1. Experiential Education Health and Regulatory Requirements Richard L. Lucarotti, Pharm.D. RLL@wayne.edu 313-577-8741

2. Why Experiential education is a required component of the curriculum Practice sites include: community pharmacy, hospital, clinics and others EE activities may be part of a didactic course, patient care lab, directed studies, and the IPPE and APPE Requirements must be met throughout the Program Experiential education is a required component of the curriculum Practice sites include: community pharmacy, hospital, clinics and others EE activities may be part of a didactic course, patient care lab, directed studies, and the IPPE and APPE Requirements must be met throughout the Program

3. Requirements Health Clearance Negative TB test – annual Seasonal Flu - annual Immunity to measles, mumps, rubella, varicella, hepatitis BRING COMPLETED DOCUMENTATION TO PHARMACY ORIENTATION 8-19-14 Health Clearance Negative TB test – annual Seasonal Flu - annual Immunity to measles, mumps, rubella, varicella, hepatitis BRING COMPLETED DOCUMENTATION TO PHARMACY ORIENTATION 8-19-14

4. Regulatory Requirements Pharmacists Educational Limited License Individual Pharmacists Professional Liability Insurance Basic Cardiac Life Support (BCLS) Health Insurance Travel release HIPAA training Drug testing Pharmacists Educational Limited License Individual Pharmacists Professional Liability Insurance Basic Cardiac Life Support (BCLS) Health Insurance Travel release HIPAA training Drug testing

5. TB Test Written documentation of a negative tuberculin skin test with Purified Protein Derivative (PPD) must be provided for each year In the case of a positive PPD test or a known contraindication to the PPD test, documentation of a negative chest X-ray for tuberculosis must be provided initially. Annually, the student pharmacist must provide documentation that he or she is clinically-free of tuberculosis. Follow-up chest X-rays will be done at the discretion of the individual’s physician. Written documentation of a negative tuberculin skin test with Purified Protein Derivative (PPD) must be provided for each year In the case of a positive PPD test or a known contraindication to the PPD test, documentation of a negative chest X-ray for tuberculosis must be provided initially. Annually, the student pharmacist must provide documentation that he or she is clinically-free of tuberculosis. Follow-up chest X-rays will be done at the discretion of the individual’s physician.

6. Seasonal Flu Vaccination It is required that student pharmacists be vaccinated annually for seasonal flu. You are to carry visible proof of vaccination. Without visible proof, you will be required to wear an appropriate mask while providing direct patient care. It is required that student pharmacists be vaccinated annually for seasonal flu. You are to carry visible proof of vaccination. Without visible proof, you will be required to wear an appropriate mask while providing direct patient care.

7. Immunity to Measles (rubeola), Rubella, Mumps and Varicella Measles Immunity Documented administrations of two doses of live measles virus vaccine, or Serologic laboratory evidence of immunity. Rubella Immunity Documented administration of one dose of live rubella virus vaccine, or Serologic laboratory evidence of immunity Varicella Immunity Documented administration of two doses of live varicella vaccine, or Serologic laboratory evidence of immunity Mumps Immunity Documented administration of one dose of live mumps virus vaccine (MMR) or Serologic laboratory evidence of immunity. Measles Immunity Documented administrations of two doses of live measles virus vaccine, or Serologic laboratory evidence of immunity. Rubella Immunity Documented administration of one dose of live rubella virus vaccine, or Serologic laboratory evidence of immunity Varicella Immunity Documented administration of two doses of live varicella vaccine, or Serologic laboratory evidence of immunity Mumps Immunity Documented administration of one dose of live mumps virus vaccine (MMR) or Serologic laboratory evidence of immunity.

8. Hepatitis B Immunity It is recommended, but not required that student pharmacists obtain the Hepatitis B Vaccine. All student pharmacists refusing this vaccine must sign a waiver form. Series of 3 vaccinations It is recommended, but not required that student pharmacists obtain the Hepatitis B Vaccine. All student pharmacists refusing this vaccine must sign a waiver form. Series of 3 vaccinations

9. PHARMACIST EDUCATIONAL LIMITED LICENSURE In order to expedite this process, you are to bring your completed license application to the New Student Pharmacy Orientation on Tuesday, August 19, 2014. Forms will be collected and submitted for signature. Forms that are completed and collected on August 19, will be signed and available to be picked up by each individual student from the front counter of the Office of Student and Alumni Affairs (1600 APHS) anytime after September 9, 2014. For all others, there will be a minimum of 2 weeks turn around to obtain the signature.

10. PHARMACIST EDUCATIONAL LIMITED LICENSURE You are to mail application with $40.00 fee to: Michigan Department of Community Health Board of Pharmacy P.O. Box 30670 Lansing, Michigan 48909 (517) 335-0918 You are to mail application with $40.00 fee to: Michigan Department of Community Health Board of Pharmacy P.O. Box 30670 Lansing, Michigan 48909 (517) 335-0918

11. PHARMACIST EDUCATIONAL LIMITED LICENSURE Criminal Background Check Complete Fingerprint Form in application package Fee for fingerprinting process Instructions on form for scheduling fingerprinting appointment and payment Criminal Background Check Complete Fingerprint Form in application package Fee for fingerprinting process Instructions on form for scheduling fingerprinting appointment and payment

12. PHARMACIST EDUCATIONAL LIMITED LICENSURE Canadian Students Complete APPLICATION FOR PHARMACIST EDUCATIONAL LIMITED LICENSE Section U.S. Social Security Number include Canadian Social Insurance Number (SIN) State Canadian pharmacy student currently not working in U.S. Submit a copy of signed SIN card with application Canadian Students Complete APPLICATION FOR PHARMACIST EDUCATIONAL LIMITED LICENSE Section U.S. Social Security Number include Canadian Social Insurance Number (SIN) State Canadian pharmacy student currently not working in U.S. Submit a copy of signed SIN card with application

13. PHARMACIST EDUCATIONAL LIMITED LICENSURE Provide a copy of your license to Eric Upshaw, Student and Alumni Affairs Office – Suite 1600 Expires each June 30 th Renew annually Provide a copy of your license to Eric Upshaw, Student and Alumni Affairs Office – Suite 1600 Expires each June 30 th Renew annually

14. Individual Pharmacists Professional Liability Insurance Pharmacists Mutual http://www.phmic.com/IC/ProfLiab/Page s/PharmLiab.aspx http://www.phmic.com/IC/ProfLiab/Page s/PharmLiab.aspx The fee is $32.00 Renew annually Pharmacists Mutual http://www.phmic.com/IC/ProfLiab/Page s/PharmLiab.aspx http://www.phmic.com/IC/ProfLiab/Page s/PharmLiab.aspx The fee is $32.00 Renew annually

15. Basic Cardiac Life Support (BCLS) The course must include: Adult and pediatric CPR (including 2-rescuer scenarios and use of the bag mask), foreign-body airway obstruction, and use of automated external defibrillation with CPR. BRING A COPY OF THE COURSE COMPLETION DOCUMENTATION TO PHARMACY ORIENTATION 8-19-14 The course must include: Adult and pediatric CPR (including 2-rescuer scenarios and use of the bag mask), foreign-body airway obstruction, and use of automated external defibrillation with CPR. BRING A COPY OF THE COURSE COMPLETION DOCUMENTATION TO PHARMACY ORIENTATION 8-19-14

16. Health Insurance Health Insurance covering sickness and accident - Documentation of coverage annually WSU student insurance information - www.studentinsurance.com/schools/mi/waynewww.studentinsurance.com/schools/mi/wayne Bring a copy of the documentation of your health insurance coverage to Pharmacy orientation 8-19-14 Health Insurance covering sickness and accident - Documentation of coverage annually WSU student insurance information - www.studentinsurance.com/schools/mi/waynewww.studentinsurance.com/schools/mi/wayne Bring a copy of the documentation of your health insurance coverage to Pharmacy orientation 8-19-14

17. T ravel Release Each student pharmacist will be asked to sign a travel release the first semester that the student is enrolled in the College. This waiver frees the university and its employees, agents, and affiliates of liability that may arise or occur due directly or indirectly as the result of transportation to, from, or during any pharmacy practice experience course. Each student pharmacist will be asked to sign a travel release the first semester that the student is enrolled in the College. This waiver frees the university and its employees, agents, and affiliates of liability that may arise or occur due directly or indirectly as the result of transportation to, from, or during any pharmacy practice experience course.

18. HIPAA Training This program is a self-learning activity. The Modules are on the EACPHS Webpage. Go to http://www.cphs.wayne.edu/hipaa/index.phphttp://www.cphs.wayne.edu/hipaa/index.php. Click on HIPAA Training. To demonstrate your knowledge of the HIPAA material, the you must successfully pass a written examination before placement in experiential education experiences with a score of 90% or better. Examination is administered through E*Value. You will be informed of the availability of the exam.

19. Requirements Health Clearance Negative TB test – annual Seasonal Flu - annual Immunity to measles, mumps, rubella, varicella, hepatitis BRING COMPLETED DOCUMENTATION TO PHARMACY ORIENTATION 8-19-14 Health Clearance Negative TB test – annual Seasonal Flu - annual Immunity to measles, mumps, rubella, varicella, hepatitis BRING COMPLETED DOCUMENTATION TO PHARMACY ORIENTATION 8-19-14

20. Regulatory Requirements BY 8-19-14 Pharmacists Educational Limited License Complete and bring application Individual Pharmacists Professional Liability Insurance Complete and bring form with check Basic Cardiac Life Support (BCLS) Complete and bring a copy of documentation Health Insurance Obtain and bring a copy of documentation Travel release Complete and bring HIPAA training Complete training and exam Pharmacists Educational Limited License Complete and bring application Individual Pharmacists Professional Liability Insurance Complete and bring form with check Basic Cardiac Life Support (BCLS) Complete and bring a copy of documentation Health Insurance Obtain and bring a copy of documentation Travel release Complete and bring HIPAA training Complete training and exam

21. COMPLETE the Process Bring documentation for verification and recording to: Eric Upshaw, Senior Program Records Clerk Student Affairs and Alumni Affairs Office Suite 1600 af8230@wayne.edu 313-577-2320 Bring documentation for verification and recording to: Eric Upshaw, Senior Program Records Clerk Student Affairs and Alumni Affairs Office Suite 1600 af8230@wayne.edu 313-577-2320

22. Immunizations/Certification Records Your responsibility to monitor the documentation of your record for completeness and accuracy Logon the e-value.net 1. Enter username and password 2. Go to My Profile 3. Click on Immuns and Certs 4. Click on one of the report options 5. Records can be printed Logon the e-value.net 1. Enter username and password 2. Go to My Profile 3. Click on Immuns and Certs 4. Click on one of the report options 5. Records can be printed

23. QUESTIONS ? Richard L. Lucarotti, Pharm.D. RLL@wayne.edu 313-577-8741