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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
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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 224---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 3 4 5 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
Some of the things a pharmacy technician cannot do: override warnings on the computer counsel patients take new prescriptions over the phone advise on health and drug-related queries certify dispensing perform extemporaneous compounding remove medications until checked by a pharmacist assess drug therapy or discuss therapy with patients