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Errors remaining in unit dose carts after checking by pharmacists versus pharmacy technicians.

The accuracy of pharmacists and pharmacy technicians in checking unit dose carts was compared. One-half of the unit dose patient medication drawers, for a 92-bed medicine service in a 450-bed teaching hospital, were checked by pharmacy technicians and the remaining by pharmacists. These drawers then were checked again to determine the number and type of checking errors committed by technicians and pharmacists. During the 10-day study, carts checked by pharmacists contained over twice as many errors (1.85%) as similar carts checked by technicians (0.87%). The results suggest that pharmacy technicians could probably be trained to perform the cart-checking task in unit dose drug distribution systems. Time-extended studies should be done to determine if technician performance is maintained after the novelty of the task wears off.

Drug Packaging

Pharmacy technician specialist: a career opportunity.

A training program for pharmacy technician specialists is described. The 200-hour pharmacy technician specialist training program consists of 20 hours of management seminars and conferences and 180 hours of on-the-job training. The program educates inhouse-trained technicians to assume more specialized tasks and supervisory roles. The behavioral objectives for the training program, and the responsibilities and job description of the technician specialist are presented. The technician specialist training program provides career opportunities which help stimulate and motivate technicians.

Job Description

Six-month pharmacy technician training program at a community college.

A six-month pharmacy technician training program at a community college is discussed. Establishment of the program, recruitment and screening of applicants, and the curriculum are described. Also discussed are the advantages of community college training, the program's pharmacist advisory committee, contracts with hospitals that provide practical experience, reaction of state pharmacy organizations to the program, and the employment record of graduates. It is suggested that short, effective pharmacy technician training programs should be established in community colleges to supply high quality supportive personnel to hospital pharmacies. A national testing and certification program for pharmacy technicians is recommended.

Allied Health Personnel

Basic skills for hospital pharmacy technicians: development of a programmed training manual.

The development of a programmed training manual to teach basic skills to hospital pharmacy technicians is described. Steps in the development of the manual included reviewing pertinent literature, writing a job description for a pharmacy technician position, performing a task analysis, writing learning objectives and sequencing course content into a programmed format. Five units of the manual cover dosage forms and routes of administration, drug nomenclature, abbreviations, calculations and medication orders. The programmed format should help to provide quality, economic and efficient training for technicians.

Goals

Training, utilization and motivation of pharmacy technicians--a five-year analysis.

A 600-hour-on-the-job training program for hospital pharmacy technicians is described. Qualified applicants who successfully pass a written examination are admitted to the program. Trainees receive both didactic and practical experience in all service areas of the pharmacy department. Opportunity for advancement through a technician specialist training program is available. Eighty percent of all applicant accepted into the program graduated, and 39% are currently employed by the pharmacy department with an average of 42 months work experience each. It is recommended that national guidelines are established for hospital-based pharmacy technician training program.

Education, Pharmacy

Development and implementation of a pharmacy technician training program.

A nine-month on-the-job training program for hospital pharmacy technicians is described. The first three months of the program are devoted to didactic training and the remaining six months to acquiring practical experience. Candidates for the program are provided through state-sponsored public assistance or manpower training programs. A minimum of six individuals are needed to begin a program to ensure that during at least three complete it. Forth technicians have completed the program during the past six years, and eight are currently employed by the hospital. Thirteen others are known to be employed at other institutions or in health-related occupations.

Adolescent

Inservice pharmacy technician training program.

The development and implementation of a two-month inservice training program for hospital pharmacy supportive personnel is discussed. A task-oriented approach was used to define the instructional objectives of the program. To emphasize the job-related nature of the instruction, conferences and workshops were selected as the primary teaching methods. A specific instructional plan was designed for drug conferences, giving the trainee an active role in the learning of drug names and dosage forms. On-the-job experience, comprising 30% of the training time, gradually was incorporated into the program. Staff pharmacists and supervisors assumed the teaching responsibilities. During weekly evaluation sessions with each trainee, the coodinator discussed the trainee's performance, pin-pointed deficiencies and suggested means of improvement. The benefits of the program, in terms of selection and sequence of instructional programs, student assessment and program evaluation, are discussed.

Curriculum

Use of a pharmacy technologist to manage technicians' activities.

The role of a pharmacy technologist, in comparison with that of a pharmacist and a pharmacy technician, is discussed as it was developed at one hospital. Training, staffing patterns, personnel functions, acceptance and salary of the technologist are described. The use of the technologist to manage technician-level personnel is suggested as a means of providing the pharmacist with more time for professional activities.

Hospital Bed Capacity, 500 and over

Distribution accuracy of a decentralized unit dose system.

Unit dose medication carts in a 500-bed university hospital were monitored for accuracy and completeness after delivery to the nursing station. The contents of the cart were compared with the nurse's patient medication record. Discrepancies were recorded for evaluation. All medication cart distribution errors found were analyzed to identify the source and were tabulated to determine error rate. Three major categories of errors were discovered: pharmacy technician errors not corrected by the pharmacist, errors associated with nurse's patient medication records, and errors resulting from lost orders.

Medication Errors

Implementation of the medication technician concept.

The implementation of a pharmacy-controlled medication technician program is discussed. Qualified candidates are selected and trained to administer medications to patients under the supervision of a pharmacist. A centralized unit dose drug distribution system is employed. The responsibilities of the technicians and the pharmacists are presented.

Allied Health Personnel

Total parenteral nutrition solution preparation utilizing amino acid sources with and without pre-added electrolytes: a time and cost comparison.

A comparison study of the time and cost of preparation of total parenteral nutrition solutions using a crystalline amino acid source with pre-added electrolytes and an amino acid source without electrolytes is presented. Four pharmacists and 4 technicians each prepared 4 solutions, utilizing each of the two amino acid sources. Both time of preparation and time of checking were measured. Utilizing list prices as acquisition costs for ingredients and the average salary for pharmacists and technicians at Medical University Hospital to determine the labor ocst, the average cost of preparing each solution was determined. The results of this study demonstrated that a potential savings of 10.3% and 9.9% was possible for pharmacist-prepared and technician-prepared solutions, respectively, when amino acid solutions containing pre-added electrolytes are utilized. The authors concluded that the use of crystalline amino acid solutions with pre-added electrolytes could offer substantial savings of labor and money for the hospital pharmacy. These solutions could also represent a significant cost savings to home-prepared parenteral nutrition formulas.

Amino Acids