Instructor Guide Preface by ijk77032




Mary E. Mohr, RPh, MS
  Revised for the second edition by Mary Ann Stuhan, R.Ph.

Richard Finkel, PharmD

The purpose of this Instructor's Guide is to provide guidance to instructors who use
Patient Care Management Lab: A Workbook for Prescription Practice, 2nd edition by
Richard Finkel to teach pharmacy technician courses. The format, presentation, and
level of difficulty of the materials in the Instructor's Guide are specifically tailored to
meet the needs of students who are studying to be certified pharmacy technicians as
well as their instructors.
     The Patient Care Management Lab workbook and this accompanying guide
should be used in conjunction with a technician-level pharmacology text and
appropriate reference materials, such as Drug Facts and Comparisons, USP/DI Drug
Information for the Healthcare Professional and Advice for the Patient, or the
Physician’s Desk Reference. A pharmacy software system and a complement of real
or simulated medications (preferably with original manufacturers’ packaging) would
provide for an ideal learning experience.

Suggested Format for a Lab Course
for Pharmacy Technicians

Student Handout

Depending on the objectives of the course being taught, the Student Handout at the
beginning of each chapter of the Instructor's Guide can be given to students ahead of
time or during the first part of the corresponding lab for that chapter.

   Technician Objectives: The Technician Objectives have been adapted from the
    Patient Care Management Lab workbook and modified to make them applicable
    to a technician’s level of training and responsibilities. After completing the
    Prescription Practice exercises for a particular section (i.e., chapter) of the lab,
    the pharmacy technician student should be able to fulfill the requirements stated
    in the objectives.

   Technician Pre-Lab Questions: The Technician Pre-Lab Questions have also
    been adapted from the Patient Care Management Lab workbook and modified
    to make them applicable to a technician’s responsibilities. Depending on the
    time frame or format of your lab course, the instructor can give students the
    handout some time before the corresponding lab lesson and ask them to come
    prepared with the answers, or the handout can be distributed for the students to
    complete it as a class during the first hour of the lab. In either case, a brief
    discussion of the questions should precede the Prescription Practice exercises.

Instructor's Answer Key
Answers to the Technician Objectives and Technician Pre-Lab Questions are given
in the Instructor's Answer Key following the Student Handout. As with the

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Instructor's Guide for Pharmacy Technician Programs
questions, the answers have been written to be specific to the needs of pharmacy
technicians and their level of understanding.

Prescription Practice
If the lab is being taught concurrently with a technician-level pharmacology course,
the drug classes should be organized so that the lab reinforces the material being
taught in lecture. A suggested format for presenting and teaching the Prescription
Practice exercises in the workbook follows:

        Students should begin a drug product worksheet for each prescription,
         completing the top portion: generic name, brand name, quantity prescribed,
         dosage form, and directions to demonstrate that they have correctly
         interpreted the prescription. A sample blank worksheet is included at the
         beginning of the Patient Care Management Lab workbook (before the table
         of contents).
        If appropriate for the laboratory exercise, the instructor may select
         additional orders from among the supplemental prescriptions in Appendix A
         of the workbook.
        Patient information, including allergies, should be entered in the lab
         computer. The instructor may choose to add extra patient allergies to the
         profile for instructional purposes.
        As students enter the prescriptions, it is important that they be instructed in
         the proper procedure to follow when a drug interaction or allergy warning is
         indicated by the software:
              o Any interaction must be brought to the attention of the pharmacist
                   (or instructor) for resolution. This could be done verbally, or a
                   written copy of the prescription information could be placed in a
                   “call MD” box for resolution by the instructor.
              o Resolution of an interaction and permission to override should be
                   written, dated, and initialed by instructor in a place on the
                   paperwork predetermined by the instructor.
        When the label has been generated, the prescription should be filled,
         labeled, and placed in the assigned checking area with all necessary
         paperwork and auxiliary labels to be checked by the pharmacist (instructor).
        The remaining information required for the drug product worksheet should
         be completed by the student, using available texts or other reference
         materials. This information, in addition to the pre-lab questions, the
         product, and the label, provides the grading instrument for the Prescription
         Practice exercise.

Keep in mind the following clarifications for the information on the workbook
prescription pages:

        The date on the original prescription represents “today,” the day that the
         prescription is being filled. The refill dates represent past dates.
        The DEA numbers are all the same.
        Handwriting on different prescriptions may not be exactly the same for each
         physician. This should not be a concern for these exercises.
        All demographic data for patients and physicians are imaginary.
        Each prescription will be typed clearly along with teaching points that are
         pertinent to the technician student.

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Instructor's Guide for Pharmacy Technician Programs
        Interactions and patient counseling points consist of only those associated
         with the written prescriptions. Standard of practice for technicians would
         not include a prospective drug utilization review of the entire patient
        Pharmacist counseling points for the written prescriptions are included to
         enhance technician knowledge and demonstrate the importance of patient
        The student should be alert for some patients with prescriptions written by
         two different prescribers.
        The student should be responsible for noting authorized refills and
         interpreting Sig codes.

Answer Key for Prescription Practice
Suggested answers for the Prescription Practice exercises are given in the
Instructor’s Answer Keys. For each exercise, the medication orders from each
prescription are deciphered and reprinted in italics, followed by the information the
pharmacy technician should be aware of when filling the prescription for the patient.
As with other questions and answers, the suggested answers are tailored to the needs
of pharmacy technician students.

NOTICE TO READER: This publication contains information relating to general
principles of medical care that should not be construed as specific instructions for
individual patients. Manufacturers’ product information and package inserts should
be reviewed for current information, including contraindications, dosages, and
precautions. It remains the responsibility of the practitioner to evaluate the
appropriateness of a particular opinion or therapy in the context of the actual
clinical situation and with due consideration of any new developments in the field
and current drug information.

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Instructor's Guide for Pharmacy Technician Programs

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