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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