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Disclosures TECHnicLeigh Speaking Leigh Scherer, B.S., CPhT JoEllen Maurer, B.S. Pharm, MHA, BCPS Leigh Scherer Nothing to disclose JoEllen Maurer Nothing to disclose Learning Objectives Review the traditional roles of the pharmacy technician pertaining to medication distribution Discuss the educational requirements of the pharmacy technicians in Montana Describe opportunities for technician career advancement Pre-Test Questions 1. Which of the following is not a traditional role of the pharmacy technician? a) Answering phones b) Preparing medications for distribution c) Medication reconciliation d) File/Account management 2. The current educational requirement of the pharmacy technician in Montana is: a) High school diploma b) Ability to count by 5 s c) Completion of a PTCB-recognized education/training program d) Ability to read provider handwriting 3. Which is an opportunity for technician career advancement? a) Ability to count by 10 s b) Immunization administration c) Automatic entry into pharmacy school d) Monitoring and dosing aminoglycosides A long, long time ago.. Technicians were viewed as assistants Pharmacists did not have as many responsibilities Volume of daily prescriptions was significantly lower When you think of a traditional pharmacy technician, say 30 40 years ago, what roles come to mind? Front facing for the customer Answering phones/doors, cashiering Preparing medications for distribution File Management Purchasing and Receiving Narcotic Records RXs Account maintenance Invoices to customers/from vendors 1

Pharmacy Technician Qualifications Technician-In-Training MT rule 24.174.702 states the Qualifications of Pharmacy Technician as: At least 18 years of age High school graduate or an equivalent degree Good moral character Certified by the Pharmacy Technician Certification Board (PTCB) or other board approved certifying entity Registration with MT Board of Pharmacy The permit to practice as a technician-in-training shall be valid for a period of not longer than 18 months http://www.mtrules.org/gateway/ruleno.asp?rn=24%2e174%2e702 accessed 3/1/18 http://www.mtrules.org/gateway/ruleno.asp?rn=24%2e174%2e701 accessed 3/1/18 Requirements for Certified Pharmacy Technician (CPhT) Testing, Testing, 1 2 3 High school diploma or equivalent diploma (i.e. GED) Full disclosure of all criminal and State Board of Pharmacy registration or licensure actions Compliance with all applicable PTCB Certification policies Passing score on the Pharmacy Technician Certification Exam (PTCE) Effective January 1, 2020, PTCB will require completion of a PTCBrecognized education/training program to be eligible to take the certification exam http://www.ptcb.org/get-certified/apply-for-cpht#.wsmmfi7wauk accessed 3/1/18 http://www.ptcb.org/about-ptcb/news-room/news-landing/2018/01/11/ptcb-announces-new-pharmacy-technician-certification-examination-(ptce)-content-outline-and-updated-educationtraining-requirement-for-cpht-certification#.wsmdpy7waul accessed 3/15/18 Current Format 9 Domains Pharmacology Law & Regulations Sterile & Non-Sterile Compounding Medication Safety Quality Assurance Order Entry & Fill Process Inventory Management Billing & Reimbursement Information System Usage PTCE Exam Format http://www.ptcb.org/docs/default-source/get-certified/new_ptce_blueprint.pdf?sfvrsn=15 accessed 3/1/18 https://www.ptcb.org/docs/default-source/about-ptcb/ptce-content-outline-effective-january-1-2020.pdf?sfvrsn=2 accessed 3/15/18 2020 Format 4 Domains Medications Federal Requirements Patient Safety & Quality Assurance Order Entry & Processing Montana Pharmacy Technician Certificate of Applied Science (CAS) Accredited Programs Missoula College University of MT Accredited by ASHP City College MSU-Billings Accredited by NWCCU http://www.rxmt.org/technicians accessed 4/7/18 http://www.msubillings.edu/citycollege/programs/progpharmacytech.htm accessed 4/7/18 2

Stayin Alive Important Qualities for Pharmacy Technicians Recertification 20 hours of Technician specific Continuing Education in 2 years 1 hour in law 1 hour in safety Reinstatement (license lapsed for more than 1 year) 20 hours of Technician specific Continuing Education in 2 years 2 hours in law 1 safety Customer-service skills Detail oriented Listening Skills Math Skills Organizational Skills http://www.ptcb.org/renew/recertify#.wr23zy7wauk accessed 3/1/18 http://www.ptcb.org/renew/reinstate#.wr23ds7wauk accessed 3/1/18 https://collegegrad.com/careers/pharmacy-technicians accessed 4/8/18 Pharmacy Technician Work Environment Work under the direct supervision of a Pharmacist Employers of Pharmacy Technicians Responsibilities vary depending on place of employment General 52% merchandise 10% stores Grocery stores Other 8% 14% 16% Hospitals; state, local, and private Pharmacies and drug stores https://www.bls.gov/ooh/healthcare/pharmacy-technicians.htm#tab-3 accessed 3/30/18 What roles do pharmacy technicians play in your pharmacy? To infinity and beyond.. Responsibilities of traditional technicians Customers Phones/Doors File Management Medication Distribution These are just as important as the opportunities which lie ahead https://www.bing.com/images/search?view=detailv2&ccid=t%2bxxhmob&id=446ce49802d690426b43d118c2c7e90c9afa13f3&thid=oip.t-xxhmobra97-onvtezuowhae8&mediaurl=http%3a%2f%2fmedimoon.com%2fwp-content%2fuploads%2f2013%2f11%2fpharmacytechnicians.jpg&exph=1067&expw=1600&q=pharmacy+technician+images&simid=608049839572780738&qpvt=pharmacy+technician+images&ajaxhist=0 accessed 4/7/18 https://www.bing.com/images/search?view=detailv2&ccid=n4g9rhzs&id=49385312437dc39c3ae7e929d784fe0b46411536&thid=oip.n4g9rhzsfxxz5qwcmpqfsahaha&mediaurl=http%3a%2f%2fanewbreedofdragon.com%2fwp-content%2fuploads%2f2015%2f07%2fbuzz-lightyear-toy- Story.jpg&exph=710&expw=750&q=buzz+lightyear+images&simid=608030224452485829&selectedIndex=0&ajaxhist=0 accessed 4/7/18 3

https://www.ashp.org/news/2018/04/02/ashp-launches-pharmacy-technician-forum. accessed 4/7/18 https://www.google.com/search?q=career+ladder&rlz=1c1ggrv_enus773us773&source=lnms&tbm=isch&sa=x&ved=0ahukewjj96o-6anaahwgxymkhtqlaf8q_auicigb&biw=1920&bih=949#imgrc=pspmxqqqaowamm: accessed 4/7/18 4/18/2018 Practice Advancement Initiative Pharmacy technicians are the cornerstones supporting the safe, effective, and optimal use of medications, and are integral to the advancement of pharmacy practice ASHP CEO Paul W. Abramowitz, Pharm.D., Sc.D. (Hon.), FASHP http://www.ashpmedia.org/pai/docs/mcm10-ppmi-students.pdf accessed 4/7/18 https://www.ashp.org/news/2018/04/02/ashp-launches-pharmacy-technician-forum. accessed 4/7/18 Pharmacy Technician Forum Central point for pharmacy technician engagement in ASHP Establish their role on inter-disciplinary patient care teams Help pharmacy technicians advance their practice Developing pharmacy technician leadership in ASHP Policymaking Strategic planning Advisory committees Advanced Roles Examples of Advancement Opportunities Telepharmacy technicians Educators for technician programs Technician Supervisors/Managers Primary Care Opportunities MAP Analytics (i.e. CMS 5 star as far as meeting goals/mu) Immunizations Prior-Auth AntiCoag Medication History/Reconciliation Technicians Discharge Pharmacy Technicians Management of Robotics Pharmacy Analysts/Informatics St. Luke s Outpatient Pharmacy, Boise, ID Training PGY2 Oncology Residents Participating in research Assisting in clinical settings Medication therapy management http://www.pharmacytimes.com/technician-news/the-evolving-role-of-pharmacy-technicians accessed 3/1/18 http://www.pharmacytimes.com/publications/issue/2014/august2014/2014-technician-of-the-yearaccessed 3/1/18 4

Examples of Advancement Opportunities Examples of Advancement Opportunities Albertsons, Boise, ID Immunization administrations by pharmacy technicians Veterans Health Administration Opioid Safety Initiative Obtaining medication histories Patient education related to VA formulary status Documenting medication adherence Documenting patient allergies and adverse drug reactions https://www.drugstorenews.com/article/albertsons-trains-first-pharmacy-tech-nation-administer-immunization/ accessed 3/1/18 http://www.ajhp.org/content/75/2/13 accessed 3/1/8 PTCB Certified Compounded Sterile Preparation Technician (CSPT ) Program First new certification program since 1995 To earn CSPT Certification: Eligible CPhTs must pass the CSPT Exam Submit Competency Attestation documentation from a qualified supervisor Technicians are advancing. What work does your organization have ahead to get technicians into these types of roles? https://www.ptcb.org/get-certified/cspt accessed 3/15/18 https://www.google.com/search?q=prescription+pills&rlz=1c1ggrv_enus773us773&source=lnms&tbm=isch&sa=x&ved=0ahukewjyxvn9_knaah WCw4MKHealDaAQ_AUICigB&biw=1920&bih=949#imgdii=KXyLO6JvQ3NCWM:&imgrc=orBYozvu3B8c4M accessed 4/7/18 Closing Time. Technicians performing traditional preparation and distribution activities continues to be extremely valuable Training and certification requirements ensure technicians have the foundation needed to pursue advanced roles Technician roles are expanding in all areas of the medication-use process, which allows pharmacists to take greater responsibility for direct patient care http://www.egeszsegkalauz.hu/sites/default/files/questionmark_pills.jpg accessed 4/8/17 5

Post-Test Questions 1. Which of the following is not a traditional role of the pharmacy technician? a) Answering phones b) Preparing medications for distribution c) Medication reconciliation d) File/Account management 2. The current educational requirement of the pharmacy technician in Montana is: a) High school diploma b) Ability to count by 5 s c) Completion of a PTCB-recognized education/training program d) Ability to read provider handwriting 3. Which is an opportunity for technician career advancement? a) Ability to count by 10 s b) Immunization administration c) Automatic entry into pharmacy school d) Monitoring and dosing aminoglycosides 6