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Test Number : PTCB
Test Name : The Pharmacy Technician Certification Board (PTCE Exam)
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Medications (40%)
- Generic names, brand names, and classifications of medications
- Therapeutic equivalence
- Common and life-threatening drug interactions and contraindications (e.g., drug-disease, drug-drug, drug-dietary supplement, drug-laboratory, drug-nutrient)
- Strengths/dose, dosage forms, routes of administration, special handling and administration instructions, and duration of drug therapy
- Common and severe medication side effects, adverse effects, and allergies
- Indications of medications and dietary supplements
- Drug stability (e.g., oral suspensions, insulin, reconstitutables, injectables, vaccinations)
- Narrow therapeutic index (NTI) medications
- Physical and chemical incompatibilities related to non-sterile compounding and reconstitution
- Proper storage of medications (e.g., temperature ranges, light sensitivity, restricted access)

Federal Requirements (12.5%)
- Federal requirements for handling and disposal of non-hazardous, hazardous, and pharmaceutical substances and waste
- Federal requirements for controlled substance prescriptions (i.e., new, refill, transfer) and DEA controlled substance schedules
- Federal requirements (e.g., DEA, FDA) for controlled substances (i.e., receiving, storing, ordering, labeling, dispensing, reverse distribution, take-back programs, and loss or theft of)
- Federal requirements for restricted drug programs and related medication processing (e.g., pseudoephedrine, Risk Evaluation and Mitigation Strategies [REMS])
- FDA recall requirements (e.g., medications, devices, supplies, supplements, classifications)

Patient Safety and Quality Assurance (26.25%)
- High-alert/risk medications and look-alike/sound-alike [LASA] medications
- Error prevention strategies (e.g., prescription or medication order to correct patient, Tall Man lettering, separating inventory, leading and trailing zeros, bar code usage, limit use of error-prone abbreviations)
- Issues that require pharmacist intervention (e.g., drug utilization review [DUR], adverse drug event [ADE], OTC recommendation, therapeutic substitution, misuse, adherence, post-immunization follow-up, allergies, drug interactions)
- Event reporting procedures (e.g., medication errors, adverse effects, and product integrity, MedWatch, near miss, root-cause analysis [RCA])
- Types of prescription errors (e.g., abnormal doses, early refill, incorrect quantity, incorrect patient, incorrect drug)
- Hygiene and cleaning standards (e.g., handwashing, personal protective equipment [PPE], cleaning counting trays, countertop, and equipment)

Order Entry and Processing (21.25%)
- Procedures to compound non-sterile products (e.g., ointments, mixtures, liquids, emulsions, suppositories, enemas)
- Formulas, calculations, ratios, proportions, alligations, conversions, Sig codes (e.g., b.i.d.k, t.i.d., Roman numerals), abbreviations, medical terminology, and symbols for days supply, quantity, dose, concentration, dilutions
- Equipment/supplies required for drug administration (e.g., package size, unit dose, diabetic supplies, spacers, oral and injectable syringes)
- Lot numbers, expiration dates, and National Drug Code (NDC) numbers
- Procedures for identifying and returning dispensable, non-dispensable, and expired medications and supplies (e.g., credit return, return to stock, reverse distribution)



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PTCB information source

White Paper on Pharmacy Technicians 2002: mandatory changes Can now not Wait | PTCB test Questions and test Cram

Sidebar: Appendix - policy Statements of countrywide Associations

the following statements are posted with the permission of the respective organizations and had been accurate as of March 2002, aside from (d), which turned into correct as of June 2002.

  • The American association of schools of Pharmacy

  • The American affiliation of Pharmacy Technicians

  • The American Pharmaceutical affiliation

  • The American Society of fitness-system Pharmacists

  • The national affiliation of Chain Drug stores

  • The national community Pharmacists association

  • The country wide Pharmacy Technician association

  • The Pharmacy Technicians Educators Council

  • www.aacp.org/doctors/AACPFuntions/AboutAACP/4308_CumulativePolicies,1980-2001.pdf

    guidelines On Supportive Personnel

  • AACP supports inclusion within the professional pharmacy curriculum of didactic and experiential material related to the supervision and management of supportive personnel in pharmacy practices. (source: professional Affairs Committee, 1990)

  • training for technicians in pharmacy should be in line with talents derived from projects which are deemed applicable with the aid of the career and at present carried out via technical personnel. (supply: professional Affairs Committee, 1989)

  • Pharmacy faculties should present their tips to supportive personnel practising courses to ensure that programs meet applicable academic targets. (source: professional Affairs

  • practising for supportive personnel in pharmacy ought to be in keeping with sound academic ideas with evidently established competency pursuits. (source: professional Affairs Committee, 1987)

  • www.pharmacytechnician.com/

    Preamble

    Pharmacy Technicians are healthcare professionals who support pharmacists in presenting the best possible take care of patients. The principles of this code, which observe to pharmacy technicians working in any and all settings, are in accordance with the software and assist of the ethical tasks that e-book the pharmacy occupation in relationships with patients, healthcare certified and society.

    principles

  • A pharmacy technician's first consideration is to ensure the fitness and security of the patient, and to make use of knowledge and capabilities to the best of his/her capacity in serving sufferers.

  • A pharmacy technician supports and promotes honesty and integrity in the profession, which includes an obligation to look at the legislation, keep the maximum moral and ethical behavior at all times and uphold the ethical concepts of the occupation.

  • A pharmacy technician assists and helps the pharmacists in the protected and efficacious and reasonable distribution of health features and healthcare supplies.

  • A pharmacy technician respects and values the knowledge of pharmacists, colleagues and different healthcare specialists.

  • A pharmacy technician continues competency in his/her follow and normally enhances his/her professional competencies and knowledge.

  • A pharmacy technician respects and supports the affected person's individuality, dignity, and confidentiality.

  • A pharmacy technician respects the confidentiality of a patient's records and discloses pertinent guidance handiest with suitable authorization.

  • A pharmacy technician not ever assists in doling out, merchandising or distribution of medication or scientific gadgets that are not of good first-class or do not meet the requisites required by using law.

  • A pharmacy technician does not have interaction in any endeavor which will discredit the profession, and should expose, devoid of fear or desire, illegal or unethical behavior of the profession.

  • A pharmacy technician acquaintances with and engages in the aid of organizations, which promote the career of pharmacy during the utilization and enhancement of pharmacy technicians.

  • www.aphanet.org

    APhA helps using automation for prescription education and helps technical and personnel suggestions for performing administrative tasks and facilitating pharmacist's provision of pharmaceutical care.

    The American Pharmaceutical affiliation helps the pharmacists' authority to handle the distribution method and personnel involved and the accountability for all achieved medication orders regardless of follow atmosphere.(J Am Pharm Assoc. NS36:396. June 1996)

  • APhA acknowledges, for the purpose of these policies, the following definitions:

  • Licensure: The manner through which an agency of government offers permission to a person to engage in a given occupation upon finding that the applicant has attained the minimal degree of competency quintessential to make certain that the general public health, defense, and welfare will be moderately neatly included. within pharmacy, a pharmacist is licensed via a State Board of Pharmacy.

  • Registration: The technique of making a listing or being enrolled in an present checklist.

  • APhA supports the position of the State Boards of Pharmacy in holding the general public in its interplay with the occupation, including the Boards' oversight of pharmacy technicians, via their manage of pharmacists and pharmacy licenses.

  • In States the place the Board of Pharmacy chooses to pastime some direct oversight of technicians, APhA recommends a registration system.

  • APhA reaffirms its opposition to licensure of pharmacy technicians by statute or rules.(J Am Pharm Assoc. NS36:396. June 1996)

  • The committee recommends that APhA recommend using appropriately supervised supportive personnel in pharmacy observe as a favorable step towards enhancing the great and quantity of pharmaceutical functions supplied by means of the profession.(J Am Pharm Assoc. NS11:277. can also 1971)

    The committee can be opposed to any assumption of the pharmacist's skilled services with the aid of sub-gurus or technicians. there is a need to check exactly what these services are and the relative place of the pharmacy intern. beneath no circumstance should a sub-professional application in pharmacy create an individual such as the former "certified assistant" nonetheless practicing in some states.(J Am Pharm Assoc. NS6:332. June 1966)

    www.ashp.orgSee also www.ashp.org/public/hq/ (accessed 2002 Apr 4).See also www.ashp.org/public/hq/coverage/2001PolicyPositions.pdf (accessed 2002 Apr four).

    Credentialing of pharmacy technicians

    supply: Council on felony and Public Affairs To suggest and help registration of pharmacy technicians by state boards of pharmacy (registration is the method of making an inventory or being enrolled in an current listing; registration should be used to aid look after the general public by means of interstate and intrastate tracking of the technician work force and preventing individuals with documented issues from serving as pharmacy technicians); additional,To advocate and support obligatory certification of all present pharmacy technicians and new hires inside 12 months of date of employment (certification is the process through which a nongovernmental company or association supplies awareness to a person who has met definite predetermined skills targeted by means of that agency or affiliation); extra,To suggest the adoption of uniform requirements for the education and practising of all pharmacy technicians to be sure competency; additional,To oppose state licensure of pharmacy technicians (licensure is the method through which an company of government gives you permission to someone to engage in a given occupation upon a finding that the applicant has attained the minimal degree of competency indispensable to make sure that the general public health, protection, and welfare might be moderately neatly covered); additional,To advocate that licensed pharmacists should still be held liable for the great of pharmacy features supplied and the movements of pharmacy technicians beneath their charge.

    0212

    source: Council on educational Affairs

    To aid the intention that technicians getting into the pharmacy work force have completed an accepted application of coaching; further,

    To inspire growth of accredited pharmacy technician working towards programs.

    image of and career opportunities for pharmacy technicians

    supply: Council on tutorial Affairs to advertise the graphic of pharmacy technicians as useful contributors to health care delivery; additional,To increase and disseminate information about profession opportunities that raise the recruitment and retention of certified pharmacy technicians.

    0209

    supply: Council on academic Affairs

    To collaborate with applicable professional and academic companies in fostering enough schooling on substance abuse and chemical dependency in any respect tiers of pharmacy schooling (i.e., faculties of pharmacy, residency classes, and continuing-schooling providers); extra,

    To aid federal, state, and local initiatives that promote pharmacy education on substance abuse and chemical dependency; further,

    To suggest the incorporation of schooling on substance abuse and chemical dependency into the accreditation standards for medical professional of Pharmacy degree classes and pharmacy technician practicing programs.

    Opposition to advent of "pharmacist assistant" category of licensed pharmacy personnel

    supply: condo of Delegates To reaffirm the following observation within the "White Paper on Pharmacy Technicians" (April 1996) counseled by means of ASHP and the American Pharmaceutical association:"although there's a compelling need for pharmacists to extend the purview of their professional practice, there is also a necessity for pharmacists to hold handle over all elements of drug product handling in the patient care area, together with meting out and compounding. No different self-discipline is as neatly certified to ensure public protection in this important aspect of health care."further,To note that some interest businesses in pharmacy have recommended for the introduction of a brand new category of licensed personnel referred to as "Pharmacist Assistant" that would have (a) much less training and training than pharmacists and (b) unbiased legal authority to perform lots of the functions that are currently restricted to licensed pharmacists; extra,To guide the optimum use of well expert, licensed pharmacy technicians beneath the supervision of licensed pharmacists; further,To oppose the introduction of a class of licensed personnel in pharmacy similar to "Pharmacist Assistant" that would have prison authority to operate independently these knowledgeable pharmacy services that are presently confined to licensed pharmacists.

    8610

    source: Council on legal and Public Affairs

    To work toward the elimination of legislative and regulatory obstacles preventing pharmacists from delegating definite technical actions to other proficient personnel.

    This coverage become reviewed in 1997 with the aid of the Council on criminal and Public Affairs and by using the Board of directors and changed into discovered to still be appropriate.

    www.nacds.org

    situation brief -- Pharmacy Technicians (Issued October 2001; up-to-date April 2002)

    Registration, working towards and certification of pharmacy aid personnel (pharmacy technicians) and maximizing the obligations that such pharmacy technicians can function.

    permitting pharmacy technicians to be utilized to the fullest extent viable without any ratio will:

  • boost pharmacists availability to guidance patients and to confer with different health experts;

  • enhance universal provider to sufferers;

  • ease workload and enhance professional satisfaction for pharmacists; and,

  • boost effectivity and increase resources purchasable for meeting the multiplied prescription volume and addressing the pharmacist shortages.

  • Certification may still be voluntary and not mandatory.

  • "Certification" exams should still be beneficial tools for evaluating pharmacy technicians at the a lot of pharmacy observe sites, similar to neighborhood retail pharmacies, clinic pharmacies, and other apply settings.

  • If pharmacy technicians come to a decision to be licensed they should be accepted to operate multiplied tasks and tasks.

  • Pharmacy technicians, in spite of the fact that no longer licensed, may still be accredited to do hobbies nonjudgmental doling out features together with, however not restrained to, coping with nonjudgmental third birthday party and different fee concerns, offering the patient the supply of the pharmacist for counseling, putting mobilephone calls to prescribers for replenish requests, taking mobilephone calls from prescribers' workplaces authorizing fill up prescriptions, and making ready prescriptions for pharmacist's final evaluation.

  • Boards of Pharmacy should enable for supplier-primarily based pharmacy technician practising courses and examination pursuant to a Pharmacy Technician practicing guide.

  • Boards of Pharmacy should still admire that business enterprise-based technician practicing courses prepare technicians to work of their own specific follow atmosphere, and that technician practising courses should still be designed to train potential imperative to the specific follow setting.

  • Chain pharmacy technician working towards courses and examinations should still get hold of Board approval.

  • continue to permit an enormous variety of technicians and enable each follow atmosphere to assess their ultimate ratio.

  • enable technicians to perform non-judgmental tasks . . . those duties that do not require the abilities of a pharmacist.

  • enable technician practising tailored to the pharmacy and to the business operations and requisites.

  • permit certification to remain voluntary.

  • permit licensed pharmacy technicians to operate additional responsibilities and duties commensurate with their talents.

  • Approve employer based mostly practicing and examination pharmacy technician courses and respect the magnitude of observe web page selected training and examination classes such as community pharmacy based programs.

  • admire the NACDS pharmacy technician working towards and examination program for certification of pharmacy technicians.

  • www.ncpanet.org

    NCPA supports the use of pharmacy technicians in community pharmacies to boost the pharmacist's function within the provision of first-class pharmacist care. NCPA believes the appropriate training and supervision of technicians by means of the pharmacist is essential to the health and safeguard of sufferers.

    Technician support and expertise: Recognizing the existing atmosphere of regional shortages of pharmacists and the projected increase in prescription quantity as a result of advantage Medicare prescription drug improvement coverage and an growing old population, NCPA recommends bettering patient care and addressing manpower concerns throughout the greater efficient utilization of technician help and expertise. NCPA strongly opposes the advent of any class of supportive personnel, which is not below the direct supervision of a certified pharmacist.

    www.pharmacytechnician.org/

    medicine mistakes: NPTA feels that the use of particularly proficient, proficient and authorized pharmacy technicians within the pharmacy occupation will aid in efficaciously and without difficulty decreasing the incidence of medication blunders.

    Technician liability: NPTA feels that with the emergence of country wide technician certification, producing improved roles and obligations, the challenge of technician liability will develop into an evermore-present element. presently, NPTA does not have a position remark on technician liability.

    Technician schooling and practising: NPTA fully supports formalized training and working towards classes at associations of higher schooling. NPTA feels strongly that at some aspect, pharmacy technicians may still be required to achieve a degree/certificate to be allowed to practice as a pharmacy technician. At this aspect, NPTA does not have a place statement on no matter if this degree may still be aone or two year diploma, when this coverage should still be applied, or an acceptable method for these already training. The requirement of formal training for pharmacy technicians, which is not current in most states, can be an integral part of the advancement of pharmacy follow, affected person defense and a extra efficient/constructive health-care device.

    country wide Certification: NPTA totally supports legislated requirements of certification through pharmacy technicians throughout the united states. countrywide Certification is an acceptable and positive first step against the academic and working towards goals for pharmacy technicians of the longer term.

    continuing schooling: NPTA strongly believes that an unbiased corporation may still be setup to accredit and monitor providers of pharmacy technician stage continuing education courses. NPTA feels that while licensed pharmacy technicians should be allowed to make the most of ACPE CE classes, that no company (local, state or country wide) should make ACPE classes a requirement, due to the fact currently all ACPE programs are designed on the pharmacist's degree.

    www.rxptec.org/

    PTEC strongly recommends that every one pharmacy schooling and programs are looking for ASHP accreditation.

    PTEC strongly recommends that each one pharmacy technician-practising courses have at the least 600 contact hours, according to ASHP accreditation necessities.

    in the brief term, PTEC will:

  • Work with AACP to design and enforce courses which might provide step-smart technician training curriculum credits which can be used towards pharmacist practising and schooling.

  • recommend a PTEC consultant attend AACP board meetings, and invite AACP officers to attend PTEC board meetings.

  • PTEC advocates that:

  • within 5 years, all technician-working towards classes have at the very least 600 contact hours; and

  • inside 10 years, all technician-training programs evolve into 2-year associate degree courses.

  • PTEC recognizes the want for, and supports the construction and introduction of, appropriate credentials for pharmacy technicians, together with at the uniqueness stage.

    PTEC will work with AACP to design and put in force courses which might supply step-wise technician-practising curriculum credit that could be used against pharmacist practicing and training.

    The PTEC suggested pharmacy technology application content is published on its web site: www.rxptec.org/rptpc.html


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