Occupation | |
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Synonyms | Pharmacy regency technologists, Registered Pharmacy Technician (PhT) |
Occupation type | Healthcare |
A pharmacy technician (PhT) performs pharmacy-related functions including but not limited to filling out prescription medications. Training, certification, licensing, and actual practice of pharmacy technicians varies not only worldwide but in some countries regionally as well as by employer. [1]
Pharmacy technicians are healthcare professionals trained in the technical aspects of supplying medicines and medical devices to patients since 1950s. Pharmacy technicians work in a variety of locations (usually in community, retail, and hospital pharmacies), but can also work for long-term care facilities, pharmaceutical manufacturers, third-party insurance companies, computer software companies, in government, the military, or in teaching. Job responsibilities often include dispensing prescription drugs and other medical devices to patients and instructing them on their use. They may also perform administrative duties in a pharmaceutical practice, such as reviewing prescription requests with medical practices and insurance companies to ensure correct medications are provided and payment is received. Additionally, pharmacy technicians handle inventory related tasks such as cycle counts and returning expired and damaged medications back to the manufacturers. [2] [3] [4] Pharmacy technicians may take on the role of compounding supervisor, overseeing day to day sterile and non-sterile medicines preparation while meeting standards required by regulatory bodies.[ citation needed ]
In recent times, pharmacy technicians also speak directly with the patients on the phone to aid in the awareness of taking medications on time. In many countries, the relative importance of pharmacy technicians within the pharmacy workforce has been amplified in recent years, largely as a reaction to pharmacist shortages, resulting in an increase in their numbers and responsibilities. [5] [6] [4]
The Pharmacy Examining Board of Canada administers the Pharmacy Technician Qualifying Examination. Pharmacy technicians are required to be registered with a provincial or a national regulatory body or council. In provinces and jurisdictions where pharmacy technician is a regulated occupation, liability insurance is required to practice. [7] [8]
According to a 2007 profile of the pharmacy technician workforce, 43% of technicians work in hospitals and other related facilities, 37% in chain or franchise community pharmacies, and 16% in independent community pharmacies. [9] Most (62%) obtained pharmacy technician training from a career college or community college, some (16%) had only a high school education and no formal pharmacy training, while about 20% had some university education. A very small proportion (2%) had trained and worked abroad as either pharmacists or pharmacy technicians. [10] The wide range of technical training and educational attainment likely reflects in part the variety of training programs for pharmacy technicians currently available in the different provinces and territories of the country. [9] Accredited pharmacy technician diplomas, certificates and college programs are offered in the Ontario, Alberta, British Columbia, Nova Scotia, Manitoba, Saskatchewan and New Brunswick. [11] The Canadian Association of Pharmacy Technicians is a professional organization of pharmacy technicians in Canada.
According to the German Statistisches Bundesamt, 66,867 pharmacy technicians ("Pharmazeutisch-technische Assistenten") were working in 2011. About 90% were working as employees in community pharmacies. Their salary (approx. 1,837 – 2,400 Euros) is part of agreements between employers associations and Adexa.
Pharmacy technicians are known as assistant pharmacists. Several universities offer programs of three and half years of education and training. This occupation appeared due to the lack of pharmacists in Saudi Arabia in 1990, a reason they are commonly confused with pharmacists. Pharmacy regency technicians are regulated and monitored by the Saudi Commission for Health Specialties.
According to the MOH Statistics, there were about 8,471 of pharmacy technicians working in MOH Saudi Arabia 2015.
In 2010, the Minister of Health, Abdullah Al-Rabiah, issued a decision to stop the teaching of pharmacy technicians immediately.
In Sri Lanka, the government agency National Apprentices and Industrial Training Authority (NAITA) has developed National Competency Standards (NCS) leading to the award of the NVQ Level 4 certification as pharmacy technician for pharmacy employees who have above four years of experience. The NCS is approved by the Tertiary and Vocational Education Commission in 2016 and is presently being implemented. The one-year training consists of subject areas in compounding, dispensing, stock management, housekeeping practices and customer care development. The first batch of 154 certified pharmacy technicians are already employed in the community pharmacy sector.[ clarification needed ]
In 2009, a World Health Organization assessment identified a total of 918 practising pharmacy technicians or technologists (1 per 25,600 residents) and 1,642 medicine counter assistants (1 per 14,300 residents).
In regards to training, the assessment identified only one pharmacy technologist training school in the country (enrolling 70 students in the Higher National Diploma program). [12]
R.C.S.M. Govt Medical College and CPR Hospital, Kolhapur provides training for pharmacy technicians in India. To be a pharmacy technician, completion of this program is 10+2 or diploma.[ clarification needed ] There are two batches a year that intakes approximately 40 students per batch.
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Pharmacy technicians in Nigeria make up 75% of pharmaceutical work force. Pharmacists Council of Nigeria refused to allocate responsibilities that will give them right to practice at community level interdependently. The case was in court and the court ruled against PCN on December 3, 2008.
Nigerian pharmacy technicians in collaboration with National Board for Technical Education (NBTE) are currently saving Nigerian Economy and Nigerians from the professional monopoly played by PCN which led to abundant fake drugs due lack of manpower. This exposed Nigerian to a lot of problems which lead reduction in productivity leading to sustainable poverty. Nigerian pharmacy technicians in collaboration with NBTE are able to achieve these by introducing ND/HND in pharmaceutical technology. PCN is doing everything possible to stop this training to sustain its monopoly, demanding Federal ministry of education to direct NBTE to stop accrediting the polytechnics while these course are offered in Ghana, Sudan and other countries. The meeting called at the instance of NBTE on 25 May 2016 where the PCN, representative of the Honourable Minister of Health, Federal Ministry of Education, Pharmaceutical Society of Nigeria (PSN) and National Association of Pharmaceutical Technologists and Pharmacy Technicians of Nigeria were in attendance; certain issues bothering on the nomenclature Pharmaceutical Technologists, the curriculum and the accrediting body for polytechnic graduates of pharmaceutical Technology were raised. There it was made clear that the nomenclature (Pharmaceutical Technologist) is not new in Nigeria as the training of people bearing the name were trained at the former School of Pharmaceutical Technologists between 1981 and 1985. The premises of the school is being used as the liaison office of the PCN today. It was also established that NBTE is saddled with the accreditation of courses offered by Polytechnics and Monotechnics in the Federal Republic of Nigeria. As for the curriculum, findings revealed that NBTE is in line with the legal instrument that established the Board. Meanwhile, it was unanimously agreed that all relevant bodies should come together to review the complaints of the PCN.
Tanzania has two pharmacy technician schools: one is a public sector institution under the Ministry of Health and Social Welfare and accredited by Muhimbili University of Health and Allied Sciences, and the other is affiliated with a faith-based organization located in Kilimanjaro which offers diploma training.[ citation needed ] The practice of pharmacy technician is regulated by Pharmacy Council Tanzania, which enrolls and enlists them. In 2010, the country had 0.11 registered pharmacy technicians per 10,000 population. [13]
The main job duties of Tanzanian pharmacy technicians include dispensing, stock management, compounding, quantification of pharmaceutical formulations, and laboratory work. In some areas of the country facing acute shortage of physicians and other clinicians, pharmacy technicians have also been found prescribing medicine. [13]
In the UK, the title Pharmacy Technician is a protected title. A prospective technician has two pathways that must be completed. One must complete both a General Pharmaceutical Council-recognised course and a SVQ competence qualification or an accredited combined qualification and course. [14] A period of time of working as a trainee or student pharmacy technician is needed before final qualification and compulsory registration with GPhC (formerly the Royal Pharmaceutical Society of Great Britain) is required before commencing work as a pharmacy technician. The period of on-the-job training is usually done concurrently whilst completing the course and typically over a two-year period. Pharmacy technicians may counsel patients on their medication (under the supervision or direction of a pharmacist, though counselling is not one of the learning outcomes for pharmacy technician training) [15] as well as general dispensing of prescriptions. In community pharmacy, it has been recognised that the role is difficult to distinguish from that of a dispensing assistant with an NVQ2 qualification. Additional training is available to qualified pharmacy technicians and can include accuracy checking of dispensed prescriptions (though there is no legal requirement that a person be qualified as a pharmacy technician before undertaking an accuracy checking course), medicines management (hospital or PCT), participation in the running of hospital clinics such as anticoagulant clinics, dosing warfarin patients under dose banding guidance,[ citation needed ] or other duties traditionally done by pharmacists.
Training providers in the UK require a first degree subject, For example University of East Anglia requires 2:1 or above undergraduate degree in a Life Science, Biomedical Science, Sport Science or Healthcare subject, 4 GCSEs or equivalent in English Language, Mathematics, Biology and Chemistry with one A Level or equivalent in a Science subject. Under exceptional circumstances, experience in healthcare practice may contribute/compensate absent the above requirements. [16]
In the National Health Service (NHS) pharmacy technicians work under the direct supervision of a senior or specialist pharmacy technician and is accountable to the chief pharmacy technician or lead pharmacist even if not in a dispensary. Technicians work mainly in one of two areas, hospital pharmacy or community pharmacy. [17] Some also work in doctors' general practices and in primary care trusts.
A pharmacy dispenser cannot call themselves or work as a pharmacy technician or register with the GPhC as one.
Pharmacy technicians in hospitals are graded on the same Agenda for Change banding as audiovisual technicians, dental nurses and theatre support workers. [18] They start on a set percentage of a Band 4 (usually 75% – an average annual wage of £26,530 [19] ) as a trainee pharmacy technician completing 1,260 hours of clinical placement education moving on to Band 5 when newly qualified PhT and can work their way to a Band 8b in charge of a department/area. A Band 8b is the equivalent of a nurse lead/senior nurse manager in nursing or other head of department in the NHS. Although Band 8b is possible, a successful pharmacy technician can reasonably expect to reach Band 7a in the latter stage of his/her career, earning an average of £54,320.[ citation needed ]
Registered pharmacy technicians in the NHS may be responsible for the training and development of pharmacy support workers and pre-registration trainee pharmacy technicians. Further training and qualifications after initial registration enable them to perform this mentoring role. Pharmacy technicians in the UK (as with other countries e.g. Canada) are now referred to by some as professionals, although registered pharmacists are still considered experts in the pharmaceutical field and pharmacy technicians are subordinate to pharmacists. [20] [21]
A report was published by the Pharmacists' Defence Association in 2019 making proposals for the development of pharmacist and pharmacy technician roles and career frameworks symbiotically in community pharmacy. It also outlined various impediments and governance issues and called for these to be addressed. [21] The Association of Pharmacy Technicians United Kingdom is a professional organisation for pharmacy technicians in the UK.
There is no national regulatory agency governing pharmacy technicians and the duty falls to the individual state boards of pharmacies in the US. A high school diploma (or its equivalent) is typically required in all states but certification and licensing requirements vary by state. Some states require training from board-approved schools, national certification, on-the-job training or no requirements at all. A technician can become nationally certified by taking an NCAA-accredited examination administered by either the Pharmacy Technician Certification Board (PTCB) or the National Healthcareer Association (NHA). [22] [23] [24]
Beginning in January 2020, the PTCB enacted a requirement that prior to examination, an applicant for certification must complete an American Society of Health-System Pharmacists-accredited pharmacy technician education program, a PTCB-recognized training program, or 500 hours of training [25] however, the NHA had similar requirements prior to the PTCB enacting the 2020 requirements. Upon completion of the certification exam, a pharmacy technician earns the certified or CPhT credential. Continuing education after national certification is required for certification renewal every two years.
According to the Bureau of Labor Statistics, in 2011 about 75% of pharmacy technicians in the US work in a retail setting, [2] such as an independently owned drugstore, a mass retailer chain, or a mail-order or online pharmacy. An additional 16% of pharmacy technician jobs were in hospitals, [2] while others worked for nursing homes, pharmaceutical wholesalers, or the federal government. As of 2016, the nationwide average hourly pay for pharmacy technicians working in retail or independent pharmacies is $12.26 [26] [27] and for pharmacy technicians working in hospital setting is $14.57. [28] American pharmacy technicians work under the supervision of a pharmacist, often following a pharmacist-to-pharmacy technician ratio if required by the state that the pharmacy is located in. The National Pharmacy Technician Association and American Association of Pharmacy Technicians are professional organizations of pharmacy technicians in the US.
The states Delaware, Hawaii, Pennsylvania, and Wisconsin do not require licensing or certification but may require some form of training or registration.
Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Idaho, Illinois, Iowa, Kansas, Maryland, Massachusetts, Mississippi, Montana, New Mexico, North Dakota, Oregon, Utah, Virginia, Washington, West Virginia, Wyoming, and Washington, D.C. require both certification and licensing or registration, though some states may have a training period before these requirements.
California, Florida, Georgia, Indiana, Kentucky, Louisiana, Maine, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas (with exceptions), and Vermont require only a license. [29] [30]
Pharmacy technicians are trained at Harare Polytechnic. Students graduate with a diploma after three years of training. The program is run by the Ministry of Health and Child Welfare of Zimbabwe. Yearly intake is about 35 students.[ citation needed ]
A pharmacist, also known as a chemist in Commonwealth English, is a healthcare professional who is knowledgeable about preparation, mechanism of action, clinical usage and legislation of medications in order to dispense them safely to the public and to provide consultancy services. A pharmacist also often serves as a primary care provider in the community and offers services, such as health screenings and immunizations.
Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences. The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy.
A prescription, often abbreviated ℞ or Rx, is a formal communication from a physician or other registered healthcare professional to a pharmacist, authorizing them to dispense a specific prescription drug for a specific patient. Historically, it was a physician's instruction to an apothecary listing the materials to be compounded into a treatment—the symbol ℞ comes from the first word of a medieval prescription, Latin recipe, that gave the list of the materials to be compounded.
A dietitian, medical dietitian, or dietician is an expert in identifying and treating disease-related malnutrition and in conducting medical nutrition therapy, for example designing an enteral tube feeding regimen or mitigating the effects of cancer cachexia. Many dietitians work in hospitals and usually see specific patients where a nutritional assessment and intervention has been requested by a doctor or nurse, for example if a patient has lost their ability to swallow or requires artificial nutrition due to intestinal failure. Dietitians are regulated healthcare professionals licensed to assess, diagnose, and treat such problems. In the United Kingdom, dietitian is a 'protected title', meaning identifying yourself as a dietitian without appropriate education and registration is prohibited by law.
A Doctor of Pharmacy is a professional doctorate in pharmacy. In some countries, it is a proficient graduate degree to practice the profession of pharmacy or to become a clinical pharmacist. In many countries, people with their Doctor of Pharmacy are allowed to practice independently and can prescribe drugs directly to patients. A PharmD program has significant experiential and/or clinical education components in introductory and advanced levels for the safe and effective use of drugs. Experiential education prepares graduates to be practice-ready, as they already have spent a significant amount of time training in areas of direct patient care and research.
A surgical technologist, also called a scrub, scrub tech, surgical technician, or operating department practitioner or operating room technician, is an allied health professional working as a part of the team delivering surgical care. Surgical technologists are members of the surgical team. The members of the team include the surgeon, surgeon's assistant, circulator nurse and anesthesia provider. They possess knowledge and skills in sterile and aseptic techniques. There are few mandatory professional requirements for surgical technologists, and the scope of practice varies widely across countries and jurisdictions. Surgical technologists attend junior colleges and technical schools, and many are trained in military schools. In the military they perform the duties of both the circulator and the scrub. The goal is for surgical technologists to be able to anticipate the next move the surgeon is going to make in order to make the procedure as smooth and efficient as possible. They do this by having knowledge of hundreds of surgical procedures and the steps the surgeon needs to take in order to complete the procedure, including the very wide range of surgical instruments they may need. Specialties can include, but are not limited to, the following: genitourinary, obstetrics and gynaecology, urology, ENT, plastics, general, orthopedics, neurology, and cardiovascular. They only work in surgical or perioperative areas and are highly specialized. Surgical technologist is the proper term for a two-year program which earns a degree in applied sciences. The profession is up and coming and highly in demand.
A consultant pharmacist is a pharmacist who works as a consultant providing expert advice on clinical pharmacy, academic pharmacy or practice, public health pharmacy, industrial pharmacy, community pharmacy or practice, pharmaceutical analysis etc., regarding the safe use and production of medications or on the provision of pharmaceutical services to medical institutions, hospitals, universities, research institutions, medical practices and individual patients.
A Medical Laboratory Scientist (MLS) or Clinical Laboratory Scientist (CLS) or Medical Technologist (MT) is a licensed Healthcare professional who performs diagnostic testing of body fluids, blood and other body tissue. The Medical Technologist is tasked with releasing the patient results to aid in further treatment. The scope of a medical laboratory scientist's work begins with the receipt of patient or client specimens and finishes with the delivery of test results to physicians and other healthcare providers. The utility of clinical diagnostic testing relies squarely on the validity of test methodology. To this end, much of the work done by medical laboratory scientists involves ensuring specimen quality, interpreting test results, data-logging, testing control products, performing calibration, maintenance, validation, and troubleshooting of instrumentation as well as performing statistical analyses to verify the accuracy and repeatability of testing. Medical laboratory scientists may also assist healthcare providers with test selection and specimen collection and are responsible for prompt verbal delivery of critical lab results. Medical Laboratory Scientists in healthcare settings also play an important role in clinical diagnosis. An estimated 70% of medical decisions are based on laboratory test results and MLS contributions affect 95% of a health system's costs.
In the field of pharmacy, compounding is preparation of custom medications to fit unique needs of patients that cannot be met with mass-produced products. This may be done, for example, to provide medication in a form easier for a given patient to ingest, or to avoid a non-active ingredient a patient is allergic to, or to provide an exact dose that isn't otherwise available. This kind of patient-specific compounding, according to a prescriber's specifications, is referred to as "traditional" compounding. The nature of patient need for such customization can range from absolute necessity to individual optimality to even preference.
A veterinary pharmacist is a specially trained pharmacist who dispenses veterinary drugs and supplies or products and advice to owners of companion animals and livestock. In addition, they advise the regulatory bodies and are involved in the formulation of veterinary drugs. Veterinary pharmacy is a field of pharmacy practice, in which veterinary pharmacists may compound medications, fill prescriptions, and manage drug therapies for animals. Veterinary pharmacists are licensed pharmacists who specialize in the distribution of medications for animals.
Pharmacy residency is education a pharmacist can pursue beyond the degree required for licensing as a pharmacist. A pharmacy residency program allows for the implementation of skill set and knowledge acquired in pharmacy school through interaction with the public either in a hospital setting or community practice. The program is done over a span of about 2yrs after graduation from pharmacy school and licensure as a pharmacist. Pharmacy residency helps improve the resume of a pharmacist so as to increase chances of obtaining employment outside community practice. A 2022 review suggested that there is sufficient evidence that residency develops key competencies for junior pharmacists.
The basic requirement for pharmacists to be considered for registration is often an undergraduate or postgraduate pharmacy degree from a recognized university. In many countries, this involves a four- or five-year course to attain a bachelor of pharmacy or master of pharmacy degree.
A pharmacy is a premises which provides pharmaceutical drugs, among other products. At the pharmacy, a pharmacist oversees the fulfillment of medical prescriptions and is available to counsel patients about prescription and over-the-counter drugs or about health problems and wellness issues. A typical pharmacy would be in the commercial area of a community.
The Pharmacy and Poisons Board is the Drug Regulatory Authority established under the Pharmacy and Poisons Act, Chapter 244 of the Laws of Kenya.
The General Pharmaceutical Council (GPhC) is the body responsible for the independent regulation of the pharmacists, pharmacy technicians and pharmacy premises within England, Scotland and Wales. It was created in September 2010 when the functions of the body then responsible for regulation and professional representation, the Royal Pharmaceutical Society of Great Britain, were split. At that time, the Royal Pharmaceutical Society of Great Britain was renamed to Royal Pharmaceutical Society and adopted only the representative functions of the pharmacy profession, whilst the GPhC assumed the regulatory functions.
Telepharmacy is the delivery of pharmaceutical care via telecommunications to patients in locations where they may not have direct contact with a pharmacist. It is an instance of the wider phenomenon of telemedicine, as implemented in the field of pharmacy. Telepharmacy services include drug therapy monitoring, patient counseling, prior authorization and refill authorization for prescription drugs, and monitoring of formulary compliance with the aid of teleconferencing or videoconferencing. Remote dispensing of medications by automated packaging and labeling systems can also be thought of as an instance of telepharmacy. Telepharmacy services can be delivered at retail pharmacy sites or through hospitals, nursing homes, or other medical care facilities.
Pharmacy in the United Kingdom has been an integral part of the National Health Service since it was established in 1948. Unlike the rest of the NHS, pharmacies are largely privately provided apart from those in hospitals, and even these are now often privately run.
The Pharmacy Council of Nigeria (PCN) is an agency of the federal government of Nigeria, established in 1992 to regulate and control the practice of pharmacy in Nigeria. Its responsibility is to oversee the practice of pharmacy across the country and supervise pharmaceutical education in Nigeria.
The pharmacy management system, also known as the pharmacy information system, is a system that stores data and enables functionality that organizes and maintains the medication use process within pharmacies.
The Anambra State College of Health Technology (ASCOHT), Obosi is a State owned professional and multi disciplinary tertiary training institution located in Obosi town in Idemili North Local Government Area, Anambra State. The college is regulated by the Nigerian board for technical education NBTE, Radiographers Registration Board of Nigeria, Medical laboratory Science Council of Nigeria professional Boards regulating the tertiary institutions in Nigeria from which it has full accreditation under the provost Dr. Mgbakogu Robinson. A.