Phar 7.07 (2) For all prescription drug product products or device dispensing devices dispensed by a pharmacist, the prescription record shall identify the pharmacist responsible for each part of the final check. If sub. (1) (a) or (b) is completed by delegate-check-delegate a pharmacy product verification technician under s. Phar 7.14 or automated technology under s. Phar 7.55, the prescription record shall identify the delegate pharmacy product verification technician performing the check. Phar 7.14 (title) Delegate-check-Delegate Pharmacy Product Verification Technician-check-Pharmacy Technician.
Phar 7.14 (1) (a) “Delegate Pharmacy product verification technician” means a person registered pharmacy technician to whom the pharmacist has delegated the task of product verification.
Phar 7.14 (1) (b) “Delegate-check-delegate Pharmacy product verification technician-check- pharmacy technician” means the process in which one delegate a pharmacy product verification technician conducts the task of product verification of technical dispensing functions completed by an unlicensed individual a pharmacy technician. A delegate pharmacy product verification technician may not conduct product verification as part of the final check of their own product preparation.
Phar 7.14 (1) (d) “Supervising pharmacist” means the pharmacist licensed in this state, who is responsible for the operations and outcomes of product verification done by a delegate pharmacy product verification technician and ensuring for direct supervision of the delegate pharmacy product verification technician.
Phar 7.14 (2) Delegate Pharmacy product verification technician qualifications. A pharmacist may delegate the product verification of a prescription or chart order to a delegate pharmacy technician who meets all of the following:
SECTION 5. Phar 7.14 (2) (a) is repealed.
SECTION 6. Phar 7.14 (2) (b), (2) (c) 3. and 6., (2) (d) 1. and 2., and (2) (e); 7.14 (3) (a) and (b); 7.14 (4) (a), (b), (b) 1., (c), and (d); 7.14 (5); and 7.14 (6) (a) 1. and 2. are amended to read:
Phar 7.14 (2) (b) Completed an accredited pharmacy technician training program or has a minimum of 500 hours of experience in product selection, labeling and packaging.
Phar 7.14 (2) (c) 3. Eligible medications products for delegate-check-delegate pharmacy product verification technician-check-pharmacy technician.
Phar 7.14 (2) (c) 6. A practical training designed to assess the competency of the delegate pharmacy technician prior to starting the validation process. The practical training shall include simulation of at least 2 occurrences of each of the following:
Phar 7.14 (2) (d) 1. The delegate pharmacy technician being validated shall make a product verification on the work of a pharmacist or unlicensed person another pharmacy technician for accuracy and correctness of a minimum of 500 product verifications over a minimum of 5 separate days and achieve an accuracy rate of at least 99.8%.
Phar 7.14 (2) (d) 2. A pharmacist shall audit 100% of the product verifications made by the delegate pharmacy technician during the validation process.
Phar 7.14 (2) (e) Notwithstanding pars. (a) (b) to (d), a delegate an individual who completed the board’s pilot program validation process between October 1, 2016 and September 30, 2019, meets the delegation pharmacy product verification technician qualifications unless the delegate individual fails to meet the quality assurance standards under sub. (4).
Phar 7.14 (3) (a) Institutional pharmacies. The delegate pharmacy product verification technician may do the product verification in an institutional pharmacy if all of the following requirements are met:
Phar 7.14 (3) (b) Community pharmacies. The delegate pharmacy product verification technician may do the product verification in a community pharmacy if all of the following requirements are met:
Phar 7.14 (4) (a) A minimum of 5% of each delegate’s pharmacy product verification technician’s verifications shall be audited by a licensed pharmacist. The accuracy of each delegate pharmacy product verification technician shall be tracked individually.
Phar 7.14 (4) (b) A record of each delegate-check-delegate pharmacy product verification technician-check-pharmacy technician audit shall include all of the following:
Phar 7.14 (4) (b) 1. Name of the pharmacy product verification delegate technician.
Phar 7.14 (4) (c) On a quarterly basis, the supervising pharmacist shall perform an assessment of each delegate’s pharmacy product verification technician’s previous 12 months accuracy and correctness of delegate-check-delegate pharmacy product verifications including a review of the quality assurance log.
Phar7.14 (4) (d) A delegate pharmacy product verification technician shall be revalidated if the delegate individual fails to maintain a product verification accuracy rate of 99.8% based on the quarterly assessment of the previous 12 months or has not performed delegate- check-delegate product verifications within the last 6 months.
Phar 7.14 (5) POLICIES AND PROCEDURES. Each pharmacy shall maintain policies, procedures, and training materials for the delegate-check-delegate pharmacy product verification by technicians which shall be made available to the board upon request.
Phar 7.14 (6) (a) 1. All validation records of each delegate pharmacy product verification technician that include the dates that the validation occurred, the number of product verifications performed, the number of product verification errors, and overall accuracy rate.
Phar 7.14 (6) (a) 2. Documentation indicating accepting responsibility for compliance with this section, signed and dated by both the managing pharmacist and supervising delegate-check- delegate pharmacist, indicating the name of the supervising delegate-check-delegate pharmacist, and the dates the supervision responsibilities begin and end.
SECTION 7. chapter Phar 7 subchapter V (title) is amended to read:
Subchapter V – Unlicensed Persons Uncredentialed Pharmacy Staff
SECTION 8. Phar 7.60 (intro) is created to read:
Phar 7.60 Definitions. In this subchapter:
SECTION 9. Phar 7.60 (2) is repealed.
SECTION 10. Phar 7.60 (3) is created to read:
Phar 7.60 (3) “Uncredentialed Pharmacy staff” means any staff practicing in the pharmacy who are not otherwise licensed or registered under s. 450.03 (1) (f), (g), or (gm), Stats. SECTION 11. Phar 7.62 (title), (2), and (3) (intro.) are amended to read:
Phar 7.62 (title) Unlicensed persons Uncredentialed Pharmacy staff.
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Phar 7.62 (2) A pharmacist shall provide general direct supervision of unlicensed personnel uncredentialed pharmacy staff. A pharmacist shall be available to the unlicensed uncredentialed pharmacy staff person for consultation either in person or contact by telecommunication means.
Phar 7.62 (3) (intro.)An unlicensed uncredentialed pharmacy staff person may not do any of the following: engage in the practice of pharmacy as defined in s. 450.01 (16), Stats., or the practice of a pharmacy technician as defined in s. Phar 19.02. SECTION 12. Phar 7.62 (3) (a) to (d) are repealed.
SECTION 13. Phar 7.62 (5), (6), and (7) are amended to read:
Phar 7.62 (5) A managing pharmacist shall provide training to or verify competency of an unlicensed uncredentialed pharmacy staff person prior to the unlicensed uncredentialed pharmacy staff person performing a delegated act.
Phar 7.62 (6) The managing pharmacist shall determine which acts may be delegated in a pharmacy. The managing pharmacist has a duty to notify all pharmacists practicing in that pharmacy which acts may be delegated to specific unlicensed persons uncredentialed pharmacy staff. This record shall be provided to the board upon request.
Phar 7.62 (7) A pharmacist may delegate to an unlicensed uncredentialed pharmacy staff person any delegated act approved by the managing pharmacist pursuant to sub. (3).
SECTION 14. Phar 10.03 (2), (17), and (19) are amended to read:
Phar 10.03 (2) Engaging in any pharmacy practice which constitutes a danger to the health, welfare, or safety of patient or public, including but not limited to, practicing in a manner which substantially departs from the standard of care ordinarily exercised by a pharmacist or pharmacy technician which harmed or could have harmed a patient;
Phar 10.03 (17) Having a pharmacist license or pharmacy technician registration revoked or suspended in another state or United States jurisdiction or having been subject to other disciplinary action by the licensing authority thereof;
Phar 10.03 (19) Practicing without a current license or registration.
