medication container label and discuss the importance of a final check & verification by the pharmacist prior to dispensing to the patient.

Required Textbook:

Pharmacy Practice for Technicians 4th Edition, Ballington, Anderson, Paradigm Inc.2010 Study Partner CD Student Internet Resource Center at www.emcp.net/pharmpractice4e Pharmacy Calculations, 5th Edition, Ballington, EMC Paradigm 2014 Pharmacy Labs for Technicians, 2nd edition, Sparks, McCartney, Paradigm Inc. 2013 The Pharmacy Technician’s Pocket Drug Reference 7th Edition APHA 2013

Revised: 8/20/15 Pioneer Rx Software Morris-Dickson Shreveport, LA 2014

“30-minute filling” activity-(Process prescriptions from beginning to end), have work checked, and then role play giving the medication to a customer. Students are given 4-6 prescriptions to process each lab computer time. Start with cash, third party insurance, Medicaid, medicare, PRISM SOFTWARE. The “30 minute” filling process should improve each week to stay under “30 minutes”.

Pharmacy Labs for Technicians Sparks *Lab 4-Validating DEA Numbers *Lab 5-Reviewing a Patient Profile *Lab 6-Reviewing a Prescription Form *Lab 7-Reviewing a Filled Prescription *Lab 8-Entering Patient Data *Lab 9-Processing a Prescription *Lab 10-Processing a Refill

Email recordable quiz mode ch 6 to [email protected]

Unit II: The Business of Community Pharmacy Objectives: 1. Understand the roles, responsibilities, and limitations of the technician in the sale of OTC drugs, dietary supplements, and medical supplies, especially in the case of a patient who is a diabetic. 2. Accurately process special OTC sales, such as Schedule V cough syrups, decongestants containing pseudoephedrine, and the Plan B contraceptive. 3. Understand the importance of necessary cash register management functions. 4. Identify procedures for inventory management, including the purchasing, receiving, and storage of prescription drugs, including controlled substances. Understand mathematical principles in calculating markup, discounts, and average wholesale price. Discuss drug insurance coverage for private, Medicaid, Tricare, and Medicare plans. 5. Define & explain the terms prescription benefits manager (PBM), tiered co-pay, and prior authorization. 6. Know how to process a worker’s compensation insurance claim. 7. Identify the necessary insurance information needed to process online claims for prescription drugs and Resolve problems with online claims processing. Calculate days supply of medication for online billing.

Pharmacy Labs for Technicians Sparks

*Lab 11-Obtaining Refill Authorization *Lab 12-Processing Third Party Claims *Lab 13-Verifying Cash Pricing *Lab 14-Producing a Daily Audit Log

Email recordable quiz mode ch 7 to [email protected]

Unit III: Nonsterile Pharmaceutical Compounding

Objectives: 1. Define the term compounding, describe common situations in which compounding is required, & identify examples of nonsterile compounding.

Revised: 8/20/15 2. Review & follow good compounding practices in the pharmacy & identify quality standards for nonsterile compounding contained in USP Chapter 795, including product selection & beyond-use or expiration dating. 3. Distinguish the components and purpose of a master control record from a compounding log. 4. Identify & describe the equipment used for the weighing, measuring, and compounding of pharmaceuticals & understand & calculate common math problems that occur in compounding. 5. Identify the steps that are necessary in the compounding process & identify references with a specialty focus on compounding. 6. Explain the proper techniques for weighing pharmaceutical ingredients, measuring liquid volumes, & compounding nonsterile preparations & discuss the techniques by which solutions, suspensions, ointments, creams, powders, suppositories, and capsules are prepared. 7. Define the term percentage of error and understand how the concept relates to accuracy in the compounding pharmacy.

Pharmacy Labs for Technicians Sparks

*Lab 22-Reconstituting Powders *Lab 23-Filling Capsules *Lab 24-Creating Suspensions from Tablets *Lab 25-Creating Suspensions from Capsules *Lab 26-Preparing Creams, Ointments, Gels, and Pastes *Lab 27-Making Lozenges

Email recordable quiz mode ch 8 to [email protected]

Unit IV Medication Safety After completion of this unit, the student will be able to: 1. Understand the extent of medical & medication errors and their effects on patient health & safety. 2. Identify specific categories of medication errors. 3. List examples of medication errors commonly seen in pharmacy practice settings. 4. Apply a systematic evaluation to search for medication error potential to a pharmacy practice model. 5. Define strategies, including use of automation, for preventing medication errors. 6. Identify the common systems available for reporting medication errors.

Email recordable quiz mode ch 12 to [email protected]

Unit V: Human Relations & Communications After completion of this unit, the student will be able to: 1. Explain the role of the pharmacy technician as member of the customer care team in a pharmacy. 2. State the primary role of retail merchandising. 3. Identify & discuss desirable personal characteristics of a pharmacy technician. 4. Identify the importance of verbal & nonverbal communication skills. 5. Explain the appropriate responses to rude behavior on the part of others in a workplace situation.

Revised: 8/20/15 6. Define discrimination and harassment, and explain the proper procedures for dealing with these issues. 7. Discuss the importance of protecting patient privacy in the pharmacy.

Email recordable quiz mode ch 13 to [email protected]

B. Additional Content –This course includes the goals 1, 2, 3, 4, 5, 6, 7, 8, 9, 12, 14, 17, 18, 19, 20, 21, 23, 24, 25, 28, 29, 31, 32, 33, 34, 36, 39, 40, 41, 42, 43, 44, and 45 from the American Society of Health System Pharmacists’ Model Curriculum for Pharmacy Technician Training (third edition)

Tentative Lecture Schedule

Adjustments to the schedule may be necessary. Classes meet in room 223 HCII/Retail Lab

August 26 2-4pm Go over syllabus-handouts-blackboard-orientation August 27 12:00-4pm introduction to retail lab Sept 1,(2-4pm) 2,(12-4pm) 3, (12:4pm) Lecture Unit I pp.191-251 Community Operations Reviewing a Prescription Types of Prescriptions Sparks Lab 4 Sept 8 (2-4pm) Lecture Unit I Processing a Prescription Chapter Review Sparks Labs 5,6,7,8,9,10 Quiz Mode Ch 6 due Sept 13 (12:4pm) Unit I Exam Computer Lab-inputting prescriptions Retail Lab-role playing Sept 15 (2:4pm) Lecture Unit II pp.253-307 Nonprescription Sales Automation in the Pharmacy Sept 16 (12:4pm) Lecture Unit II Inventory Management Computer Lab-inputting prescription Sept 22 (2:4pm) Unit II Exam Lecture Unit III Ch 7 quiz mode due Computer Lab-inputting prescriptions

Sept 23 (12:4pm) Lecture Unit III Sterile & Non-Sterile Compounding Laws, Regulations, and Standards Computer Lab-inputting prescriptions Retail Lab-role playing activities

Revised: 8/20/15

Sept 29 (2:4pm) Lecture Unit III Regulations for Pharmacy Personnel Documentation of Nonsterile Compounding Techniques for Mixing compounded drugs Sept 30 (12:4pm) Lecture Unit III Compounding of Specific Formulations Lab powders Oct 7 (12:4pm) Compounding of Specific Formulations Lab capsules, punch method, tablets and troches Oct 14 (12:4pm) Compounding of Specific Formulations Lab solutions, suspensions Oct 21 (12:4pm) Compounding of Specific Formulations Lab ointments, creams, lotions, suppositories Lecture-The compounding process Reference Sources for the compounding Pharmacy Oct TBA –make up lab Friday 9am-12noon Oct 28 Unit II EXAM (12:4pm) Lecture Unit IV-Medication Safety Medical Errors Medication Errors Prescription Filling Process-hospital & retail, Medication Error Prevention Medication Error Reporting systems Complete all lab activities to turn in-prescription processing grade sheet due

***** Lecture Unit V Human Relations & Communications Personal Service in the contemporary pharmacy Knowledge, skills, and qualities of a pharmacy technician

****** Lecture Unit V Other Aspects of Professionalism Personal Ethics Health Insurance Portability and Accountability Act TBA Lab-Remedial

TBA (2hrs) Review for final exam TBA (2hrs) Final Exam

Revised: 8/20/15 VII. EVALUATION AND GRADING: Sparks Labs 100 pts Lab Activities 100 pts Prescription Processing-using pioneer Rx 100 pts software*** (10 graded) Recordable quiz modes (email to 200 pts [email protected] after each lecture) Attendance Quizzes (reading pres./abbrev., 100 pts calculations) Unit 1 Examination 100 pts Unit II Examination 100 pts Final Examination 200 pts TOTAL POINTS POSSIBLE 1000 pts

**Prescription Processing 4-6 prescriptions each lab class for practice 30-50 prescriptions (10 prescriptions graded) 2 cash customers 2 BCBS customers 2 Workmen’s Comp 2 Medicare customers 2 Medicaid customers Index cards will be needed to make insurance cards

B. Determination of Grade- The alphabetic grading for this course is as follows: A = 900-1000 pts B = 830-899 pts C = 750-829 pts D= 600-699 pts F= 599 and below

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