Personnel shall be trained in the following areas where appropriate:
Patient rights and responsibilities;
Patient safety;
Performance improvement program;
Universal precautions which are incorporated by reference in COMAR 10.06.01.01-1;
Warehouse and equipment orientation;
Waste management;
Handling hazardous substances;
Policies and procedures;
Recognizing signs of patient abuse and neglect;
Recognizing signs of IV drug abuse;
Customer service and cultural sensitivity training;
Emergency policies and procedures which support the continuum of patient care during natural or manmade disasters; and
Patient confidentiality and the Health Insurance Portability and Accountability Act, 45 CFR Parts 160 and 164.
A pharmacist shall be trained and evaluated in the following areas, including but not limited to:
Clinical management of therapies and disease states managed by the infusion pharmacy services, including but not limited to:
Specific dosing and monitoring protocols;
Care planning;
Lab value ranges; and
Side effects;
Pump use and programming;
Parenteral infusion access devices and therapy-specific appropriateness by device;
Supplies by therapy and device;
Accurate set-up of compounding worksheet instructions;
Pharmacist functions on computer systems;
Documentation;
If performing sterile compounding, COMAR 10.34.19;
Medication storage;
IV compatibility and stability;
Calculations to ensure:
IV dose appropriateness; and
Compounding accuracy, if applicable; and
On-call requirements and procedures for handling after-hours care.
A pharmacy technician obtaining clinical information shall be trained and evaluated in the following areas, including but not limited to:
Pharmacy technician functions on computer systems;
Parenteral infusion access devices
Supplies specific to therapy and device
Storage and shipping protocols;
Pharmaceutical calculations for IV compounding, if applicable;
Patient triage forms — therapy-specific training and communication with the pharmacist as specified in Regulation .05A(3)(a) of this chapter; and
Documentation of:
Communication with patients or caregiver; and
Delivery scheduling.
Unlicensed personnel shall be trained and evaluated in the following areas as applicable:
Insurance pre-authorization;
Billing;
Delivery procedures;
Supplies;
Picking and packing of supplies;
Drug storage;
Shipping protocols; and
Cleaning, testing, and maintenance of patient-use equipment according to manufacturers’ specifications.