The Future ofThe Future of Pharmacy Technicians Pharmacy Technicians in Idaho in IdahoP. Allen Frisk, MS May 14, 2011P. Allen Frisk, MS May 14, 2011

To consider future trends in Pharmacy To consider future trends in Pharmacy technician careers, we must take a look technician careers, we must take a look back at where we have came from…back at where we have came from…

Mr. Gower’s PharmacyMr. Gower’s Pharmacy

Whitehead Drug, 8Whitehead Drug, 8thth & Main Boise & Main Boise

Jan 1966 ASHP approves and publishes firstJan 1966 ASHP approves and publishes first

“ “Statement on Hospital Pharmacy Technician –Statement on Hospital Pharmacy Technician –

Helpers”Helpers”

(May 1964 APhA Journal article: “Pharmacy Services to(May 1964 APhA Journal article: “Pharmacy Services to

Nursing Homes by Nampa Drug Store Pharmacist JohnNursing Homes by Nampa Drug Store Pharmacist John

Rawlings mentions Connie Douglas and Janet Vail inRawlings mentions Connie Douglas and Janet Vail in

describing Unit Dose Distribution to local nursing homes) describing Unit Dose Distribution to local nursing homes)

Nov 1969 ASHP establishes “Task Force on the PharmacyNov 1969 ASHP establishes “Task Force on the Pharmacy

Practitioner and Role of the Subprofessinal”Practitioner and Role of the Subprofessinal”

Apr 1970 ASHP approves “Training Guidelines for HospitalApr 1970 ASHP approves “Training Guidelines for Hospital

Pharmacy Supportive Personnel” Pharmacy Supportive Personnel”

Nov 1971 Allen Frisk teaches ASHP Training Nov 1971 Allen Frisk teaches ASHP Training

Guidelines to Supportive Guidelines to Supportive PersonnelPersonnel at Rhode Island Hospital during at Rhode Island Hospital during hishis Residency ResidencyDec 1971 ASHP splits away from APhA at Dec 1971 ASHP splits away from APhA at ASHP Midyear Clinical meeting in ASHP Midyear Clinical meeting in Las Vegas Las VegasDec 1974 John Rawlings named Chairman ofDec 1974 John Rawlings named Chairman of SIG on Nursing Home Pharmacy SIG on Nursing Home Pharmacy (Allen Frisk, Secretary) (Allen Frisk, Secretary) Dec 1975 ASHP roles out Training Dec 1975 ASHP roles out Training GuidelinesGuidelines for Accredited Technician for Accredited Technician ProgramsProgramsDec 1975 Jim Dilley leaves Potter Drug to Dec 1975 Jim Dilley leaves Potter Drug to joinjoin Saint Al’s program, first career Saint Al’s program, first career techtech

1976 Vicki Vargason joins staff at Saint Als. 1976 Vicki Vargason joins staff at Saint Als. Becomes first graduate of state Becomes first graduate of state approvedapproved Technician Training Program. (see Technician Training Program. (see below) below)

1980 ISHP announces first Technician of the 1980 ISHP announces first Technician of the Year: Vicki Vargason Year: Vicki Vargason 1982 Boyd Jeffery 1982 Boyd Jeffery (and Allen Frisk) establish (and Allen Frisk) establish first Technician Training Program in first Technician Training Program in IdahoIdaho (approved by Idaho Board of Labor. ISU (approved by Idaho Board of Labor. ISU College of Pharmacy and Idaho Board of College of Pharmacy and Idaho Board of Pharmacy refused to recognize) Pharmacy refused to recognize)

19891989Allen Frisk approaches Butch Groothius Allen Frisk approaches Butch Groothius at AIHT to start first formal Pharmacyat AIHT to start first formal PharmacyTechnician Training ProgramTechnician Training Program(today’s Carrington College)(today’s Carrington College)

1992 IdahoBoard ofPharmacy 1992 IdahoBoard ofPharmacy establishesestablishes Technicial Committee for Technicial Committee for PharmacyPharmacy Technicians. Publishes Curriculum Technicians. Publishes Curriculum Guide for Pharmacy Technicians Guide for Pharmacy Technicians (grant from State ofIdaho Division (grant from State ofIdaho Division ofof Vocational Education. Allen Frisk Vocational Education. Allen Frisk secretary) secretary)

19931993 Idaho State Board of Pharmacy officiallyIdaho State Board of Pharmacy officiallyofficially recognizes Pharmacy Technician.officially recognizes Pharmacy Technician.Establishes 1:1 ratio in Retail settings andEstablishes 1:1 ratio in Retail settings and2:1 setting in Hospitals. No longer use the 2:1 setting in Hospitals. No longer use the term “Supportive personnel” in Don Ness’sterm “Supportive personnel” in Don Ness’sHospital Pharmacy Regulations (writtenHospital Pharmacy Regulations (writtenin 1986, with assistance of Allen Frisk)in 1986, with assistance of Allen Frisk)

1994 ISU College of Pharmacy’s Drug Info1994 ISU College of Pharmacy’s Drug Info Pharmacist, Brenda Storey Phelan Pharmacist, Brenda Storey Phelan Dunn, develops ISU correspondence Dunn, develops ISU correspondence course, through Trade & Technology course, through Trade & Technology School (Materials Review Committee School (Materials Review Committee headed by Allen Frisk) headed by Allen Frisk)

2000 Board of Pharmacy approved 2:1 ratio2000 Board of Pharmacy approved 2:1 ratio for all settings for all settings

2000 Kellina James joins ISHP and becomes 2000 Kellina James joins ISHP and becomes Instrumental in maintaining Pharmacy Instrumental in maintaining Pharmacy Tech group. Begins teaching others Tech group. Begins teaching others howhow to pass PTCB Exam to pass PTCB Exam2001 Apollo College purchases AIHT, expands2001 Apollo College purchases AIHT, expands Pharmacy technician program to both Pharmacy technician program to both morning and evening classes. Taught morning and evening classes. Taught byby Steven Eide as Al Frisk returned to Steven Eide as Al Frisk returned to St.AlsSt.Als2002 Academy of professional Careers (now2002 Academy of professional Careers (now Milan college) opens second pharmacy Milan college) opens second pharmacy tech school in Boise. Chris Murray tech school in Boise. Chris Murray becomes educator for that program becomes educator for that program

2004 Chris Murray joins staff at Apollo2004 Chris Murray joins staff at Apollo

20052005 Idaho Board of Pharmacy expands Idaho Board of Pharmacy expands “Tech” Ratio to 3:1 in all settings “Tech” Ratio to 3:1 in all settings

2006 Saint Al’s gets Board approval to2006 Saint Al’s gets Board approval to start “Tech-check-Tech” trial start “Tech-check-Tech” trial program. (St Al’s and St Lukes program. (St Al’s and St Lukes both have 4-tier career ladders both have 4-tier career ladders for Technicians. Both utilize for Technicians. Both utilize Technicians for Pharmacy Buyers Technicians for Pharmacy Buyers2007 Pharmacists officially declared2007 Pharmacists officially declared 50% clinicians & 50% dispensers 50% clinicians & 50% dispensers2008 USP 797 Guidelines for Sterile 2008 USP 797 Guidelines for Sterile andand Non-Sterile Compounding Non-Sterile Compounding establishestablish need for additional technicians & need for additional technicians & training training

2009 ASHP 2020 Vision recommends all2009 ASHP 2020 Vision recommends all Pharmacy Technicians to have finished an Pharmacy Technicians to have finished an ASHP-accredited Technician Training ASHP-accredited Technician Training Program Program

2009 Idaho Board of Pharmacy approves 2009 Idaho Board of Pharmacy approves “Tech”“Tech” Ratio of 6:1. Approves “Tech-check- Ratio of 6:1. Approves “Tech-check-Tech”Tech” Program. (Project spearheaded by Larry Program. (Project spearheaded by Larry Munkelt). Approves Bob Wheatley’s Munkelt). Approves Bob Wheatley’s Remote Pharmacy project Remote Pharmacy project (Telepharmacy) (Telepharmacy)

20102010DeVry University purchases Apollo CollegeDeVry University purchases Apollo Collegeand changes name to Carrington Collegeand changes name to Carrington CollegeExpands program to as many as 3 on-goingExpands program to as many as 3 on-goingclasses. Offers expanded track to allow classes. Offers expanded track to allow 9-month program to be expanded to two9-month program to be expanded to twoyear program with Associates Degree year program with Associates Degree offered.offered.

2010 College of Western Idaho in Nampa 2010 College of Western Idaho in Nampa starts Technician Training program starts Technician Training program taught by Lori Urban taught by Lori Urban

2010 ISU College of Pharmacy students2010 ISU College of Pharmacy students (and Ann Kator) teach Renaissance (and Ann Kator) teach Renaissance High School student Rx Tech High School student Rx Tech Program Program

Recent ASHP Membership Survey:Recent ASHP Membership Survey:

Support current expanded role 82%Support current expanded role 82%Support Rx Tech-check-Tech program 75%Support Rx Tech-check-Tech program 75%Support further expansion of Rx Tech 59% Support further expansion of Rx Tech 59%

Expanded Role in Informatics (IT)Expanded Role in Informatics (IT) Current Large Hospitals have 1.9 FTE’s Current Large Hospitals have 1.9 FTE’s (range 0.9-4.9) with computer degree (range 0.9-4.9) with computer degree

Expanded Role in RoboticsExpanded Role in Robotics Difficult task of operating automated Difficult task of operating automated highhigh tech equipment tech equipment

Compounding of PharmaceuticalsCompounding of Pharmaceuticals -USP 797 Guidelines -USP 797 Guidelines -Biotechnology -Biotechnology

Expanded Role in Quality Assurance Expanded Role in Quality Assurance ProgramsPrograms -Medication Error Reduction -Medication Error Reduction -Training of Pharmacy Technicians -Training of Pharmacy Technicians -Interdepartmental relationships -Interdepartmental relationships

Expanded Responsibilities in DispensingExpanded Responsibilities in Dispensing -Telepharmacy operations -Telepharmacy operations -Point of Service Mobile Units -Point of Service Mobile Units

Support Pharmacist’s Clinical ActivitiesSupport Pharmacist’s Clinical Activities

-Patient Counseling -Patient Counseling -Information Gathering -Information Gathering -Maintenance of Logs/Study Information -Maintenance of Logs/Study Information

Expansion of Educational RequirementsExpansion of Educational Requirements -9-month expanded to two years -9-month expanded to two years -Two years expanded to four years -Two years expanded to four years -Mini-Residency programs for -Mini-Residency programs for TechniciansTechnicians

Other?Other?