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Instructor: Milan Topalov Fall Session, 2012. Instructor Credentials Education: St. Johns University, Jamaica, N.Y. : Bachelor Degree in Chemistry cum.

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Presentation on theme: "Instructor: Milan Topalov Fall Session, 2012. Instructor Credentials Education: St. Johns University, Jamaica, N.Y. : Bachelor Degree in Chemistry cum."— Presentation transcript:

1 Instructor: Milan Topalov Fall Session, 2012

2 Instructor Credentials Education: St. Johns University, Jamaica, N.Y. : Bachelor Degree in Chemistry cum laude. Awarded Curriculum included organic synthesis, functional group analysis, and other chemical theory study. St. Johns University, Jamaica, N.Y.: Pharm.D in Pharmacy, cum laude. Awarded in Curriculum included required NYS pharmacy study: pharmacology, pharmacokinetics, therapeutics, pharmacy law. Professional Licensure: NYS licensed Pharmacist (RPH): licensed October 2006

3 Employment History: New York Presbyterian Hospital at Columbia / Cornell 622 W. 168 th Street, New York, N.Y Title: Pharmacist Duties as Pharmacist: medication review and order entry, drug information consultation for MD and RN supervision of pharmacy personnel IV admixture preparation Omnicell and Pyxis experience Held: January Present. Flushing Hospital Medical Center, Flushing NY Title: Pharmacy Intern. Held between December 2002-October, 2006 Title: Pharmacist. Held between October 2006-December 2007 Duties as Pharmacist: medication review and order entry, drug information consultation for MD and RN supervision of pharmacy personnel IV, TPN, and chemotherapy admixture preparation (limited experience)

4 Definition of Pharmacy Technician A pharmacy technician is an individual who is trained to perform certain tasks related to providing pharmacy services to patients in an institutional setting and customers in a community setting. A pharmacy technician is an important part of the pharmacy team who directly assists the pharmacist in the provision of pharmaceutical related care. The expanding role of the pharmacy technician has enabled the pharmacist to spend more time in providing clinical services to patients.

5 Duties performed by a pharmacy technician The duties performed by a pharmacy technician vary according to the state that the technician is employed. The duties typically involved the physical act of medication preparation. Technicians in most states can: Provide purchaser services and place orders for medications to suppliers. Physically fill and handle automated dispensing cabinets (i.e pyxis and omnicell) Assist in Inventory management. Count, pour and label medications for patients Unit dose medication from manufacturer to institution generated packaging.

6 Duties performed by a pharmacy technician (continued) In NY state a pharmacy technician is allowed to accept written prescription presented to the pharmacy by the patient and gather patient specific information. A pharmacy technician is allowed to key personal prescription data into a computerized system; however a licensed pharmacy must initial and approve the entries. A pharmacy technician is allowed to handle issues dealing with pharmacy benefits third party payers.

7 Duties that a pharmacy technician cant provide. In NY state, a pharmacy technician can not provide counseling to patients or provide drug information to other health care professionals (i.e MDs and RNs). In NY state, a pharmacy technician can not accept oral orders for prescriptions from health care providers authorized to prescribe drugs (MD, NP, PA) A pharmacy technician is not permitted to compound medications like creams, ointments, and parenteral agents. (This is in NY ; however, others states differ) All these duties are the responsibilities of the pharmacist or a pharmacy intern. In general, any issue that involves professional judgment requires the pharmacist. Performing these duties can leave you open to legal liability.

8 Requirements to be a pharmacy technician 18 years of age. High school diploma or GED No Felony convinction The above requirements will allow you to be able to take the PTCE which is Pharmacy Technician Certification Boards (PTCB) exam The above requirements will allow you to be able to take the ExCPT which is given by Institute for the certification of pharmacy technicians (ICPT). The website for the PTCB is The website for the ICPT is

9 Certification versus Licensing: difference between a pharmacy technician and a pharmacist A license is granted to a pharmacist by the state in which he/she is employed. A certification is granted by a nongovernmental agency that indicates an individual has obtain a certain level of competency in the field in which the certification is granted. States and employers recognize these agencies and often attach highest priority to these individuals possessing certification Many states require these certifications to allow individuals to be registered as pharmacy technicians. Some employers require these certifications for consideration in employment.

10 The Pharmacist: background information A pharmacist is an individual licensed to dispense, compound, and provide drug related advise on medications. A pharmacists can work in a community/retail setting, hospital or institutional setting or in the pharmaceutical setting for drug companies like Pfizer or Sanofi Aventis. Opportunities in these areas exist for the pharmacy technician as well. To be a pharmacist requires: Six years of study in a college of pharmacy to include organic chemistry, physiology, pharmacology and therapeutics among other course work 9 months of internship (part of six year program) Graduation from the program with a PharmD. Degree Passage of the NAPLEX exam Passage of the Jurisprudence (Pharmacy Law)exam for the state in which applicant of the license wishes to practice. Registration with the state in which the applicant wishes to practice. 45 CE credits every 3 years to be able to renew registration. License is permanent until its revoked for professional misconduct.

11 NY state board of Regents and the office of professions Every person that holds a professional license in NY state has their professional record open to inspections by a citizen of the state. This list includes pharmacists, doctors, lawyers, accountant, nurses etc. The list, called on line verification, can be accessed at:

12 Pharmacy Technicians in the hospital setting Duties includes: ordering of medications from suppliers, filling orders, labeling medications, unit dosing, filling of ADC with legend drugs and controlled substances. At New York Presbyterian/Columbia University Medical Center. Pharmacy technicians are paid between $39,000 to $42,000 per year not including overtime. Pharmacy technicians are 1199 union members. Pharmacy technicians receive 4 weeks paid vacation/year, 12 paid sick days/year, 8 paid holidays/year, and 4 personal days/year. In addition, full time technicians are eligible for a union pension, life insurance, full medical and dental coverage. Pharmacy technician receive good pay for their efforts. PTCB certification is required at NYP

13 With great rewards come great responsibilities A pharmacy technician is a rewarding career and can open the doors to other opportunities. (1199 provides CE credits free of charge and offers tuition assistance for individuals wishing to pursue future studies) However, with these benefits comes responsibilities. You will be entrusted with peoples medications and you will be handling medications that are controlled substances in the United States (i.e Narcotics like Vicodin®, Percocet®, Xanax®, and stimulants like Concerta® and mixed amphetamines like Adderall ® etc) In some states you will be allowed to compound medications into IVs. Mistakes made can be costly and can leave you open to legal liabilities.

14 Legal Cases involving Pharmacy Technicians (and Pharmacists) Rx for errors: Drug error killed their little girl Article reported in US Today in February, 2008 about 2 year old Emily Jerry in a Cleveland Ohio hospital. 2 year old girl was diagnosed with a curable tumor in the abdominal region of her body in After 4 rounds of chemotherapy, she was cured in early february The oncology team wanted to give one more round to make sure the tumor was gone. The cure became the curse. A pharmacy technician had prepared Emilys chemotherapy medication using 23.4% solution of sodium chloride instead of the normal 0.9% sodium chloride solution. The pharmacist who was supervising the technician had also missed the error. The baby received the chemotherapy agent and within a few hours was on life support. She died on March 1, The family had planned a trip to disney world and instead they planned their childs funeral.

15 Emily Jerrys Case In August 2006, an Ohio grand jury indicted the pharmacist on charges of reckless homicide and involuntary manslaughter "in the death of Emily Jerry. Ohio state board of pharmacy revoked his license. Unlike the pharmacist, the pharmacy technician did not face disciplinary charges; however she no longer works at the hospital and now holds a non pharmacy related job at CVS. Congressman, Rep. Steven LaTourette, R-Ohio. introduced Emilys Act into congress which would mandate certain educational requirements for all pharmacy technicians and provide for restrict legal penalties for misconduct.

16 Legal Cases Inside a pharmacy where a fatal error occurred USA Today article published in Case concerned a 46 year old man with a prescription for methadone in He had the prescription filled at a walgreens in Florida. He received his prescription and began taking his medication which is a pain killer for pain. Within a day he was found dead in the shower by his wife. An autopsy performed determined the cause of death as a methadone overdose. A legal case was brought against the Jacksonville, Florida walgreens. The plaintiff team determined the cause as a pharmacy technician who keyed the directions for use incorrectly and the pharmacist who was too busy to catch the error. The case was settled out of court.

17 Conclusions You as a pharmacy technician have a wonderful career opportunity. You also have a great deal of responsibility. It is your right to receive adequate supervision by your pharmacist. Be proactive and protect yourself. Education is an important part of everyones career path. Make it a part of yours. Good Luck


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