1. Pharmacy workplace
Coming soon??---pharmacy assistant. Fits between pharm tech and pharmacist
2/3 ph tech in retail
CPhT----certified pharmacy technician
RPh----registered pharmacist
Pharm D----Doctorate of pharmacy(1992)
Hospital---compounding,specialize
Manufacturing---research and development
Nuclear---prepare radioactive substance
Nutritional----supplements for malnourished or special diet
Disease management-----diabetes.hypertension,asthma,ect for pharmacy/doctor partnership
Mail order fill rx mail delivery
Insurance work as auditor for 3rd party company

2. Regulated profession
The practice of pharmacy is more than just counting out the right amount of a drug for a prescription. The Texas Pharmacy Act governs the practice of pharmacy and defines it as:
providing an act or service necessary to provide pharmaceutical care;
interpreting or evaluating a prescription drug order or medication order;
participating in drug or device selection as authorized by law, and participating in drug administration, drug regimen review, or drug or drug-related research;
providing patient counseling;
being responsible for:dispensing a prescription drug order or distributing a medication order;
compounding or labeling a drug and device other than by a manufacturer, repackager, or distributor of a nonprescription drug or commercially packaged prescription properly and safely storing a drug or device or maintaining proper records for a drug or device;
performing for a patient a specific act of drug therapy management delegated to a pharmacist by a written protocol from a physician licensed in this state in compliance with Subtitle B; or administering an immunization or vaccination under a physician's written protocol.

3. pharm techs-------work in pharmacy tasks that don’t
need professional judgment of pharmacist.
work under supervision of DPharm
do not break pharm laws out go out your scope of
Practice=eval drug interaction, determine ther equiv,
drug utilization review, drug safety, advising/counseling,
administer vaccines.
more meds needed due to baby boomers
and DPharm are more patient centered
malpractice insurance----not required but CPhT
can buy it.
CPHT liability varies by state. negligence=action taken
without forethought that another person with same
credentials would have considered.
tort= act causing injury
ethics---values of the profession
morals--your personal beliefs pg 56 cpht code of ethics

4. Texas Administrative code(pharmacy)
Information on requirements, fines, continuing education, ethics,ect for pharmacists/pharm techs.
Texas CSA(controlled substances act)—states may have different definition of controlled substance or put a drug in a different schedule
Conflict of laws?---tougher law prevails

5. Medicare/medicaid CMS---centers for medicare and medicaid services
Government entity covers 100 million. Provides coverage to those qualified.
ACA---affordable care act
US spends 2.5 trillion/year on health care---source CMS

6. Drug Sources

7. Drug Names
Brand name
Name under which the drug is sold by a specific manufacturer
Spelling always begins with a capital letter
Also known as the Trade Name
Name is owned by the drug company and no other company may use that name
Each brand name carries a registered trademark symbol ®

8. Drug Names Generic name
Name that was established when drug was first manufactured
Written in lowercase letters
Official name of a drug
Each drug has only one generic name
Original manufacturer is only company that can use generic name for the first 17 years

9. Drug Names Chemical name Describes chemical structure of the drug
Formula that indicates composition of the drug

10. Drug Actions – Drug Interactions
Idiosyncracy
An unusual, inappropriate response to a drug or to the usual effective dose of a drug
Anaphylactic Shock = severe idiosyncratic reaction
Acute respiratory distress, hypotension, edema, tachycardia, cool pale skin, cyanosis, and possible convulsions shortly after administration of the medication

11. Drug Actions – Drug Interactions
Cumulation
Occurs when a drug is not completely excreted from the body before another dose is given
Drug starts to accumulate in the body tissues when repeated doses are given
Toxic effects may occur

12. Drug Actions – Drug Interactions
Local effect
Response to a medication that is confined to a specific part of the body
Systemic effect
Generalized or widespread response to a drug by the body because it is absorbed into the bloodstream

13. Drug Actions – Drug Interactions
Adverse reaction
One in which the body reacts to a drug in an unexpected way that may endanger a patient’s health and safety
Contraindication
Any special symptom or circumstance that indicates that the use of a particular drug or procedure is dangerous, not advised, or has not been proven safe for administration

14. Drug Actions – Drug Interactions
Desired effect
Effect of drug in the body that was intended
Side effect
Additional effect on the body by the drug that was not part of the goal for that medication
Not usually severe enough to warrant discontinuing the medication

15. Drug Actions – Drug Interactions
How drugs produce changes within the body
Drug effect
Changes that take place in the body as a result of drug action
Slowing down or speeding up processes
Destroying certain cells or parts of cells
Replacing substances that the body lacks or fails to produce

18. Pharmacy tech report--------------------------
1 What does the FDA do?
2 What does the DEA do?
3 What does the BOP(board of pharmacy) do for your state?
4 What is the ‘Joint commission’ JCAHO?
5 Describe the DEA schedule drugs and levels and give some names.
6 What are laws regarding refilling DEA sch II, III and IV prescription drugs?
7 What is the USP? What can you find in a ‘PDR book’?
8 Find a drug and supplement that were taken off the market and why?
9 What health professionals have prescriptive authority?
10 What is the usual job description of a CPhT in a retail setting and hospital ’institutional’ setting?