KeePosted - ICHP
KeePosted - ICHP
KeePosted - ICHP
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Volume 37 Issue 06<br />
July 2011 ichpnet.org<br />
Official Newsjournal of the Illinois Council of Health-System Pharmacists<br />
<strong>KeePosted</strong><br />
Are All Pharmacy<br />
Technician Training<br />
Programs The Same?<br />
Summer Nights<br />
at the Ballpark<br />
GAS from Springfield:<br />
“It ain’t over<br />
till it’s over!”<br />
July 2011 | <strong>KeePosted</strong> | www.ichpnet.org 1
<strong>KeePosted</strong><br />
Official Newsjournal of the<br />
Illinois Council of Health-System Pharmacists<br />
Editor<br />
Jacob Gettig<br />
Assistant Editor<br />
Julie Karpinski<br />
MANAGING Editor<br />
Scott Meyers<br />
Assistant MANAGING Editor<br />
Trish Wegner<br />
DESIGN Editor<br />
Stephanie Lammi<br />
Illinois Council of Health-System Pharmacists<br />
4055 North Perryville Road<br />
Loves Park, IL 61111-8653<br />
Phone: (815) 227-9292<br />
Fax: (815) 227-9294<br />
www.ichpnet.org<br />
<strong>ICHP</strong> Staff<br />
Executive vice president<br />
Scott Meyers<br />
vice president - professional services<br />
Trish Wegner<br />
director of operations<br />
Maggie Allen<br />
information specialist<br />
Heidi Sunday<br />
customer service and<br />
pharmacy tech topics TM specialist<br />
Jo Ann Haley<br />
accountant<br />
Jan Mark<br />
communications manager<br />
Stephanie Lammi<br />
legislative consultant<br />
Jim Owen<br />
<strong>ICHP</strong> Mission Statement<br />
Advancing Excellence in the Practice of Pharmacy<br />
<strong>ICHP</strong> Vision Statement<br />
<strong>ICHP</strong> dedicates itself to achieving a vision of pharmacy practice where:<br />
• Pharmacists are universally recognized as health care<br />
professionals and essential providers of health care services.<br />
• Patients are aware of the training, skills, and abilities of<br />
a pharmacist and the fundamental role that pharmacists<br />
play in optimizing medication therapy.<br />
• Formally educated, appropriately trained, and PTCB<br />
certified pharmacy technicians manage the medication<br />
distribution process with appropriate pharmacist<br />
oversight.<br />
• Pharmacists improve patient care and medication safety<br />
through the development of effective public policies by<br />
interacting and collaborating with patients, other health<br />
care professionals and their respective professional<br />
societies, government agencies, employers and other<br />
concerned parties.<br />
• Evidence-based practices are used to achieve safe and<br />
effective medication therapies.<br />
• There are an adequate number of qualified pharmacy<br />
leaders within the pharmacy profession.<br />
• Pharmacists take primary responsibility for educating<br />
pharmacy technicians, pharmacy students, pharmacist<br />
peers, other health professionals, and patients about<br />
appropriate medication use.<br />
<strong>KeePosted</strong> Vision<br />
As an integral publication of the Illinois Council of Health-<br />
System Pharmacists, the <strong>KeePosted</strong> newsjournal will reflect its<br />
mission and goals. In conjunction with those goals, <strong>KeePosted</strong><br />
will provide timely information that meets the changing<br />
professional and personal needs of Illinois pharmacists and<br />
technicians, and maintain high publication standards.<br />
Columns<br />
Features<br />
<strong>KeePosted</strong> is an official publication of, and is copyrighted by, the Illinois Council of Health-System Pharmacists (<strong>ICHP</strong>).<br />
<strong>KeePosted</strong> is published 10 times a year. <strong>ICHP</strong> members received <strong>KeePosted</strong> as a member benefit. All articles published<br />
herein represent the opinions of the authors and do not reflect the policy of the <strong>ICHP</strong> or the authors’ institutions unless<br />
specified. Advertising inquiries can be directed to <strong>ICHP</strong> office at the address listed above. Image disclaimer: Images on<br />
pages 1, 4, 7, 8, 9, 12, and 17 are the property of © 2011 Thinkstock, a division of Getty Images.<br />
Copyright © 2011, Illinois Council of Health-System Pharmacists. All rights reserved.<br />
Volume 37, Issue 06<br />
Contents<br />
4 President’s Message<br />
What if your Income was based on your Outcome?<br />
5 Directly Speaking<br />
I Beg to Differ!<br />
7 New Practitioners Network<br />
NPN Cubs Game - Perfect Blend of Business and Pleasure<br />
8 Educational Affairs<br />
Letters of Recommendation<br />
12 <strong>ICHP</strong>eople<br />
12 Pharmacy Action Fund<br />
Not just another stress toy!<br />
17 GAS from Springfield<br />
It ain’t over till it’s over!<br />
20 Professional Affairs<br />
Medication Safety Pearl: Tools to Prospectively Identify<br />
Medication Safety Initiatives<br />
24 Board of Pharmacy News<br />
25 College Connection - SIUE<br />
An Alternative Rotation Delivers An Alternative Experience<br />
27 College Connection - MWU<br />
Meeting the New Faces of the MWU-<strong>ICHP</strong> E-Board<br />
28 College Connection - UIC<br />
UIC-<strong>ICHP</strong> Chapter Year in Review<br />
29 College Connection - CSU<br />
Advantages of Completing the IPPE in a Rural Hospital Setting<br />
7 Summer Nights at the Ballpark<br />
9 Educational Affairs<br />
Are All Pharmacy Technician Training Programs the Same?<br />
14 PTCB<br />
PTCB C.R.E.S.T Summit focused on continued innovation<br />
in pharmacy<br />
22 Illinois Poison Center (IPC)<br />
Antidote Preparedness - Is Your Pharmacy Ready?<br />
Employment/Volunteer Opportunities<br />
16 Select Pharmacy Staffing
2011 Calendar Upcoming Events<br />
Regularly Scheduled Conference Calls<br />
• New Practitioners Network – 5:30 pm<br />
2nd Monday of each month<br />
• Government Affairs – 5:00 pm<br />
3rd Monday of each month<br />
• Organizational Affairs – 1:00 pm<br />
1st Tuesday of each month<br />
• Executive Committee – 7:00 pm<br />
2nd Tuesday of each month<br />
• Marketing Affairs – 8:00 am<br />
3rd Tuesday of each month<br />
• Educational Affairs Committee – 11:00 am<br />
3rd Tuesday of each month<br />
• Professional Affairs – 12:00 noon<br />
3rd Thursday of each month<br />
• Technology Committee – 8:00 am<br />
2nd Friday of each month<br />
Regularly Scheduled Network Meetings<br />
• Chicago Area Pharmacy Directors Network Dinner Meeting<br />
3rd Thursday of odd months at 5:30 pm<br />
• Clinical Practice and Research Network Dinner Meeting<br />
*on break for summer*<br />
July 13<br />
• WCSHP Family Night at<br />
the Peoria Chief ’s Ball<br />
Park<br />
Peoria, IL<br />
July 30<br />
• IPhA CPE Program -<br />
Delivering Medication<br />
Therapy Management Services<br />
in the Community<br />
Springfield, IL<br />
July 31<br />
• IPhA CPE Program -<br />
Pharmacy- Based Immunization<br />
Delivery<br />
Springfield, IL<br />
•<br />
August 22<br />
• Deadline to submit items<br />
to Auction with a Twist<br />
August 29<br />
• NISHP Family Fun Night<br />
at the Park<br />
Geneva, IL<br />
August 29 - September 12<br />
• Online ticket sales for<br />
Auction with a Twist<br />
September 7<br />
• New Practitioners Network’s<br />
Night at the Ballpark<br />
Chicago, IL<br />
•<br />
September 15-17<br />
• <strong>ICHP</strong> 2011 Annual Meeting<br />
Oakbrook Terrace, IL<br />
September 17<br />
• Auction with a Twist<br />
Oakbrook Terrace, IL<br />
March 7, 2012<br />
• Pharmacy Legislative Day<br />
Springfield, IL<br />
March 23-24, 2012<br />
• <strong>ICHP</strong> Spring Meeting<br />
Bloomington, IL<br />
Welcome<br />
New Members!<br />
New Member<br />
Recruiter<br />
New Member<br />
Recruiter<br />
Sara Guth<br />
Amanda Hofstetter<br />
Michael Webster<br />
Richard Mioni<br />
Taylor Post<br />
Fatima Ali<br />
Sejal Parikh<br />
Amber Stanton<br />
Jamie Brockhouse<br />
Susan Cornell<br />
Jim Schniepp<br />
Rebekka Hunter<br />
Petranka Naydenova<br />
Evelina Iskra<br />
Julia Schimmelpfennig<br />
Se Choi<br />
Monika Gil<br />
Ginger Ertel<br />
Jennifer Phillips<br />
Ann Jankiewicz<br />
Darlene Wiegand<br />
Shah Jehan Moinuddin<br />
Jana Parsons<br />
Traci McHugh<br />
David Willman<br />
Patrick Schmees<br />
Pamela Singer<br />
Anita Markellos<br />
Raymond Black<br />
Deepa Thakar<br />
Andrius Cepenas<br />
Casey Dugan<br />
Emily Bryar<br />
George Gavrilos<br />
Stan Kent<br />
Ammie Hodges<br />
Jennifer Rogers<br />
Dwaine Keller<br />
Erick Borkowski<br />
Noelle Chapman<br />
Jennifer Phillips<br />
3 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
President’s Message<br />
What if your Income was<br />
based on your Outcome?<br />
by Carrie Sincak, President<br />
I just returned from an energizing<br />
ASHP Summer meeting in Denver,<br />
Colorado. The keynote speaker,<br />
Jay Kaplan, MD, FACEP, presented<br />
strategies to inspire transformational<br />
change as it relates to the Pharmacy<br />
Practice Model Initiative.<br />
The pharmacy practice model initiative,<br />
better known as PPMI, involves<br />
hospital and health-systems that will<br />
involve: 1) pharmacists providing<br />
direct patient care, 2) expanding the<br />
role of a qualified technician workforce<br />
and the use of technology, 3)<br />
ensuring that pharmacy departments<br />
are responsible for the provision of<br />
safe, effective, and efficient medication<br />
use policy, and 4) working to<br />
assure pharmacists are accountable<br />
for patient outcomes.<br />
Based on the PPMI, one of the questions<br />
Dr. Kaplan posed to the audience<br />
was, “What if you were paid based on<br />
your performance? Essentially, what if<br />
your income equaled your outcome?”<br />
As the profession of pharmacy continues<br />
to evolve, the career of providing<br />
excellent service and patient care<br />
will also extend into quality clinical<br />
services. If that is the case, are we<br />
ready for that change? Ways in which<br />
to achieve value based performance is<br />
to create memorable experiences for<br />
patients. This may be difficult in our<br />
hectic workday, but without challenge,<br />
there is no change.<br />
Dr. Kaplan provided some steps to<br />
help guide the process. First, ask yourself,<br />
“What do you want to be known<br />
for?” Let that be your aim or vision.<br />
Once decided, you will also need to<br />
determine your biggest obstacle and<br />
take necessary steps to overcome it<br />
in order to progress. Second, define<br />
your standards and ensure that they<br />
are specific, observable and measurable.<br />
He used a great line concerning<br />
standards and accepting anything less<br />
from your organization, “If you permit<br />
it, you promote it.” Third, staff<br />
needs to be engaged in the process.<br />
Ways to engage your staff should be<br />
to focus on the positive while still<br />
identifying areas for process improvement.<br />
By focusing on the positive, it<br />
is hopeful that you are coaching new<br />
behaviors. Fourth, focus on the 4 F’s:<br />
find, focus, fix and then follow-up.<br />
Whether it is your specific aim or<br />
objective, an issue or a problem, the<br />
4 f’s should be implemented. Also,<br />
follow-up is stressed to ensure that<br />
strategies or solutions that you have<br />
developed are effective. Fifth, create<br />
a team. Transformation cannot be<br />
done in a silo. A dedicated, enthusiastic<br />
team will help support and<br />
encourage change. Sixth, memorable<br />
experiences should not be made just<br />
for patients but also for colleagues<br />
with whom you work. What can you<br />
do to make it a great day for your colleagues?<br />
Can you remember the last<br />
time you left work and said, “Wow,<br />
it’s been a great day!” versus “Wow, I<br />
am so glad this day is over!” I immediately<br />
thought that was much easier<br />
said than done. Dr. Kaplan posed my<br />
same thought but followed up by asking<br />
us to think about bowling. You<br />
shoot for something, meaning the<br />
bowling pins, correct? If you didn’t<br />
hit the pocket the first time, do you go<br />
and throw your second ball the same<br />
way or do you change your approach?<br />
Ways in which to achieve value based<br />
performance is to create memorable experiences<br />
for patients. This may be difficult in our hectic<br />
workday, but without challenge, there is no change.<br />
Immediate feedback is given on the<br />
first ball thrown and with that is a<br />
scorecard. Basically, if we don’t like<br />
the way our day has gone or the<br />
feedback that we have been given,<br />
shouldn’t we attempt to make it different?<br />
Good point.<br />
All of these points are valid and will<br />
take much effort, so he recommends<br />
starting with one or two strategies<br />
and proceeding from there. Trying to<br />
implement a number of ideas at one<br />
time is overwhelming and may be discouraging<br />
if unsuccessful. However,<br />
with continued growth in our profession,<br />
we can advance from a career<br />
focused on product to one of service<br />
that is valued and expected. If we are<br />
always in our comfort zone, we are<br />
not where we need to be. ■<br />
4 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Directly Speaking<br />
I Beg to Differ!<br />
by Scott A. Meyers, Executive Vice President, RPh, MS, FASHP<br />
I’ve read the Spring Meeting<br />
evaluation comments, and I<br />
have to say that I beg to differ<br />
and hope that those few who<br />
had some issue with this year’s<br />
exhibit program will read this.<br />
Then I hope they put future<br />
Spring and Annual Meeting<br />
exhibit programs to good use!<br />
At the <strong>ICHP</strong>/MSHP Spring Meeting<br />
this year, we (the <strong>ICHP</strong> staff and meeting<br />
planning committee) concluded<br />
that in order to produce the revenue<br />
we needed, make the exhibit program<br />
worthwhile for the exhibiting companies<br />
and provide an affordable meeting<br />
for our members, we had to make<br />
some scheduling changes that several<br />
of you apparently didn’t like. That’s a<br />
shame but keep reading, I know there<br />
is something to be learned here!<br />
For those who didn’t attend the meeting<br />
and for those who did and didn’t<br />
approve of our new meeting format,<br />
here’s what we did. The meeting runs<br />
all day Friday and most of the day<br />
Saturday and offers up to 10 hours of<br />
continuing pharmacy education, two<br />
lunches, two continental breakfasts, an<br />
exhibit program and a poster session.<br />
The cost for participation in the exhibit<br />
program is $1000 for a single booth<br />
and $1500 for a double booth. These<br />
are the same prices we have charged in<br />
the past at the <strong>ICHP</strong> Annual Meeting<br />
for two two-hour exhibit sessions. At<br />
the <strong>ICHP</strong> Annual Meeting, there has<br />
been one two-hour exhibit session on<br />
Thursday afternoon and one two-hour<br />
session on Friday at lunch during the<br />
three day (Thurs-Sat) event. We know<br />
pharmaceutical industry representatives<br />
don’t like working on Saturdays<br />
just like most of you, so that’s why<br />
there has been no exhibit on Saturday.<br />
If we keep the reps happy, it’s easier to<br />
keep the companies coming back. We<br />
also know that in order to make this<br />
exhibit program worth their company’s<br />
investment, which is not just<br />
the cost for the space, we couldn’t cut<br />
the hours too much from the Annual<br />
Meeting’s four hour total.<br />
So we scheduled the exhibit program<br />
during our morning and afternoon<br />
break times for 90 minutes each!<br />
These breaks usually run 30 minutes<br />
for refreshments and restroom use,<br />
so the additional hour each for time<br />
in the exhibit hall seemed fair. Yes,<br />
that’s a lot of time in one day, but this<br />
year with this format we attracted 44<br />
pharmacy related exhibitors and four<br />
colleges of pharmacy for a total of 49<br />
booth spaces filled. (The Colleges of<br />
Pharmacy don’t pay the full prices<br />
but pay enough to cover the costs for<br />
their space.) That’s nearly 30% more<br />
exhibitors than two years ago at the<br />
previous <strong>ICHP</strong>/ MSHP Spring Meeting!<br />
That’s a lot of revenue! And the<br />
exhibitors were very pleased with the<br />
format!<br />
So here’s the first important little secret<br />
I would like to share with those<br />
who felt the exhibits were wasted time:<br />
Those booth fees from happy exhibitors<br />
keep your registration fees as low<br />
as they are! That’s right, I said it. The<br />
pharmaceutical industry, wholesalers,<br />
technology companies and the rest are<br />
still carrying the load for pharmacists,<br />
pharmacy technicians and pharmacy<br />
students who attend these great live<br />
continuing education programs! And<br />
I for one am very grateful for their<br />
participation!<br />
And here’s the second little secret I<br />
need to share: You could actually learn<br />
something if you would earnestly engage<br />
in reasonable conversations with<br />
these vendors. Vendors spend big<br />
bucks (but not near what they spend<br />
at ASHP or APhA meetings) to be<br />
there and talk to each and every one<br />
of us! They want to talk with you and<br />
tell you all about the new medications,<br />
the new indications, the new technologies,<br />
the new products and the new<br />
services they offer. Sure they are there<br />
to increase their market share in a very<br />
competitive market place, but they<br />
also want to make sure that if you already<br />
use their products, you use them<br />
safely and appropriately.<br />
It’s been a long time since I worked<br />
in the trenches, and for only having<br />
worked a couple of years in those<br />
trenches I don’t know if any of these<br />
companies would consider me a true<br />
decision maker. However, year after<br />
year I went to <strong>ICHP</strong> and ASHP meetings<br />
and spoke with the exhibitors<br />
about their products and services, and<br />
there wasn’t a single time that I didn’t<br />
come back to my pharmacy department<br />
without a new idea or product<br />
that we didn’t eventually at least evaluate<br />
because of an interaction in the<br />
exhibit hall. I don’t consider myself<br />
that persuasive a salesman or force to<br />
be reckoned with but rather just someone<br />
who brought back a new idea that<br />
someone else found useful.<br />
Yes, the free pens, notepads, calculators,<br />
stress toys, flashlights and whatever<br />
else you used to grab in the ex-<br />
5 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
HealthSystemCE.org offers free high quality,<br />
easily accessible, ACPE accredited independent<br />
home study programs to members of <strong>ICHP</strong>.<br />
Current CE Programs<br />
Clinical Practice<br />
• Current Treatment of Crohn’s Disease<br />
with an Emphasis on the Biological<br />
Agents<br />
• Treatment of Pancreatic Exocrine<br />
Insufficiency<br />
• Understanding the Treatment Options<br />
in Post-Traumatic Stress Disorder<br />
Patient Safety and Joint Commission Topics<br />
• Preventing Medication Errors in the<br />
Operating Room<br />
• Manufacturer Premix Products: A Best<br />
Practice Strategy for Standardization<br />
of Intravenous Therapy<br />
Pharmacy Practice<br />
• New Drugs 2007-2008<br />
How to Access HealthSystemCE.org<br />
1. Visit www.HealthSystemCE.org using your<br />
favorite browser.<br />
2. Locate “Member Login” tab on the top<br />
menu of home page.<br />
3. Enter your email address and temporary<br />
password. You may change the password<br />
after you are logged in.<br />
Be sure to notify <strong>ICHP</strong> if<br />
your e-mail changes so that<br />
you can continue to receive<br />
timely information.<br />
hibit halls of yesterday are gone, but<br />
there’s still a lot of great information,<br />
ideas, products and services to learn<br />
about. A discerning pharmacist<br />
will be able to separate the product<br />
from the presentation! A discerning<br />
pharmacist will take what they<br />
see in the exhibit hall and prioritize<br />
their future journal readings to<br />
determine just how much real buzz<br />
there is with that new product…just<br />
how much that new product can improve<br />
patient outcomes or just how<br />
much that new technology will cut<br />
costs down the road. A discerning<br />
pharmacist or technician uses every<br />
opportunity to explore new products<br />
and services to see what may be in<br />
their future before their administrator,<br />
director, manager or supervisor<br />
tells them it is. If you think about it<br />
in terms of continuing professional<br />
development (CPD), you can move<br />
your practice ahead just as often<br />
in the exhibit hall as you can looking<br />
up a drug info question, digging<br />
through charts or phoning a friend.<br />
CPD comes in many forms and from<br />
many sources. If spending time in<br />
the exhibit hall seems like a waste of<br />
your time, make it a CPD adventure!<br />
These two 90 minute breaks during<br />
the Spring Meeting are a waste of<br />
time if you don’t engage in the opportunities<br />
that are offered in the exhibit<br />
hall. However, you’re the one<br />
that has wasted the opportunity and<br />
the time, not <strong>ICHP</strong> and the meeting<br />
planning committee.<br />
<strong>ICHP</strong> can create statewide meetings<br />
that don’t have an exhibit program,<br />
but if we do, you better be ready to<br />
pony up a registration fee that could<br />
be twice the price! Maybe we should<br />
try it once and see how many participants<br />
take issue then. Perhaps some<br />
will complain that they actually miss<br />
the exhibit program. I sure would<br />
have back in the day. I’m guessing<br />
that the complaints about price<br />
would be limited because those who<br />
felt the price was too high would just<br />
not attend. But I also believe the<br />
number in attendance would drop<br />
because the principle complaint<br />
would become registration fees that<br />
are too high!<br />
Not every aspect of a pharmacy<br />
meeting has to offer continuing education<br />
credit or a meal. There are<br />
a variety of ways in which you can<br />
learn about new therapies, technologies<br />
or efficiencies. Value comes to<br />
those who are truly interested in discovering<br />
it, making it or stumbling<br />
onto it wherever it exists! It’s time to<br />
reconsider your position on exhibits,<br />
learn wherever you can and utilize<br />
every opportunity available! ■<br />
IPHP HELPLINE<br />
There is hope! — Call Illinois Professionals Health Program (IPHP) Helpline to receive support from your peers 24/7.<br />
If you know someone who needs assistance, encourage them to call.<br />
1-800-215-HELP (4357) | www.advocatehealth.com/IPHP<br />
6 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Feature<br />
NPN Cubs Game - Perfect<br />
Blend of Business and Pleasure<br />
by Erika Hellenbart, PharmD, BCPS<br />
Take me out to the ball game, take me out to<br />
the crowd…of new practitioners!<br />
Summer<br />
Nights at the<br />
Ballpark<br />
July 13<br />
WCSHP Family<br />
Night at the<br />
Peoria Chief ’s<br />
Ball Park<br />
Peoria, IL<br />
August 29<br />
NISHP Family<br />
Fun Night at the<br />
Park<br />
Geneva, IL<br />
September 7<br />
New Practitioners<br />
Network’s Night<br />
at the Ballpark<br />
Chicago, IL<br />
Visit www.ichpnet.org or call <strong>ICHP</strong> at<br />
(815) 227-9292 for ticket information!<br />
Do you wish you could meet other pharmacists in the<br />
area but are unsure how? For those recent graduates<br />
looking for ways to mix and mingle with other pharmacists<br />
in similar shoes, you’re invited to spend an evening with your peers at<br />
historic Wrigley Field for the annual <strong>ICHP</strong>’s New Practitioners Network (NPN)<br />
Cubs Game outing!<br />
If you’re like me, you’ve recently graduated pharmacy school, completed residency<br />
training, and are starting to establish yourself in your respective pharmacist<br />
role. One way to ensure a smooth transition into the profession is to meet<br />
other pharmacists that are in, or recently in, the same position. Maybe you’re<br />
new to the area and are interested in meeting new people. Maybe you’ve been<br />
working for a few years and are interested in what great things pharmacists<br />
are doing at other institutions. Maybe you want to get to know the people you<br />
already work with better. Whatever the reason, the NPN Cubs Game is a great<br />
way to meet other local pharmacists and socialize with coworkers, all while participating<br />
in America’s favorite pastime, Chicago-style.<br />
I moved to Chicago two years ago for residency and went to the Cubs game last<br />
year. I found it to be a great way to relax with some of my former residency<br />
preceptors and coworkers. I met the new residents of the program and was able<br />
to share my experiences with them and offer insight on how to make the most of<br />
his or her residency training. I also networked with other new practitioners in<br />
the area. By the end of the night I had a BCPS study group and met other great<br />
pharmacists, some of whom were the colleagues that encouraged me to become<br />
more involved in <strong>ICHP</strong>.<br />
One of the most consistent phrases I heard throughout pharmacy school was<br />
that “pharmacy is a small world.” Since graduating, I have realized how true that<br />
statement is and just how much smaller it can be through networking opportunities<br />
like this one. So why not join your NPN colleagues for a night of fun and<br />
pharmacy amidst the ivy of the Wrigley outfield on Wednesday, September 7th<br />
at 7:05pm as the Chicago Cubs take on the Cincinnati Reds. Tickets will be available<br />
on ichpnet.org for $23 under the New Practitioners Network Baseball Game<br />
link. You can also join the <strong>ICHP</strong> Facebook page to find information about the<br />
game, a link to ticket purchasing, and other great things <strong>ICHP</strong> is doing. You’ll<br />
need your <strong>ICHP</strong> account to purchase a ticket and tickets will be mailed prior to<br />
the game. I hope to join all of you in the Cubs victory cheer! “Hey Chicago<br />
what do you say? The Cubs (and NPN) are going to win today!” ■<br />
7 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Educational Affairs<br />
Letters of Recommendation<br />
by Michael A. Fotis, Director of Educational Affairs<br />
It will soon be that time of year<br />
when many of you will be asked<br />
to prepare letters of recommendation<br />
for PGY1 Residency candidates.<br />
I would like to offer a Residency<br />
Director (RPD) perspective. Although<br />
I only write a handful, don’t forget,<br />
as a RPD, I read about 300-500 letters<br />
every year. Some advice to think<br />
about...<br />
Keep your letter to one or two paragraphs.<br />
A poorly written letter of recommendation<br />
does not improve with<br />
length. Tell us what you do, and how<br />
you know the student in two or three<br />
sentences. Give us an estimate of the<br />
student’s ability. Make your level of<br />
support very clear: “I highly recommend,<br />
recommend, recommend with<br />
reservation, do not recommend Joe<br />
Student for your residency. I place<br />
Joe Student in the top 95%, 90%, 75%<br />
etc. of all the students assigned to me<br />
from this class. I am very confident,<br />
confident, or hopeful that this candidate<br />
will be a successful resident.” It is<br />
probably better to decline rather than<br />
write a negative recommendation, or<br />
even a recommendation with reservations.<br />
Rewriting the students C.V. is not<br />
really helpful and is a waste of your<br />
and my time. If you really want to help<br />
the student and you know the program<br />
director, add another sentence or two<br />
explaining why you think the student<br />
would fit in at Northwestern, or at<br />
RUSH, UIC, Chicago, etc. If you are<br />
unfamiliar with a residency program,<br />
have the student tell you why they are<br />
interested in that program, and to list<br />
the strengths of a particular program.<br />
Try to describe why you think your<br />
student is a good candidate for my<br />
residency program. If the strengths of<br />
all the identified potential residency<br />
programs resemble a scatter diagram<br />
consider having a serious discussion<br />
with your student. A lack of direction<br />
in a candidate will be exposed during<br />
their interview and will likely reduce<br />
their chances to match.<br />
At a minimum of courtesy- PLEASE<br />
don’t send a ‘generic letter,’ especially<br />
to someone you know. By this, I mean<br />
a form letter that is used for all of the<br />
students for whom you are writing letters.<br />
When a letter is written to ‘Sir’<br />
or ‘Madam,’ but you know the RPD,<br />
it looks especially generic. In such<br />
letters, it is difficult to ascertain if you<br />
are really recommending a student or<br />
not. Therefore, a generic letter will<br />
likely be interpreted as a statement of<br />
non-support. It does not help anyone<br />
to “abstain from voting” (i.e. not providing<br />
a clear, specific recommendation)<br />
on a letter of recommendation.<br />
Again, make sure your level of support<br />
is crystal clear.<br />
Proofread for mixed messages in your<br />
letter: “You would be fortunate to get<br />
this person to work in your program.”<br />
“I can’t think of all the good things to<br />
say about this candidate.” Are these<br />
favorable or unfavorable statements?<br />
Many authors spend a lot of time<br />
describing their rotation and informing<br />
us how demanding they are as a<br />
preceptor. The best way to help your<br />
student “score” an interview is to help<br />
the candidate screening Committee<br />
determine if your student is a good<br />
fit for our program. If the letter is all<br />
about you, does that mean you do not<br />
recommend the candidate?<br />
Once your letters are sent out don’t<br />
forget to send a note to inform the<br />
candidate.<br />
We all have plenty to do. I am<br />
impressed that so many pharmacists<br />
are willing to take the extra time to<br />
serve as an excellent preceptor, and<br />
that your students think enough of<br />
you to ask you for these dreaded letters<br />
of recommendation. Thank You<br />
for what you do for the future of our<br />
profession! ■<br />
8 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Educational Affairs<br />
Are All Pharmacy Technician Training<br />
Programs The Same?<br />
by Christina Cieslicki 1 , CPhT; Michael Fotis 2 , B.S. Pharm; Kristi Stice 1 , PharmD<br />
1- Kishwaukee Community Hospital; 2- Northwestern Memorial Hospital<br />
We would like to thank Jennifer Tomczak, PharmD, and Karen Kim, PharmD from Midwestern University for developing the data<br />
collection form, conducting the survey and analyzing the results. Jennifer and Karen were also co-authors of a poster presented at the<br />
2010 ASHP Mid-Year Clinical Meeting in Anaheim.<br />
Background<br />
The American Society of Health-System Pharmacists<br />
(ASHP) and the Illinois Council of Health-System Pharmacists<br />
(<strong>ICHP</strong>) set the standards for pharmacy practice<br />
in many ways. With the Pharmacy Practice Model Initiative<br />
(PPMI) Summit now complete and publication of the<br />
documents surrounding the summit out in circulation,<br />
a question that is being asked by many new and established<br />
pharmacists and technicians is ‘What are the pharmacy<br />
practice expectations of me now and how will they<br />
change in the coming future?’ As time has progressed, so<br />
have the standards of practice for both pharmacists and<br />
technicians. Pharmacists are now working closer with<br />
physicians and taking on more of a clinical role in patient<br />
care. This practice shift impacts the roles and expectations<br />
of pharmacy technicians as well. They will undoubtedly<br />
have an increased level of responsibilities requiring a<br />
strong knowledge base of pharmacy practices before entering<br />
this type of profession.<br />
Even prior to the PPMI summit, technician education<br />
was a focus in Illinois. In January 2010, the state mandated<br />
that all pharmacy technicians registered on or after<br />
January 1, 2008 must pass the Pharmacy Technician<br />
Certification Board (PTCB) examination or another<br />
board-approved pharmacy technician examination. This<br />
must be completed within two years of registration as a<br />
technician. As a result, colleges and healthcare facilities<br />
throughout Illinois are incorporating technician certification<br />
courses into their curriculum, but not all programs<br />
are created equally.<br />
ASHP has attempted to create a standard by offering accreditation<br />
for pharmacy technician training programs.<br />
They have set specific guidelines and requirements in order<br />
to complete the accreditation process. Their website,<br />
www.ashp.org, provides this information.<br />
Methods<br />
The goal of our research was to identify the colleges and<br />
professional facilities in which Illinois pharmacy technician<br />
certification courses were offered and to determine<br />
if the program met defined accreditation standards. An<br />
online search was completed using the terms: ‘pharmacy<br />
technician programs in Illinois’, ‘community college listing<br />
for Illinois’, ‘pharmacy colleges in Illinois’, and ‘pharmacy<br />
trade schools in Illinois’. The ASHP website was<br />
utilized to obtain a listing of ASHP-accredited programs.<br />
9 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Additional websites were searched that contained information<br />
about nationwide pharmacy technician programs,<br />
technician certification, and Illinois community colleges.<br />
These included: www.ptcb.org, www.condensedcurriculum.com,<br />
www.kushanllc.com, www.acpe-accredit.org,<br />
and www.iccb.org. Individual college websites from the<br />
list were searched and the college/facility name, location,<br />
website, and phone number were recorded. If unobtainable,<br />
the college was contacted by phone or e-mail for the<br />
information.<br />
research phase of this study. Of these programs, only<br />
eight of the twenty-eight programs had earned accreditation<br />
from ASHP.<br />
Instructors<br />
A majority of the programs required instructors to be<br />
either pharmacists or qualified pharmacy technicians,<br />
which complies with ASHP standards. Our results concluded<br />
that only 4% of the programs did not have any requirements<br />
as listed in ASHP for their instructors.<br />
A survey was created using the ASHP Accreditation Standard<br />
for Pharmacy Technician Training Programs. Our<br />
survey consisted of 14 questions regarding the structure<br />
and content of the training program, which aimed to compare<br />
the standards of non-ASHP accredited programs to<br />
the ASHP standards. The programs that were not currently<br />
ASHP-accredited were contacted to respond to the<br />
survey. Data was collected from August 23, 2010 – November<br />
1, 2010.<br />
The ASHP accreditation standards document for technician<br />
training states “all experiential training must be<br />
coordinated by a pharmacist, or designee, with sufficient<br />
knowledge and skills in education to be able to establish<br />
the basis for a sound educational experience. Further,<br />
this individual must have demonstrated contribution<br />
and commitment to pharmacy practice and patient care.”<br />
Data was collected to conclude whether these programs<br />
met this standard, accredited or not.<br />
Other information collected pertinent to our study was<br />
whether or not the program was hospital/healthcare affiliated,<br />
if it offered hands-on learning, if classroom time<br />
was spent screening medication orders or common errors,<br />
and the program duration.<br />
Results<br />
Twenty-eight programs in Illinois were included in the<br />
Training Components<br />
Most programs offered hands-on learning, review of<br />
common medication errors, and screening of medication<br />
orders consistent with ASHP standards. Laboratory<br />
training such as compounding, unit dosing, and sterile<br />
product preparation was also offered in most cases. Some<br />
programs did not include training on computer applications,<br />
which are routinely used in nearly every pharmacy<br />
setting.<br />
Of the programs surveyed, 80% were not affiliated in any<br />
way with hospitals/health-system facilities and therefore<br />
do not offer hospital experiential training. ASHP<br />
currently requires that the program includes 600 hours<br />
of training (contact) time over a minimum of 15 weeks.<br />
Training Components<br />
10 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
Are All Pharmacy Technician Training Programs The Same?
Only four programs met this requirement. A considerable<br />
number of non-accredited programs are shorter in<br />
duration than ASHP-accredited programs. When asked<br />
whether the program plans for future ASHP accreditation,<br />
64% replied “no”, 20% replied “yes” and 16% did not<br />
respond.<br />
Discussion<br />
The research derived from this study reveals that technician<br />
programs in Illinois still have a bit of growing and<br />
evolving to do in order to meet the standards set by ASHP.<br />
As mentioned previously, 64% of the programs offered in<br />
Illinois do not plan on becoming ASHP accredited. This<br />
statistic is astounding when considering the changing<br />
technician roles and responsibilities that will require a<br />
stronger educational foundation for tomorrow’s technicians.<br />
Individuals interested in becoming a pharmacy technician<br />
should be aware of the standards when looking into<br />
educational programs. That being said, employers should<br />
also be familiar with the ASHP accreditation standards<br />
and aware of the programs that technicians are completing<br />
prior to seeking employment at their institutions. If<br />
key educational standards are met, employers can have<br />
more confidence that a technician will be more prepared<br />
and educated to manage the tasks required to do their job<br />
accurately and efficiently. Training will be easier and less<br />
time consuming as most of the focus will be on getting to<br />
know the routine(s) of the organization rather than teaching<br />
the basics of pharmacy practice.<br />
A few limitations to this study were recognized. Survey<br />
responses were subjective and several program directors<br />
were unfamiliar with their own programs. Two researchers<br />
conducted the survey, so it is possible that some variance<br />
existed in survey delivery. Survey participation was<br />
voluntary, which limited data collection.<br />
Conclusion<br />
This study demonstrated few Illinois technician programs<br />
are ASHP-accredited. The non-accredited certification<br />
programs need to improve in several training aspects before<br />
accreditation standards can be met. ■<br />
To access the printable poster, visit:<br />
http://www.ichpnet.org/resources/pdfs/Illinois_Tech_Training_Poster.pdf<br />
11 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
Are All Pharmacy Technician Training Programs The Same?
Elaine Lily Rubin<br />
Proud Parents, Rochelle and Mark Rubin<br />
Born June 18, 2011 at 4:17 pm<br />
7 lbs 4 oz and 19.5 inches long<br />
Rochelle is the New Practitioners Network Chairman<br />
<strong>ICHP</strong>eople<br />
Bundles of Joy<br />
Noah Matthew Stice<br />
Proud Parents, Kristi and Eric Stice<br />
Born June 20, 2011 at 5:09 pm<br />
6 lbs 2.9 oz and 19 inches long<br />
Kristi is the New Practitioners Network Chairman-Elect<br />
Scores of <strong>ICHP</strong> members attended the<br />
ASHP Summer Meeting the week of<br />
June 11 - 15 in Denver.<br />
Roosevelt University will open its new<br />
College of Pharmacy facility in Schaumburg<br />
and welcome its first class of<br />
highly diverse students on Tuesday,<br />
July 5.<br />
Stan S. Kent was installed as president<br />
of the American Society of Health-<br />
System Pharmacists (ASHP) during<br />
the 63rd session of the Society’s<br />
House of Delegates in Denver. Stan<br />
received the <strong>ICHP</strong> Pharmacist of The<br />
Year Award in 2008. Pictured below:<br />
Former ASHP President and <strong>ICHP</strong><br />
member, Kevin Colgan congratulating<br />
Stan on his Presidency.<br />
The inaugural group of 68 students<br />
will have orientation at the new facility<br />
on July 5-6, and classes will begin<br />
on Thursday, July 7 as the unique<br />
three-year, year-round Doctor of<br />
Pharmacy (PharmD) program that<br />
has been several years in the making<br />
officially opens its doors.<br />
To read the full press release, visit:<br />
www.roosevelt.edu/News_and_<br />
Events/News_Articles/20110107-<br />
PharmacyOpens.aspx ■<br />
12 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Pharmacy Action Fund<br />
Not just another stress toy!<br />
by Scott A. Meyers, Treasurer<br />
I usually use this column to<br />
solicit support for the <strong>ICHP</strong><br />
Pharmacy Action Fund for<br />
which I am the Treasurer, but<br />
this month, I am going to suggest<br />
that health-system pharmacists<br />
support a different<br />
political action committee at<br />
least once a year.<br />
On Monday June 13th, I attended the<br />
ASHP PAC luncheon at the Summer<br />
Meeting in Denver, Colorado. Each<br />
year the ASHP PAC holds a fundraising<br />
event at the Summer and Midyear<br />
Clinical Meetings, and I participate if<br />
I can.<br />
This summer’s event called for at least<br />
$100 contributions from pharmacists<br />
and smaller contributions from<br />
students and technicians. Lunch or<br />
breakfast is usually provided, and<br />
sometimes there’s an evening reception,<br />
but whatever food and beverage<br />
the participant receives at the event is<br />
worth nowhere near the $100 contribution.<br />
However, as with all political<br />
fundraisers, that’s not the point.<br />
At this summer’s luncheon, each participant<br />
found a stress toy in the shape<br />
of the US Capitol dome. At first, I<br />
thought, “I don’t really need another<br />
one of these things; they should have<br />
saved their money!” But as I sat<br />
and listened to the presentation from<br />
ASHP Government Affairs Legislative<br />
Director Joe Hill report on what has<br />
been done this year in Washington, I<br />
slowly began to change my mind. Joe<br />
described how ASHP and other pharmacy<br />
leaders have been working with<br />
Senators and Congressmen on both<br />
sides of the aisle to craft legislation<br />
to slow the number of drug shortages<br />
experienced on a daily basis. The US<br />
Senate Bill 296 sponsored by Sens. Amy<br />
Klobuchar (D- MN), Robert Casey<br />
(D-PA), Sherrod Brown (D-OH),<br />
Charles Schumer (D- NY), John<br />
Tester (D-MT), Christopher Coons<br />
(D-DE), Richard Blumenthal (D-CT),<br />
and Benjamin Cardin (D-MD) aims to<br />
minimize the harm from drug shortages.<br />
A House version that is anticipated<br />
to have bipartisan sponsorship<br />
is anticipated for introduction shortly.<br />
Anticipation is high for passage of one<br />
of these measures because of the need<br />
by both parties for a legislative win in a<br />
very partisan political climate.<br />
This soft foam Capitol dome I had in<br />
my hand suddenly represented hope<br />
that pharmacy’s voice would be heard<br />
for a change. And ASHP was the<br />
pharmacy organization leading the<br />
way on this fight! As a matter of<br />
fact, ASHP and the University of Utah<br />
Drug Information Center have been<br />
leading the way on this issue for many<br />
years! In addition, the language in the<br />
bill remarkably mirrors language one<br />
can find in ASHP’s position statement<br />
on drug shortages. Imagine that.<br />
This hope, created by the small squeeze<br />
toy and Joe Hill’s encouraging words<br />
reminded me that this is why I give to<br />
the ASHP PAC twice a year – and why<br />
each Illinois health-system pharmacist<br />
should, too! ASHP’s PAC works<br />
for each of you at the federal level.<br />
ASHP’s PAC does what the <strong>ICHP</strong><br />
Pharmacy Fund can’t do at that level.<br />
Don’t get me wrong. I want every<br />
health-system pharmacist to contribute<br />
at least annually to the <strong>ICHP</strong><br />
Pharmacy Action Fund, but let’s face<br />
it, if you have a job as a pharmacist in<br />
Illinois, you can afford to give $100 to<br />
both! Two hundred dollars a year is<br />
less than half of one percent of your<br />
annual salary!<br />
As the 2012 elections get into full<br />
swing this summer (sad but true), now<br />
is a great time to send a check to the<br />
ASHP PAC. Mail it to ASHP PAC,<br />
7272 Wisconsin Avenue, Bethesda,<br />
MD 20814. Maybe the ASHP PAC<br />
will send you a foam dome to sit on<br />
your bookshelf or desk. And maybe<br />
it will remind you to write that next<br />
check to the <strong>ICHP</strong> Pharmacy Action<br />
Fund this fall!<br />
P.S. You can save your <strong>ICHP</strong><br />
Pharmacy Action Fund contribution<br />
to later this summer or early<br />
September for Auction with a Twist!<br />
The prizes are going to be exceptional!<br />
■<br />
13 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
PTCB<br />
PTCB C.R.E.S.T. Summit focuses on continued<br />
innovation in pharmacy<br />
by PTCB<br />
Consensus is clear; time for change is now.<br />
On February 17–18, 2011, the Pharmacy Technician Certification<br />
Board (PTCB) hosted the C.R.E.S.T. Summit in<br />
Palm Beach, FL. PTCB is the national leader in pharmacy<br />
technician certification, with over 400,000 pharmacy<br />
technicians nationwide having earned the PTCB Certified<br />
Pharmacy Technician (CPhT) credential since 1995.<br />
The invitational summit served as a forum for attendees<br />
to address current issues and to provide critical feedback<br />
to PTCB and the profession about future directions and<br />
resource development. Pharmacy thought leaders, including<br />
pharmacists, Certified Pharmacy Technicians (CPhTs),<br />
educators, major employers, state boards of pharmacy, as<br />
well as state and national pharmacy associations, focused<br />
on the evolving responsibilities of pharmacy technicians.<br />
Figure 1 and include:<br />
• 32% of respondents work in a community – chain environment<br />
• 11% of respondents work in a community – independent<br />
environment<br />
• 30% of respondents work in a health-system environment<br />
• Other areas represented include: home health care,<br />
long-term care, mail service facility, managed health<br />
care, educational/vocational training, and the military<br />
Pharmacy technicians have been certified and play an integral<br />
role in supporting pharmacy practitioners in virtually<br />
all practice settings. Pharmacists and the public require assurance<br />
that pharmacy technicians are qualified to handle<br />
the responsibilities delegated to them.<br />
“With pharmacists becoming the health care professionals<br />
responsible for providing patient care that ensures optimal<br />
medication therapy outcomes, the roles that pharmacy<br />
technicians play in making this vision a reality are essential,”<br />
explained keynote speaker Miriam Mobley Smith,<br />
PharmD, Dean of the Chicago State University College of<br />
Pharmacy and Past President of the PTCB Certification<br />
Council. “Education, training, and certification for pharmacy<br />
technicians have become cornerstones in initiatives<br />
focused on increased patient safety.”<br />
Profession-wide Survey<br />
Prior to the summit, PTCB conducted an online survey<br />
addressing summit topics. Summit participants and more<br />
than 12,000 pharmacists and pharmacy technicians working<br />
in a variety of pharmacy settings responded to the survey.<br />
Survey respondent demographics are represented in<br />
Key survey findings include:<br />
• 83% of respondents agree that pharmacy technicians<br />
are involved in the implementation of the Joint Commission<br />
of Pharmacy Practitioners (JCPP) Future Vision<br />
of Pharmacy Practice, which states, “Pharmacists<br />
will be the health care professionals responsible for<br />
providing patient care that ensures optimal medication<br />
therapy outcomes.”<br />
• 81% of respondents agree that pharmacy technicians<br />
in their primary work environment accomplish tasks<br />
to free up additional time for pharmacists to dedicate<br />
to patient care and safety initiatives.<br />
• 84% of respondents agree that PTCB should work with<br />
state and national pharmacy associations and interest-<br />
14 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
ed employers to create regulatory or statutory requirements<br />
for the establishment of an advanced CPhT designation.<br />
The survey also illustrated the innovative roles that exist<br />
for pharmacy technicians within specific practice settings.<br />
The tables below depict the current roles pharmacy technicians<br />
have in community (Table 1) and health system<br />
(Table 2) pharmacy settings, in addition to the roles that<br />
are envisioned to increase with the implementation of the<br />
JCPP Vision.<br />
PTCB 2011 C.R.E.S.T Summit Highlights<br />
During presentations, an open forum, and structured<br />
roundtable discussions, summit participants were given<br />
the opportunity to react to survey results and discuss key<br />
issues related to pharmacy technicians. Summit participants<br />
provided significant feedback on the areas of consumer<br />
awareness and state policy, education and testing<br />
requirements, and stakeholder resource diversification.<br />
Consumer awareness and state policy<br />
Survey results identified pharmacists and pharmacy technicians’<br />
perceptions of how roles for pharmacy technicians<br />
may expand with the implementation of JCPP 2015 Future<br />
Vision. Survey results indicate a strong need for stakeholders<br />
within the pharmacy profession to work together to<br />
improve regulatory and statutory requirements pertaining<br />
to pharmacy technicians. Participants agreed that patient<br />
safety should be the cornerstone of advocacy efforts to create<br />
a single standard encompassing the education, training,<br />
certification, and regulatory oversight of pharmacy technicians.<br />
Education and testing requirements<br />
PTCB now requires a high school diploma or its equivalent;<br />
no felony, drug, or pharmacy related convictions; and<br />
no denial, suspension, revocation, or restriction of registration<br />
or licensure by any state board of pharmacy in order to<br />
be eligible to take the Pharmacy Technician Certification<br />
Exam (PTCE). PTCB also requires 20 hours of continuing<br />
pharmacy education (CPE) every 2 years for recertification,<br />
with specific parameters currently in place including<br />
1 hour of law CPE.<br />
Participants and survey findings alike support modifications<br />
to the current PTCB certification and recertification<br />
requirements. Specific recommendations were made and<br />
are under PTCB’s consideration.<br />
Stakeholder resource diversification<br />
The need for the profession to bridge the gap between<br />
public perception and the reality of pharmacy technician<br />
regulatory oversight earned strong support from summit<br />
participants. Participants recognized the need to provide<br />
increased support for pharmacy technician career development.<br />
This support is expected to enhance pharmacy technicians’<br />
commitment within the profession, while improving<br />
job satisfaction and employment retention rates.<br />
Next steps<br />
“Pharmacy technicians play an integral role in supporting<br />
15 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
PTCB C.R.E.S.T. Summit focuses on continued innovation in pharmacy
pharmacy practitioners in virtually all practice settings,”<br />
said Melissa Murer Corrigan, RPh, Executive Director and<br />
CEO of PTCB. “Feedback from the summit, survey, and<br />
social media show that significant steps are being taken<br />
to support innovation in the roles and responsibilities of<br />
pharmacy technicians through education, training, and<br />
PTCB certification.”<br />
PTCB issued a press release in March 2011 and will publish<br />
official summit proceedings this year. The PTCB Board of<br />
Governors, Certification Council, and fellow thought leaders<br />
in the profession will use these proceedings to develop<br />
future pharmacy technician resources and guidelines. ■<br />
PTCB develops, maintains, promotes, and administers a nationally<br />
accredited certification and recertification program<br />
for pharmacy technicians to enable the most effective support<br />
of pharmacists to advance patient safety. PTCB was established<br />
in January 1995 and is governed by five organizations:<br />
the American Pharmacists Association; the American<br />
Society of Health-System Pharmacists; the Illinois Council<br />
of Health-System Pharmacists; the Michigan Pharmacists<br />
Association; and the National Association of Boards of<br />
Pharmacy.<br />
Contact us for more information:<br />
Phone: (866) 520-0660<br />
Fax: (857) 520-1663<br />
16 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
PTCB C.R.E.S.T. Summit focuses on continued innovation in pharmacy
GAS From Springfield<br />
“It ain’t over till it ’s over!”<br />
– Yogi Berra, New York Yankee Hall of Fame Catcher<br />
by Jim Owen and Scott Meyers<br />
SB2046 – Amends the Medical<br />
Assistance Article of Illinois Public<br />
Aid Code – Kirk Dillard. Provides<br />
that the Department of Healthcare<br />
and Family Services may by rule provide<br />
for reimbursement of the dispensing<br />
of a 90-day supply of a generic<br />
or brand name (rather than generic),<br />
non-narcotic maintenance medication<br />
in circumstances where it is cost effective.<br />
Passed both chambers – awaits<br />
Governor’s signature.<br />
SB2255 – Amends the Nurse Practice<br />
Act – William Haine. Provides that a<br />
collaborating physician or podiatrist<br />
may, but is not required to, delegate<br />
prescriptive authority to an advanced<br />
practice nurse as part of a written collaborative<br />
agreement for oral, topical<br />
and transdermal Schedule II’s instead<br />
of just oral dosage forms. Effective<br />
immediately. Passed both chambers<br />
– awaits Governor’s signature.<br />
Well it’s finally over for a little<br />
while. Maybe! Then again,<br />
maybe it ain’t! There’s a variety<br />
of Yogi-isms that could apply to<br />
this year’s legislative session in<br />
Illinois.<br />
“When you come to a fork in the<br />
road, take it!”…if only the General<br />
Assembly had when it came to significant<br />
worker’s compensation reform.<br />
“Nobody did nothin’ to nobody!”…<br />
as it was much of nothing happened<br />
again this year to reach substantial<br />
budget reduction. “You can observe a<br />
lot by watching”…like the Republicans<br />
watching the Democrats steamroll<br />
a new legislative district map without<br />
a single Republican vote! We<br />
could go on, but you get the picture.<br />
When Yogi Berra starts making sense<br />
when you are talking about the Illinois<br />
General Assembly, it’s time to just<br />
walk away. As long as the General<br />
Assembly is adjourned, that’s probably<br />
good advice. Walk away and don’t<br />
dwell on it.<br />
Here’s a summary of the bills that<br />
made it through the legislative process<br />
and await the Governor’s signature,<br />
veto or amendatory veto, whichever<br />
he deems appropriate. A last day of<br />
session major amendment to SB1802<br />
may cause some significant grief for<br />
specialty pharmacies in Illinois, and<br />
HB2917 is a major overhaul of the<br />
Controlled Substance Act. You may<br />
want to look at both very closely online<br />
for more details!<br />
SB1802 – Amends the Department<br />
of Human Services Act. – Heather<br />
Steans – The Department shall seek<br />
any necessary waiver from the federal<br />
government in order to establish<br />
a program limiting the pharmacies<br />
eligible to dispense specialty drugs and<br />
shall issue a Request for Proposals in<br />
order to maximize savings on these<br />
drugs. The Department shall by rule<br />
establish the drugs required to be<br />
dispensed in this program. Effective<br />
immediately. Passed both chambers<br />
– awaits Governor’s signature.<br />
HB0286 – Creates the Administration<br />
of Psychotropic Medications to<br />
Children Act – Mary Flowers.<br />
Requires the Department of Children<br />
and Family Services to promulgate<br />
final rules, on or before October 1,<br />
2011, amending its current rules establishing<br />
and maintaining standards and<br />
procedures to govern the administration<br />
of psychotropic medications. Sets<br />
forth the substance of the amended<br />
rules. Requires the Department to<br />
establish and maintain rules designed<br />
to ensure compliance with the rules<br />
promulgated pursuant to the Act.<br />
Requires the Department to submit an<br />
annual report to the General Assembly<br />
concerning the administration of psychotropic<br />
medication to persons for<br />
whom it is legally responsible. Effective<br />
immediately. Passed both chambers<br />
– awaits Governor’s signature.<br />
HB1338 – Creates the Immunization<br />
Data Registry Act – Robyn Gabel.<br />
Provides that the Department of<br />
Public Health may develop and maintain<br />
an immunization data registry<br />
to collect, store, analyze, release, and<br />
report immunization data. Sets forth<br />
purposes for which the registry may be<br />
17 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
used. Sets forth provisions concerning<br />
the provision of immunization data<br />
to the registry, confidentiality, and<br />
the release of information. Establishes<br />
immunity for certain entities from<br />
civil and criminal liability for certain<br />
actions. Provides that a person who<br />
knowingly, intentionally, or recklessly<br />
discloses confidential information<br />
contained in the immunization data<br />
registry in violation of the Act commits<br />
a Class A misdemeanor. Makes<br />
other changes. Effective on July 1,<br />
2011. Passed both chambers – awaits<br />
Governor’s signature.<br />
HB1877 – Amends the Illinois<br />
Controlled Substance Act – Jason<br />
Brickman. Provides that the<br />
exemption from registration with<br />
the Department of Financial and<br />
Professional Regulation for a veterinary<br />
clinic or hospital operated by a Statesupported<br />
or publicly funded university<br />
or college shall not operate to bar<br />
the University of Illinois from requesting,<br />
nor the Department of Financial<br />
and Professional Regulation from issuing,<br />
a registration to the University of<br />
Illinois Veterinary Teaching Hospital<br />
under the Act. Provides that neither<br />
a request for such registration nor the<br />
issuance of such registration to the<br />
University of Illinois shall operate to<br />
otherwise waive or modify the exemption.<br />
Effective immediately. Passed<br />
both chambers – awaits Governor’s<br />
signature.<br />
HB2056 – Amends the Illinois Finance<br />
Code – JoAnn Osmond – Amends<br />
the State Finance Act to create the<br />
Household Pharmaceutical Disposal<br />
Fund as a special fund in the State<br />
treasury. Amends the Environmental<br />
Protection Act. Excludes from the definition<br />
of “pollution control facility”<br />
the portion of a site or facility used to<br />
incinerate only pharmaceuticals from<br />
residential sources that are in the possession<br />
or control of a law enforcement<br />
agency. Authorizes a law enforcement<br />
agency to collect pharmaceuticals<br />
from residential sources and to incinerate<br />
the collected pharmaceuticals in<br />
a manner that is consistent with rules<br />
adopted by the Agency. Authorizes the<br />
Department of State Police to use moneys<br />
in the Household Pharmaceutical<br />
Disposal Fund to make grants to local<br />
law enforcement agencies for the<br />
purpose of facilitating the collection<br />
and incineration of pharmaceuticals<br />
from residential sources. Defines “law<br />
enforcement agency”. Amends the<br />
Unified Code of Corrections. Requires<br />
a $20 assessment to be levied against<br />
persons who commit specified drug<br />
offenses. Requires the proceeds of<br />
those assessments to be collected by<br />
the Circuit Clerk and remitted to the<br />
State Treasurer for deposit into the<br />
Household Pharmaceutical Disposal<br />
Fund. Passed both chambers – awaits<br />
Governor’s signature.<br />
HB2193 – Amends the Criminal<br />
Code of 1961 – Susana Mendoza.<br />
Provides that it is a Class 4 felony for<br />
any person knowingly to have in his or<br />
her possession or to carry about any<br />
of the substances which are regulated<br />
by Title 16 CFR Section 1500.129 of<br />
the Federal Caustic Poison Act and are<br />
required to contain the words “causes<br />
severe burns” as the affirmative statement<br />
of principal hazard on its label.<br />
Establishes exemptions. Provides that<br />
a person seeking to purchase a substance<br />
which is regulated by Title 16<br />
CFR Section 1500.129 of the Federal<br />
Caustic Poison Act and is required<br />
to contain the words “causes severe<br />
burns” as the affirmative statement<br />
of principal hazard on its label, must<br />
prior to taking possession: (1) provide<br />
a valid driver’s license or other government-issued<br />
identification showing<br />
the person’s name, date of birth, and<br />
photograph; and (2) sign a log documenting<br />
the name and address of the<br />
person, date and time of the transaction,<br />
and the brand, product name<br />
and net weight of the item. Provides<br />
that a violation is a business offense<br />
for which a fine not exceeding $1,500<br />
may be imposed. Provides that these<br />
requirements do not apply to batteries.<br />
Preempts home rule. Passed<br />
both chambers – awaits Governor’s<br />
signature.<br />
HB2917 – Amends the Controlled<br />
Substance Act – Barbara Flynn<br />
Currie. Changes defined terms. Makes<br />
numerous changes relating to the<br />
scheduling, prescribing, and dispensing<br />
of controlled substances. Changes<br />
the list of anabolic steroids. Adds<br />
various substances to the Schedules.<br />
Permits an authorized prescriber<br />
to issue electronic prescriptions for<br />
Schedule II through V controlled substances<br />
if done in accordance with federal<br />
rules. Makes changes relating to<br />
the Prescription Monitoring Program;<br />
combines the Schedule II and Schedule<br />
III though V monitoring programs<br />
into a single program. Defines and prohibits<br />
medication shopping and pharmacy<br />
shopping. Makes other substantive<br />
and technical changes. Effective<br />
January 1, 2012. House Amendment<br />
1: Changes references from “civil fine”<br />
to “fine”. Eliminates reference to the<br />
Prescription Monitoring Program<br />
in association with its Advisory<br />
Committee and the Department of<br />
Financial and Professional Regulation<br />
in relation to possible erroneous association<br />
of prescriptions to any licensed<br />
prescriber or end user. Provides that<br />
nothing in the Act shall be construed<br />
to limit the authority of a hospital<br />
pursuant to the Nurse Practice Act to<br />
grant hospital clinical privileges to an<br />
individual advanced practice nurse to<br />
select, order or administer medications,<br />
including controlled substances<br />
to provide services within a hospital.<br />
Nothing in this Act shall be construed<br />
to limit the authority of an ambulatory<br />
surgical treatment center pursu-<br />
18 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org It ain’t over till it ’s over!
ant to the Nurse Practice Act to grant<br />
ambulatory surgical treatment center<br />
clinical privileges to an individual<br />
advanced practice nurse to select, order<br />
or administer medications, including<br />
controlled substances to provide services<br />
within an ambulatory surgical<br />
treatment center. House Amendment<br />
2: Creates the position of Chief of<br />
Investigators of the Department of<br />
Financial and Professional Regulation<br />
and provide that person with the powers<br />
possessed by policemen in municipalities<br />
and by sheriffs, except that he<br />
or she may exercise those powers anywhere<br />
in the State. Passed both chambers<br />
– awaits Governor’s signature.<br />
HB3090 – Amends the Pharmacy<br />
Practice Act – Louis Arroyo – House<br />
Amendment 2 was adopted: Replaces<br />
everything after the enacting clause.<br />
Amends the Illinois Food, Drug and<br />
Cosmetic Act. Provides that notwithstanding<br />
any provision of law, any city,<br />
village, or municipality may authorize<br />
the use of its city hall or police department<br />
to display a container suitable for<br />
use as a receptacle for used, expired, or<br />
unwanted pharmaceuticals. Provides<br />
that the used, expired, or unwanted<br />
pharmaceuticals may include prescription<br />
drugs. Provides that the receptacle<br />
shall only permit the deposit of items,<br />
and the contents shall be locked and<br />
secured. Provides that the container<br />
shall be accessible to the public and<br />
shall have posted clearly legible signage<br />
indicating that expired or unwanted<br />
prescription drugs may be disposed of<br />
in the receptacle. Passed both chambers<br />
– awaits Governor’s signature. ■<br />
Home-Study Continuing Education Modules for Pharmacy Technicians<br />
January 2011<br />
Volume 16 No. 1<br />
The Federal Controlled<br />
Substances Act:<br />
A Primer for the<br />
Pharmacy Technician<br />
Order today!<br />
www.pharmacytechtopics.com<br />
815-227-9292<br />
2011 PTT TM Modules<br />
April 2011<br />
Volume 16 No. 2<br />
Depression<br />
July 2011<br />
Volume 16 No. 3<br />
Pharmacy Calculations<br />
Review<br />
October 2011<br />
Volume 16 No. 4<br />
Medication Safety in the<br />
Pediatric Population<br />
<strong>ICHP</strong> MEMBERS ONLY DISCOUNT PRICES!<br />
• One-Year Subscription: $45.00* (save 10%)<br />
• Two-Year Subscription $69.95* (save 12.5%)<br />
*Illinois residents must include state sales tax<br />
19 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
It ain’t over till it ’s over!
Professional Affairs<br />
Medication Safety Pearl : Tools to Prospectively<br />
Identify Medication Safety Initiatives<br />
by Sandra M Salverson, PharmD, BCPS<br />
Introduction<br />
A strategic plan for medication safety<br />
is crucial to the safety of patients<br />
and the success of a medical center.<br />
ASHP has challenged all of us to<br />
increase the extent to which pharmacy<br />
departments in health systems<br />
have a significant role in improving<br />
the safety of medication use in the<br />
2015 Initiative. The desire is to have<br />
90% of health systems supporting an<br />
organizational program, with appropriate<br />
pharmacy involvement, that<br />
achieves significant annual, documented<br />
improvement in the safety<br />
of all steps in medication use. 1<br />
The Division of Professional Affairs<br />
is committed to assist the <strong>ICHP</strong><br />
membership in achieving this goal<br />
through sharing significant practices<br />
that can help improve medication<br />
use at their institutions. The topic<br />
of safe and appropriate medication<br />
use has the potential to affect<br />
us all personally, whether we are<br />
healthcare professionals, patients<br />
or the family members of patients.<br />
We encourage all practitioners and<br />
institutions around the state to submit<br />
their safety or quality initiatives<br />
as a medication safety pearl to<br />
the Division. Topics could include,<br />
but are not limited to: high alert<br />
medications, IV room/sterile preparation<br />
safety, meaningful metrics,<br />
computerized physician order entry<br />
(CPOE), bedside bar-coding, smart<br />
pumps, automated dispensing cabinets,<br />
checklists, human factors, or<br />
changes in dispensing or pharmacist<br />
monitoring practices due to an<br />
adverse event. Our hope is to identify<br />
specific, practical practices that<br />
are addressing important safety and<br />
medication use issues at the frontline<br />
of care across the state and<br />
present these to the <strong>ICHP</strong> members<br />
through <strong>KeePosted</strong> articles and presentations<br />
at the Annual and Spring<br />
meetings.<br />
Tools to Prospectively Identify<br />
Medication Safety Initiatives<br />
A key piece of safety culture is<br />
understanding human and system<br />
failure. The science of measuring<br />
patient safety is immature and<br />
institutions need to find a balance<br />
between measures that are scientifically<br />
sound, affordable, usable and<br />
easily applied. 2 Leaders in patient<br />
safety suggest grouping measures<br />
in three primary buckets: harm,<br />
interventions to reduce harm and<br />
organizational learning. While<br />
harm and interventions to reduce<br />
harm are institution specific measures,<br />
organizational learning is not<br />
limited to learning from within.<br />
Organizations can learn retrospectively<br />
from their own significant<br />
experiences (actual errors or near<br />
misses) and prospectively from near<br />
misses, critical “close calls”, and<br />
adverse events occurring outside of<br />
an organization. The goal in growing<br />
safety culture is to move perceptions<br />
away from “it can’t happen<br />
here” to “how can we prevent this<br />
from happening here”. The purpose<br />
of this pearl is to share external<br />
resources to aid in prospective<br />
organizational learning as a part of<br />
improving medication safety culture.<br />
Institute of Safe Medication<br />
Practices (ISMP) Quarterly<br />
Action Agenda 3<br />
The ISMP publishes a quarterly<br />
action agenda in its newsletter<br />
that summarizes adverse events<br />
or critical near misses resulting<br />
from medication errors. It is an<br />
excellent source to identify potential<br />
organization risk and provides<br />
recommendations on how institutions<br />
can prevent this from happening<br />
in their own organization.<br />
ISMP recommendations focus on<br />
both system-design and human factors.<br />
The agendas summarize ten<br />
to fifteen problems each quarter.<br />
The quarterly action agenda is in a<br />
ready to use format that facilitates<br />
documentation and communication<br />
within an institution/system.<br />
The tool may be downloaded free<br />
from their web site (http://www.<br />
ismp.org/Newsletters/acutecare/<br />
actionagendas.asp). The quarterly<br />
action agenda can easily stimulate<br />
a variety of performance improvement<br />
projects. For those institutions<br />
in the early stages of developing<br />
their medication safety culture,<br />
consider picking one problem each<br />
quarter and performing a proactive<br />
assessment within your institution.<br />
20 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
Institutions with a more established<br />
medication safety culture may consider<br />
evaluating the entire action<br />
agenda, tracking their organization’s<br />
response to each problem (comply,<br />
gap, not applicable), and communicating<br />
these initiatives within their<br />
medication safety dashboard.<br />
Food and Drug Administration’s<br />
MedWatch Alerts 4<br />
As a part of their on-going surveillance<br />
program, the FDA publishes<br />
MedWatch Alerts in response to<br />
signals seen within either Phase IV<br />
drug trials or the MedWatch reporting<br />
system. Alerts are released based<br />
on signal detection rather than a<br />
pre-established frequency. FDA<br />
alerts are more likely to summarize<br />
adverse events that are unexpected,<br />
resulting in significant short-term<br />
or long-term harm, and are often<br />
not preventable. FDA MedWatch<br />
alerts are useful in developing quality/safety<br />
agendas for Pharmacy and<br />
Therapeutics Committee discussions.<br />
They can be used to stimulate<br />
risk versus benefit discussions for<br />
formulary management and direction<br />
of therapeutic management<br />
within an organization or community.<br />
They can be accessed on the<br />
web, and individuals may also subscribe<br />
to email notifications as new<br />
alerts are published.<br />
Public News Sources<br />
Both local and national news sources<br />
publish significant adverse events that<br />
have often resulted in lawsuits. Exact<br />
details of the failures associated with<br />
the event are not always available.<br />
However, institutions can examine<br />
their own medication use process for<br />
the medication involved to identify<br />
potential risk points within their<br />
organization that could result in a<br />
similar outcome.<br />
Learning from others is one way an<br />
organization can move from a minimally<br />
mature safety culture to a developing<br />
or robust one. 5 It does not rely<br />
on the reporting within your own<br />
institution, just a leader who is willing<br />
to say, “This could happen to us,<br />
and this is how we could avoid this<br />
here”. ■<br />
References<br />
1. American Society of Health-<br />
System Pharmacists. ASHP: 2015<br />
Initiative. www.ashp.org/2015<br />
(accessed 2011 June).<br />
2. Pronovost PJ, Holzmueller CG,<br />
Needham DM et al. How will we<br />
know patients are safer? An organization-wide<br />
approach to measuring<br />
and improving safety. Crit<br />
Care Med. 2006;34(7):1988-95.<br />
3. Institute of Safe Medication<br />
Practices. Quarterly Action<br />
Agenda. www.ismp.org/<br />
Newsletters/acutecare/actionagendas.asp<br />
(accessed 2011<br />
June).<br />
4. U. S. Food and Drug<br />
Administration. MedWatch<br />
Safety Alerts for Human Medical<br />
Products. www.fda.gov/Safety/<br />
MedWatch/SafetyInformation/<br />
SafetyAlertsforHumanMedical-<br />
Products/default.htm (accessed<br />
2011 June).<br />
5. Chassin MR, Loeb JM. The ongoing<br />
quality improvement journey:<br />
next stop, high reliability. Health<br />
Affairs. 2011;30(4):559-568.<br />
If you have implemented a change in process to improve safety<br />
at your institution, please consider submitting it as a safety pearl. Send your submission to Jaime<br />
Borkowski, Director of Professional Affairs, at members@ichpnet.org<br />
Illinois Council of<br />
Health-System Pharmacists<br />
2 0 1 1 A N N U A L M E E T I N G<br />
registration<br />
is now<br />
open!<br />
Thursday, September 15 - Saturday, September 17<br />
Drury Lane Theatre and Conference Center| Oakbrook Terrace, IL<br />
21 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
Medication Safety Pearl
Illinois Poison Center (IPC)<br />
Antidote Preparedness – Is Your Pharmacy Ready?<br />
by Nichole Cool, PharmD 1, , Kelly Mattes, PharmD Candidate 2 , Tony Burda, RPh, DABAT 3 , Michael Wahl, MD, FACEP 3<br />
1 - Midwestern University-Chicago College of Pharmacy and Northwestern Memorial Hospital; 2 - University of Illinois College<br />
of Pharmacy; 3 - Illinois Poison Control Center<br />
Introduction<br />
The Illinois Poison Control Center (IPC) is occasionally<br />
contacted by clinical pharmacists asking specific antidote<br />
stocking questions such as:<br />
• What antidotes should we stock?<br />
• How much of each antidote should be available?<br />
• If there is more than one option available, which product<br />
is better?<br />
• If the hospital does not stock the antidote, how can we<br />
get it quickly in an emergency situation?<br />
In an effort to address these questions, the staff of IPC<br />
has developed an antidote stocking chart specifically for<br />
hospitals with emergency departments, which is posted on<br />
www.illinoispoisoncenter.org. The list describes 34 antidotes,<br />
13 adjunctive agents, and 3 agents for radiological<br />
exposure along with suggested minimum inventory and<br />
rational/indications for stocking each item. After studying<br />
the antidote chart, please contact the IPC at 1-800-222-<br />
1222 if there are further questions.<br />
Background<br />
Antidotes are critical for patients with<br />
poisoning or overdose and can be<br />
lifesaving when available and administered<br />
within a timely manner.<br />
In 2009, the United States Poison<br />
Centers reported using 70,477 antidotes<br />
per the national poison data system.<br />
1 Studies have shown that small<br />
and/or rural hospitals are less likely to<br />
stock sufficient quantities of antidotes<br />
due to the following reasons:<br />
• Limited hospital resources<br />
• Infrequent use of specific antidotes<br />
• Lack of staff education or awareness<br />
• Concern for high cost of inventory/exceeding<br />
hospital drug budget<br />
• Lack of efficient stocking guidelines<br />
22 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
Currently, no regulatory committees mandate the<br />
stocking of antidotes or specific quantities of these<br />
agents.<br />
Antidote Stocking Guidelines: Recommendations<br />
by the Emergency Medicine Expert Consensus<br />
Guidelines published in the Annals of Emergency Medicine<br />
in September 2009, give recommendations on specific<br />
antidotes to be stocked and the amount of each antidote<br />
that should be available. 2 The consensus panel considered<br />
a total of 24 antidotes for hospital stocking. Out of the<br />
24 antidotes reviewed, they recommended that 12 of the<br />
antidotes be immediately available, 9 of the antidotes be<br />
available within 1 hour, and the other 3 could be stocked<br />
but were not necessarily needed emergently. The group<br />
also made recommendations on the amount of antidote<br />
to be stocked based on an average patient weight of 100<br />
kg and the average amount of antidote for the duration of<br />
treatment (8 hrs or 24 hrs). 2<br />
Review Questions – Antidote Stocking<br />
1. What is the suggested stock quantity of pyridoxine HCl by the IPC?<br />
a) 100 mg<br />
b) 1gm<br />
c) 5gm<br />
d) 10gm<br />
e) 20gm<br />
2. What is the suggested stock quantity of glucagon by the IPC?<br />
a) 1-2mg<br />
b) 5-10mg<br />
c) 10-20mg<br />
d) 25-50mg<br />
e) 50-90mg<br />
3. True or False? The IPC recommends stocking 1-2 vials (1.5gm vials)<br />
of fomepizole (Antizole®). One 1.5gm vial provides an initial dose of<br />
15mg/kg/12hrs to an adult weighing up to 100 kg. Hospitals with critical<br />
care and hemodialysis capabilities should consider stocking 1 kit of<br />
4 vials or more.<br />
continued on next page
The consensus group suggested that hospitals<br />
complete a customized application of the guideline<br />
in order to analyze the institution’s specific<br />
need for the antidote and the amount needed for<br />
the size of the hospital. 2 Hospitals are required to<br />
complete this Hazard Vulnerability Assessment<br />
in order to be an accredited institution by The<br />
Joint Commission.<br />
Conclusion<br />
Many poisonings and overdoses are managed<br />
with conservative measures such as observation,<br />
GI decontamination and supportive care.<br />
Specific antidotes, however, may be necessary<br />
in some circumstances and immediate availability<br />
of these products is vital for a positive<br />
patient outcome. The IPC antidote stocking<br />
list is an effort to assist health system pharmacists<br />
in making these important inventory decisions.<br />
Additionally, the IPC is available 24/7,<br />
365 days a year at 1-800-222-1222 for assistance<br />
in managing any toxicologic emergency. ■<br />
References<br />
1. Bronstein AC, Spyker DA, Cantilena LR<br />
et al. 2009 Annual Report of the American<br />
Association of Poison Control Centers’<br />
National Poison Data System (NPDS). Clin<br />
Toxicol. 2010;48:979-1178.<br />
2. Dart RC, Borron SW, Caravati EM et al.<br />
Expert Consensus Guidelines for Stocking<br />
of Antidotes in Hospitals That Provide<br />
Emergency Care. Ann Emerg Med.<br />
2009;54(3):386-394.<br />
Review Questions – Antidote Stocking<br />
4. What is the suggested stock quantity of Antivenin, Crotalidae<br />
Polyvalent Immune Fab-Ovine (CroFab®)?<br />
a) 1-2 vials<br />
b) 4-6 vials<br />
c) 6-12 vials<br />
d) 12-18 vials<br />
e) 18-24 vials<br />
5. What is the suggested stock quantity of hydroxycobalamin<br />
(Cyanokit®)? (Note: Each kit contains 2 x 2.5gm vials.)<br />
a) 1-2 kits<br />
b) 2-4 kits<br />
c) 4-6 kits<br />
d) 6-8 kits<br />
e) 8-10 kits<br />
Answers<br />
1. d) 10gm. This quantity (100 vials of 100mg/ml) provides two<br />
5gm doses of pyridoxine for a severely poisoned isoniazid<br />
patient.<br />
2. e) 50-90mg. This quantity (50-90 1mg vials) provides a<br />
10mg loading dose followed by 4-8hrs of 10mg/hr maintenance<br />
dose for a severe beta blocker overdose.<br />
3. True.<br />
4. d) 12-18 vials. Average dose in pre-marketing trials was 12<br />
vials, but more may be needed. 12 vials will cover 8 hours of<br />
treatment. 18 vials will cover 24 hours of treatment.<br />
5. b) 2-4 kits. Seriously poisoned cyanide patients may require<br />
5 to 10gms (1-2 kits). Stock 2 kits in the ED. Consider stocking<br />
2 kits in the pharmacy.<br />
Be social with us!<br />
facebook.com/ichpnet twitter.com/ichpnet youtube.com/user/ichpnet<br />
23 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
Antidote Preparedness – Is Your Pharmacy Ready?
Board of Pharmacy News<br />
by Scott A. Meyers, Executive Vice President, RPh, MS, FASHP<br />
The May Illinois Board of Pharmacy<br />
Meeting was held on Tuesday,<br />
May 10th in the James R.<br />
Thompson Center in Chicago.<br />
The following are the highlights<br />
of that meeting.<br />
New Faces in the Division of<br />
Professional Regulation – Jay Stewart<br />
was introduced to the Board of<br />
Pharmacy and guests at the opening<br />
of the meeting. Mr. Stewart was confirmed<br />
by the Illinois Senate in early<br />
May as the replacement of Director<br />
Dan Bluthardt, who left in the fall of<br />
2010. Acting Director Don Seasock<br />
is now the Chief Administrative Law<br />
Judge for the Department. Nancy<br />
Hall was also introduced as a new<br />
pharmacy investigator for the central<br />
region of Illinois. She will work out<br />
of the Springfield office and will assist<br />
Investigator Maureen Antwaar with<br />
investigations south of I-80. It was also<br />
announced at this meeting that longtime<br />
investigator Rob Skrocki will be<br />
retiring as of May 20, 2011. The Board<br />
voted unanimously to send a letter of<br />
appreciation to Mr. Skrocki for his<br />
years of dedicated service.<br />
NABP MPJE Item Writing Workshop<br />
– Board member Ned Milenkovich participated<br />
in an item-writing workshop<br />
in April at NABP headquarters and<br />
generated 25 new items for the Illinois<br />
portion of the multi-state pharmacy<br />
jurisprudence exam. These items will<br />
begin appearing on the MPJE shortly<br />
for validity testing before they can be<br />
used in the scored portion of the exam.<br />
NABP Annual Meeting – The NABP<br />
2011 Annual Meeting will be held on<br />
May 21-24th in San Antonio, TX. The<br />
Board Members planning to attend<br />
are Board Chair, Phil Burgess; Board<br />
Vice Chair, Sudhir Manek; Miriam<br />
Mobley-Smith, Ron Weinert; and Ned<br />
Milenkovich. The Board Chair normally<br />
serves as the Illinois delegate to<br />
the NABP House of Delegates. Each<br />
Board Member pays for his or her own<br />
way to this event.<br />
Medication Safety Presentation – Mary<br />
Baker, pharmacist at Hospira presented<br />
to the Board on the USP Chapter 797<br />
requirements at the request of Board<br />
Member Miriam Mobley-Smith. Ms.<br />
Baker served as a member of the USP<br />
committee that updated the Chapter<br />
released in 2008 and provided a very<br />
comprehensive review of Chapter 797.<br />
She urged the Board to support the<br />
requirement of it as the sterile product<br />
preparation regulations for Illinois.<br />
Twenty-two states have implemented<br />
the Chapter as their own regulations for<br />
this important area of pharmacy practice.<br />
Illinois’ current regulations are not<br />
as comprehensive as USP Chapter 797,<br />
but because the USP is not a government<br />
agency of the federal government<br />
or Illinois, the Board cannot enforce on<br />
these standards unless they are specified<br />
in the Pharmacy Practice Act.<br />
MatchRx.Com – The Board discussed<br />
this Michigan-based company that<br />
works to pair up pharmacies that have<br />
overstock they wish to sell with prospective<br />
buyers. There is a problem<br />
with the process in Illinois because<br />
the pharmacy selling the product<br />
must have a valid wholesale distributor<br />
license in order to sell product to<br />
another pharmacy. While the concept<br />
may be intriguing for pharmacies that<br />
have over-purchased products, there<br />
are serious concerns with issues that<br />
include pedigree, storage, handling and<br />
counterfeit medications. MatchRx.com<br />
has not broken any laws, but pharmacies<br />
that use the service may be involved<br />
in illegal activities if appropriate licenses<br />
and ethical practices are not in place.<br />
Legislative Update – Mike Patton,<br />
IPhA Executive Director presented an<br />
update to the Board members. A complete<br />
update of pharmacy related legislation<br />
still active in the Illinois General<br />
Assembly may be found in the “GAS<br />
from Springfield” column in this issue.<br />
Prosecutions – Scott Golden, pharmacy<br />
prosecutor for the Department<br />
reported that there are approximately<br />
106 cases in some stage of prosecution<br />
with the Department. Here is breakdown<br />
of categories of cases currently<br />
being prosecuted with most frequent<br />
categories listed first:<br />
15 Pharmacy Technician Cases<br />
• diversion related<br />
• application issues<br />
• miscellaneous<br />
53 Pharmacist Cases<br />
• dispensing error-related<br />
• unprofessional practice<br />
• sister state prosecutions<br />
• diversion<br />
38 Entity-related (pharmacies, distributors)<br />
cases<br />
• Failure to exercise good faith<br />
dispensing<br />
• Expired controlled substance<br />
license<br />
• Improper pharmacy closing<br />
• Unsanitary conditions<br />
Next Meeting – The next meeting of<br />
the Illinois Board of Pharmacy will take<br />
place on Tuesday, July 12th at 9:30AM<br />
at the James R. Thompson Center in<br />
downtown Chicago. The meeting is<br />
open to the public and interested pharmacists,<br />
pharmacy technicians and<br />
pharmacy students should consider<br />
attending. ■<br />
24 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
College Connection - SIUE<br />
An Alternative Rotation Delivers<br />
An Alternative Experience<br />
by Brice Foose, P3, SSHP President<br />
Southern Illinois University Edwardsville School of Pharmacy<br />
I recently completed a three week<br />
alternative IPPE rotation at Illinois<br />
CancerCare in Peoria, Illinois.<br />
As a childhood cancer survivor, this<br />
rotation meant a lot to me. Through<br />
my past childhood experience, I<br />
found motivation to learn each and<br />
every day at the site.<br />
Illinois CancerCare is a private practice<br />
owned by twelve physicians that<br />
specialize in hematology and oncology.<br />
Five other doctors include a nonpartner<br />
oncologist, one hospitalist,<br />
and three gynecological oncologists<br />
to make a total of seventeen physicians<br />
within Illinois CancerCare.<br />
There are eleven nurse practitioners<br />
and two pharmacists that also practice<br />
at the site. My preceptor, Dr.<br />
Michele Rice, Pharm.D., BCOP, is<br />
the clinical pharmacist at the Illinois<br />
CancerCare. The unique pharmacy<br />
setting includes a retail pharmacy<br />
very close to the IV prep area.<br />
The majority of my time was spent<br />
in the IV prep area where I checked<br />
doses and the patient’s lab values<br />
to ensure proper medication safety.<br />
Once the doses and labs were<br />
checked, I printed the labels and<br />
delivered them to the technicians<br />
in the clean room for sterile product<br />
preparation. Once the dose was<br />
prepared, I was responsible for the<br />
proper delivery to the administration<br />
area, either via tube system or manual<br />
delivery depending on the drug.<br />
Illinois CancerCare has fifteen offsite<br />
locations dispersed throughout<br />
central Illinois. I was able to visit<br />
an off-site clinic in Ottawa, Illinois.<br />
Ottawa is one of the busiest offsite<br />
clinics of the fifteen. The day<br />
I happened to work in the Ottawa<br />
clinic was no exception. The nurses<br />
brought the orders to the pharmacy<br />
area and I proceeded to check them.<br />
After checking the orders, I spikeed<br />
the bags and delivered them to the<br />
technician in the clean room for sterile<br />
product preparation. After the<br />
IVs were made I delivered them to<br />
the nurses for administration to the<br />
patients. The treatment room was<br />
located about fifteen feet away from<br />
the pharmacy area. This allowed<br />
for easy communication between<br />
the pharmacy staff and the nurses.<br />
Throughout the day the nurses and<br />
the pharmacy staff communicated<br />
back and forth to ensure exceptional<br />
patient care.<br />
As a second year pharmacy student at<br />
SIUE School of Pharmacy, I had not<br />
been through the oncology/hematology<br />
therapeutics course, which initially<br />
put me at a disadvantage for<br />
this rotation. However, to compensate<br />
for this disadvantage, I jumped at<br />
opportunities that came up in which<br />
I had previously obtained a wealth<br />
of knowledge through my education.<br />
One particular situation that<br />
was presented to me had to do with<br />
a patient that had undergone a Rouxen-Y<br />
procedure. The physician wanted<br />
to know if the oral medication,<br />
temozolomide (Temodar), would still<br />
be effective in treating the patient’s<br />
glioblastoma. I remembered back<br />
to a recent biopharmaceutics class<br />
in which we had talked extensively<br />
about the Roux-en-Y procedure and<br />
how it can affect the bioavailabiltiy of<br />
a drug. After reading a case report,<br />
as well as analyzing the structure and<br />
pharmacokinetic profile of temozolmide,<br />
I was confident in making a<br />
recommendation to the retail pharmacist<br />
who passed the information<br />
on to the physician. Typically in class<br />
we would talk about blood pressure<br />
or cholesterol medications used with<br />
the Roux-en-Y procedure. Making a<br />
recommendation involving a medication<br />
used to treat a brain tumor gave<br />
me a great sense of accomplishment.<br />
Towards the end of my three weeks,<br />
I was fortunate enough to spend an<br />
unforgettable day with a nurse practitioner.<br />
I was able to sit in on several<br />
follow up visits. One particular<br />
patient had breast cancer that had<br />
25 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
metastasized to the brain and did not have a favorable<br />
outcome. Given the diagnosis, the goal for the patient<br />
was comfort rather than curing the cancer. Family members<br />
of the patient had made it very clear in the exam<br />
room that they wanted to keep fighting the cancer and<br />
did not want to even consider hospice. This conflict was<br />
handled very professionally by the nurse practitioner.<br />
The nurse practitioner had two bone marrow biopsies<br />
scheduled for the afternoon. After my past experience of<br />
nearly passing out during a blood glucose lab in school,<br />
I realized that witnessing a bone marrow biopsy was not<br />
going to be easy. The first patient was extremely laid back<br />
and nearly fell asleep during the procedure. Although I<br />
did have to sit down at one point during the first biopsy, I<br />
was able to watch the whole process. The second patient<br />
was very nervous and at one point, it was just the patient<br />
and me in the exam room before the procedure. Trying<br />
to comfort the patient before the procedure was a task I<br />
was not used to dealing with. Luckily, I was able to talk to<br />
the patient about the first procedure I had witnessed and<br />
how well the patient tolerated it. After talking about the<br />
first procedure, the patient seemed much more relieved<br />
and this gave me a great feeling as a health care professional.<br />
Illinois CancerCare offers a unique rotation that is a<br />
very educational and extremely interesting experience. I<br />
would recommend this rotation to any student on rotations,<br />
especially any student wanting to pursue a career<br />
in oncology pharmacy. Even if a student has no interest<br />
in oncology, this rotation offers a great refresher in the<br />
oncology topics that will be on the NAPLEX exam. I feel<br />
very privileged that I was able to complete a rotation at<br />
Illinois CancerCare and will forever remember some of<br />
my experiences I had there. ■<br />
Pharmacists<br />
Say it Best …<br />
“PTCB Certified Pharmacy Technicians<br />
continually demonstrate the highest<br />
excellence of professional performance<br />
across practice settings. They are among<br />
the best qualified to participate in<br />
operational functions of dispensing and<br />
inventory management. Our pharmacy<br />
simply couldn’t function without our<br />
team of PTCB CPhTs.”<br />
—Jeanie Barkett, RPh, Long Term Care<br />
Pharmacy Lead Pharmacist, Providence<br />
Specialty Pharmacy Services, Portland, OR<br />
Certification Excellence<br />
Since 1995, the Pharmacy Technician<br />
Certification Board (PTCB) has certified<br />
over 400,000 technicians nationwide<br />
and is the only pharmacy technician<br />
certification program endorsed by the<br />
American Pharmacist Association,<br />
the American Society of Health-<br />
System Pharmacists, and the National<br />
Association of Boards of Pharmacy.<br />
Do it for your pharmacy.<br />
Do it for your patients.<br />
Do it for you.<br />
Encourage your<br />
technicians to become<br />
certified today!<br />
Candidates may apply to<br />
take the Pharmacy<br />
Technician Certification<br />
Exam online at<br />
www.ptcb.org.<br />
CONNECT ONLINE:<br />
26 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org<br />
An Alternative Rotation Delivers An Alternative Experience
College Connection: MWU<br />
Meeting the New Faces of the MWU <strong>ICHP</strong> Executive Board<br />
by Executive Board<br />
Midwestern University Chicago College of Pharmacy<br />
Xin Yang – President<br />
I am the new student president of<br />
<strong>ICHP</strong> at MWU. I enjoyed all of the<br />
professional and networking opportunities<br />
that <strong>ICHP</strong> had to offer this<br />
past year, and I loved the camaraderie<br />
I shared with the e-board members.<br />
I look forward to working with the<br />
new e-board to share the same friendships.<br />
I am also very excited about the<br />
upcoming academic year because of<br />
the foundation we had laid for two<br />
new patient care projects. I am very<br />
eager to carry out our goals to see how<br />
these projects will impact both our<br />
members and the community.<br />
Gary Chow – Vice President<br />
I am now serving as the new Vice<br />
President of <strong>ICHP</strong> at Midwestern<br />
University. I am very thrilled to serve<br />
another year as an E-board member<br />
for <strong>ICHP</strong>. This year I hope to expand<br />
and provide new opportunities for the<br />
members of <strong>ICHP</strong>. I look forward to<br />
work with the new E-Board and build<br />
upon the success of <strong>ICHP</strong> in previous<br />
years. I hope that our services will help<br />
give students a better understanding of<br />
the various fields of pharmacy.<br />
Eduardo Magallanes - Secretary<br />
I will be the secretary for Midwestern<br />
University’s <strong>ICHP</strong> chapter. I am elated<br />
to continue the great work of past<br />
members and I look forward in continuing<br />
the excellence and growth of<br />
our chapter. I hope my contributions<br />
on the executive board will have a<br />
great impact on the positive future of<br />
our chapter.<br />
Ryan Lewan - Professional Chair<br />
In my role as the <strong>ICHP</strong> PS-1 class liaison<br />
during the last year, I was able to<br />
see that <strong>ICHP</strong> is an organization dedicated<br />
to educating future pharmacists<br />
about possible career paths. <strong>ICHP</strong><br />
provides students with opportunities<br />
to directly experience these paths and<br />
network with established professionals.<br />
As the new professional chair, I<br />
am excited to continue this trend as<br />
well as to explore new opportunities to<br />
bring to students here at Midwestern.<br />
Nancy Lee - Treasurer<br />
I am extremely excited to be part of<br />
the new <strong>ICHP</strong> board at Midwestern<br />
University serving as the Treasurer. I<br />
hope to further expand <strong>ICHP</strong> on our<br />
campus and offer my skills in not only<br />
budgeting, but to all aspects of this<br />
organization. I am looking forward<br />
to this upcoming year and to all the<br />
opportunities that our new board will<br />
bring to <strong>ICHP</strong>.<br />
Ayumi Oda - Fundraising Chair<br />
I am very excited and honored to serve<br />
as the Fundraising Chair this upcoming<br />
school year! I have heard so many<br />
positive things about <strong>ICHP</strong> in the past<br />
and the impact that <strong>ICHP</strong> is capable of<br />
having on the career of pharmacy. I<br />
look forward to being able to serve as<br />
part of the executive board of such an<br />
inspiring and proactive organization.<br />
As the Fundraising Chair, I intend<br />
to carry on the various fundraisers<br />
that were held this past year as well<br />
as possibly incorporating some other<br />
new ideas. I look forward to welcoming<br />
incoming students while educating<br />
myself and others about potential<br />
careers in hospital pharmacy.<br />
Lori Anami - Social Chair<br />
Hi <strong>ICHP</strong>! My name is Lori Anami and<br />
I am the 2011-12 <strong>ICHP</strong> Social Chair.<br />
My goal for the upcoming year is to<br />
put together fun events where members<br />
can not only come to take a break<br />
from school, but also to get to know<br />
one another on a more personal level<br />
and build friendships within the organization.<br />
I’m excited to become more<br />
involved in <strong>ICHP</strong> and look forward<br />
to working with my fellow e-board in<br />
helping this organization grow in the<br />
next year!<br />
Minh Nguyen - Membership Chair<br />
Hello <strong>ICHP</strong>ers! As the MWU <strong>ICHP</strong><br />
membership chair, I plan to promote<br />
and push <strong>ICHP</strong> to the forefront and<br />
show the incoming students why being<br />
a part of this organization is so great.<br />
I am very excited for the upcoming<br />
school year and about the opportunities<br />
that <strong>ICHP</strong> provides for us students.<br />
Let’s all work together and make<br />
this year an awesome one!<br />
Adrienne Ordonez - Historian<br />
I am very excited and am looking forward<br />
to serving <strong>ICHP</strong> as the Historian.<br />
<strong>ICHP</strong> has such great events and<br />
opportunities, and I hope to document<br />
everything with photos! In addition,<br />
I plan on continuing to find and contribute<br />
many more awesome articles<br />
for the <strong>KeePosted</strong>. Lastly, I hope to<br />
help our chapter grow to make this<br />
year a great one for our current and<br />
future members! ■<br />
27 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
College Connection - UIC<br />
UIC-<strong>ICHP</strong> Chapter Year in Review<br />
by Leia Roeges, P-3, <strong>ICHP</strong>-ASHP Student Chapter Immediate Past President<br />
University of Illinois-Chicago College of Pharmacy (UIC-COP)<br />
This has been a very successful year for the UIC-<strong>ICHP</strong> chapter. It has been my<br />
honor to serve on our UIC e-board, as well as contribute to the programming<br />
on the state level.<br />
I am proud of what the UIC-<strong>ICHP</strong> chapter accomplished this year. In our second year of<br />
recognized status for ASHP, UIC-<strong>ICHP</strong> was able to expand our professional development<br />
projects and health initiatives, Lung Health and Mental Wellness, to reach thousands of<br />
people. We participated in two Lung Walks, Hustle Up the Hancock, health fairs with the<br />
Chicago Bears, and health booths throughout Chicagoland. We are very excited to see our<br />
organization expand more into the community and provide more opportunities for students<br />
to showcase the wealth of knowledge that we receive here at UIC.<br />
We have also expanded opportunities for students within the college. This is our first year<br />
with our new sister campus, UIC Rockford, which has been a great participator and contributor<br />
to the chapter.<br />
This year, we expanded our professional development projects, including the new Residency<br />
101 lecture series. Part One introduced students to what residencies and fellowships are.<br />
Part Two educated students about Midyear and the Match, and hosted a panel of PGY1<br />
Residents and P4s who explained the residency interviewing process. During National<br />
Hospital and Health-System Pharmacists Week, students were able to find out more information<br />
about health-systems pharmacy. In addition to our Residency and P4 Roundtable,<br />
we expanded our Internship Fair to include over 20 participating interns to talk about their<br />
past experiences in Chicago and a panel which was broadcasted to Rockford. Furthermore,<br />
we continued our CV workshop with faculty to provide students tools to prepare for internship<br />
and residency interviewing. We continued to set up hospital visits for P1s to get some<br />
exposure to the world of hospital pharmacy, and individual visits were organized.<br />
Last year, Jennifer Thompson and Tommy Chiampas competed nationally at ASHP<br />
Midyear for the Clinical Skills Competition. We would like to continue their great representation<br />
of UIC and win it all next year!<br />
Lastly, I would like to thank the executive board, the members, and faculty that participated<br />
in our events. Student participation at meetings and events was phenomenal. It has been<br />
an honor serving the members of <strong>ICHP</strong>. As I and many of my peers move on to rotations,<br />
I am reminded of a quotation by Winston Churchill which sums up where we are in our<br />
academic and professional careers, “Now this is not the end. It is not even the beginning of<br />
the end. But it is, perhaps, the end of the beginning.” We have laid a sturdy foundation in<br />
which others may build upon. The efforts and hard work of the UIC-<strong>ICHP</strong> e-board has yet<br />
raised the bar once more. I have no doubts that <strong>ICHP</strong> will continue to grow and expand<br />
offerings and programs amongst peers and throughout the community. ■<br />
Thank you again<br />
to the 2010-2011<br />
U I C - I C H P<br />
Executive Board!!<br />
~Leia<br />
Vice President<br />
Shilpa Paul<br />
President-Elect<br />
Emily Lin<br />
Secretary<br />
Sharlynne Fernandez<br />
Treasurer<br />
Elzbieta Starzycka<br />
Fundraising Chairs<br />
Lilly Nguyen<br />
Amy Vikrey<br />
Chi Hye Kim<br />
<strong>ICHP</strong> Representative<br />
Anita Lammers<br />
Membership Chair<br />
Bhanupriya Sirandas<br />
Professional Practice<br />
Chair<br />
Elaine Guiao<br />
Rockford Chair<br />
Chris Radunz<br />
P-1 Liaison<br />
Marc McDowell<br />
Webmaster<br />
Susan Jin<br />
28 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
College Connection: CSU<br />
Advantages of Completing the IPPE in a Rural<br />
Hospital Setting<br />
by Alicia Ross, P3, SSHP Member<br />
Chicago State University College of Pharmacy (CSU-COP)<br />
During the middle of my first<br />
semester P2 year, my classmates<br />
began to chat eagerly about<br />
where they hoped to be placed<br />
for their Introductory Pharmacy<br />
Practice Experience (IPPE),<br />
which would start the next semester.<br />
There were a few big names that came<br />
up multiple times, but no one mentioned<br />
Riverside Medical Center. In<br />
fact, I had never heard of that institution<br />
until I was placed there for my<br />
IPPE rotation. All I knew was that it<br />
was in a rural area and was excited that<br />
parking would probably be free.<br />
I completed an undergraduate rotation<br />
at the county public health center,<br />
which was also in a rural area, and<br />
found it to be very rewarding. It turns<br />
out that I enjoyed the rural pharmacy<br />
experience just as I did the rural public<br />
health experience.<br />
Some of the advantages included<br />
friendly hospital staff, flexibility to<br />
choose what activities I was interested<br />
in, and preceptor availability. I<br />
have heard numerous stories from my<br />
classmates about preceptors that were<br />
too busy or just not around that much.<br />
At my site, my preceptor was available<br />
and willing to help me complete tasks<br />
and explain concepts when I needed<br />
clarification. If my preceptor did need<br />
to leave for a meeting or complete<br />
other tasks, there were plenty of other<br />
pharmacists that were available. It was<br />
nice to work with multiple pharmacists<br />
because I could learn about disease<br />
states and pharmacy administrative<br />
issues from different perspectives.<br />
One of my favorite activities was counseling<br />
patients about their medications.<br />
For instance, I performed warfarin<br />
teachings and talked to a patient<br />
about diabetes medications. It was the<br />
perfect time for me to talk about these<br />
topics because I had just learned about<br />
them in my therapeutics course. The<br />
purpose of having an experiential rotation<br />
is to apply what was learned in<br />
class to real patients, and that is exactly<br />
what I did during my experience.<br />
Before heading up to patients’ rooms,<br />
I would run through a practice session<br />
with one of the pharmacists to make<br />
sure I covered all of the important<br />
points. Once the pharmacist provided<br />
feedback, I was given the approval to<br />
talk directly to the patients. I would<br />
introduce myself, tell them the purpose<br />
of my visit, and ask them if it<br />
was okay for me to take a little of their<br />
time to go over the medications with<br />
them. I would start out asking the<br />
three prime questions: What did the<br />
doctor tell you the medication was<br />
for? How are you going to take the<br />
medication? What did the doctor tell<br />
you to expect? The answers provided<br />
by the family and patients determined<br />
how much more detail I would go<br />
into while explaining the medication.<br />
Herbal and drug interactions were discussed<br />
as well.<br />
Overall, I enjoyed the experience and<br />
encourage student pharmacists to<br />
try something different for a change.<br />
Small town institutions can provide<br />
valuable experiences with some additional<br />
opportunities that may not be<br />
available in the big name hospitals.<br />
Furthermore, establishing relationships<br />
with pharmacists who work in<br />
the rural setting may be valuable for<br />
students’ future careers. The demand<br />
for pharmacists is generally stronger in<br />
less populated areas. This is especially<br />
important now due to the stagnant<br />
economy and a currently saturated<br />
market in the Chicago metropolitan<br />
area. ■<br />
29 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
General Assembly Guild<br />
Kevin Colgan<br />
Edward Donnelly<br />
Dave Hicks<br />
Frank Kokaisl<br />
James Owen Consulting Inc.<br />
Scott Meyers<br />
Michael Short<br />
Charles Turck<br />
Michael Weaver<br />
Patricia Wegner<br />
Thomas Westerkamp<br />
Springfield Society<br />
Scott Bergman<br />
Dan Ciarrachi<br />
Kenneth Foerster<br />
Linda Fred<br />
Ann Jankiewicz<br />
Jan Keresztes<br />
William McEvoy<br />
Anna Nowobilski-Vasilios<br />
Michael Rajski<br />
Carrie Sincak<br />
Avery Spunt<br />
Capitol Club<br />
Pete Antonopoulos<br />
Jered Bauer<br />
Robert Bogash<br />
Rauf Dalal<br />
Kathy Komperda<br />
Huzefa Master<br />
*<br />
<strong>ICHP</strong> PHARMACY ACTION FUND<br />
CONTRIBUTION LEVELS*<br />
Capitol Club<br />
Ramesh Patel<br />
Edward Rainville<br />
Christina Rivers<br />
Jennifer Rogers<br />
Michael Ruzevich<br />
Miriam Mobley Smith<br />
JoAnn Stubbings<br />
Beverly Tuck<br />
Paul Zega<br />
Lincoln League<br />
Margaret Allen<br />
Sheila Allen<br />
Peggy Bickham<br />
Jaime Borkowski<br />
Jill Burkiewicz<br />
Donna Clay<br />
Sandra Durley<br />
Elizabeth Engebretson<br />
Michael Fotis<br />
Jacob Gettig<br />
Kristen Goliak<br />
Todd Karpinski<br />
Despina Kotis<br />
Mary Lee<br />
Janette Mark<br />
Bhavini Patel<br />
Jon Pearion<br />
Jennifer Phillips<br />
Fred Prillaman<br />
Edward Rickert<br />
Angela Riley<br />
Lincoln League<br />
Roy Roselund<br />
David Slatkin<br />
Heidi Sunday<br />
Cathy Weaver<br />
Barbara Yahn<br />
Grassroots Gang<br />
Michael Allen<br />
Orapin Chullasavock<br />
Scott Drabant<br />
Jennifer D’Souza<br />
Joann Haley<br />
Charlene Hope<br />
Travis Hunerdosse<br />
Peggy Janiszewski<br />
James Jansen<br />
Zahra Khudeira<br />
Stephanie Lammi<br />
John LeGrand<br />
Nan Lundquist<br />
Holly McMaster<br />
Kenneth Miller<br />
Leia Roeges<br />
Kathryn Schultz<br />
Julie Stein-Gocken<br />
Darlene Wiegand<br />
Cindy Wuller<br />
Steven Zielinski<br />
Contributor<br />
Yinka Alaka<br />
Anchalee Ardharn<br />
Bob Barger<br />
The above contributions consist of donations from the past 12 months. Contribution Levels: General Assembly Guild $1000 & more;<br />
Springfield Society $500 - $999; Capitol Club $250 - $499; Lincoln League $100 - $249; Grassroots Gang $50 - $99; Contributor $1 - $49.<br />
Contributor<br />
Greg Biedron<br />
Don Brower<br />
Diana Brubaker<br />
Lari Cavallari<br />
Jo Driver<br />
Brooke Griffin<br />
Patricia Gutierrez<br />
Margaret Hanzel<br />
Joan Hardman<br />
Tim Hook<br />
Jeanette Jiang<br />
Mary Ann Jocom<br />
Sue Kim<br />
Kati Kwasiborski<br />
Benjamin Le<br />
Emily Lin<br />
Lisa Lubsch<br />
John McBride<br />
Kathleen Mikrut<br />
David Miller<br />
Karen Nordstrom<br />
Gary Peska<br />
Tamkeen Quraishi<br />
Peggy Reed<br />
Maribelle Regala<br />
John Skaggs<br />
Debbie Stake<br />
Lucas Stoller<br />
Vicki Velez<br />
Peter Vlasses<br />
Rose Waleska<br />
Marie Williams<br />
Karyn Zyvan<br />
<strong>ICHP</strong> PHARMACY ACTION FUND<br />
You may mail your contribution to: <strong>ICHP</strong> Pharmacy Action Fund, 4055 N. Perryville Road, Loves Park, IL 61111-8653<br />
or contribute online: www.ichpnet.org/public_policy/ichp_pharmacy_action_fund/donation_form/<br />
I have enclosed the following contribution with an enclosed check to the <strong>ICHP</strong> Pharmacy Action Fund.<br />
___ $25 ___ $50 ___ $100<br />
___ $250 ___ $500 $______ please specify if other than above. Total amount enclosed: $___________<br />
Name ____________________________________________________________________________________________________<br />
Address ______________________________________________________________________________________________________________<br />
City/State/Zip Code ____________________________________________________________________________________________________<br />
Telephone __________________________________________ E-mail __________________________________________________________<br />
Contributions to the <strong>ICHP</strong> Pharmacy Action Fund are not considered charitable contributions by the IRS.<br />
30 July 2011 | <strong>KeePosted</strong> | www.ichpnet.org
MEMBERS LOVE <strong>ICHP</strong> BUCK$ & DISCOUNT$!<br />
Membership Renewal and Recruitment Options<br />
<strong>ICHP</strong> Members can earn <strong>ICHP</strong> Bucks and Valuable Dues Discounts<br />
Rebates are paid in <strong>ICHP</strong> Bucks and can be used for membership dues, meeting registrations, or other <strong>ICHP</strong> products and services.<br />
Dues Discounts When You Recruit New Members<br />
(Plus <strong>ICHP</strong> Bucks, too!)<br />
Number Recruited*<br />
Discount on Dues<br />
2..............................................15%<br />
3..............................................35%<br />
4..............................................55%<br />
5..............................................75%<br />
6.............................................100%<br />
*Must be same membership category or higher as recruiter.<br />
Membership Application<br />
Apple online at www.ichpnet.org<br />
_______________________________________________________________<br />
Name and Credentials<br />
_______________________________________________________________<br />
Job Title<br />
_______________________________________________________________<br />
Date of Birth<br />
Male<br />
Female<br />
_______________________________________________________________<br />
Home Address<br />
_______________________________________________________________<br />
City<br />
_______________________________________________________________<br />
State<br />
Zip<br />
_______________________________________________________________<br />
Home Phone<br />
Home E-mail Address<br />
_______________________________________________________________<br />
Business or School Name<br />
_______________________________________________________________<br />
Business or School Address<br />
_______________________________________________________________<br />
City<br />
_______________________________________________________________<br />
State<br />
Zip<br />
_______________________________________________________________<br />
Work Phone Fax Phone Work E-Mail Address<br />
<strong>ICHP</strong> Bucks When You Recruit New Members<br />
Student/Resident/Retired Technician....$1 <strong>ICHP</strong> buck rebate<br />
Technician/Retired/Recent Graduate 1..$2 <strong>ICHP</strong> buck rebate<br />
Recent Graduate 2.................................$3 <strong>ICHP</strong> buck rebate<br />
Pharmacist/Supporting..........................$5 <strong>ICHP</strong> buck rebate<br />
MEMBERSHIP CATEGORY<br />
Check the category for which you are applying:<br />
Pharmacist: $95<br />
Supporting: $95<br />
Joint: $95 + $50<br />
Recent Graduate 1 st Year: $32<br />
Recent Graduate 2 nd Year: $64<br />
Pharmacy Resident: $15<br />
<strong>ICHP</strong> Bucks for Multiple Year Renewals<br />
for Active & Associate Members<br />
2 year renewal.......$20 <strong>ICHP</strong> buck rebate<br />
3 year renewal.......$30 <strong>ICHP</strong> buck rebate<br />
4 year renewal.......$50 <strong>ICHP</strong> buck rebate<br />
LOCAL AFFILIATE MEMBERSHIP<br />
Membership in <strong>ICHP</strong> automatically entitles you to membership<br />
in your local affiliate. The <strong>ICHP</strong> has local affiliates<br />
throughout the state. To serve the needs of its membership<br />
and to foster communication, the local affiliates serve as<br />
regional conduits to the Council. Each affiliate has elected<br />
officers and offers continuing education programs convenient<br />
to the local membership. Select the society where you live or<br />
work from the map and indicate your choice below.<br />
Local Affiliates. Please choose one:<br />
Rock Valley Society (1) Sangamiss Society (5)<br />
Northern Illinois Society (2) Metro East Society (6)<br />
West Central Society (3) Southern Illinois (7)<br />
Sugar Creek Society (4)<br />
CPE MONITOR<br />
Student: $10<br />
Technician: $30<br />
Retired Pharmacist: $30<br />
Retired Technician: $15<br />
If you plan on obtaining continuing pharmacy education credit, we strongly<br />
encourage you to provide your NABP ID# and birthday. Beginning in<br />
2012, this information will be required by any participants seeking CPE<br />
credit. Visit www.ichpnet.org/cpemonitor for information about CPE<br />
Monitor and how to obtain your NABP ID.<br />
______________________________________________________________<br />
NABP ID#<br />
Birthday (MM/DD)<br />
Preferred Mailing Address: Home Business<br />
Do you wish to be excluded from mailing lists advertised for sale? Yes No<br />
METHOD OF PAYMENT<br />
Payment must accompany application. Checks must be drawn on a U.S. Bank and made<br />
payable to <strong>ICHP</strong>. Credit card payment may be faxed to (815) 227-9294.<br />
My check for $_________________ is enclosed.<br />
Charge to my: VISA MasterCard American Express Discover<br />
____________________________________________________________________<br />
Account #<br />
____________________________________________________________________<br />
Expiration Date (month/year)<br />
CVV2 Security Code Number<br />
____________________________________________________________________<br />
Cardholder Name<br />
Cardholder Signature<br />
________________________________________________________________<br />
Billing Address for Credit Card<br />
KEEPOSTED<br />
<strong>ICHP</strong> has gone digital with the <strong>KeePosted</strong> newsjournal. Your membership includes free online<br />
access to all issues (10 per year). You may purchase a print subscription for $30 a year.<br />
YES, I want a print subscription of the <strong>KeePosted</strong> mailed to me. I understand that<br />
these issues will be printed by the <strong>ICHP</strong> office.<br />
Pharmacist, Recent Grad, & Resident Applicants<br />
______________________________________________________________<br />
Graduation Date<br />
Degree<br />
______________________________________________________________<br />
College of Pharmacy<br />
______________________________________________________________<br />
Residency Program Site<br />
RETURN YOUR APPLICATION WITH PAYMENT TO:<br />
Illinois Council of Health-System Pharmacists<br />
4055 N. Perryville Road<br />
Loves Park, IL 61111-8653<br />
Phone (815) 227-9292 Fax (815) 227-9294 www.ichpnet.org<br />
Payments to <strong>ICHP</strong> are not deductible as charitable contributions for Federal Income Tax purposes.<br />
However, they may be deductible under other provisions of the Internal Revenue code.<br />
A portion of <strong>ICHP</strong> dues is not deductible as an ordinary and necessary business expense to the<br />
extent that <strong>ICHP</strong> engages in certain lobbying activities. For U.S. tax returns, the nondeductible<br />
portion of <strong>ICHP</strong> dues for 2011 is 90 percent. <strong>ICHP</strong> Federal Tax ID# 36-2887899<br />
Image Media Release: By joining <strong>ICHP</strong>, you are giving <strong>ICHP</strong> permission to use photographs<br />
or video of yourself taken at events. <strong>ICHP</strong> intends to use such photographs and<br />
videos only in connection with official <strong>ICHP</strong> publications, media promotions, web sites, or<br />
social media sites including but not limited to Facebook, Twitter, and YouTube, and that<br />
these images may be used without further notifying you.