pharmacy store location---good location and signs size----board of pharmacy controls size of pharmacy ADA---ramps, speaker height, doors environment----temp,humidity storage----long term storage area, locks clean room----aseptic technique area hazardous disposal-----plans for pickup, return expired drugs security----alarm system with codes

pharmacy store reference material/books---state laws, drug formulary, compounding reference, orange book(ther equ), USP vol1 (dr use) USP vol2(pt use) USP vol 3(orange book) MSDS, Remington manual(bible) proper equipment----sink, printer,scale, funnels, mortar-pestle, PPE, syringes, laminar flow hood, ect proper license/registration----NPI, permit, business lic, state ph lic, CSA lic, ect where public can see it. must have consultation rooms

Policies of pharmacy Mission statement--goals Organization structure---chain of command Policy---course of action Procedure-----step by step These are required by agencies. Pharmacies may keep track of Customer service Effiency—customer waiting time, rx error productivity—rx per hour/absense/tardy

Policies of pharmacy Communication Face to face most effective Bulletins least effective Requires certificates— Form 222-get sch 2med Form order controlled substances Form 41---destroy controlled substances

retail CPhT Enter RX Pt info in computer Assist RPh Talk with ins carriers for reimbursement Verify correct rx Order inventory Phone calls Talk with prescriber for refills Compound oral; solution creams ointments Prepackage bulk medications Aware of new pharm developments Assist other employees

Institutional CPhT Transport equip to nursing units Pick up drug orders, unused meds, auto med admin records to the pharmacy Fill med cassette Prepare meds for dispensing (package, compounding) Order supplies, receive meds Assist employees Ins billing Deliver unit dose to machines Phone calls

Requirements in the store Drug storage---sch 2 drugs must be locked. Sch may be scattered throughout. Refrigerator for some meds. equip—must have class A balance, pharm weights, grad cylinder, mortar/pestle, spatula, stir rods, laminar airflow hoods for IV and chemo agents Counter space, alarm system, sink, lockable refrigerator, safe for sch2 meds. Employees have current licenses Rx, inventory, invoices, 222&41 form must be available for gov in 72 hours Pharmacy must have a professional pharm library pharmacist is allowed to do immunizations