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PTCB PTCE : The Pharmacy Technician Certification Examination Exam

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Exam Number : PTCE
Exam Name : The Pharmacy Technician Certification Examination
Vendor Name : PTCB
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PTCE exam Format | PTCE Course Contents | PTCE Course Outline | PTCE exam Syllabus | PTCE exam Objectives


Medications (40%)
- Generic names, brand names, and classifications of medications
- Therapeutic equivalence
- Common and life-threatening drug interactions and contraindications (e.g., drug-disease, drug-drug, drug-dietary supplement, drug-laboratory, drug-nutrient)
- Strengths/dose, dosage forms, routes of administration, special handling and administration instructions, and duration of drug therapy
- Common and severe medication side effects, adverse effects, and allergies
- Indications of medications and dietary supplements
- Drug stability (e.g., oral suspensions, insulin, reconstitutables, injectables, vaccinations)
- Narrow therapeutic index (NTI) medications
- Physical and chemical incompatibilities related to non-sterile compounding and reconstitution
- Proper storage of medications (e.g., temperature ranges, light sensitivity, restricted access)

Federal Requirements (12.5%)
- Federal requirements for handling and disposal of non-hazardous, hazardous, and pharmaceutical substances and waste
- Federal requirements for controlled substance prescriptions (i.e., new, refill, transfer) and DEA controlled substance schedules
- Federal requirements (e.g., DEA, FDA) for controlled substances (i.e., receiving, storing, ordering, labeling, dispensing, reverse distribution, take-back programs, and loss or theft of)
- Federal requirements for restricted drug programs and related medication processing (e.g., pseudoephedrine, Risk Evaluation and Mitigation Strategies [REMS])
- FDA recall requirements (e.g., medications, devices, supplies, supplements, classifications)

Patient Safety and Quality Assurance (26.25%)
- High-alert/risk medications and look-alike/sound-alike [LASA] medications
- Error prevention strategies (e.g., prescription or medication order to correct patient, Tall Man lettering, separating inventory, leading and trailing zeros, bar code usage, limit use of error-prone abbreviations)
- Issues that require pharmacist intervention (e.g., drug utilization review [DUR], adverse drug event [ADE], OTC recommendation, therapeutic substitution, misuse, adherence, post-immunization follow-up, allergies, drug interactions)
- Event reporting procedures (e.g., medication errors, adverse effects, and product integrity, MedWatch, near miss, root-cause analysis [RCA])
- Types of prescription errors (e.g., abnormal doses, early refill, incorrect quantity, incorrect patient, incorrect drug)
- Hygiene and cleaning standards (e.g., handwashing, personal protective equipment [PPE], cleaning counting trays, countertop, and equipment)

Order Entry and Processing (21.25%)
- Procedures to compound non-sterile products (e.g., ointments, mixtures, liquids, emulsions, suppositories, enemas)
- Formulas, calculations, ratios, proportions, alligations, conversions, Sig codes (e.g., b.i.d.k, t.i.d., Roman numerals), abbreviations, medical terminology, and symbols for days supply, quantity, dose, concentration, dilutions
- Equipment/supplies required for drug administration (e.g., package size, unit dose, diabetic supplies, spacers, oral and injectable syringes)
- Lot numbers, expiration dates, and National Drug Code (NDC) numbers
- Procedures for identifying and returning dispensable, non-dispensable, and expired medications and supplies (e.g., credit return, return to stock, reverse distribution)



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White Paper on Pharmacy Technicians 2002: crucial alterations Can not Wait | PTCE Test Prep and Latest Topics

legislation of Pharmacy Technicians

For many years, most state boards of pharmacy, regularly reflecting the attitudes of pharmacists, adversarial recognizing technicians and expanding the scope of their activities.[52,14] As pharmacists' roles modified and use of supportive personnel multiplied, these attitudes begun to shift. over the last 5 years, a majority of states have revised their pharmacy practice acts in areas regarding technicians. nowadays, Ohio is the best state that doesn't formally tackle pharmacy technicians in state statutes or regulations.

NABP always surveys state pharmacy practice acts. The consequences of these surveys are bellwethers of change at the state degree; jointly, they reveal tendencies. probably the most accurate survey became performed in 2001.[13] To spotlight alterations which have taken place on account that the e-book of the 1996 "White Paper on Pharmacy Technicians,"[2] the results of NABP's 1996-1997[84] and 2001-2002[13] surveys were in comparison. NABP additionally appoints project forces to examine and make techniques on most important considerations. The deliberations of those task forces have resulted in, among other things, a demand formal recognition of pharmacy technicians, simplified state registration tactics, site-selected training, a country wide technician competency examination, and a disciplinary clearinghouse. Key developments in law, as evidenced in the NABP surveys and in contemporary NABP task force options and movements, are summarized below.

Terminology. within the 1996-1997 NABP survey, as a minimum 11 terms were used to describe pharmacy supportive personnel. at the moment, 24 states used the time period "pharmacy technician." through 2001, 38 states had adopted this designation.

Technician Registration. In its "mannequin act," designed to deliver boards of pharmacy with model language that may also be used when setting up state laws or board suggestions, NABP advocates that pharmacists be licensed and that pharmacy technicians be registered.[85] "Registration" is described as the system of constructing a list or being included on a list. It incorporates no indication or assure of the registrant's expertise or competencies. "Licensure" is the manner wherein an agency of govt grants permission to someone to have interaction in a given occupation upon finding that the applicant has attained the minimal degree of competency indispensable to make sure that the public health, safety, and welfare might be moderately neatly included.[2] Like NABP, ASHP and APhA support registration and oppose licensure of pharmacy technicians. APhA and ASHP believe that licensed pharmacists must hold responsibility and accountability for the quality of carrier in a pharmacy.[72,73,86]

via 2001, 24 states required registration and 5 required licensure of pharmacy technicians, based on NABP's ideas. however the time period "license" is used in these regulations, in some circumstances the method would seem to extra carefully resemble "registration" in terms of the definitions used in this paper. The raise within the variety of states (up from 14 in 1996) that now require both registration or licensure of pharmacy technicians is noteworthy.

Pharmacist-to-Technician Ratios. because 1996, at least 25 states have liberalized their pharmacist-to-technician ratios (from a norm of 1:1 or 1:2 to 1:2 or 1:3). Some states extra comfy ratios in websites the place certified pharmacy technicians are employed. in their 1996 white paper, APhA and ASHP called for a reassessment of mandated arbitrary pharmacist-to-technician ratios.[2] This stance displays the agencies' conviction that pharmacists may still be accountable and in charge for pharmacy technicians below their can charge.[70,71] NACDS believes that each and every practice surroundings may still be allowed to assess its personal top-quality ratio.[87] Following the suggestion of a 1999 task force on Standardization of Technicians' Roles and knowledge,[88] NABP inspired states to adjust or dispose of ratios in pharmacy settings with excellent assurance programs in location.

typical practising necessities. Between 1996 and 2001, the number of states that had incorporated practising necessities into their rules rose via 34% (from 19 to 26). working towards requirements had been recommended in 1996 by using an NABP assignment force.

The training necessities that state boards have put in area are, in some circumstances, minimal. Many states require nothing greater than a training guide; there are not any exact minimal requirements. California, Kansas, Indiana, and Washington, however, have enacted competency-primarily based rules or neatly-defined requirements for working towards program assessment. Some states require carrying on with training for renewal of registration or licensure; others are for the reason that such a requirement.

Technician Certification. Louisiana, New Mexico, Texas, Utah, Virginia, and Wyoming have made certification a requirement for registration or licensure. Texas become the first to introduce the requirement in 1996. The legislations became applied in January 2001; a provision exists, despite the fact, for certain technicians to be exempted.[89] In Utah, the licensing authority has described compliance with minimal practicing requisites, in addition to certification and the passing of a legislations examination, as necessities for licensure.[90] Alaska, Arizona, Kentucky, Massachusetts, Minnesota, North Carolina, Oregon, Tennessee, and Texas have altered pharmacist-to-technician ratios, duties, supervision, or different necessities on the groundwork of a technician's certification repute.

levels of Personnel and Scope of apply. in line with findings of its 1999 assignment force, NABP has diagnosed two ranges of supportive personnel: pharmacy technician and certified pharmacy technician, and certain the scope of practice that would be allowed for technicians working below the supervision of a pharmacist.[91] activities that cannot be performed by a pharmacy technician include drug-utilization evaluation, medical battle decision, prescriber contact concerning prescription drug order clarification or therapy amendment, patient counseling, dispensing-system validation, prescription switch, and compounding. right here activities can't be performed through a licensed pharmacy technician: drug-utilization evaluate, medical conflict decision, prescriber contact concerning prescription drug order clarification or therapy amendment, affected person counseling, doling out-technique validation, and receipt of latest prescription drug order when communicating by using cellphone or electronically until the normal counsel is recorded so the pharmacist can assessment the order as transmitted. The project drive had recommended a 3rd, and higher, degree of supportive personnel -- the pharmacist assistant -- however NABP didn't undertake this advice. APhA and ASHP likewise oppose the advent of this class of supportive personnel.[70,71]

most of the alterations in state regulations are mirrored within the features that technicians operate. as an instance, the number of states allowing a pharmacy technician to name a health care provider for refill authorization extended by means of 41% (from 25 to 36) in health facility and institutional settings and by way of 47% (from 24 to 36) in a neighborhood environment between 1996 and 2001. Few states have historically allowed pharmacy technicians in any work surroundings to accept referred to as-in (new) prescriptions from a doctor's office, and there become little trade in this area over the past 5 years. There become also little exchange in the doling out-linked activities that pharmacy technicians operate; despite the fact, the percent of states enabling these actions changed into already high (>85% in 1996). The simplest shelling out-related undertaking to demonstrate a more than 15% boost (within the number of states that enable it) during the past 5 years is the reconstitution of oral liquids, which improved via 22% (from forty one to fifty one) in hospitals and through 23% (from forty to 50) in group settings. In sanatorium and institutional settings, the variety of states permitting technicians to compound medicines for shelling out extended by way of 33% (from 34 to forty six); the number multiplied with the aid of 24% (from 34 to forty three) within the neighborhood setting.

Competency assessment. In may also 2000, NABP resolved that it would (1) increase a national software to investigate the capabilities imperative for technicians to securely aid within the follow of pharmacy, (2) evaluation latest technician certification programs to assess no matter if the development of its competence evaluation application may still be a cooperative effort with other companies, and (three) urge state boards to use this application as one criterion in picking the eligibility of technicians to help within the apply of pharmacy.[92] NABP has now joined PTCB on the national certification program for pharmacy technicians and will work with state boards of pharmacy to motivate acceptance of the PTCB certification software as a diagnosed evaluation tool for pharmacy technicians.[93] the use of the PTCB certification application will also be integrated into NABP's mannequin State Pharmacy Act and model guidelines.

The difficulties stemming from lack of regulatory oversight over pharmacy technicians go further than one may in the beginning foresee. as an instance, if state laws do not appreciate a class of personnel (via registration or licensure), it is complex to discipline such personnel within the event of misconduct. a few state boards have mentioned that the absence of such regulation is developing complications (Rouse MJ, very own verbal exchange, 2001 Oct and Nov). for instance, in the absence of adequate controls, pharmacy technicians who have dedicated an act of misconduct, corresponding to drug diversion, can stream from website to web site, or state to state, without being traced or being held in charge. NABP and a lot of state executives and pharmacists have called for more advantageous systems of handle and measures to music disciplinary moves. by 2000, at least 25 states had incorporated disciplinary procedures for technicians in their laws.[92]

among the many regulatory concerns that continue to be in flux, none is extra vital than defining the roles and obligations of supportive personnel and the titles they are assigned. Pharmacy supportive personnel operate a wide selection of functions. Some state regulations respect this and have differentiated degrees of supportive personnel; some states have certain requirements for technicians-intraining. distinctive tiers of pharmacy supportive personnel might also continue to be required sooner or later, and the stages may also range among and inside follow settings. The profession should examine what these tiers may still be and to define the role and function, talents, schooling, working towards, and stage of supervision acceptable for each.


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