<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.34.35.05" title_num="10" subtitle_num="34" chapter_num="35" heading="Support Personnel.">
  <paragraph num="A.">
    <text>Pharmacy Technicians.</text>
    <paragraph num="(1)">
      <text>A pharmacist working in an infusion pharmacy may delegate pharmacy acts to a pharmacy technician in accordance with COMAR 10.34.34.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A pharmacy technician working in an infusion pharmacy may not perform delegated pharmacy acts as set forth in COMAR 10.34.34.03.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A pharmacy technician working in an infusion pharmacy shall:</text>
      <paragraph num="(a)">
        <text>Communicate immediately to the pharmacist reported changes in:</text>
        <paragraph num="(i)">
          <text>Patient condition;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Patient medication list; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Allergies; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Obtain pharmacist approval before processing refills.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A pharmacy technician working in an infusion pharmacy may not:</text>
      <paragraph num="(a)">
        <text>Except as provided in COMAR 10.34.34, accept or transcribe a new or change verbal order from an licensed authorized prescriber of record or the licensed authorized prescriber of record’s agent;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Perform the clinical assessment of a patient;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Communicate clinical matters except as required in §A(3)(a) of this regulations;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Provide therapy-related direction to a patient or caregiver; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Create a patient care plan specific to a patient’s therapy.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Unlicensed Personnel.</text>
    <paragraph num="(1)">
      <text>Unlicensed personnel working in an infusion pharmacy under the supervision of a pharmacist may perform operational support which the unlicensed personnel have been trained to adequately perform in accordance with COMAR 10.34.21.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Unlicensed personnel shall be appropriately trained to perform the following tasks, as applicable, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Schedule delivery dates based on;</text>
        <paragraph num="(i)">
          <text>Patient supply needs;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Patient or caregiver availability; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>If applicable, geographic delivery zones;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Create delivery tickets;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Communicate with the infusion nurse or pharmacist concerning supply needs and problems; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Clean, test, and maintain patient-use equipment.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Unlicensed personnel working in an infusion pharmacy shall refer clinical questions or concerns reported by patients or caregivers immediately to the pharmacist.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Unlicensed personnel may not perform delegated pharmacy acts.</text>
    </paragraph>
  </paragraph>
</regulation>