Office hours: Mon. and Wed. 12:00 pm - 1:30 pm; Fri. 2:00 pm 3:00 pm, or by appointment

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1 Credit: Three semester hours Instructor: Dr. Mai-Lei Chen Office: 519 B Currens Hall Phones: Office: Department: Home: Fax No: M-Chen2@wiu.edu CHEM264 Pharmacy Methods (STARS 98585) Spring 2015 Western Illinois University College of Arts and Sciences Department of Chemistry Online Course Syllabus Office hours: Mon. and Wed. 12:00 pm - 1:30 pm; Fri. 2:00 pm 3:00 pm, or by appointment Online virtual hours: In order to foster a sense of community, I will be available via online chat, either video or voice, by Skype (Skype account: mlchen1000) using arrangements in advance. Required Textbook Pharmacy Technician Practice and Procedure Orum-Alexander and Mizner, McGraw Hill, 2011 ISBN ; MHID Course Description: This course is designed as an aid for students who plan a career in Pharmacy. The course describes methods used in Pharmacy, including receiving and processing prescriptions, drug calculations, dosage and formulations, Pharmacy law, and inventory control. Prerequisites: CHEM 263 or permission of the instructor. Course Objectives Unit 1 the Pharmacy Technician Week 1 (01/20-01/25) Chapter 1 Overview, Practice Settings, and Organizations 1. Explain and demonstrate characteristics associated with a pharmacy technician. 2. Explain the role of the pharmacy technician as it exists today in the practice of 1

2 pharmacy. 3. Differentiate between the duties of a pharmacy technician and a pharmacist. 4. Demonstrate an appreciation of the evolvement of the practice of pharmacy from the beginning of humanity to its present-day form. 5. Differentiate between certification, licensure, and registration with a state board of pharmacy. 6. Describe the various types of training a pharmacy technician may experience in the preparation of their career. 7. Differentiate between the various pharmacy settings where a pharmacy technician may practice and the responsibilities found in each setting. Chapter 2 Basic Safety and Standards 1. Describe the role of regulatory agencies (CDC, OSHA) as they pertain to safety and standards in healthcare settings. 2. Define infectious disease, nosocomial infections, airborne and bloodborne diseases. 3. List the four major types of nosocomial infections. 4. Describe methods to prevent airborne and bloodborne disease transmission. 5. Discuss the role of prevention in the spread of disease. 6. Discuss the role of hand hygiene in the prevention of disease. 7. Describe the proper technique for hand washing. 8. List and identify the proper use of personal protective equipment (PPE). 9. Define and explain the significance of policies and procedures as they pertain to documentation, reporting and the prevention of disease transmission in healthcare organizations. 10. Describe the activities related to the incident report. 11. Describe HIV prophylaxis 12. Discuss the importance of emergency preparedness (for example first aid and CPR training). 12. Describe the proper handling, storage and disposal of hazardous materials. 1. Chapter 1 Reading (p. 4-24) 2. Chapter 2 Reading (p ) 3. Week 1 Quiz (Quiz 1) 4. Week 1 Discussion Week 2 and 3 The Pharmacy Technician (01/26-02/08) Chapter 3 Communications and Customer Service 1. Identify and explain the components of the communication process. 2. Differentiate between the various types of communication used in the practice of pharmacy. 3. Identify various forms of nonverbal communication. 4. Explain the importance of effective communication in the practice of pharmacy. 2

3 5. Explain the results, which may occur due to poor communication in the practice of pharmacy. 6. Identify various solutions to communication problems in a pharmacy. 7. Explain the meaning of customer service in the practice of pharmacy. 8. Define and identify the customer in the practice of pharmacy. 9. Identify the tools used to provide outstanding customer service. 10. Explain the need for patient privacy and confidentiality in the practice of pharmacy. Chapter 4 Ethics, Law and Regulatory Agencies 1. Explain ethics. 2. Identify the ethical conduct required of pharmacy technicians. 3. Explain the importance of the following pharmacy legislation: 4. Relate the meaning of schedule to the Controlled Substance Act of 1970 and the criteria for placing a medication in a particular schedule. 5. Differentiate between an initial inventory, biennial inventory, and perpetual inventory as they relate to pharmacy. 6. Describe the methods of filing prescription and pharmacy records. 7. Explain the requirements issued by the CMS for Medicaid Tamper Resistant prescription pads. 8. Identify various regulatory agencies and their role in the practice of pharmacy 9. Identify the role of the state board of pharmacy in each state and the National Association of Boards of Pharmacy. 10. Explain law. 11. Differentiate between federal law, state law, and torts. 12. Explain respondeat superior. 1. Chapter 3 Reading (p ) 2. Chapter 4 Reading (p ) 3. Week 2 and 3 Quiz (Quiz 2) 4. Week 2 and 3 Discussion * Exam 1 (Chapter 1-4) Unit 2 Pharmacology and Medications Week 4 (02/09-02/15) Chapter 5 Measurements and Calculations 1. Convert Roman numerals to the equivalent Arabic number. 2. Multiply and divide fractions. 3. Convert fractions to decimals, ratios, and percents. 4. Convert numbers to percents. 5. Distinguish between the various metric prefixes used in the practice of pharmacy. 6. Convert units between the metric, apothecary, avoirdupois, and household s systems. 7. Convert temperatures between Celsius and Fahrenheit. 8. Convert time between the 12-hour and 24-hour clocks. 3

4 9. Interpret a written drug order. 10. Calculate the day s supply of a medication prescribed by a physician. 11. Identify on a drug label the drug name, form, dosage strength, route, manufacturer, and storage information. 12. Indicate the appropriate equipment for measuring the appropriate quantity of solids and liquids in the practice of pharmacy. 13. Convert the dosage ordered to the desired dose. 14. Convert the desired dose to the amount to administer. 15. Calculate the appropriate dose for a patient based upon age, weight, or body surface area. 16. Calculate the amount of drug of a given concentration to prepare a prescription yielding different concentrations. 17. Calculate the ending concentration of a preparation after diluting it with a diluent. 18. Calculate the correct quantities to be used in preparing a solution or semisolid using alligation. 19. Calculate the flow rate of an intravenous fluid. 20. Calculate the correct drop factor to be used for an intravenous infusion. 21. Calculate the number of drops per minute a patient will receive when given the flow rate and drop factor. 22. Explain the importance of calculations in the practice of pharmacy. 23. Demonstrate an understanding and application of proportions in pharmacy calculations. 24. Use dimensional analysis in performing pharmacy calculations. 25. Demonstrate an understanding of the application of international units and milliequivalents in pharmacy. 26. Interpret a prescription or medication order. 27. Reduce or enlarge a formula to meet the requirements of either a prescription or medication order. 28. Demonstrate an understanding of specific gravity and its application in compounding a product. 1. Chapter 5 Reading (p ) 2. Week 4 Quiz (Quiz 3) 3. Week 4 Discussion Week 5 (02/16-02/22) Chapter 6 Introduction to Pharmacology 1. Differentiate between the following terms: pharmacology, pharmacokinetics, pharmacy, and toxicology. 2. Discuss of the principles affecting pharmacokinetics. 3. Explain the processes (absorption, distribution, metabolism, and elimination) involved in pharmacokinetics. 4. Explain the factors affecting the absorption of a drug. 5. Explain the issues affecting the distribution of a drug in the body. 4

5 6. Explain the factors affecting the metabolism of a drug in the body. 7. Explain the factors affecting the elimination of a drug in the body. 8. Identify factors affecting the selection of a proper dosing schedule for a medication. 9. Discuss the function of dose-effect curve and factors that may change the shape of it. 10.Differentiate between hyperreactive, hyporeactive, supersensitivity, tolerance, tachphylaxis, and idiosyncrasy. 11. Identify factors that modify the effects of medication. 12. Explain the meaning of mechanism of action as it applies to pharmacy. 13. Explain the selective action of drugs including drug receptors and site of action. 14. Compare and contrast the various routes of administration for medication. 15. Differentiate between bioavailability and bioequivalence. 16. Define a drug and the various names given to a drug. 17. Identify and explain the terminology associated with pharmacology. 18. Differentiate between the various types of side effects. 19. Distinguish between the two types of addiction. 20. Explain the effect medication can have on pregnancy and the pregnancy codes developed by the FDA. 1. Chapter 6 Reading (p ) 2. Week 5 Quiz (Quiz 4) 3. Week 5 Discussion * Exam 2 (Chapter 5 and 6) Week 6 (02/23-03/01) Chapter 7 Drug classifications 1. Define the term classification. 2. List the reasons drug classifications are important to pharmacy technicians. 3. Differentiate between agonists and antagonists. 4. Define and describe the role of neurotransmitters as it relates to drug action. 5. Classify medications or agents given a particular organ, system, or function. 6. Define controlled substances. 7. Identify drugs categorized as controlled substances. 1. Chapter 7 Reading (p ) 2. Week 6 Quiz (Quiz 5) 3. Week 6 Discussion Week 7 (03/02-03/08) Chapter 8 Over-the-Counter (OTC) Agents 1. Discuss over-the-counter (OTC) agents. 2. Identify the legal requirements for OTC agents. 3. Differentiate between OTC and prescription agents. 5

6 4. Differentiate between OTC drugs and dietary supplements. 5. Identify categories of OTC medications. 6. Classify OTC agents. 7. Explain the common diagnostic agents/kits that are available OTC. 1. Chapter 8 Reading (p ) 2. Week 7 Quiz (Quiz 6) 3. Week 7 Discussion Week 8 (03/09-03/15) Chapter 9 Complementary and Alternative Modalities 1. Define complementary and alternative medicine. 2. Define integrative medicine. 3. List and describe types of complementary and alternative medicine. 4. List herbs employed in complementary and alternative medicine. 5. List other agents employed in complementary and alternative medicine. 6. List labeling requirements for dietary supplements. 7. Describe the role of the Food and Drug Administration in the safety of dietary supplements 1. Chapter 9 Reading (p ) 2. Week 8 Quiz (Quiz 7) 3. Week 8 Discussion * Exam 3 (Chapter 7, 8, and 9) Week 9 (03/16-03/22) Spring Break Unit 3 Medication Management and Preparation Week 10 (03/23-03/29) Chapter 10 Dosage Forms and Routes of Administration 1. Differentiate between the various routes of administration used in the practice of pharmacy. 2. Compare and contrast the various dosage forms used in the practice of pharmacy. 3. Explain the advantages and disadvantages of a specific dosage form. 4. Explain why a particular dosage form of a specific medication would be preferred over a different dosage form of the same medication. 5. Identify examples of each dosage forms. 6. Identify abbreviations associated with the various routes of administration and dosage forms. 6

7 1. Chapter 10 Reading (p ) 2. Week 10 Quiz (Quiz 8) 3. Week 10 Discussion Week 11 (03/30-04/05) Chapter 11 Extemporaneous and Sterile Compounding (IV Admixtures) 1. Define extemporaneous compounding. 2. Define sterile compounding. 3. Identify types of products produced by sterile compounding. 4. Identify pharmacy settings where nonsterile compounding occurs. 5. Identify common pharmacy equipment or supplies used in extemporaneous compounding. 6. Articulate which types of preparations must be prepared using aseptic technique and which do not require aseptic technique. 7. Identify pharmacy settings where sterile compounding occurs. 8. Define aseptic technique. 9. Describe how aseptic technique relates to infection control. 10. Explain and describe cleaning and use of the laminar flow hood. 11. Describe the use of personal protective equipment in sterile compounding. 12. Identify the regulations associated with sterile compounding. 1. Chapter 11 Reading (p ) 2. Week 11 Quiz (Quiz 9) 3. Week 11 Discussion * Exam 4 (Chapter 10 and 11) Week 12 (04/06-04/12) Chapter 12 Medication Errors 1. Define an error. 2. Identify causes and types of medication errors. 3. Identify common prescribing errors observed by pharmacists. 4. Recognize costs associated with medication errors. 5. List methods to reduce medication errors. 6. Explain the NCC MERP Index for categorizing medication errors. 7. Explain the problems identified by ISMP and solutions to these problems. 8. State the Institute of Medicine s (IOM) recommendations to improve patient safety. 9. Identify ways the patient can assist in reducing prescription errors. 10. Differentiate between the types of dispensing errors. 11. Explain why there is not a valid defense for a prescription error. 7

8 12. Identify a high-alert medication. 13. Explain National Patient Goals that have been established by the Joint Commission. 14. Discuss e-prescribing. 15. Identify the various agencies that oversee the reporting of medication errors and the processes that have been established to do so. 16. Identify medications that may be mistaken for other medications. 1. Chapter 12 Reading (p ) 3. Week 12 Quiz (Quiz 10) 4. Week 12 Discussion Week 13 (04/13-04/19) Chapter 13 Referencing 1. Differentiate between primary, secondary, and tertiary literature. 2. Explain the importance of maintaining a library in a pharmacy. 3. Compare and contrast the components of various reference books. 4. Define the meaning of the terms found in a drug monograph. 5. Identify the appropriate reference books for a particular setting. 6. Discover the use of the Internet in obtaining information affecting pharmacy practice. 7. Identify various pharmacy Internet sites and the information they contain. 8. Understand the application of technology in obtaining pharmacy information. 1. Chapter 13 Reading (p ) 2. Week 13 Quiz (Quiz 11) 3. Week 13 Discussion Unit 4 Practice Setting Week 14 (04/20-04/26) Chapter 14 Retail Setting 1. Describe the layout of a retail pharmacy. 2. List the different types of retail pharmacies. 3. List the components of a prescription. 4. List information needed to fill a prescription. 5. Describe how to process a prescription. 6. Understand the connection between retail pharmacy and customer service. 7. Explain the various reasons why a prescription may be rejected by a third-party payer. 8. Understand how to find insurance information from the insurance card. 9. Describe the importance of the flow of service. 10. Identify the various categories of OTC medications found in a retail pharmacy. 11. Define the role of the pharmacy technician and the duties assigned to him or her in a 8

9 retail pharmacy. 12. Explain the importance of the pharmacy s computer system Chapter 15 Hospital/Inpatient Setting 1. Describe the hospital or inpatient setting. 2. Classify inpatient settings. 3. Identify organizations that regulate inpatient facilities. 4. Describe the policies and procedures manual. 5. Define protocol, as it pertains to inpatient settings. 6. Define formulary. 7. Identify three types of medication orders. 8. Describe the role of the inpatient pharmacy technician. 1. Chapter 14 Reading (p ) 2. Chapter 15 Reading (p ) 3. Week 14 Quiz (Quiz 12) 4. Week 14 Discussion * Exam 5 (Chapter 12, 13, 14 and 15) Week 15 (04/27-05/03) Chapter 16 Other Environments 1. Explain the need for pharmacy technicians in various settings in the practice of pharmacy. 2. Describe the services made available to patients in these settings. 3. Explain the processing of prescriptions in the various settings. 4. Compare and contrast the unique characteristics of various pharmacy settings. 5. Explain the function of Pharmacy Benefit Management (PBM) firms. 6. Identify the payment process in each of these pharmacy settings 7. Identify specific skills necessary to be successful in each of these settings. 8. Identify core responsibilities of pharmacy technicians in each of the settings. Chapter 17 Inventory Management 1. Justify the importance of inventory management in the practice of pharmacy. 2. Discuss the principles of inventory management. 3. Give reasons for the importance of a formulary system in institutional pharmacy. 4. Describe the function of a group purchasing organization. 5. List the steps in ordering medication for the pharmacy. 6. Explain the processes in ordering of controlled substances. 7. Demonstrate the steps in receiving medication from a supplier. 8. Justify the importance of rotating stock upon receipt of new product. 9. Describe the storage of medications in a pharmacy. 9

10 10. Calculate inventory turnover rate. 11. Explain the processes involved in the destruction of controlled substances. 12. Describe the importance and preparation of a yearly physical inventory. 13. Contrast the various types of inventories found in the practice of pharmacy Explain the handling of unsalable merchandise Disclose the procedures involved with the development of new drug products Explain the methods in obtaining investigational new drug products Describe the drug recall process. 1. Chapter 16 Reading (p ) 2. Chapter 17 Reading (p ) 3. Week 15 Quiz (Quiz 13) 4. Week 15 Discussion Unit 5 Transition from Student to Technician Week 16 (05/04-05/10) Chapter 18 Preparing for Your Career as A Pharmacy Technician 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 requirements. 5. Describe methods by which the pharmacy technician can seek employment. 6. List the components of a resume. 7. Describe pre-employment requirements. 8. List positive interviewing strategies for the job applicant Chapter 19 Career Development 1. Identify stress management strategies. 2. Identify time management strategies. 3. Describe the role of the employee evaluation in career development. 4. Differentiate between certification and registration. 5. Describe the role of continuing education in the maintenance of professional status. 6. List pharmacy organizations and describe their purposes. 1. Chapter 18 Reading (p ) 2. Chapter 19 Reading (p ) 3. Week 16 Quiz (Quiz 14) 4. Week 16 Discussion Week 17 Final Week (05/11-05/13) Exam 6 (Chapter 16, 17, 18 and 19) is opened on Monday, May 11, 8:00 am and is closed on Wednesday, May.13, at 10:00 pm. 10

11 Course Communication Plan The key to success for our online course is keeping in close communication. Therefore, please feel free to contact me whenever you have questions or concerns. I will try my best to get back to you as soon as possible, usually within 12 hours. You can reach me by at m-chen2@wiu.edu. Online virtual hours: In order to foster a sense of community, I will be available via online chat, either video or voice, by Skype (Skype account: mlchen1000) with arrangements in advance. I will set up a group in Skype so students will have a chance to participate in a group chat and to interact with other classmates. I will post the discussion topic in each week s folder. You can focus more on the topic and think about relevant issues in advance so you can actively participate the group discussion weekly. My expectations for your participation in online communication: 1). You are required to participate in the group chat during at least one of my online virtual office hours each week. 2). After the group chat, you are required to participate our weekly discussion, and post them in our course discussion forum. You re also welcome to command on other classmates responses. The submission of your discussion is due on Sunday at 10:00 P.M. The weekly discussion will be counted as a part of your total grade points. I will monitor your online communications. If there is inappropriate content, I will contact you and also remove the post from our course forum. All your online course materials and relevant website links will be posted on the Western Online in weekly folders. The deadline for your quiz and Discussion submission is always on Sunday, 10:00 pm. For quizzes, you have two attempts, The higher one will be counted as your grade. Please see the course schedule (p ) for the details of the weekly topics and schedules for quizzes and examinations. Performance and Grading Scale This course is graded as letter grades: A, A-, B+, B, B-, C+, C, C-, D+, D, D- and F. The corresponding grade scale is based on the total grade points earned from examinations, quizzes, and weekly discussion. Six exams (each worth 100 points), fourteen quizzes (each worth 10 points) will be given. Exams and quizzes will be multiple-choice/or matching question format. Exams: Exams will be posted in Western Online. You have only ONE attempt for each exam. Quizzes: Quizzes will be posted in Western Online. You have two attempts for each quiz. The highest grade will be counted. ** There is no makeup if you miss the deadlines for the submission of your quiz or Exam. 11

12 Methods of Assessment of Performance: 6 Exams (100 points/exam) = 600 pts 14 Quizzes (15 points/quiz) = 210 pts 15 Weekly Participation and Discussion = 150 pts (10 points/discussion) Total possible = 960 pts Grading Scale: Grades are assigned based on total points achieved after the final exam scores have been posted: Total points Grade 864 (90%) = A 835 < 863 points (87%-89.9%) = A- 806 < 834 points (84%-86.9%) = B+ 777 < 805 points (81%-83.9%) = B 748 < 776 points (78%-80.9%) = B- 720 < 747 points (75%-77.9%) = C+ 691 < 719 points (72%-74.9%) = C 662 < 690 points (69%-71.9%) = C- 633 < 661 points (66%-68.9%) = D+ 604 < 632 points (63%-65.9%) = D 576 < 603 points (60%-62.9%) = D- 575 points = F Exam grades are based on the total number of correct answers, and all grades are final. No curve will be applied to exam grades, and no retakes will be allowed. No extra point assignments will be made or applied to grades. Students can view their weekly grade on Western Online (WIU ECom is required for login). Course Policies No incomplete will be given to a student with a failing grade in the course. No incomplete will be given in this course unless the student experiences a documented emergency or long term illness that takes him/her away from the online course for at least two consecutive weeks. The student must notify the instructor of their special situations. You are expected to finish your quizzes, examinations, and discussion by your own. Any student convicted of academic dishonesty, (including plagiarism) may receive a failing grade and may be subject to further academic penalties, such as possible expulsion from the university. (See academic dishonesty policy WIU DisabilityPolicies: It is the policy of Western Illinois University to accommodate individuals with disabilities pursuant to federal law and the University's commitment to equal educational opportunities. It is the responsibility of the student to inform the 12

13 instructor of any necessary accommodations at the beginning of the course. Any student with a disability requiring accommodations should contact the Office of Disability Support Services at for additional services.. In accordance with University policy and the Americans with Disabilities Act (ADA), academic accommodations may be made for any student who notifies the instructor of the need for an accommodation. It is imperative that you take the initiative to bring such needs to the instructor s attention, as he/she is not legally permitted to inquire about such particular needs of students. Please find the web address for Student Rights and Responsibilities: IMPORTANT DATES: First Day of Class Mon. January 20, 2015 Spring Break Mon-Fri, March 16-21, 2015 Final Week Mon-Fri, May11-15,

14 CHEM264 Spring 2015 Tentative Online Course Schedule topic Chapter Week 1 Overview, Practice Settings, and Organizations 1 (01/20-01/25) Basic Safety and Standards 2 Quiz 1(Chapter 1 and 2) and Discussion are due on Sunday, Jan. 25, at 10:00 pm Week 2 Communications and Customer Service 3 (01/26-02/01) Ethics, Law and Regulatory Agencies 4 Week 3 Ethics, Law and Regulatory Agencies 4 (02/02-02/08) Quiz 2 (Chapter 3 and 4) and Discussion are due on Sunday, Feb. 8, at 10:00 pm. Exam 1 (Chapter 1-4) is opened on Sunday, Jan. 8 between 12:00 am and Monday, Jan. 9, 10:00 pm. Week 4 Measurements and Calculations 5 (02/09-02/15) Quiz 3 (Chapter 5) and Discussion are due on Sunday, Feb. 15, at 10:00 pm. Week 5 Introduction to Pharmacology 6 (02/16-02/22) Quiz 4 (Chapter 6) and Discussion are due on Sunday, Feb. 22, at 10:00 pm. Exam 2 (Chapter 5 and 6) is opened on Sunday, Feb. 22 between 12:00 am and Monday, Feb. 23, 10:00 pm. Week 6 Drug classifications 7 (02/23-03/01) Quiz 5 (Chapter 7) and Discussion are due on Sunday, March 1, at 10:00 pm. Week 7 Over-the-Counter (OTC) Agents 8 (03/02-03/08) Quiz 6 (Chapter 8) and Discussion are due on Sunday, March 8, at 10:00 pm. Week 8 Complementary and Alternative Modalities 9 (03/09-03/15) Quiz 7 (Chapter 9) and Discussion are due on Sunday, March 15 at 10:00 pm. Exam 3 (Chapter 7, 8 and 9) is opened on Sunday, March 15 between 12:00 am and Monday, March 16, 10:00 pm. 14

15 Week 9 (03/16-03/22) Spring Break Week 10 Dosage Forms and Routes of Administration 10 (03/23-03/29) Quiz 8 (Chapter10) and Discussion are due on Sunday, March 29, at 10:00 pm. Week 11 Extemporaneous and Sterile Compounding (IV Admixtures) 11 (03/30-04/05) Quiz 9 (Chapter 11) and Discussion are due on Sunday, April 5, at 10:00 pm. Exam 4 (Chapter10-11) is opened on April 5, Sunday, between 12:00 am Monday, April 6, 10:00 pm. Week 12 Medication Errors 12 (04/06-04/12) Quiz 10 (Chapter 12) and Discussion are due on Saturday, April 10, at 11:30 pm. Week 13 Referencing 13 (04/13-04/19) Quiz 11 (Chapter 13) and Discussion are due on Saturday, April 18, at 11:30 pm. Week 14 Retail Setting 14 (04/20-04/26) Hospital/Inpatient Setting 15 Quiz 12 (Chapter 14 and 15) and Discussion are due on Saturday, April 24, at 11:30 pm. Exam 5 (Chapter 12, 13, 14 and 15) is opened on Sunday, April 26, between 12:00 am and 11:30 pm. Week 15 Other Environments 16 (04/27-05/03) Inventory Management 17 Quiz 13 (Chapter 16 and 17) and Discussion are due on Sunday, May 3, at 10:00 pm. Week 16 Preparing for Your Career as A Pharmacy Technician 18 (05/04-05/09) Career Development 19 Quiz 14 (Chapter18 and 19) and Discussion are due on Sunday, May 10, at 10:00 pm. Week 17 (05/11-05/13) Final Week Exam 6 (Chapter 16, 17, 18 and 19) is opened on Monday May 11, 12:00 am Wednesday, May 13, 10:00 pm. THIS SYLLABUS IS SUBJECT TO CHANGE UPON NOTIFICATION BY INSTRUCTOR. 15