Listening Comprehension Topic: Identifying Basic Story Elements What makes a story a story?
A CPhT Story
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A CPhT Story: Past, Present, and Future Visions from a PTCB Certified Pharmacy Technician Sylvia Banzon, CPhT, CQiA, PMP Sutter Health Sacramento, CA Objectives Explain new or modified roles for pharmacy technicians that have developed as a result of PPMI. Identify training, certification, and competencies needed to enhance competencies needed to enhance pharmacy technician roles. 2 Quick poll: Who is in the audience? How many Pharmacists? How many Pharmacy Technicians? Any Students in the audience? Self-Assessment Question Which of the following are important to the effective integration of pharmacy technicians into new roles and responsibilities? A. Support of integration plans from pharmacists B. Education and training about new roles and responsibilities C. PTCB certification D. All of the above 4 Self-Assessment Question True/False The pharmacy landscape continues to evolve and offer new roles and responsibilities for pharmacy technicians. pharmacy technicians. 5 Technicians were primarily trained in i.v. compounding, unit dose cartfill, extemporaneous compounding, and repackaging Technician programs were only t ht b h it Technician Landscape: 1987 taught by pharmacists Pharmacy operations were not entirely computerized (example: four-color pen) Only pharmacists could compound chemotherapy and IV medications 6 PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change © 2011 American Society of Health-System Pharmacists 2011 Midyear Clinical Meeting Page 1 of 6
Transcript of A CPhT Story
A CPhT Story: Past, Present, and Future Visions from a PTCB Certified Pharmacy Technician
Sylvia Banzon, CPhT, CQiA, PMPSutter HealthSacramento, CA
Objectives
Explain new or modified roles for pharmacy technicians that have developed as a result of PPMI.
Identify training, certification, and competencies needed to enhancecompetencies needed to enhance pharmacy technician roles.
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Quick poll: Who is in the audience?
How many Pharmacists?
How many Pharmacy Technicians?
Any Students in the audience?
Self-Assessment Question
Which of the following are important to the effective integration of pharmacy technicians into new roles and responsibilities?
A. Support of integration plans from pharmacists
B. Education and training about new roles and responsibilities
C. PTCB certification
D. All of the above
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Self-Assessment Question
True/False
The pharmacy landscape continues to evolve and offer new roles and responsibilities for pharmacy technicians.pharmacy technicians.
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Technicians were primarily trained in i.v. compounding, unit dose cartfill, extemporaneous compounding, and repackaging
Technician programs were only t ht b h i t
Technician Landscape: 1987
taught by pharmacists Pharmacy operations were not
entirely computerized (example: four-color pen)
Only pharmacists could compound chemotherapy and IV medications
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PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change
© 2011 American Society of Health-System Pharmacists
2011 Midyear Clinical Meeting
Page 1 of 6
Personal Timeline
1987 Became a Pharmacy Technician
1988 Took a voluntary eight-hour course in chemotherapy provided by employer to “advance our duties”
1990 First technician to work in the Bone Marrow Satellite 1990 First technician to work in the Bone Marrow Satellite
1992 Assistant Supervisor of Outpatient Pharmacy
1995 Lead Pharmacy Technician Instructor
1996 Obtained PTCB Certification
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“I maintained PTCB certification initially because I envisioned this becoming the standard of the profession, now I maintain it as a personal
it t t i th f i t hi h
My Journey as a CPhT
commitment to raise the profession to a higher standard through example.”
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Impact of Pharmacist Support
Managers and Directors integral to my career
Provided: Encouragement and guidance
Ability to grow in my positions
Ability to be open minded
Autonomy
Support for conferences, leadership training, in-house certificate programs
Tuition reimbursement (company)
Without support and encouragement, I would be a very different pharmacy technician!
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Personal Timeline
1998 Lead Pharmacy Technician
1999 Technician Supervisor
2007 Present Regional Data Quality Coordinator
2007 Present CSHP Technician Board Director
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Technician Supervisor
Responsibilities Hiring, training and coaching of staff
Scheduling of Pharmacy Interns, Technicians, and Assistants
Pharmacy daily operations
Project Lead/Technology Coordinator Project Lead/Technology Coordinator
Quality Improvement Coordinator
Manager on-call rotation (sick calls, problems, etc..)
Number of people supervised 30 Pharmacy Technicians
4 Pharmacy Assistants
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Technician Supervisor
Technician Supervisor Training On the job training
Hospital Leadership Program
ASHP Summer meetings
Quality conferences
Q lit I t P d C tifi ti Quality Improvement Program and Certification
Project Management Certification
Most difficult part about supervisory role Competing priorities
Availability
Coaching employees
Annual performance evaluations
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PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change
© 2011 American Society of Health-System Pharmacists
2011 Midyear Clinical Meeting
Page 2 of 6
Tips for Technician Supervisors
Focus on growth and staff development Training is critical to competence of staff
Develop Standard Operating Procedures
Develop Audit Procedures
Incorporate objective and quantitative goals onIncorporate objective and quantitative goals on technician evaluations Make sure that items being assessed are applicable to
technicians
Encourage peer review/recognition
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Programs and Projects Implemented
Audit System
Pyxis refills accuracy
Aseptic technique assessments
Surface cleanliness
Narcotic counts
Purchasing receipts
Near misses
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Programs and Projects Implemented
Clinical Pharmacy Technician positions
Outsourcing of medication compounding
TPN
PCA
Development of workflows to improve efficiency
Documentation
Workstations
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Clinical Pharmacy Technician Positions
Nursing Liaisons/Customer Service
Pyxis Manager
Project Team Leads
IV to PO Conversion
Staff Technology Trainer
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RDQC for Sutter Health in Sacramento, CA (non-profit hospital system of 28 affiliated hospitals)
Responsibilities: Conduct data abstraction and quality audits of
Current Role
patient charts Work in Quality Process Improvement projects at
different hospitals Provide input into the standardization of practices,
forms, and programs for various facilities
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As a Regional Data Quality Coordinator:
The most rewarding part of my job is being a part of Quality Improvement projects (i.e. working on efficiencies, streamlining processes, and problem solving)
A Rewarding Job
I am able to work behind the scenes, providing tools and efficient processes to help get the pharmacists to the bedside
Knowing what I am doing is ultimately helping a patient!
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PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change
© 2011 American Society of Health-System Pharmacists
2011 Midyear Clinical Meeting
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ASHP PPMI 2010 and Beyond
The goal is to significantly advance the health and well being of patients by developing and disseminating a futuristic practice model that supports the most effective use of
h i t di t ti t idpharmacists as direct patient care providers.
Two of Six recommendations about pharmacy technicians made during the summit including: Pharmacy technicians who have appropriate education, training,
and credentials should be used to free pharmacists from drug distribution activities
Assigning medication distribution tasks to technicians would make it possible to deploy pharmacists to drug-therapy management services
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PPMI Impact: Positions Created or Under Consideration
Decentralized/Clinical Pharmacy Technicians
ED Technicians
Automation Specialists
OR Technicians
Medication Reconciliation Technicians Medication Reconciliation Technicians
Technician Supervisors
Quality Coordinator
Inventory Management Technicians
To enable pharmacists more clinical time, we are planning to implement:
Tech-Check-Tech program20
Expanded roles I have seen include:
Ordering medications & pharmacy supplies Monitoring and maintaining automated
dispensing machine stock Supervising and training technicians and
pharmacy interns Operating pharmacy systems (i.e. Pyxis)
Technician Landscape: Today
Database administration and analytics for pharmacy information systems
Acting as a resource for pharmacy benefit management reconciliation
Managing technician pools for chain drug stores
Instructing pharmacy technicians Leading and volunteering in professional
pharmacy organizations Owning/managing retail pharmacies and
pharmacy staffing companies21
Technological advancements have:
correlated with technician advancements (computerized order entry systems, automated dispensing cabinets and/or robots, etc.)
allowed technicians to take on additional roles allowing
Technology’s Impact on Technicians
additional roles, allowing pharmacists more time to spend with patients
created new roles (data collection for i.v. to PO conversion, quality audits, narcotic management, inventory management of automated dispensing cabinets, and training new personnel on technology)
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Technology has…
“Upgraded” traditional rolesInventory Clerk to an Inventory Management Technician to help with the recall and drug shortage issues barcode scanning robotics and tracking of
Technology’s Impact on Technicians
issues, barcode scanning, robotics, and tracking of medications
Increased number of “Career Technicians”As opportunities for advancement increase, technicians are more likely to move up within an organization vs. hitting a ceiling and switching employers
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Get Involved!
In the Workplace
Local or State Level
National Level
Opportunities are ENDLESS!
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PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change
© 2011 American Society of Health-System Pharmacists
2011 Midyear Clinical Meeting
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Committee Participation
Lifelong Learning Opportunities
Certifications:
Examples of Workplace Involvement
PTCB Certification
Quality Improvement Associate (QIA): 2003
Project Management Professional (PMP): 2008
Green Belt Six Sigma Training: 2009
Healthcare Quality Professional (CPHQ): In progress
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California Society of Health-System Pharmacists:
Technician members are appointed to CSHP committees, councils, and task forces, including:
Tech-Check-Tech Task Force
Examples of Opportunities on the State Level
Tech-Check-Tech Task Force Government Affairs Advisory Committee Practitioner Recognition Program Committee Committee on Goals Membership Committee Public Relations Committee Council on Professional Affairs Continuing Pharmacy Education Committee Board of Directors
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Examples of Opportunities at the National Level
ASHP Section Advisory Group on Support Services Created to assist ASHP Section of Inpatient Care
Practitioners
Enhances safe medication practices as it relates to the advancement of the entire pharmacy team and workforce
Responsible for MCM programming, webinars, web-site resources, AJHP column
PTCB Item Writer
Volunteer for a committee
Programming opportunities
Spotlights27
CPhT Spotlights
Sylvia Banzon, CPhT, CQiA, PMP
Christina Andrade, CPhT
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PTCB C.R.E.S.T. Summit-Technician Perspective
Attended as a participant and keynote speaker
Audience represented all stakeholders
Forum provided an avenue for open Forum provided an avenue for open discussion and debate
Enlightening to hear all perspectives
Encouraging to hear support of pharmacy technicians!
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Technicians: managing pharmacy operations and quality activities; acting as experts in compounding and repackaging; managing pharmacy inventory, technology, and databases.
My Vision…
Pharmacists: Working side-by-side with physicians, providing clinical expertise and/or counseling patients in medication management and compliance.
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PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change
© 2011 American Society of Health-System Pharmacists
2011 Midyear Clinical Meeting
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Self-Assessment Question
Which of the following are important to the effective integration of pharmacy technicians into new roles and responsibilities?
A. Support of integration plans from pharmacists
B. Education and training about new roles and responsibilities
C. PTCB certification
D. All of the above
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Self-Assessment Question
True/False
The pharmacy landscape continues to evolve and offer new roles and responsibilities for pharmacy technicians.pharmacy technicians.
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Thank You!
Contact Information:
Sylvia Banzon, CPhT CQiA PMPSHSSR Data Quality CoordinatorSutter General Hospital-HIS Dept 2801 L StreetSacramento, CA [email protected](916) 453-5797
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PTCB Certified Pharmacy Technicians: Playing a Critical Role in Practice Model Change
© 2011 American Society of Health-System Pharmacists
2011 Midyear Clinical Meeting
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