Wisconsin Administrative Code
Pharmacy Examining Board
Chapter Phar 7 - Pharmacy Practice
Subchapter I - General
Section Phar 7.14 - Pharmacy product verification technician-check-pharmacy technician
Universal Citation: WI Admin Code ยง Phar 7.14
Current through August 26, 2024
(1) DEFINITIONS. In this section:
(a) "Pharmacy
product verification technician" means a registered pharmacy technician to whom
the pharmacist has delegated the task of product verification.
(b) "Pharmacy product verification
technician-check- pharmacy technician" means the process in which a pharmacy
product verification technician conducts the task of product verification of
technical dispensing functions completed by a pharmacy technician. A pharmacy
product verification technician may not conduct product verification as part of
the final check of their own product preparation.
(c) "Product verification" means doing a
check of the accuracy and correctness of a product, including drug, strength,
formulation, as part of the final check and ensure the product has not reached
its expiration or beyond use date.
(d) "Supervising pharmacist" means the
pharmacist licensed in this state, who is responsible for the operations and
outcomes of product verification done by a pharmacy product verification
technician and ensuring for direct supervision of the pharmacy product
verification technician.
(2) PHARMACY PRODUCT VERIFICATION TECHNICIAN QUALIFICATIONS. A pharmacist may delegate the product verification of a prescription or chart order to a pharmacy technician who meets all of the following:
(b) Completed an accredited
pharmacy technician training program or has a minimum of 500 hours of
experience in product selection, labeling and packaging.
(c) Completed a didactic and practical
training curriculum approved by the supervising and managing pharmacist that
includes training in all of the following:
1.
Elements of correct product including all of the following:
a. Drug name.
b. Strength.
c. Formulation.
d. Expiration date.
e. Beyond use date.
2. Common dispensing medication errors and
concepts including all of the following:
a.
Wrong medication.
b. Wrong
strength.
c. Wrong
formulation.
d. Extra or
insufficient quantity.
e. Omitted
medications if utilizing unit dose or compliance packaging.
f. Expired medication.
g. Look-alike or sound-alike
errors.
h. High-alert
medications.
3. Eligible
products for pharmacy product verification technician-check-pharmacy
technician.
4. Organizational
policies and procedures on reporting of medication errors.
5. Overview of the medication use process
including all of the following:
a.
Procurement.
b. Ordering.
c. Dispensing.
d. Administration.
e. Monitoring.
6. A practical training designed to assess
the competency of the pharmacy technician prior to starting the validation
process. The practical training shall include simulation of at least 2
occurrences of each of the following:
a. Wrong
drug.
b. Wrong strength.
c. Wrong formulation.
d. Omitted medication, if utilizing unit dose
or compliance packaging.
(d) Completed the following validation
process:
1. The pharmacy technician being
validated shall make a product verification on the work of a pharmacist or
another pharmacy technician for accuracy and correctness of a minimum of 500
product verifications over a minimum of 5 separate days and achieve an accuracy
rate of at least 99.8%.
2. A
pharmacist shall audit 100% of the product verifications made by the pharmacy
technician during the validation process.
(e) Notwithstanding pars. (b) to (d), an
individual who completed the board's pilot program validation process between
October 1, 2016 and September 30, 2019, meets the pharmacy product verification
technician qualifications unless the individual fails to meet the quality
assurance standards under sub. (4).
(3) ELIGIBLE PRODUCT.
(a)
Institutional
pharmacies. The pharmacy product verification technician may do the
product verification in an institutional pharmacy if all of the following
requirements are met:
1. The source drug
product or device is in an original package from a manufacturer or a licensed
pharmacist has ensured that the source package is labeled with the correct
name, strength, form, control or lot number, and beyond use or expiration
date.
2. A drug utilization review
performed by a pharmacist prior to dispensing.
3. The drug product will be administered by
an individual authorized to administer medications at the institution where the
medication is administered.
(b)
Community pharmacies.
The pharmacy product verification technician may do the product verification in
a community pharmacy if all of the following requirements are met:
1. The source drug product or device is in an
original package from a manufacturer or a licensed pharmacist has ensured that
the source package is labeled with the correct name, strength, form, control or
lot number, and beyond use or expiration date.
2. A drug utilization review performed by a
pharmacist prior to dispensing.
3.
A non-pharmacist shall be able to check the accuracy of the medication by one
of the following:
a. The drug product or
device is in the original packaging from a manufacturer.
b. The drug product or device includes a
description of the drug product or device on the prescription label.
c. The pharmacist shows the patient or
patient's agent the drug product or device and provides a monograph that
includes a description of the drug product or device.
(4) QUALITY ASSURANCE.
(a) A minimum of 5% of each pharmacy product
verification technician's verifications shall be audited by a licensed
pharmacist. The accuracy of each pharmacy product verification technician shall
be tracked individually.
(b) A
record of each pharmacy product verification technician-check-pharmacy
technician audit shall include all of the following:
1. Name of the pharmacy product verification
technician.
2. Total number of
product verifications performed.
3.
Number of product verifications audited by the pharmacist.
4. Percentage of product verifications
audited by pharmacist.
5.
Percentage of accuracy.
6. Number
of product verification errors identified.
7. Type of error under sub. (2) (c) 2. a. to
c. and e.
(c) On a
quarterly basis, the supervising pharmacist shall perform an assessment of each
pharmacy product verification technician's previous 12 months accuracy and
correctness of pharmacy product verifications including a review of the quality
assurance log.
(d) A pharmacy
product verification technician shall be revalidated if the individual fails to
maintain a product verification accuracy rate of 99.8% based on the quarterly
assessment of the previous 12 months or has not performed verifications within
the last 6 months.
(5) POLICIES AND PROCEDURES. Each pharmacy shall maintain policies, procedures, and training materials for the pharmacy product verification by technicians which shall be made available to the board upon request.
(6) RECORDS.
(a) Each pharmacy shall maintain for 5 years
the following records:
1. All validation
records of each pharmacy product verification technician that include the dates
that the validation occurred, the number of product verifications performed,
the number of product verification errors, and overall accuracy rate.
2. Documentation indicating accepting
responsibility for compliance with this section, signed and dated by both the
managing pharmacist and supervising pharmacist, indicating the name of the
supervising pharmacist, and the dates the supervision responsibilities begin
and end.
3. Quality assurance
audits and quarterly assessments.
(b) Records shall be made available to the
board upon request.
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