Becoming a pharmacy technician is a simpler path than most students think. While many students are convinced that becoming certified involves months of schooling -currently this is NOT the case.
To become a certified pharmacy technician an individual must:
1. Register with the PTCB or ExCPT to take a certification exam. Most states require the PTCB, but the ExCPT is accepted in many states.
Becoming a pharmacy technician is a simpler path than most students think. While many students are convinced that becoming certified involves months of schooling -currently this is NOT the case.
To become a certified pharmacy technician an individual must:
1. Register with the PTCB or ExCPT to take a certification exam. Most states require the PTCB, but the ExCPT is accepted in many states.
2. Study the required material to pass the PTCB or ExCPT examination. (Note: Studying for the exam can be a part of a lengthy/costly college course, but is not required - a simple online video course will be sufficient )
3. Pass your exam.
4. Register with your respective State Board of Pharmacy. We provide the web URL for all 50 State Boards of Pharmacy to make registering easy.
Ph.T). Many different topics are covered in the course, including pharmacy law, common abbreviations, commonly used calculations, and many other skills used by pharmacy technicians in their day to day tasks. Utilizing the advantages of a self-paced course, student will be able to prepare to take the certification exam needed to work as a pharmacy technician.
Students are encouraged to take a slow and steady pace in this course - it is designed as a 6-week course but may be longer or shorter depending on the rate of learning by the student.
Class Structure:
· Introduction
o A few lectures to get us comfortable with a pharmacy
· Pharmacy Shorthand (Sig Codes)
o Study this BID PRN
· Medications
o Top 200 Medications
· Pharmacy Math
o Spend lots of your time here
o Cert exam is heavy on math
· Pharmacy Law
o Numerous Law questions are on the exam
The best way to learn the concepts taught in this lecture is to work in a pharmacy as a clerk. A clerk position usually runs the cash register as well as other various duties in the pharmacy. This job usually requires little to no experience previously. Not only can it help you learn your medications quicker - many students have success with becoming a technician at the same company they began work as a technician.
The best way to learn the concepts taught in this lecture is to work in a pharmacy as a clerk. A clerk position usually runs the cash register as well as other various duties in the pharmacy. This job usually requires little to no experience previously. Not only can it help you learn your medications quicker - many students have success with becoming a technician at the same company they began work as a technician.
After seeing too many first time technicians count their capsules by one or even count them with their bare hands, I have determined that a simple lecture like this is needed.
Notice that I pour my liquid without checking at eye level - not a great practice.
Having an exam date can be very nerve racking and motivating. There are plenty of resources about each each am each organizations website:
See what is required in your state. There is a helpful link in the opening lecture if you missed it.
You will need to study this section until it becomes second nature to you. 3"x5" flash cards are very helpful to make. You may want to use your iphone or ipad instead of flash cards:
Rinse and Repeat until you learn it!
Go back to your flash cards if needed. They are your secret weapon in the war on pharmacy knowledge.
Notice how the Dr's handwriting is pretty tough to read on some of these prescriptions. Again, this is real world - that is a challenge in the pharmacy. Not being able to read a prescription puts the whole pharmacy to a halt. Usually the best move is to call the Dr. and ask what was intended to be written. Some Dr's will take offense to you asking - don't worry about it. Better for you to ask then to cause an error because of sloppy handwriting.
It is an even tougher situation when you can't even read the Dr's name - then you don't even know who to call!!
Look for more of these real world prescriptions in the coming quizzes.
Learn these by verbal repetition, writing them down, or even make a song. Just learn them!
My preferred method of learning these has always been 3 x 5 index cards. Just whatever works for you. I mentioned this in the pharmacy abbreviations section, but if you prefer to save the paper - try an app for your iphone or ipad.
Flash Cards for Iphone or Ipad
I cover the most important medications in the video lectures. Base your flash cards on the attached supplementary materials. I have broken them down in to several pages broken down by segments of the alphabet.
Check out the external link for a list of the Top 200 drugs of 2010. If you are pressed for time, perhaps focus your learning on the upper portion of the Top 200 list. Don't look for a shortcut though, if you can learn all 200 medications - do it!
Good Luck!
A very common question of the exam may be something like this:
Which of the following is known as a beta blocker?
a) lisinopril
b) metformin
c) metoprolol
Once you see beta blocker - you know to look for the -olol ending. Again - flash cards are the answer to memorizing these suffixes.
Some common side effects:
ACE Inhibitors - dry cough
Beta-Blockers - slower heart rate (bradycardia) and shortness of breath
All hypertension (high blood pressure) medications can cause dizziness upon standing.
For a fun way to learn these and other medications - try my friends at learnbylyrics.net
Add to your ever growing pile of flash cards and immerse yourself in these medications. Look into your medicine cabinet for any unfinished antibiotics and see if you can name their drug classification.
Authors note: You should have finished your antibiotics -- not stopped taking them when you felt better. You didn't know I was going to get on to you did you? :)
Memorize the 3 classes of drug recalls.
Know the meaning of each class of drug recall and the severity of each recall classification.
Class 1
Class 2
Class 3
A) 5 digits - Manufacturer
B) 4 digits - Product
C) 2 digits - Package Size
As we get into inventory control this will become important. Whatever NDC number is ran through the computer (in Data Entry) - needs to be the NDC number that is dispensed. You can pick the correct drug but the wrong NDC number when dispensing/counting the medication. Just make sure you are picking the same product that was entered into the computer. This will keep your pharmacy's inventory correct.
Convert from a % to a decimal: Move the decimal over 2 places to the LEFT (20% = 0.2)
Zeros are LEADERS not followers. Look at my 0.2 above. .2 would have been confusing. So would .20
Know how to round. You may have to round occasionally in a pharmacy. Usually you will round to the nearest whole number, but be able to round to other digits when needed
You may run into a medication that is expressed in a ratio. The certification exam questions on this may be to just show an understanding of what the ratio is stating. A chemical that is 1:1000 is diluted by 1000 fold.
Solve for X -- This is the big one
One variable equations are all over the certification exam. Know the principles of basic algebra to be able to solve for x. Look at the example in the video lecture. This skill needs to be mastered prior to proceeding.
The certification exam may ask about laminar flow hoods - pay special attention to that portion of the lecture. Keeping your product sterile is incredibly important. Should you go into institutional pharmacy - you will be asked to prepare an IV bag that is tested for sterility. Those that can't follow the correct procedures do not get into the IV room.
Become an expert on converting between one unit to another. Your technician exam will certainly give you the question in one measurement (such as grams) and ask for the answer in another measurement (such as milligrams). Don't be fooled by this!
A quiz covering some of the common calculations you may encounter with volumes/measurements.
Pay attention to the factor label method. If you know of an equality (i.e. 1 g = 1000 mg) than this method can be useful.
These are easy to learn and should be an easy question for you on the exam. Don't blow off this lecture just because it seems easy though.
I should get that large tattoo that says that equation. I would be so cool!
Seriously, IV flow rate questions can seem intimidating if you don't know how to properly calculate them. We pretty much do the same problem in this lecture three times over. We just figure out a different portion of the equation each time.
Make a problem on your own:
Make up 2 of the 3 variables. Solve for the third variable.
Young's rule and Clark's rule are both simple estimations of what a pediatric dosage should be. Be able to use them if called upon to on the exam.
Be very familiar with mg/kg. You will almost certainly have a question on your exam giving you the child's weight in Lbs. Convert to kg by dividing by 2.2.
Look for the word trickery of mg per DOSE or mg per DAY. They may ask for mg/day and put the answer for mg/dose in the multiple choice answers.
Like many of the other questions - they are simply trying to make certain you can think on your feet.
5F = 9C + 160
Fill in the temperature you are given and plug into the above equation. For reference points you will learn that 0 degrees C is freezing and 100 degrees C is boiling. (32 and 212 for Farenheit)
It is the longest lecture for a reason.
The biggest hurdle most students face on this lecture is getting the same unit on the top and the bottom of EACH side of the equation. Grams on the top of one side and mg on the top of the other side just simply won't work. Convert your numbers to make them match the other side.
For example: If you have 5 grams/mL = 400mg/XmL your first move should be to convert the grams to milligrams. (you could also change the mg to grams). Just make certain the top number (numerator) has the same unit on both sides.
Know this lecture well.
Remember to put your known values (What you have and what you want) in their correct boxes in the TIC TAC TOE box. As you go across the grid diagonally you will find the difference between what you have and what you want. This difference will get your how many "parts" of your final solution you will need.
Add the parts together to get the total parts of the wanted solution.
Then you can find out how many mL of each solution are needed by multiplying (parts/total parts) x Final volume.
This is easiest to learn when seeing it done. Look at the blackboard examples.
Also remember that 0% can be one of your solutions on hand.
In that scenario the computer was wrong but it was most likely wrong because of a user error. We have to watch our inventory in a pharmacy.
Be familiar with the schedule of medications:
Don't bypass the HIPPA (Health Insurance Portability and Accountability Act) or (Omnibus Budget Reconciliation Act) OBRA. The technician exam seems to love asking a question or two about the acts/laws. Be prepared.
HIPPA - Protection of PPI (Protected Patient Information)
OBRA - Mandated counseling of medicaid patients by a licensed pharmacist
The PPPA requires many medications to have child protective lids on them. There are some exceptions. Those include:
Nitroglycerin tablets
Oral Contraceptives
Methylprednisolone (Medrol) tablet
Also, check out this great rap song by learnbylyrics.net. (Now throw your hands in the air....)
I only cover a few important interview tips here:
Don't take this quiz until you are prepared and have the time to take it!!!
Brands versus Generics - whats the real difference. Here we will discuss what reference you can find Therapeutic Equivalence Evaluations - commonly referred to as The ORANGE Book
Know the difference between A-rated and AB Rated drugs
Know what a B-rated drug is in comparison to an A-rated drug
In this lecture we are talking about the transfer of CONTROLLED substances. Recall a previous lecture discussing the control drug schedule CII - CV.
The FDA wants to keep close tabs on where controlled drugs are being moved to and from.
Know the different kind of documentation you might need for C2 medications vs C3-C5 Medications
If you didn't record your transfer (on paper or an electronic record) than you will have no way to explain what happened to your "missing" controlled substances.
As you know, some drugs have some serious side effects. Most side effects are tolerable. Sometimes the benefits do outweigh the bad side effects. In these conditions - extra monitoring by the patient and the medical team may be needed. Numerous drugs have this requirement.
Medications requiring this extra attention include:
Isotretinoin (Accutane)
Clozapine (Clozaril)
Dofetilide (Tikosyn)
For a more exhaustive list - check out this FDA link:
http://www.accessdata.fda.gov/scripts/cder/rems/index.cfm
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