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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 />

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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 />

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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.

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