Rotation Structure Worksheet – IPPE II - Community Company/Site: ______________________________________________________________________________________________________________________ Participant: ___________________________________ E-mail:_______________________________________ Contact #: _______________________________ Practice Items Teaching Method Assessment/Documentation Describe the pharmacy layout and workflow to include the arrangement of pharmacy stock in description. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD Discuss the duties and responsibilities of each pharmacy staff member. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD Describe the role of the pharmacist in monitoring drug therapy and counseling patients. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD Identify environmental factors (e.g., physical barriers, background noise) that may inhibit the effectiveness of good communication with patients, preceptor, staff and other health care providers. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD 1 2 3 List all pertinent information that must be obtained from the patient or caregiver presenting new prescription for filling or refilling; from a physician or his representative on phoned in prescriptions for controlled and non-controlled medications. 4 5 Status: IP – In Progress / TBD – To Be Developed Notes Time Frame: H1 – 1st half of rotation / H2 – 2nd half of rotation / ONG - Ongoing Status IP/TBD Page 1 6 Discuss the pharmacist’s role as a provider of information regarding over the counter medications, prescription accessories, durable medical equipment and public health issues. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ Discuss third party payment of prescription medication. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ Discuss the legal requirements pertaining to ordering, dispensing and inventory of controlled substances. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD Describe the managerial procedures and policies regarding personnel management, pharmacy insurance, security and inventory control. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD Explain the regulatory duties and functions of the Louisiana Board of Pharmacy. □ Lecture □ Panel experts □ Video Tapes □ Small Group □ Case Studies □ Guest Speaker □ Project □ Role Play □ Observation □ Group Discussion □ Guided Practical Experience □ Other: __________________________________ □ Test □ Quiz □ Resrch. Paper □ Indiv. .Project □ Group Project □ Poster □ Oral Presentation □ Hmwrk □ Lab exe. □ Demonstration □ Case □ Other □ Observation □ Documentation__________________________ □ IP □ TBD 7 8 9 10 Status: IP – In Progress / TBD – To Be Developed Time Frame: H1 – 1st half of rotation / H2 – 2nd half of rotation / ONG - Ongoing □ IP □ TBD □ IP □ TBD Page 2