A pharmacy technician may assist the pharmacist in performing the
following specific tasks in accordance with specified Policy and procedures
covering the areas described in this section. The supervising Pharmacist is
responsible for all tasks performed by the pharmacy technician. All tasks
performed by the Pharmacy Technician must be checked and approved by the
supervising Pharmacist. If the pharmacy technician performs any other task that
is defined as the practice of pharmacy, it will be considered a violation.
A. Approved tasks:
(1) Placing, packing, pouring, or putting in
a container for dispensing, sale, distribution, transfer possession of,
vending, or barter any drug, medicine, poison, or chemical which, under the
laws of the United States or the State of Arkansas, may be sold or dispensed
only on the prescription of a practitioner authorized by law to prescribe
drugs, medicines, poisons, or chemicals. This shall also include the adding of
water for reconstitution of oral antibiotic liquids.
(2) Placing in or affixing upon any container
described in Section
IV(A) (1) of this
Regulation a label required to be placed upon drugs, medicines, poisons, or
chemicals sold or dispensed upon prescription of a practitioner authorized by
law to prescribe those drugs, medicines, poisons, or chemicals.
(3) Selecting, taking from, and replacing
upon shelves in the prescription department of a pharmacy or apothecary drugs,
medicines, chemicals, or poisons which are required by the law of the United
States or the State of Arkansas to be sold or dispensed only on prescription of
a practitioner authorized by law to prescribe them.
(4) In a manual system - preparing, typing,
or writing labels to be placed or affixed on any container described in ACA
§
17-92-101(14)
(A), which a label is required to be placed
upon drugs, medicines, poisons, or chemicals sold or dispensed upon
prescription of a practitioner authorized by law to prescribe those drugs,
medicines, poisons, or chemicals.
In a computer system -- a pharmacy technician may enter Information
into the pharmacy computer. The pharmacy technician shall not make any judgment
decisions which could affect patient care. The final verification of
prescription information, entered into the computer, shall be made by the
supervising pharmacist - prior to dispensing - who is then totally responsible
for all aspects of the data and data entry.
(5) A pharmacy technician may obtain
prescriber authorization for prescription refills provided that nothing about
the prescription is changed.
(6)
Prepackaging and labeling of multi-dose and unit-dose packages of medication.
The pharmacist must establish the procedures, including selection of
containers, labels and lot numbers, and must check the finished task.
(7) Dose picking for unit dose cart fill for
a hospital or for a nursing home patient.
(8) Nursing unit checks in a hospital or
nursing home: Pharmacy technicians may check nursing units for proper
medication storage and other related floor stock medication issues. Any related
medication storage problems or concerns shall be documented and initialed by a
pharmacist.
(9) Patient and
medication records.
The recording of patient or medication information in manual or
electronic system for later validation by the pharmacist may be performed by
pharmacy technicians.
(10)
The pharmacy technician shall not make any judgment decisions which could
effect patient care.
B. A
Pharmacy Technician may assist in the following tasks when the pharmacist has
established a procedure for reconstitution of prefabricated non-injectable
medication, bulk compounding, and/or preparation of parenteral products that
establishes the order of addition of ingredients, the point at which the
ingredients will be checked by the pharmacist, and the point at which the final
product will be checked for integrity, correctness, and pharmaceutical
elegance.
(1) Bulk reconstitution of
prefabricated non-injectable medication
a.
Bulk reconstitution of prefabricated non-injectable medication may include
addition of multiple additives.
(2) Bulk compounding. This category may
include such items a sterile bulk solutions for small-volume injectables,
sterile irrigating solutions, products prepared in relatively large volume for
internal or external use by patients, and reagents or other products for the
pharmacy or other departments of the facility.
(3) Preparation of parenteral products.
a. Pharmacy technicians may (1) perform
functions involving reconstitution of single or multiple dosage units that are
to be administered to a given patient as a unit and (2) perform functions
involving the addition of one manufacturer's single dose or multiple unit doses
of the same product to another manufacturer's prepared unit to be administered
to a patient. Pharmacy technicians shall not add multiple ingredients in
preparing parenteral products but may draw up or prepare the ingredients. The
pharmacist must check the preparations and make the final addition. (Amended
10/12/99)