Md. Code Regs. 10.34.35.07

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.34.35.07 - Training Requirements

A. Personnel shall be trained in the following areas where appropriate:

(1) Patient rights and responsibilities;

(2) Patient safety;

(3) Performance improvement program;

(4) Universal precautions which are incorporated by reference in COMAR 10.06.01.01B -1;

(5) Warehouse and equipment orientation;

(6) Waste management;

(7) Handling hazardous substances;

(8) Policies and procedures;

(9) Recognizing signs of patient abuse and neglect;

(10) Recognizing signs of IV drug abuse;

(11) Customer service and cultural sensitivity training;

(12) Emergency policies and procedures which support the continuum of patient care during natural or manmade disasters; and

(13) Patient confidentiality and the Health Insurance Portability and Accountability Act, 45 CFR Parts 160 and 164.

B. A pharmacist shall be trained and evaluated in the following areas, including but not limited to:

(1) Clinical management of therapies and disease states managed by the infusion pharmacy services, including but not limited to:

(a) Specific dosing and monitoring protocols;

(b) Care planning;

(c) Lab value ranges; and

(d) Side effects;

(2) Pump use and programming;

(3) Parenteral infusion access devices and therapy-specific appropriateness by device;

(4) Supplies by therapy and device;

(5) Accurate set-up of compounding worksheet instructions;

(6) Pharmacist functions on computer systems;

(7) Documentation;

(8) If performing sterile compounding, COMAR 10.34.19;

(9) Medication storage;

(10) IV compatibility and stability;

(11) Calculations to ensure:

(a) IV dose appropriateness; and

(b) Compounding accuracy, if applicable; and

(12) On-call requirements and procedures for handling after-hours care.

C. A pharmacy technician obtaining clinical information shall be trained and evaluated in the following areas, including but not limited to:

(1) Pharmacy technician functions on computer systems;

(2) Parenteral infusion access devices

(3) Supplies specific to therapy and device

(4) Storage and shipping protocols;

(5) Pharmaceutical calculations for IV compounding, if applicable;

(6) Patient triage forms - therapy-specific training and communication with the pharmacist as specified in Regulation .05A(3)(a) of this chapter; and

(7) Documentation of:

(a) Communication with patients or caregiver; and

(b) Delivery scheduling.

D. Unlicensed personnel shall be trained and evaluated in the following areas as applicable:

(1) Insurance pre-authorization;

(2) Billing;

(3) Delivery procedures;

(4) Supplies;

(5) Picking and packing of supplies;

(6) Drug storage;

(7) Shipping protocols; and

(8) Cleaning, testing, and maintenance of patient-use equipment according to manufacturers' specifications.

Md. Code Regs. 10.34.35.07