PHARMACY PRACTICE - Future Health Professionals



-74295-52959000Pharmacy Practice HYPERLINK "" ??????49339583185New for 2014-15Pharmacy Practice is a brand new skill event designed just for Colorado HOSA members. The event has been prepared by the University of Colorado Skaggs School of Pharmacy00New for 2014-15Pharmacy Practice is a brand new skill event designed just for Colorado HOSA members. The event has been prepared by the University of Colorado Skaggs School of PharmacyPurpose:To provide the Health Science student with an opportunity to develop and demonstrate knowledge and skills in pharmacy practice.DescriptionThis event will consist of two rounds of competition. Round One will be a written, multiple choiceof Event:test of knowledge and understanding. The top scoring competitors will advance to Round Two for the performance of selected skill procedure(s) identified in a written scenario. The scenario will require the use of critical thinking skills. The performance will be timed and evaluated according to the event guidelines.Dress Code:Competitors shall wear proper business attire or official HOSA uniform, or attire appropriate to the occupational area, during the orientation and written test. Competitors will wear attire appropriate to the occupational area during the skill procedure(s). Bonus points will be awarded for proper dress.Rules petitors in this event must be active members of HOSA-Future Health Professionals, Proceduresin good standing in the category in which they are registered to compete (Secondary or Postsecondary/Collegiate). Competitors should compete in skill events at the highest level of their training.petitors must be familiar with and adhere to the “General Rules and Regulations of the National HOSA Competitive Events Program (GRR)." The test will consist of fifty (50) multiple choice items. Round One: Written Test Plan History and Profession of Pharmacy 7.5% Pharmacology for Technicians15% Pharmacy Law and Regulations15% Sterile and Non-Sterile Compounding10% Medication Safety12.5% Pharmacy Quality Assurance5% Medication Order Entry and Fill Process15% Pharmacy Inventory Management7.5% Pharmacy Billing and Reimbursement7.5% Medication Formulation Usage5% All competitors shall report to the site of the event orientation at the time designated. The Round One test will immediately follow the orientation. No proxies will be allowed for the orientation. 5.Test Instructions: There will be a maximum of 60 minutes to complete the test. There will be a verbal announcement when there are 15 minutes remaining for the test period. NOTE: States/regions may use a different process for testing, to include but not limited to pre-conference testing, online testing, and testing at a computer. Check with your Area/Region/State for the process you will be using.All official references are used in the development of the written test. The specific reference selected for each procedure is listed in the Facilities, Equipment and Materials section of these guidelines.Ballington, Don and Anderson, Robert. Pharmacy Practice for Technicians. Paradigm Education Solutions. Latest edition.Ballington, Don and Laughlin, Mary. Pharmacology for Technicians. Paradigm Education Solutions. Latest edition.Dosage Form Use Document – from CU Skaggs School of Pharmacy for demo dosage forms and other supplies for proceduresThe test score from Round One will be used to qualify the competitor for the Round Two skill procedures, and will be used as a part of the final score for the event. For national competition, one, two or three skill procedures will be selected and may be evaluated as stand-alone skills, or in combination. The procedures approved for this event are:Procedure I:Identify Problems or Missing Items on PrescriptionsProcedure II:Interpret Prescriptions and Dispense CorrectlyProcedure III:Donning Aseptic Gear in Sequential OrderProcedure IV:Aseptic TechniqueProcedure V:Non-sterile Compounding – Suspension/SolutionProcedure VI:Non-sterile Compounding – Two OintmentsProcedure VII:Non-sterile Compounding – Ointment with TabletsProcedure VIII:Patient Education: Proper Dosage Form Usage * Two of the procedures in red will be piloted at the 2015 Colorado State Leadership Conference. The selected procedure(s) for Round Two, in the form of a written scenario, will be presented to the competitor at the start of the skill to be performed. One or more procedures may be combined in the scenario. The scenario will be the same for each competitor and will include a challenging component that will require the competitor to apply critical thinking skills.The scenario is a secret topic. Professional ethics demand that competitors DO NOT discuss or reveal the secret topic until after the event has concluded. Competitors who violate this ethical standard will be disqualified.In case of a tie, the highest test score will be used to determine the rank. petitors must complete all steps of the procedure listed in the guidelines even if the steps must be simulated/verbalized. Steps may NOT be simulated/verbalized when the equipment/materials are available.13.The competitor must earn a score of 70% or higher on the combined skill procedure(s) of the event (excluding the test) in order to be recognized as an award winner at the NLC.14. The timing for the skill will begin when the scenario is petitors will be stopped at the end of the time allowed for a selected procedure(s).9334584455Competitor Must Provide:Event guidelines (orientation) Pens and #2 lead pencils with eraser Calculator00Competitor Must Provide:Event guidelines (orientation) Pens and #2 lead pencils with eraser CalculatorRequired Personnel1.One Event Manager per event2.One Section Leader per section3.One judge per procedure selected per section (with expertise in the specific skill area)4.Proctors for testing 5.One-two event assistants per section6.One-two patients as required by the scenario (per section)7.Holding room attendants(s) 8.Timekeepers (if necessary)9.One QA to provide quality assurance for the event by ensuring that the guidelines are followed and all event documents are complete.Facilities, Equipment and Materials (Per Section)GeneralClinical and/or laboratory stations for selected proceduresAccess to sink for selected proceduresHolding rooms or areas for competitorsWritten scenario (one copy per competitor and judge)Patient and judge scripts as neededPencils for judgesStopwatchRating sheets – one per judge per competitorEvaluation Forms – competitor, judge, and personnel#2 lead pencils with eraser to complete evaluationsRound One:Written Test (Reference: All resources)One test copy per competitorScantron /answer forms Round Two:Procedure IIdentify Problems or Missing Items on Prescriptions (Reference: Ballington, Chapter 6)Pencil/eraserProcedure IIInterpret Prescriptions and Dispense Correctly (Reference: Ballington, Chapter 6)Pencil/eraserCounting tray/spatulaTwo medication vials of each size (10 dram, 20, 30, 40, 60)Labels (4 per competitor)Demonstration medicationsKeflex 500 mg, #30Cephalexin 500 mg, #30Norco 5/325, #150Hydrocodone/Acetaminophen 10/325, #150Polytrim ophthalmic drops, 10 mL bottlePoly-dex ophthalmic drops, 5 mL bottleTriamcinolone 0.1% cream, 80 g tubeTriamcinolone 0.1% ointment, 80 g tubeProcedure IIIDonning Aseptic Gear in Sequential Order (Reference: Ballington, Chapter 11)Tape to represent different roomsSink accessSoap or hand sanitizerBarrier devices (gloves, gown, shoe covers, mask, hair net)Procedure IVAseptic Technique (Reference: Ballington, Chapter 11)Isopropyl alcohol and sterile water in spray bottlesPaper towelsHorizontal hood (counter space with backdrop)Powdered and liquid medication vialsSterile water vialSafeline Vial Access Cannulas ()Alcohol swabs250 mL NS or D5W bagProcedure VNon-sterile Compounding – Suspension/Solution (Reference: Ballington, Chapter 8)Pencil/eraserPaperCrushable Tablets (at least 15-20 per competitor)Counter spaceMortar and pestle50 mL and 100 mL graduated cylindersOne vial of varying sizes (2 oz., 3 oz., 4oz.)Sink accessProcedure VINon-sterile Compounding – Two Ointments (Reference: Ballington, Chapter 8)Pencil/eraserPaperTwo different ointments, one labeled as 2% and the other 10%Counter spaceWeighing scale Wax paper or similar item (to be able to weigh product)Either mortar and pestle or compounding slab with spatulaContainer for final productSink accessProcedure VIINon-sterile Compounding – Ointment with Tablets (Reference: Ballington, Chapter 8)Pencil/eraserPaperOintmentCrushable tablets (at least 10-15 per competitor)Counter spaceWeighing scaleWax paper or similar item (to be able to weigh product)Mortar and pestleCompounding slab with spatulaContainer for final productSink accessProcedure VIIIProper Ophthalmic Drop Usage (Reference: , How to Use Eye Drops Properly)Eye dropsTissue or clothSink accessIcon Key?Competitors must meet a 70% mastery score on skills in this event.?The orientation includes an event element. Competitors must bring pencils/pens.?Round One scores are used to advance competitors to Round Two at the NLC.Includes a secret topic that may not be discussed or revealed to others until the event has concluded.Event Flow Chart 192024012700Orientation50-item test in 60 minutes00Orientation50-item test in 60 minutes2786380762000206311593980Scan Tests00Scan Tests27863802540001720215107315Top competitors advance to Round Two00Top competitors advance to Round Two278638013017500172021592075Competitors perform skills 00Competitors perform skills 278638017145001948815140335004446270106045Add competitors’ test score to his/her skill score for final tally.Rank top 10 competitors according to their final score.00Add competitors’ test score to his/her skill score for final tally.Rank top 10 competitors according to their final score.21145559055Competitor not recognized at Awards Session00Competitor not recognized at Awards Session2228850121285Did competitor earn 70% of skill points?00Did competitor earn 70% of skill points?1497330100330No00No3663315100330Yes00Yes12744451631950042348158953500Sample Round One Test Questions1.Professionals and consumers can report serious adverse drug reactions toA. the DEA.B. the PTCB.C. MedWatch.D. the NABP.2.What is a common side effect of narcotics?A.swelling.B.constipation.C.wheals.D.wheezing.3.Why are many patients with asthma reluctant to use inhaled corticosteroids? A.They dislike the dosing regimen.B.They fear potential side effects.C.They object to the taste.D.They think corticosteroid inhalers are too difficult to use.PHARMACY PRACTICECompetitor #: _______________ Judge's Signature: _______________________________Procedure IIdentify Problems or Missing Items on a Prescription Reference: Ballington, Chapter 6Time: 8 minutesPossibleAllocated1.Prescription #1Smith, John5555 W Auraria CtDenver, CO 8021929908578105b00b#1 Healthcare Offices-55245179705a00a4838707048500303-555-5656 28670251041400015735304889500Rx: Fentanyl 100 mcg patch #90 (No Written date)1 patch Q3 days for 1 month272224585725d00d43713404572000Refills: 0149733040005c00cDr. M. Johnson, MD____________16878304699000 (No DEA Number)Unacceptable quantity1Missing address of doctor’s office1No DEA number1Missing date written12276475203200a00a2.Prescription #24102105207000John 5555 W Auraria CtDenver, CO 80219 720-546-3255 DOB: 08/15/56#1 Healthcare Offices1357 E. Bonner StDenver, CO 80219303-555-5656 Rx: Testosterone depot 100 mg/mL #10 ml 7/27/201420066010350500Inject 2 mL (200mg) Q2W 156273573025d00d122999569215004826064770b00b (No Indication) 43713402159000Refills: 013436603175c00cNick Johnson, MD____________1515110952500 DEA: AJ3462841Missing last name1Missing route of administration (PO, IM, SQ, IV, etc.)1Invalid DEA number1Missing indication for medication use1Items EvaluatedPossibleAllocated3.Prescription #3Bullock, Seth 2415 E. Colfax Ave Denver, CO 80219 Colorado Alpine Care4110 Washington St.Denver, CO 80209303-550-5676 Rx: Adderall XR 30 mg #6 07/11/201530988001397000? daily PRN PA 29349704445a00a336550-82540020320028575d00d43713402159000120332551435b00bx Dispense as written4889503619500Refills: 1147002557150c00c Sean Stevenson, MD 16510003873500 No DEA NumberWritten date cannot be in the future1No refills allowed1No DEA number1Missing route of administration (PO, IM, SQ, IV, etc.)14.Prescription #4Bullock, Seth 1532255114300c00c2415 E. Colfax Ave 167513014732000Denver, CO 80219 Colorado Alpine Care4110 Washington St.Denver, CO 80209303-550-5676 (7/29/2014)26987501714500Rx: Hydrocodone/APAP 5/325 (Percocet) # 20? tab by mouth PRN, stop 1 week from today 765175-8255001851026-8255002525395108585b00b61277528575d00d97472554610a00a437134021590005556254826000Refills: 10Sean Sternson, MD DEA: AS2441753Unacceptable amount of refills1Signa needs verification as the written date is longer than 1 week ago1Drug name error (Not Percocet)1Missing frequency1TOTAL POINTS -- PROCEDURE I16PHARMACY PRACTICECompetitor #: __________________ Judge's Signature: ___________________________Procedure IIInterpret Prescriptions and Dispense Correctly Reference: Ballington, Chapter 6Time: 13 minutesPossibleAllocated1.Prescription #1Prescription number1Patient name1Date of initial dispensing1Correct drug strength and formulation2Correct signa2Prescriber name1Name and address of pharmacy1Correct amount dispensed12.Prescription #2Prescription number1Patient name1Date of initial dispensing1Correct drug and strength2Correct signa2Prescriber name1Name and address of pharmacy1Correct amount dispensed1Items EvaluatedPossibleAllocated3. Prescription #3Prescription number1Patient name1Date of initial dispensing1Correct drug and strength2Correct signa2Prescriber name1Name and address of pharmacy1Correct amount dispensed14.Prescription #4 Prescription number1Patient name1Date of initial dispensing1Correct drug and strength2Correct signa2Prescriber name1Name and address of pharmacy1Correct amount dispensed#1 tube of 80 grams1TOTAL POINTS -- PROCEDURE II40PHARMACY PRACTICECompetitor #: ___________________ Judge's Signature: ___________________________Procedure IIIDonning Aseptic Gear in Sequential Order Reference: Ballington, Chapter 11Time: 8 minutesPossibleAllocatedNote to Judge: Directions are sequential and points should not be given for steps done out of order.1. Take off earrings, hand jewelry, and cosmetics22.Place gear in the following order: 1: Place shoe cover 2. Place hair cover 3. Place face mast* One point for every item that is put on in the correct order33.Hand cleansing with soap (up to the elbows)24.Place gown25.Apply sterile, foamed alcohol to hands and allow to dry26.Place sterile powder-free gloves1TOTAL POINTS -- PROCEDURE III12**If a student jeopardizes the patient's or his/her own safety or fails to perform a critical technique and does not take immediate action to correct the error, the total points for the procedure or specific subpart(s) will be deducted.PHARMACY PRACTICECompetitor #: __________________ Judge's Signature: ___________________________Procedure IV Aseptic Technique Reference: Ballington, Chapter 11 Time: 12 minutesPossibleAllocated1.Spray hood first with sterile water, followed by isopropyl alcohol. Alcohol must remain in contact with the surface for 30 seconds prior to compounding any products.22.Wipe hood in an up/down motion from top to bottom (for horizontal hood)23.Wipe the top of the vial(s) and 250mL solution bag port with alcohol swab14.Powder Vial: add appropriate amount of diluent, remove needle, mix until powder is completely reconstituted, wipe vial with alcohol swab before reinserting needed, and then draw out correct amount of medication Liquid vial: draw up equivalent volume of air into the syringe, once needle is in the vial, depress the syringe to inject air into vial, withdraw appropriate amount of medication Ampule: Tap ampule to verify medication is at the bottom, wrap an alcohol-soaked swab around the neck of the ampule and snap the neck, use filtered needle to withdrawal correct amount of medication, and switch needle to an unfiltered needle. 35. Insert medication into the correct port on the 250mL bag16. Pull syringe back to the correct mL of medication you injected into the 250mL bag27.Put all vials, 250mL bag, syringes, and needles on table outside of hood.18. Spray hood with isopropyl alcohol19. Wipe hood in an up/down motion from top to bottom (for horizontal hood)210. Did the student’s technique block airflow in the hood at any point? (i.e. did hands/fingers/other body parts come between the air filter and the needle inserting into vial/bag)4TOTAL POINTS -- PROCEDURE IV 20**If a student jeopardizes the patient's or his/her own safety or fails to perform a critical technique and does not take immediate action to correct the error, the total points for the procedure or specific subpart(s) will be deducted.PHARMACY PRACTICECompetitor #: __________________ Judge's Signature: ___________________________Procedure VNon-sterile Compounding – Suspension/Solution Reference: Ballington, Chapter 8 Time: 10 minutesPossibleAllocated1.Correct written instructions22.Wash hands23. Appropriate amount of tablets24.Grind down tablets with mortar and pestle15.Mix powder with liquid and pour into graduated cylinder1 Add liquid to achieve desired amount2 Transfer final product into correct dispensing container28.Wash tools when done19.Wash hands2TOTAL POINTS -- PROCEDURE V15**If a student jeopardizes the patient's or his/her own safety or fails to perform a critical technique and does not take immediate action to correct the error, the total points for the procedure or specific subpart(s) will be deducted.PHARMACY PRACTICECompetitor #: __________________ Judge's Signature: ____________________________Procedure VINon-sterile Compounding – Compounding Two Ointments Reference: Ballington, Chapter 11 Time: 8 minutesPossibleAllocated1.Correct written instructions22.Wash hands2 Correct amount of Medication Ointment A2 Correct amount of Medication Ointment B25.Mix on compounding slab with spatula or with mortar and pestle16.Ointment is mixed mostly uniform27.Transfer final product into dispensing container18.Wash tools when done19.Wash hands2TOTAL POINTS - PROCEDURE VI15**If a student jeopardizes the patient's or his/her own safety or fails to perform a critical technique and does not take immediate action to correct the error, the total points for the procedure or specific subpart(s) will be deducted.PHARMACY PRACTICECompetitor #: __________________ Judge's Signature: ___________________________Procedure VIINon-sterile Compounding – Compounding Ointment with Tablets Reference: Ballington, Chapter 8Time: 10 minutesPossibleAllocated1.Correct written instructions22.Wash hands23. Use appropriate amount of tablets24.Grind down tablets with mortar and pestle15.Mix powder and partial amount of lotion base with spatula on compounding slab26. Add lotion base until desired amount 7.Mixture is reasonably smooth, particles not too rough18.Transfer final product into dispensing container19.Wash tools when done110.Wash hands2TOTAL POINTS -- PROCEDURE VII16**If a student jeopardizes the patient's or his/her own safety or fails to perform a critical technique and does not take immediate action to rectify the error, the total points for the procedure or specific subpart(s) will be deducted.PHARMACY PRACTICECompetitor #: __________________ Judge's Signature: ____________________________Procedure VIIIProper Ophthalmic Drop Usage Reference: , How to Use Eye Drops Properly Time: 5 minutesPossibleAllocated1.Wash hands with soap and water.22.Check dropper tip to ensure dropper integrity.13.Avoid touching tip of dropper.24.Tilt head back, pull down lower eye lid with finger to form a pocket.25.Hold dropper with tip down with other hand as close to eye without touching it.16.Brace remaining fingers of that hand against your face17.While looking up, gently squeeze dropper to have a single drop fall into the pocket made by the lower eyelid. Remove finger form the lower eyelid.28.Close eye for 2 to 3 minutes and tip head down towards the floor.29.Do not blink or squeeze eyelid.210.Place a finger on the tear duct and gently apply pressure.211.Wipe excess liquid off of face with a tissue or cloth.112. Verbally acknowledge to the judge that a wait of at least 5 minutes is necessary between drops into the same eye.213. Replace and tighten cap on dropper bottle. Do not wipe or rinse the dropper tip.214. Wash hands with soap and water.2TOTAL POINTS - PROCEDURE VIII 24**If a student jeopardizes the patient's or his/her own safety or fails to perform a critical technique and does not take immediate action to correct the error, the total points for the procedure or specific subpart(s) will be deducted. ................
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