Pharmacy Technician
INTERNSHIP MANUAL
1
Dear High School Student,
This guide has been designed to provide you with a structured experience in community pharmacy. We
hope that this experience will expose you to the profession of retail pharmacy. The internship is
designed to help you become familiar with an actual retail pharmacy, see what happens in a pharmacy
on a day to day basis, and observe how pharmacists make a difference in their patient’s lives. This is in
addition to the projects and worksheets we have developed as in-store activities.
This workbook contains exercises to enhance your knowledge base and give you good information that
pertains to retail pharmacy. The workbook lists specific tasks to be performed on your visits to the
pharmacy. You may be able to complete portions of the activities before you officially start your
internship. We anticipate that each student will have a different schedule or time that they may be at
the pharmacy. Some students will be at the pharmacy for six hours at a time while others may only be
at the store for two hours time slots. If you are not able to complete all tasks in the designated visit, just
try to complete the task the next time you are in the pharmacy.
As time allows, you should sit down with your Community Resource Instructor or another staff member
to review the progress of this manual. Please use this time to communicate your expectations,
interests, or concerns.
Participating Pharmacists & Pharmacy Technicians
2
TABLE OF CONTENTS
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Goals & Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Course Syllabus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Activities Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Prior to First Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Personal Appearance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Your First Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Your Second Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Your Third Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Your Fourth Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Your Fifth Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Your Sixth Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Your Seventh Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Your Eighth Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Your Ninth Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Your Tenth Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Your Eleventh Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Store Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Student Time Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Thank You Card Directions . . . . . . . . . . . . . . . . . . . . . . . . . 39
Thank You Card Rough Draft Form . . . . . . . . . . . . . . . . . . .40
Student Performance Evaluation . . . . . . . . . . . . . . . . . . . .37
3
GATEWAY ACADEMIES GOALS & OBJECTIVES
GOAL:
It is our goal to introduce students to community pharmacy and its role in the healthcare delivery
system and providing a meaningful internship experience for pharmacy technician students.
PROGRAM OBJECTIVES:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Expose students to community pharmacy practice
Develop and enhance attitudes of community pharmacy
Expose students to the pharmacy’s commitment to disease based pharmaceutical management.
Emphasize the importance that out-window counseling is essential to providing good patient
care.
Expose the student to the pharmacist’s ability to communicate with patients, physicians, and
other health care professionals concerning medication and related health matters.
Demonstrate to the student the professional attitude necessary to the practice of pharmacy,
and the roles of the pharmacist within society.
Promote characteristics of empathy, respect, and concern toward a diverse patient population.
Familiarize the student with the various laws governing pharmacy practice and to demonstrate
how pharmacists abide by these laws.
Demonstrate to the student how the pharmacist uses patient medication records and profiles to
monitor drug usage, assess compliance, and how to deal with drug interactions.
Demonstrate to the student how the pharmacist reads a patient’s medication profile, interprets
the information, and solves problems concerning medication therapy.
On the next page is a list of activities that you should participate in while at your internship site.
Please check off the activity as you experience it. In this manual are all of the activities and
paperwork that you will need to complete your internship. Please make sure that you turn in this
completed manual to your supervising teacher and fax your time sheet to Mr. Mark Pixton at 4786872.
4
Pharmacy Technician Syllabus:
These are the assignments that are required for the Pharmacy Technician classes. During the
first trimester you will be working in class on course work provided by PassAssured, your
facilitator, and the two textbooks.
Task Type
Task Name
Total Points
Class Work
Class Work
Class Work
100
100
30
Class Work
Class Work
Orientation Test
Federal Law Exam
Review law materials
and take State Law
Exam
Medical Review Exam
Asceptic Technique
Pharmacy Calculations
Math Worksheets
Math Competency
Exam
Pharmacy Operations
Tutored Exam
Class Work
Pharmacy Exam
100
1st Trimester Total
50 Internship Hours
Completion of
Internship Packet
Evaluation
Time Sheet
Thank You Card
2nd Trimester Total
900
500
100
Class Work
Class Work
Class Work
Class Work
Class Work
Community
Community
Community
Community
Class Work
100
100
100
20
50
100
100
100
100
100
900
1,800
TOTAL POINTS
Grading Scale: 1620 -- 1800
1440 --1619
1260 -- 1439
1080 – 1259
1079 – Below
A
B
C
D
F
5
Student’s
Points
Target
Date
Week 1
Week 2
Mid Oct
Computer
Test
Week 3-4
Week 5
Week 6-8
Week 9
Week 1011
Week 1212
PHARMACY TECHNICIAN ACTIVITIES CHECKLIST
Student: __________________________________
School: __________________________________
Pharmacy _________________________________
Contact Person: __________________________
Student: You and your assigned pharmacist or pharmacy technician should review these tasks and keep
track of what experiences you have had at the internship site.
COMMUNICATING
□
Communicate orally with others
□
Uses telephone etiquette
□
Interprets the use of body language
□
Prepares written communication
□
Follows written directions
□
Asks questions about tasks
INTERPRETING THE ECONOMICS OF WORK
□
Identifies the role of business in the economic system
□
Describes responsibilities of employee
□
Describes responsibilities of employer or management
□
Investigates opportunities and options for business ownership
□
Assesses entrepreneurial skills
MAINTAINING PROFESSIONALISM
□
Participates in employee orientation
□
Assesses business image, products and/or services
□
Identifies positive behavior
□
Identifies company dress and appearance standards
□
Participates in meetings
□
Identify work-related terminology
□
Identify how to treat people with respect
ADAPTING AND COPING WITH CHANGE
□
Identify elements of job transition
□
Formulate transition plan
□
Identify implementation procedures for transition plan
□
Evaluate the transition plan
□
Exhibit ability to handle stress
□
Recognize need to change or quit job
□
Write a letter of resignation
SOLVING PROBLEMS AND CRITICAL THINKING
□
Identify the problem
□
Clarify purposes and goals
□
Identify solutions to a problem and their impact
□
Employee reasoning skills
□
Evaluate options
□
Set priorities
□
Select and implement a solution to a problem
□
Evaluate results of implementation option
6
□
□
Organize workloads
Assess employer and employee responsibility in solving a problem
MAINTAINING SAFE AND HEALTHY WORK ENVIRONMENT
□
Identify safety and health rules procedures
□
Demonstrate knowledge of equipment in the workplace
□
Identify conservation and environmental practices and policies
□
Act during emergencies
□
Maintain work area
□
Identify hazardous substances in the workplace
DEMONSTRATING WORK ETHICS AND BEHAVIOR
□
Identify rules, regulations, and policies
□
Practice cost effectiveness
□
Practice time management
□
Assume responsibility for decisions and actions
□
Exhibit pride
□
Display initiative
□
Demonstrate a willingness to learn
□
Identify the value of maintaining regular attendance
□
Apply ethical reasoning
DEMONSTRATING TECHNOLOGICAL LITERACY
□
Demonstrate basic keyboarding skills
□
Demonstrate basic knowledge of computing
□
Recognize impact of technological changes on tasks and people
MAINTAINING INTERPERSONAL RELATIONSHIPS
□
Value individual diversity
□
Respond to praise or criticism
□
Provide constructive praise or criticism
□
Channel and control emotional reactions
□
Resolve conflicts
□
Display a positive attitude
□
Identify and react to sexual intimidation/harassment
DEMONSTRATING TEAMWORK
□
Identify style of leadership used in teamwork
□
Match team member skills and group activity
□
Work with team members
□
Complete a team task
□
Evaluate outcomes
7
PRIOR TO YOUR FIRST VISIT:
I. Program Expectations:
Please take time to detail what your expectations are as a student participating in a
Pharmacy Technician internship so you can share your thoughts with the pharmacists.
(List 3)
1.___________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.___________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.___________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
PERSONAL APPEARANCE STANDARDS:
Personal appearance is a vital part of customer service in the pharmacy business where public trust and
confidence are important. Here are the general guidelines for a pharmacy technician’s personal
appearance. Please understand that an individual pharmacy may have more specific guidelines.
Males: Clean and pressed dress shirt with collar, clean and pressed dress pants, dress shoes or black
athletic shoes with black socks. Ties are optional, but preferred.
Females: Clean and pressed shirt or blouse, clean and pressed dress pants, skirts that fall below the
knee, dress shoes or black athletic shoes with black socks.
No polo shirts, capri pants, jeans, sweats, leggings, or shorts may be worn at any time. A clean, pressed
company issued white smock must we worn at all times.
Hair must be neat and clean. Beards and mustaches must be neatly trimmed.
SMOCKS: The pharmacy will provide you with a smock for you to wear during your experience
The smock should be clean and pressed and portray a professional manner.
A Gateway Academies (school provided) or company issued nametag must be worn at all times or you
will be sent back to school or home.
YOUR FIRST VISIT:
1.
Review policy and procedures and verify completion of tasks.
a. Provide Pharmacy Manager with valid technician license if required
b. Review dress code
c. HIPAA Training as it relates to patient care
d. Obtain nametag
8
COMPLETED
_________
_________
_________
_________
2. Introduction to Pharmacy and store staff; store tour
Community Resource Instructor _____________________________________
Store Director ____________________________________
Asst Director _____________________________________
OTC Clerk ________________________________________
Pharmacist _______________________________________
Pharmacist _______________________________________
Pharmacist _______________________________________
Pharm Tech ______________________________________
Pharm Tech ______________________________________
Pharm Tech ______________________________________
3. Tour of Pharmacy (Have your CRI, another pharmacist, or a pharmacy technician give you a tour
of the pharmacy. Know where the following items are located:
____ Opthalmics & Otics
____ Liquids
____ Vaginal/Rectal products
____ Topicals
____ Refrigerated products
____ Insulin
____ Reconstitutable antibiotics
____ Generics
____ Vials/Bags/Bottles/Supplies
____ Special storage for above items
4.
____ Reference Materials
____ Compounding area
____ Bulletin Board
____ CII substances
____ Special Orders
____ Speed shelf
____ Syringes
____ Will call area
____ Cash Register
____ Flavor RX
Discussion Questions Here are two topics to discuss with your CRI:
a. Why is customer service so important?
b. How can I convey a positive attitude towards your customers?
c. What do customers expect from their pharmacist and staff?
List three examples of customer service that you have witnessed today at your assigned
pharmacy: _________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
SECOND VISIT:
Become familiar with the layout of the store and indicate which aisle each item is in:
1.
2.
3.
4.
5.
6.
7.
8.
Tylenol
Lubriderm Hand Lotion
Cotton Balls
Laundry Detergent
Kleenex
Robitussin Cough Syrup
Visine Eye Drops
Motrin
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Magazines
Diapers
Sun Tan Oil
Hair Spray
Razors
Band Aids
Lotrimin cream
Noxema
9
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
Aisle _______
9. Diet Coke
10. Centrum vitamins
Aisle _______
Aisle _______
Stridex
Sudafed
Aisle _______
Aisle _______
Discuss the following questions with a pharmacist:
What is the role of the pharmacist? _______________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What is the role of the pharmacy Technician? ______________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
List some of the functions that a technician can NOT perform: _________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Besides a retail setting, where can a pharmacist work? ________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How has the pharmacists’ role changed in the past 20 years? ___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Confidentiality:
What information is considered confidential in a pharmacy? ____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
With whom can you discuss this information? _______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How is printed confidential information discarded? ___________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Professionalism:
Define Professionalism in pharmacy: _______________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What can you do to be professional in pharmacy? ____________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
10
Communication:
Why are good communication skills important for a pharmacist? ________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What other health care professionals might a pharmacist communicate with? _____________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Give three examples of a pharmacist – physician interaction: ___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What is a prescription? It is an order for medication issued by a licensed prescriber who may be a:
Physician – M.D.
Dentist – D.D.S.
Osteopath – D.O.
Veterinarian – D.V.M
Podiatrist – D.P.M.
Nurse Practitioner - A.P.N.
Optometrist – D.O.
Physician’s Assistant – P.A.
Sample of a prescription:
1. John H. Doe, M.D.
100 Adams Street
Boise, ID 82401
208.222.3322
2. Name: Sally Public
Address: 190 Augusta St
Boise, ID 82402 208.223.8899
4.Amoxicillin 500 MG
5. #30
3. Date 7/25/09
6 SIG: one cap tid ug
7. Refill: 0
May substitute
May not substitute
9. DEA# AD1111111
8
A prescription must contain the following:
1. Physician information
2. Patient’s name, address, phone
3. Date prescription was issued
4. Name & strength of medication
5. Quantity to dispense
6. Directions for use (sig)
7. Refill instructions
8. Physician’s signature
9. Physician’s DEA number (a unique number assigned to each doctor giving him/her the authority
to prescribe certain types of medications.
11
3. REVIEW THESE GENERAL ABBREVIATIONS COMMONLY USED BY PRESCRIBERS TO WRITE
PRESCRIPTIONS: (Prescription Sig List – “Sig” refers to the prescribed directions)
a. HOW MANY
1 =
i
=
I
10
=
x
2 =
ii
=
II
11
=
xi
3 =
iii
=
III
50
=
L
4 =
iv
=
IV
100
=
C
5 =
v
=
V
500
=
D
9 =
ix
=
IX
1000 =
M
b. DOSAGE FORM
Cap(s)
=
CR
=
Ec
=
El or elix =
Expect
=
Fl
=
Gtts
=
Lot
=
Ophth
=
capsule
cream
enteric coated
elixir
expectorant
fluid
drops
lotion
opthamic (eye)
c. HOW OFTEN
Q (X) hr
=
Ex.Q4h
=
PRN
=
UD
=
QD
=
BID
=
every (number) hours
every 4 hours
as needed, or as necessary
as directed
TID
every day
QID
twice daily
QOD
=
=
=
three times daily
four times daily
every other day
d. MODIFIERS
W/meals
AC
AM
PM
with meals
before meals
morning
evening
PC
HS
QHS
STAT
=
=
=
=
after meals
at bedtime
every night at bedtime
immediately or now
AP
V
T
INST
SQ
SL
AS
OD
OU
=
=
=
=
=
=
=
=
=
apply
VAG (vaginal)
take
instill
subq (subcutaneous)
under the tongue or sublingual
left ear
right eye
both eyes
=
=
=
=
Tsp
=
Otic
=
Sol
=
Supp =
Susp =
Syr
=
Tab(s) =
Tinc
=
Ung or oint =
e. ROUTES OF ADMINISTRATION
PO
=
by mouth
R
=
REC (rectal)
IM
=
intramuscular
IV
=
intramuscular
INS
=
insert
EXT
=
external
AD
=
right ear
AU
=
both ears
OS
=
left eye
12
teaspoon
ear
solution
suppository
suspension
syrup
tablet(s)
tincture
ointment
f.
GENERAL ABBREVIATIONS
Q =
q
=
D =
d
=
H =
hr
=
W =
c
=
every
day
hour
with
GM
Disp
NR
QS
=
=
=
=
gm
=
gram
dispense
no refill
sufficient quantity
g. INTERPRETING A PRESCRIPTION
What should the directions on the label say for the following sigs? Using the lists above for
a reference, write out what each direction on the bottle should say and review with a
member of the pharmacy team.
2 caps po bid x 5d __________________________________________________________
2 gtts ou tid _______________________________________________________________
1 tab tid prn pain __________________________________________________________
1 tab ac bid______ __________________________________________________________
ap sparingly qhs ____________________________________________________________
1 supp pr hs prn
__________________________________________________________
5 ml po qam and qpm _______________________________________________________
5 gtts as qid ________________________________________________________________
2 stat then 1 tab qid x 7d
____________________________________________________
1 tsp pot id ug ______________________________________________________________
THIRD VISIT:
1. BRAND NAMES AND GENERIC NAMES
a. Define the term “brand name” as it is used in the pharmacy
___________________________________________________________________________
___________________________________________________________________________
b.
What does “generic alternative” mean?
___________________________________________________________________________
___________________________________________________________________________
c. What does “DAW” mean?
___________________________________________________________________________
___________________________________________________________________________
d.
When can you legally substitute a generic for a brand name?
___________________________________________________________________________
___________________________________________________________________________
13
2. Complete the brand/generic exercise below. Use the drugs’ package insert or any reference in the
pharmacy to assist you.
BRAND/GENERIC DRUG EXERCISE
DRUG
GENERIC NAME
GENERIC AVAILABLE
MAJOR INDICATION
Ambien
_____________
________________
________________
Ativan
_____________
________________
________________
Biaxin
_____________
________________
________________
Ceclor
_____________
________________
________________
Cipro
_____________
________________
________________
Evista
_____________
________________
________________
Luvox
_____________
________________
________________
Norvasc
_____________
________________
________________
Premarin
_____________
________________
________________
Spiriva
_____________
________________
________________
3. OTC Exercise
A. List the different OTC categories in your store:
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
B. Name three OTC products from different categories that are also available in prescription
strength:
______________________________________________________________________________
______________________________________________________________________________
14
C.
What is the pharmacist’s role with OTC medications?
______________________________________________________________________________
______________________________________________________________________________
D. What questions should a pharmacist ask a patient before making a recommendation for an OTC
product?
______________________________________________________________________________
______________________________________________________________________________
FOURTH VISIT:
1. OTC Exercise The following is an exercise on OTC products. The objective of this exercise is to
expand your knowledge of these products. Please work with your pharmacy team in addition to
spending time in the OTC aisles to complete this exercise.
Fill in the black with the correct letter for the product commonly used for the problem listed:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Scrapes and cuts
Relief of headache
Indigestion
Arthritis pain
Allergy relief
Sinus congestion
Relief of constipation
Cough
Chicken Pox
Stomach gas
Rash
Athlete’s foot
Sunburn
Eye irritation
Cold symptoms
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
a. Advil
b. Neosporin
c. Lotrimin
d. Sudafed
e. Phazyme
f. Aloe gel
g. Benadryl
h. Maalox
i. Drixoral
j. Cortaid
k. Visine
l. Tylenol
m. Metamucil
n. Robitussin
o. Aveeno
15
2. FILL STATION EXERCISE
Work with your Pharmacy Manager/Staff Pharmacist to learn how to perform the tasks at the fill
station: Specifically:
• How to log in to the fill station workstation
• How is the queue sorted?
• How to fill a prescription, including passing the order
• Where do you count the pills?
• What do you do with liquids?
• How to fill a prescription when you do not have enough of the medication
⁰ Partial Fill
⁰ Fill on Arrival
• How to check and see if the medication is coming on the next warehouse order.
• How do you denote that the patient is waiting?
3. PRACTICE PHARMACY CALCULATIONS
Accurately determining the amount of medicine to dispense as well as determining how long a
prescription should last the patient (known as the days supply) is a vital role that the technician and
pharmacist share.
A. List the numeric values for these Roman numerals:
V _______
X _______
L _______
D _______
M _______
VI ______
IX _______
LV _______
XII ______
B. Listed below are common conversions you will use:
1 tbsp =
15 ml
1 ml
=
1 cc
4 oz syrup =
120 ml
60 gm powder = 2 oz
C.
1 oz liquid
1 tsp
1 oz ointment
1000 mg
=
=
=
=
30 ml
5 ml
30 gm
1 gram
What is the day supply for the following prescriptions? Review the answers with the pharmacy
manager, staff pharmacist or lead technician.
Amoxicillin 125 mg/5ml
75 ml
SIG: ½ tsp TID
________ day supply
Bactrim suspension
200 ml
SIG: ii tsp BID
________ day supply
Tussi-Oganidin DM
6 oz
SIG: 2 tsp TID
_________ day supply
16
D. What is the total quantity that the patient will need to complete the entire course of therapy?
i tsp 3-4 times a day for 10 days
qty ________________
Claritin syrup 6 oz
qty ________________
2 tabs TID x 7 days
qty ________________
E. Rewrite the following fractions to decimals:
¾
___________________
2/3 __________________
½
_____________________
1 ½ _____________________
FIFTH VISIT:
1. ABBREVIATION EXERCISE
Now that you have had some experience with the different abbreviations used in the
pharmacy, you can hopefully complete the following exercise. Try to complete the exercise
yourself, and then review with a pharmacy staff member.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
BID
OU
TID
QID
PC
OTC
FDA
NR
PRN
TSP
SIG
ML
DAW
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
A. no refill
B. dispense as written
C. as needed
D. milliliter
E. after meals
F. four times daily
G. both eyes
H. over the counter
I. teaspoon
J. twice daily
K. three times daily
L. prescriber’s directions
M. Food and Drug Administration
2. DOSAGE FORMS
Investigate different types of dosage forms that are found in the pharmacy and discuss
the advantages and disadvantages with the pharmacist.
A.
Inhalers
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
17
B. Oral Suspensions
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
C. Eye Drops
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
D. Suppositories
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
E. Topical Products (ointments, creams, lotions)
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
F. Tablets
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
G. Ear Drops
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
18
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
H. Transdermal Patches
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
I.
Injectables
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
J.
Capsules
Major Use: ______________________________________________________________
Two examples: ___________________________________________________________
Advantages: _____________________________________________________________
________________________________________________________________________
Disadvantages: ___________________________________________________________
________________________________________________________________________
K. What do ER, EX, SR, and XR stand for when part of a drug’s name and what does it mean?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
L. What does SL mean and what are the advantages of an SL tablet?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
M. What does EC mean and what are the advantages of an EC tablet?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
19
3. Complete the brand/generic exercise below. Use the drugs’ package insert or any reference in the
pharmacy to assist you.
BRAND/GENERIC DRUG EXERCISE
DRUG
GENERIC NAME
GENERIC
AVAILABLE?
MAJOR INDICATION
1. Bactrim
_____________
____________
_____________________
2. Benzamycin
_____________
____________
_____________________
3. Calan
_____________
____________
_____________________
4. Celebrex
_____________
____________
_____________________
5. Clomid
_____________
____________
_____________________
6. Keppra
_____________
____________
_____________________
7. Depo-Provera
_____________
____________
_____________________
8. Maxzide
_____________
____________
_____________________
9. Prilosec
_____________
____________
_____________________
10. Symbicort
_____________
____________
_____________________
4. DISCUSSION WITH THE PHARMACIST
A. What additional services does your pharmacy offer the patient in terms of clinical services?
(i.e. immunizations/health screenings/diabetes consults)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
B. Which of the pharmacy team members participate in these programs?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
C.
What additional training does a Pharmacist or pharmacy team member have to underfo to
be able to offer these services to our patients?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
20
D. What are the benefits for both the patient and the business by offering these clinical
services?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
SIXTH VISIT:
1. OTC EXERCISE
The following is an exercise on OTC products. The objective of this exercise is to expand your
knowledge of these products. Please work with your pharmacy team in addition to spending time in
the OTC aisles to complete this exercise.
OTC EXERCISE
List the active ingredient(s) and major indication of each of these products:
Advil
Active Ingredient (s)
___________________________
Major Indication
_______________________________
Motrin
___________________________
_______________________________
Claritin
___________________________
_______________________________
Phazyme
___________________________
_______________________________
Maalox
___________________________
_______________________________
Metamucil
___________________________
_______________________________
Robitussin DM
___________________________
_______________________________
Tylenol
___________________________
_______________________________
Exedrin
___________________________
_______________________________
Axo-Standard
___________________________
_______________________________
Visine
___________________________
_______________________________
Tears Natural
___________________________
_______________________________
Neosporin
___________________________
_______________________________
Tinactin
___________________________
_______________________________
Benadryl
___________________________
_______________________________
Cortaid
___________________________
_______________________________
Nasalcrom
___________________________
_______________________________
Afrin
___________________________
_______________________________
Citrucel
___________________________
_______________________________
Zanafel
___________________________
_______________________________
21
2. WORKFLOW/PHARMACY PROCESSES: Discuss with your pharmacy manager or pharmacy
team these discussion questions:
A.
What is workflow as it pertains to the pharmacy and what are its benefits?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
B.
What functions are performed at the In-Window?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
C. What information must we obtain from a patient at the In-Window?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
D. What functions are performed when filling a prescription?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
E. What are some tablets or capsules that cannot be counted in the pill counter?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
F. What is the difference between scan verify and manual verify?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
G. What is done if there is not enough medication to completely fill a prescription?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
22
H. What functions are performed at the Out Window?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
I.
Which patients should be counseled and who can counsel them?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
J. What are the most important points that a pharmacist should cover when counseling a
patient on a new medication?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
3. ALTERNATIVE MEDICATIONS: Define and give two examples of the following:
Herbal Product:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Vitamin:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Homeopathic Product:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
23
SEVENTH VISIT:
1. PHARMACY REFERENCES:
A. Discuss with your community resource instructor the reference material that is available to
them. Is it a book? Or online? What is the primary reference that they use in the
pharmacy?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
B. List all of the reference books that are available in your pharmacy and the list of information
available in each.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
24
2. Complete the brand/generic exercise below. Use the drugs’ package insert or any reference in
the pharmacy to assist you.
BRAND/GENERIC DRUG EXERCISE
DRUG
GENERIC NAME
GENERIC
AVAILABLE
MAJOR INDICATION
1. Atarax
______________
__________
__________________________
2. Augmentin
______________
__________
__________________________
3. Flonase
______________
__________
__________________________
4. Mirapex
______________
__________
__________________________
5. Nitrostat
______________
__________
__________________________
6. Nizoral
______________
__________
__________________________
7. Plavix
______________
__________
__________________________
8. Prevachol
______________
__________
__________________________
9. Prevacid
______________
__________
__________________________
10. Restoril
______________
__________
__________________________
11. Retin-A
______________
__________
__________________________
12. Synthroid
______________
__________
__________________________
13. Xalatan
______________
__________
__________________________
14. Zovirax
______________
__________
__________________________
3. CONTROLLED SUBSTANCE DISCUSSION
Discuss these questions with the pharmacy manager or a member of the pharmacy team.
A. What is a controlled substance?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
B. List and define the classes of controlled substances?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
25
C.
Who has the authority to order CII medications from a wholesaler?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
D. What form is required to order CII medications and how is it filled out?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
E. What are the storage requirements for CII medications?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
F. Describe the security procedures of the pharmacy.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
26
EIGHTH VISIT:
1.
PHARMACIST AUDIT:
Observe the Pharmacist Audit procedure (pharmacist at the QA station)
Discuss with the pharmacist:
• What specific information does the pharmacist need to perform the final audit?
• What is a drug interaction?
• How does the computer assist in identifying a potential drug interaction?
• How does the pharmacist decide if the drug interaction is major or minor?
• How do they handle a major interaction versus a minor interaction?
• How does the pharmacist handle a data entry error made by the person who entered the
prescription?
2.
PHARMACY CALCULATIONS:
Complete the following calculations and review the answers with the pharmacist or a member of
the pharmacy staff.
A. You receive a prescription for Starlix 60 mg TID x 30 days. How many tablets are needed to fill
this prescription correctly?
________________ tablets
B. You receive a prescription for prednisone liquid 5 ml BID x 5 days. How many millileters are
needed to fill this prescription correctly?
__________________ ml
C. You receive a prescription for an Albuterol Inhalor. The sig is: Use 2 puffs by mouth QID. You
see on the box that each inhaler contains 200 inhalations. How many days will the inhaler last
the patient (days/supply)?
_________________ days
27
3.
OTC EXERCISE:
List 3 BRAND name products that contain the active ingredient listed below:
Hydrocortisone ½ % cream
____________________________________________
Diphenhydramine
____________________________________________
Guaifenesin
____________________________________________
Acetaminophen
____________________________________________
Ibuprofen
____________________________________________
Simethicone
____________________________________________
Phenylephrine
____________________________________________
Brompheniramine
____________________________________________
Aspirin
____________________________________________
List the active ingredient(s) in each of the products below:
Nicoderm
__________________________________________________________
Lotrimin
__________________________________________________________
Mylanta
__________________________________________________________
Ex-Lax
__________________________________________________________
Alka-Seltzer
__________________________________________________________
Dimetapp
__________________________________________________________
Caladryl
__________________________________________________________
Monistat
__________________________________________________________
Tylenol Cold
__________________________________________________________
28
NINTH VISIT:
1. ABBREVIATION EXERCISE: Match the following with their definition or synonym:
1. ung ____
a. suppository
2. SUPP ____
b. gram
3. APAP ____
c. before meals
4. g
____
d. at bedtime
5. AC
____
e. tablet
6. HS
____
f. by mouth
7. q6h ____
g. aspirin
8. ASA ____
h. every 6 hours
9. po
____
i. drop
10. kg
____
j. acetaminophen
11. mcg ____
k. microgram
12. gtt ____
l. Kilogram
13. qod ____
m. ointment
14. tab ____
n. every other day
2. CONTINUING EDUCATION DISCUSSION:
Discuss these questions with the Pharmacy Manager of staff pharmacist.
a. What does “CE” stand for?
____________________________________________________________________________________
b. What are the CE requirements for a pharmacist licensed in Idaho?
____________________________________________________________________________________
c. Describe ways a pharmacist can obtain a CE credit.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
29
d. Why do pharmacists need CE?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e. Who else in the pharmacy is required to obtain CE credits?
____________________________________________________________________________________
____________________________________________________________________________________
3. COMPLETE THE BRAND/GENERIC EXERCISE BELOW. USE THE DRUGS’ PACKAGE INSERT OR ANY
REFERENCE IN THE PHARMACY TO ASSIST YOU:
BRAND/GENERIC DRUG EXERCISE
DRUG
GENERIC NAME
GENERIC
AVAILABLE?
1. Darvacet-N
______________
__________
__________________________
2. Denavir
______________
__________
__________________________
3. Detrol
______________
__________
__________________________
4. Diflucan
______________
__________
__________________________
5. Diovan
______________
__________
__________________________
6. Elavil
______________
__________
__________________________
7. Flagyl
______________
__________
__________________________
8. Larium
______________
__________
__________________________
9. NuLytely
______________
__________
__________________________
10. Ocuflox
______________
__________
__________________________
11. Peridex
______________
__________
__________________________
12. Tenormin
______________
__________
__________________________
13. Vivelle
______________
__________
__________________________
30
MAJOR INDICATION
TENTH VISIT:
1. PHARMACEUTICAL CARE DISCUSSION:
Discuss the following questions with the pharmacy manager or staff pharmacist:
a. What are the goals of pharmaceutical care?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
b. Describe why pharmaceutical care is so important:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
c. How is pharmaceutical care a benefit for the patient?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
d. How is pharmaceutical care a benefit to the healthcare system
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
31
2. DOSAGE FORM EXERCISE:
List an example of each of the following dosage forms and review your answers with the
pharmacy manager or staff pharmacist.
A. Sustained Release Tablet
___________________________________________________________________________
B. Transdermal Patch
___________________________________________________________________________
C. Intranasal Spray
___________________________________________________________________________
D. Sublingual Tablet
___________________________________________________________________________
E. Metered Dose Inhaler (MDI)
___________________________________________________________________________
F. Dry Powder Inhaler (DPI)
___________________________________________________________________________
G. Suppository
___________________________________________________________________________
3. OUT WINDOW OBSERVATION:
Observe the pharmacist at the Out Window. Specifically observe:
• The pharmacist counseling on new medications.
• Reviewing the prescription image and counseling information to give the most thorough
consultation.
• How the pharmacist instructs patients about specific dosage instructions, storage
requirements, etc.
• How the pharmacist handles possible drug interactions with current medications and
how they counsel the patient.
• How the pharmacist handles insurance payment questions and concerns.
32
ELEVENTH VISIT:
1. INTERVIEW THE PHARMACIST
Ask the pharmacy manager or staff pharmacist the following questions:
A. Why did you (the pharmacist) want to become a pharmacist?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
B. What do you (the pharmacist) like most about your career as a pharmacist?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
C. What do you like least about your career as a pharmacist?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
D. Would you recommend pharmacy as a career to students? Why or why not?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
E. What course work should I be taking in high school in order to prepare me for a career in pharmacy?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
33
2. SITE EVALUATION
Student should discuss this evaluation with their Community Resource Instructor. If asked,
please complete the evaluation of your internship site honestly.
STUDENT’S STORE EVALUATION
(Completed by the student)
STUDENT: ___________________________________________ STORE __________________________
Please place a check mark next to the space which best describes your response.
1) I was oriented effectively to store operations and introduced to all store staff.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
2. The pharmacy and store staff were receptive to working with me as a student.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
3. The pharmacy staff exposed me to all areas of the prescription filling process (within legal guidelines
throughout my experience.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
4. I received a positive impression of community pharmacy practice from working at this store.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
5. The pharmacy and store staff were supportive of the program.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
6. The pharmacy staff provided adequate time for completing assigned exercises.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
7. The community resource instructor and pharmacy team were available for questions and more
than willing to discuss those questions.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
34
8. The experiences I gained were adequate enough to help me form an opinion of community pharmacy
as a possible career.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
9) My experience was interesting and challenging.
_____ Very Much Agree
_____ Very Much Disagree
_____ Partially agree
_____ Partially disagree
I think the following things should be added to the work experience:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
I think the following things should be changed in the work experience:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Additional comments:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________
Student’s signature
_________________________
Date
35
PHARMACY TECHNICIAN STUDENT INTERNSHIP EVALUATION
Pharmacist: Upon completion of this student evaluation, please place in an envelope, seal it, sign it and
return it to the student.
Completed by the Community Resource Instructor (CRI)
Student: _____________________________ School: __________________________________
Pharmacy ____________________________ CRI: ____________________________________
Scoring: 8 - 10 pts = performs above expectation
5 - 7 pts = performs at expectation
1 - 4 pts = performs below expectation
Areas of Evaluation
Please indicate score
Communication Skills
Understanding & Demonstration of
Professionalism
Dressed appropriately and professionally
Wore name tag each visit
Adapting to changing work environment
Problem Solving & Critical Thinking Skills
Work Ethic and Behavior
Ability to get along with employees and work
as a member of a team
Technical knowledge
Asked appropriate questions
TOTAL POINTS
Comments: ______________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
____________________________________
Community Resource Instructor
____________________________________
Pharmacy
36
_______________________
Date
PHARMACY TECHNICIAN • A GATEWAY ACADEMIES PROGRAM
______________________
_________
Student Name
Class Hour
TIME CARD
_________________
HP Facilitator
__________________
School
Students: It is your responsibility to record the internship hours, to keep a running total of your hours
and to obtain your CRI’s signature. Only signed hours will be awarded points. You must complete 45
hours.
INTERNSHIP SITE
DATE
TIME:
FROM/TO
TOTAL
HOURS
TODAY
37
CRI SIGNATURE
TOTAL
INTERNSHIP
HOURS
THE THANK YOU NOTE:
Students, you will be required to write a thank you note to your Community Resource Instructor
thanking them for the experience they arranged for you. This note may be written on a post card or you
may purchase a greeting card. Please write out a rough draft of the thank you card you wish to
send to the pharmacy that you completed an internship at. Have your HP instructor proofread
it and correct any errors. Once it has been approved, you may transfer the note onto a Post
Card, that your instructor will provide, or you may purchase a greeting card and a stamp. Once
the thank you note has been written, please turn it in to your HP instructor for credit and he or
she will mail it for you. Thank you cards should not be delivered in person, but rather, mailed a day or
two after you have completed your pharmacy internship experience.
▸
Mention something noteworthy about your experience.
▸
Thank them for their TIME, and for sharing their EXPERTISE with you
▸
Compliment them and be sincere!
▸
If this is the career for you, mention it! If isn’t, do NOT mention it -- be tactful!
▸
Avoid using “you guys,” and “you all.” You may send one card to the entire staff, but it
should be addressed to your community resource instructor.
EXAMPLE ~
Your Name
School Name
School City, State Zip
STAMP
Your Community Resource Instructor’s Name
CRI’s Title (If they have one)
c/o The Name of the Company
The Company’s Address
City, State Zip
Dear Mr. Jones,
I wanted to thank you for allowing me to complete an internship with you and
your staff. I enjoyed every moment that I spent at Smith’s Pharmacy. I learned
so much about the rewards and challenges of being a pharmacist. I appreciate the
time you took to tell me about your career, to involve me in your work and to
answer all of my questions. I admire the caring and the skill that you show in your
work.
The opportunities that I had to work with you and your staff were exciting.
The exercises in the manual made all that I’ve learned in the class meaningful.
Again, thank you so much.
Sincerely,
Your Name
Your High School
38
________________________________
Name
Class Hour
THANK YOU CARD ROUGH DRAFT
Front of Post Card:
STAMP
Back of Post Card:
39