Outpatient pharmacy - inspection guide

Question 1

10 things a pharmacy technician trainee may do under RPH supervision

Answer 1

1.) Accept new written, faxed, or e-scripts from prescriber/agent (not verbals)
2.) Enter info into/retrieve info from patient profile
3.) Preparing/affixing labels
4.) Stocking dangerous drugs/retrieving them from inventory
5.) Counting/pouring dangerous drugs into containers
6.) Placing dangerous drugs into containers for RPH check
7.) Non-sterile drug compounding
8.) Sterile drug compounding
9.) Packaging and selling dangerous drug to patient or patient rep
10.) Sending/receiving e-scripts between closed communication (centralized database)

Question 2

How many pharmacy technician trainees can a pharmacist supervise at one time?

Answer 2

3 max

Question 3

What one thing can registered techs do that pharmacy tech trainees cannot?

Answer 3

Request refill authorizations for dangerous drugs from a prescriber or prescriber’s agent as long as there is no change from the original script

Question 4

What one thing can technician trainees do that registered techs cannot?

Answer 4

Sterile compounding

Question 5

What are the 6 additional things a certified technician can do that a pharmacy tech trainee cannot?

Answer 5

1.) Stock automated drug storage systems, floor stock, and crash carts even if RPH not physically present
2.) Request refill authorizations for dangerous drugs as long as no change from prescription
3.) Accept new verbal prescription orders including refill auths for NON-CONTROLS
4.) Send or receive transfers for NON-CONTROLS
5.) Contact prescriber/agent of prescriber for clarification as long as it does not require professional judgement
6.) Perform diagnostic lab testing

Question 6

What 5 things can an intern do that a certified tech cannot?

Answer 6

1.) Counsel patients
2.) Sell schedule V’s
3.) Administer immunizations
4.) Document informed consent to administer immunizations
5.) Dispense naloxone

Question 7

What 6 things can support personnel perform?

Answer 7

1.) Transport drugs from loading dock/warehouse
2.) Stock/retrieve from inventory non-controlled drugs not dispensed by the pharmacy
3.) TDD responsible that support personnel comply with state/federal req. for patient confidentiality
4.) Stock ADS and floor stocks with IV fluids that are non-controlled dangerous drugs and are not dispensed by an institutional pharmacy
5.) Overwrapping/placing in plastic dangerous drugs that have been compounded/dispensed by TDD
6.) Enter demographic and insurance info into a patient profile