Current through Register Vol. 18, September 20, 2024
(1) To participate in a technician check
technician (TCT) program an institutional pharmacy within a hospital must meet
the following requirements:
(a) the pharmacy
must include TCT as a technician duty, submitted to the Board of Pharmacy by
the pharmacist-in-charge as part of the technician utilization plan;
(b) develop a site-specific training program
tailored to the patient population and medication distribution
system;
(c) designate one
pharmacist to be responsible for meeting the TCT program training and
validation requirements;
(d)
staffing must be adequate to support a consistent utilization of the TCT
program;
(e) a pharmacist must
review all orders against a medication profile containing pertinent clinical
information about the patient (allergies, current medication, etc.);
(f) the medication description on the batch
fill list must contain the same description as the labeling on the unit dose
package;
(g) the drug distribution
system must be structured so that at least one additional check of dispensed
medications is completed prior to administration;
(h) develop policies and procedures which
include a list of the types of work that a technician may check and the types
of work that are excluded from being checked by a technician; and
(i) utilize the TCT program as a tool to
redirect pharmacists from distributive tasks to cognitive and patient centered
activities.
(2) In order
to participate in a TCT program a technician must:
(a) be a registered pharmacy intern in good
standing with the board with at least three months experience in unit dose
filling; or
(b) be a certified
pharmacy technician in good standing with the board working full or part time
with six months equivalent experience in unit dose filling; and
(c) complete site specific training in the
TCT program.
(3) A TCT
training program must include:
(a) didactic
lecture (or equivalent training with a self-learning packet);
(b) practical sessions (one-on-one training)
which consist of observation of a pharmacist checking a unit dose medication
batch and/or cart;
(c) initial
validation (and revalidation if needed); and
(d) regular quality assurance audits
performed quarterly for the first year then every six months
thereafter.
(4) Approval
from the Board of Pharmacy or designee is required prior to program
implementation.
(5) If at any time
a technician loses their validation, that individual must not function as a TCT
until they are retrained and revalidated.
(6) All TCT program materials should be
readily retrievable for review by the board inspector.
(7) Any facility that is not within an
institutional pharmacy within a hospital must come before the board.
37-7-201,
MCA; IMP,
37-7-101,
37-7-201,
37-7-301,
37-7-307,
MCA;