Transcript The licensed pharmacist shall retain the professional and personal

April 15th is not just the deadline for your taxes!!!
Is your documentation complete for Pharmacist to Registered
Technician Ratios?
Policies and Procedures, Education Plan, Competencies – Demonstration, Job
Descriptions – Delegable Tasks addressed, Task Protocols, Signed by the Registered
Technician and Pharmacist certifying competency.
Deborah Brown, MS, PharmD, FASHP
FSHP Legal and Regulatory Consultant
www.fshp.org
Responsibilities of the Pharmacist
64B16-27.430
• The delegation of any duties, tasks or functions to registered
pharmacy interns and registered pharmacy technicians must
be performed subject to a continuing review and ultimate
supervision of the pharmacist who instigated the specific task,
so that a continuity of supervised activity is present between
1 pharmacist and 1 registered pharmacy technician.
• The licensed pharmacist shall retain the professional and
personal responsibility for any delegated act performed by
registered pharmacy interns and registered pharmacy
technicians in his employ and under his supervision.
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Registered Pharmacy Technician to
Pharmacist Ratio – 64B16-27.410
• A pharmacist shall not supervise greater than one registered pharmacy
technician nor shall a pharmacy allow a supervision of greater than one
registered pharmacy technician to one pharmacist, unless specifically
authorized to do so pursuant to the provisions of the rule.
• 3:1 – Registered technician assisting with delegable tasks involving sterile
compounding
• 4:1 – Any pharmacist or any pharmacy may allow as long as delegable
tasks do not include sterile compounding
• 6:1 – A pharmacy which does not dispense medicinal drug as long as
delegable tasks do not include sterile compounding
• Any ratios outside the 3:1, 4:1, or 6:1 would have to be approved by the
Board of Pharmacy.
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Policy and Procedure Manual
64B16-27.410 Registered Pharmacy Technician to Pharmacist Ratio
• Number of registered pharmacy technician positions and their
utilization, scope of delegable tasks, job descriptions, and task
protocols.
• Policies shall address:
 Supervision by a pharmacist
 Minimum qualifications as established by statute and rule
 In-service education or on-going education training and
demonstration of competency specific to the practice site
and job function
 General duties and responsibilities
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Policy and Procedure Manual
64B16-27.410 Registered Pharmacy Technician to Pharmacist Ratio
 All functions related to prescription processing.
 All functions related to prescription legend drug and
controlled substance ordering and inventory control,
documentation and record keeping
 All functions relating to retrieval of prescription files,
patient files, patient profile information and other records
pertaining to the practice of pharmacy
 All delegable tasks and non-delegable tasks
 Confidentially and privacy laws and rules
 Prescription refill and renewal authorization
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Policy and Procedure Manual
 Functions related to automated pharmacy systems
 Continuous Quality Improvement System
• Must be maintained on-site where the pharmacy technician
will perform the delegable tasks
• Must be available during a Department inspection or at the
request of the Board of Pharmacy
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Pharmacy Technician- Delegable Tasks
64B16-27.420
• Performed pursuant to a pharmacist’s direction, without the
exercise of the pharmacy technician’s discretion, and do not
require the pharmacy technician to exercise professional
judgment
• Delegable tasks
 Data entry
 Labeling of preparations and prescriptions
 Retrieval of prescription files, patient files and profiles
 Counting, weighing, measuring, and pouring of
prescription or stock legend drugs and controlled
substances, including the filling of automated medication
system
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Delegable Tasks- Registered Pharmacy
Technicians
 The acceptance of an authorization to dispense
medications pursuant to a prescribing practitioner’s
authorization to fill an existing prescription that has no
refills remaining
 The receiving, in a permitted nuclear pharmacy, of
diagnostic orders only
 Assisting in preparing parenteral and bulk solutions or
assisting in any act involving sterile compounding must
comply with Rule 64B16-27.1001
 Organizing of or participating in continuous quality
improvement related events, meetings, or presentations
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Non-Delegable Tasks
 Prepare a copy of a prescription or read a prescription to
any person for purpose of providing reference concerning
treatment of the person or animal for whom the
prescription was written
 Engage in patient counseling
 Receive therapy or blood products procedures in a
permitted nuclear pharmacy
 Engage in any other act that requires the exercise of a
pharmacist’s professional judgment.
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Required Documentation
• Acknowledgement signed by the registered pharmacy
technician that they have reviewed the Policy and Procedure
Manual – must be complete by April 15th
• All registered pharmacy technicians hired subsequent to this
rule’s effective date shall have 90 days from the date of hire.
• Establish and maintain documentation that demonstrates the
registered pharmacy technician is knowledgeable in the
established job description, delegable tasks, task protocols,
and policy and procedures in the specific pharmacy setting
where the delegable tasks will be performed.
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Documentation
64B16-27.410 paragraphs 1(b) and(c)
• Any and all the documentation required must be maintained
and must be provided to the board of Pharmacy or a
Department inspector within 72 hours of a request.
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