Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 34 - BOARD OF PHARMACY
Chapter 10.34.35 - Infusion Pharmacy Services in an Alternate Site Care Environment
Section 10.34.35.07 - Training Requirements
Universal Citation: MD Code Reg 10.34.35.07
Current through Register Vol. 51, No. 19, September 20, 2024
A. Personnel shall be trained in the following areas where appropriate:
(1) Patient rights and
responsibilities;
(2) Patient
safety;
(3) Performance improvement
program;
(4) Universal precautions
which are incorporated by reference in COMAR
10.06.01.01B
-1;
(5) Warehouse and equipment
orientation;
(6) Waste
management;
(7) Handling hazardous
substances;
(8) Policies and
procedures;
(9) Recognizing signs
of patient abuse and neglect;
(10)
Recognizing signs of IV drug abuse;
(11) Customer service and cultural
sensitivity training;
(12)
Emergency policies and procedures which support the continuum of patient care
during natural or manmade disasters; and
(13) Patient confidentiality and the Health
Insurance Portability and Accountability Act, 45 CFR Parts 160 and
164.
B. A pharmacist shall be trained and evaluated in the following areas, including but not limited to:
(1) Clinical management of
therapies and disease states managed by the infusion pharmacy services,
including but not limited to:
(a) Specific
dosing and monitoring protocols;
(b) Care planning;
(c) Lab value ranges; and
(d) Side effects;
(2) Pump use and programming;
(3) Parenteral infusion access devices and
therapy-specific appropriateness by device;
(4) Supplies by therapy and device;
(5) Accurate set-up of compounding worksheet
instructions;
(6) Pharmacist
functions on computer systems;
(7)
Documentation;
(8) If performing
sterile compounding, COMAR 10.34.19;
(9) Medication storage;
(10) IV compatibility and
stability;
(11) Calculations to
ensure:
(a) IV dose appropriateness;
and
(b) Compounding accuracy, if
applicable; and
(12)
On-call requirements and procedures for handling after-hours care.
C. A pharmacy technician obtaining clinical information shall be trained and evaluated in the following areas, including but not limited to:
(1) Pharmacy
technician functions on computer systems;
(2) Parenteral infusion access
devices
(3) Supplies specific to
therapy and device
(4) Storage and
shipping protocols;
(5)
Pharmaceutical calculations for IV compounding, if applicable;
(6) Patient triage forms - therapy-specific
training and communication with the pharmacist as specified in Regulation
.05A(3)(a) of this chapter; and
(7)
Documentation of:
(a) Communication with
patients or caregiver; and
(b)
Delivery scheduling.
D. Unlicensed personnel shall be trained and evaluated in the following areas as applicable:
(1) Insurance pre-authorization;
(2) Billing;
(3) Delivery procedures;
(4) Supplies;
(5) Picking and packing of
supplies;
(6) Drug
storage;
(7) Shipping protocols;
and
(8) Cleaning, testing, and
maintenance of patient-use equipment according to manufacturers'
specifications.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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