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Changing Scope of Practice
  and Educational Issues
        Sue Mack-Klinger, B.S.P., B.Sc.
  Program Head, Pharmacy Technician Program
            SIAST Kelsey Campus
             Contact information:

The Health Systems Improvement Act (Bill
171) - June 4, 2007 Ontario Legislature
  enabled the regulation of pharmacy
  technicians (title protection August 2007)
“Professional Competencies for Canadian
Pharmacy Technicians at Entry to Practice
September 2007” (NAPRA)
PEBC national accreditation exam for
pharmacy technicians to be piloted fall
  SIAST Pharmacy Technician

24 seat capacity
1-year certificate program
Application for accreditation, status to be
announced in early June
          Core Program
Medical Terminology
Pharmaceutical Calculations
Pharmaceutical Products
Non-Prescription Products
Computer Skills
Pharmacy Practice
Pharmacy Laws & Agreements
Hospital Pharmacy
Community Pharmacy
Professional Trends & Issues
Workplace Legislation & Issues
         On-Line Courses
7 courses currently on-line
Offers training to those unable to locate to
Provides training in remote areas
Offers flexibility (study at night, weekends)
Discussion over development of bridging
programs starting

One month duration
Community Site
Hospital Site
         Hospital Pharmacy
Varies greatly
Hospital pharmacy techs validated for:
  checking carts, night cupboard, missing doses, refills,
  batched IV's, pre-packing, narcotics, crash cart kits,
  ward stock, and some manufacturing. Some techs
  are also checking interim doses (new patient
Med Rec (medication history only) at RUH
currently showing very positive patient
outcomes when completed by pharmacy
      Community Pharmacy
Receiving prescriptions, entering patient profile
Checking new prescriptions against profiles
(change? new?)
Documentation, filing
Filling prescriptions, pill packs, compounding
(including calculations)
Reference search
Third party billing, forms, inquiries
Patient education (devices)
Business management
    Trends & Issues for Pharmacy
Expansion of roles / Increased responsibilities
  Tech – check – Tech already practiced in many hospitals
Certification of Pharmacy Technician Programs
Program accreditation
  CCAPP (The Canadian Council for Accreditation of
  Pharmacy Programs)
Registration / Regulation
National examination
  Pharmacy Examining Board of Canada will be piloting first
  test in fall 2009
  2 Part PEBC exam (written & practical)
      Why Accreditation?
Meeting educational requirements for
PEBC, based on NAPRA competencies
and CPTEA learning outcomes
National standard for education
National standard for entry-to-practice
knowledge, and practical abilities
Entry to practice knowledge is uniform
Protection of Public Safety, Assurance
        Why Regulation?
Title protection of “pharmacy technician”
Assurance of standard of training and
Professional standards for conduct,
Recognized Need for Bridging
Stakeholders require “pharmacy
technicians” for scope of practice changes
Educational institutes cannot provide
enough graduates for anticipated demand
Current resources are there, require
upgrading to fill knowledge & practice gap
Current work force and resource pool have
limited time available to upgrade
Payment for training (employer?
Educational program availability
Educational program delivery
Educational program value
  Pharmacists’ Association of
   Saskatchewan Survey for
 Technicians (Wage & Benefit)
59 pharmacy technicians responded
12 were CAPT members
wage & benefit data was collected
some questions regarding current role,
willingness to upgrade education
         Survey Results
61% prefer contact by e-mail
91.7% want self-regulation
83.7% were interested in attending
bridging programs similar to what is
offered in Ontario (6.1% were not)
89.1% would do 150 hours of training
similar to Ontario bridging programs
Highest Level of Training (Survey)
Kelsey/SIAST 25.0%
On the job 30.4%
Other Community College 8.9%
Corporate Course (ie Shoppers) 23.2%
Hospital Training Course 1.8%
Correspondence Course 3.6%
Other 7.1%
   What Can You Do Now?
Recognize gaps in knowledge and
“Professional Competencies for Canadian
Pharmacy Technicians at Entry to Practice
September 2007” (NAPRA)
“SaskTech Guide : An Evaluation and
Monitoring Tool for Pharmacy Assistants”
       NAPRA Competencies
1. Legal, Ethical, and Professional
2. Professional Collaboration and Teamwork
3. Drug Distribution: Prescription and Patient
4. Drug Distribution: Product Preparation
5. Drug Distribution: Product Release
6. Drug Distribution: System and Inventory
7. Communication and Education
8. Management Knowledge and Skills
9. Quality Assurance
       Collaborative Work
Determining scope of practice, legislation
Determining educational needs and
organization of training
  Include stakeholders
  Resources for training
  Explore how
Regulation and registration
PAS steering committee
  Watching Our Neighbours
Ontario College of Pharmacists
  Pass certification exam
  Bridging program offered
   4 courses
     Management of Drug Distribution Systems (42hrs)
     Pharmacology (33hrs)
     Product Preparation (42hrs)
     Professional Practice (45hrs)
 Pass PEBC Exam (both parts)
 Jurisprudence Exam
Understand scope of practice changes for
pharmacists and pharmacy technicians
Anticipate changes and issues
Keep informed
Review current practice in your workplace
and compare critically with Blueprint for
Pharmacy (CPhA)

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