Pharmacist-to-pharmacy technician ratio

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The pharmacist-to-pharmacy technician ratio is a legal regulation that establishes the maximum number of pharmacy technicians that may be supervised by a licensed pharmacist at one given time. For example, a pharmacist-to-pharmacy technician ratio of 1:3 would mean that three people are allowed to be working as pharmacy technicians at one time for every one pharmacist present.

Contents

Characterization

In the United States, the regulation of the pharmacist-to-pharmacy technician ratio is regulated at the individual state level. [1] Some states vary the ratio by institutional (e.g. hospital) pharmacy practice versus retail (i.e. community) pharmacy practice, while others do not regulate pharmacist-to-pharmacy technician ratios at all. [1] The ratios vary from a minimum of 1:2 (e.g. in Kansas) to 1:6 (e.g. Idaho). [1]

Variation by state
StatePharmacist-to-pharmacy technician ratio
Alabama1:3
AlaskaNone
ArizonaNone
Arkansas1:3
California1:1, then two more techs for each additional pharmacist
Colorado1:6, majority must be certified [2]
Connecticut1:3 institutional pharmacy, 1:2 community pharmacy
DelawareNone
Florida1:4
Georgia1:3, where one technician must be certified and number of technicians may exceed three in hospital settings [3]
HawaiiNone
Idaho1:6
IllinoisNone
Indiana1:4
Iowa1:2 [4]
Kansas1:4
KentuckyNone
Louisiana1:3
MaineNone
MarylandNone
Massachusetts1:4
MichiganNone
Minnesota1:3 (unless one technician is certified, then 1:4)
Mississippi1:2
MissouriNone
Montana1:3
Nebraska1:3
Nevada1:3
New HampshireNone
New Jersey1:2 (unless one technician is certified, then 1:3)
New MexicoNone
New York1:4
North Carolina1:2, more technicians may be allowed upon board approval [5]
North Dakota1:4 institutional pharmacy, 1:3 community pharmacy
OhioNone
Oklahoma1:4 hospital, 1:2 community pharmacy
OregonNone
PennsylvaniaNone
Rhode IslandNone
South Carolina1:3
South DakotaNone for institutional pharmacy, 1:3 community pharmacy
Tennessee1:2, may increase to 1:4 (without board approval) if at least 2 are certified technicians. A modification to the amount of technicians may be requested from the Board of Pharmacy. [6]
Texas1:6
Utah1:3
VermontNone
Virginia1:4
WashingtonNo longer has a ratio as of September 14, 2019.
West Virginia1:4
Wisconsin1:4 (unless approved by Board of Pharmacy)
Wyoming1:3


In some countries, such as in the United Kingdom and in Denmark, technicians can practice without pharmacist supervision at all. [7] Globally, one survey found that pharmacists are the most frequent source of supervision for pharmacy technicians. [7]

Rationale and criticism

Pharmacist-to-pharmacy technician ratios are an attempt to find a balance between providing assistance to the practicing pharmacist in operating the pharmacy while maintaining adequate supervision of their pharmacy technicians. [8] While staffing issues are reported by pharmacy technicians to increase the risk for medication-related medical errors, misconduct by an unsupervised pharmacy technician can result in significant patient harm. [8] Critics of low pharmacist-to-pharmacy technician ratios have complained that the lack of pharmacy technicians staffing forces pharmacists to devote more time to non-clinical, dispensing-related tasks, as opposed to performing direct patient care services and over-the-counter counseling. [9]

History

While pharmacist-to-pharmacy technician ratio were initially low with pharmacy technicians engaged in retail tasks (acting as cashiers), the ratios have increased over time as pharmacy technicians have taken on new duties, such as pharmaceutical formulation and intermediating between the pharmacy and insurance companies. [10]

See also

Related Research Articles

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References

  1. 1 2 3 Malacos, Kristy. "Pharmacy Technician Regulation". Pharmacy Times. Pharmacy & Healthcare Communications, LLC. Retrieved 1 July 2018.
  2. "Pharmacists, Pharmacy Business, and Pharmaceuticals Practice Act" (PDF). Colorado Department of Regulatory Agencies. State of Colorado. p. 36. Retrieved 23 May 2022. 12-280-122. Limited authority to delegate activities constituting practice of pharmacy to pharmacy interns or pharmacy technicians. (1) A pharmacist may supervise up to six persons who are either pharmacy interns or pharmacy technicians, of whom no more than two may be pharmacy interns. If three or more pharmacy technicians are on duty, the majority must be certified by the board in accordance with section 12-280-115.5 (2), and any pharmacy technician on duty who is not certified pursuant to section 12-280-115.5 (2) must have a provisional certification issued pursuant to section 12-280-115.5 (3).
  3. "Pharmacy Technician FAQs". Georgia Board of Pharmacy. State of Georgia. Retrieved 23 May 2022. A5. The pharmacist to pharmacy technician ratio may not exceed one pharmacist providing direct supervision of three pharmacy technicians, and one of the three technicians must be certified. See O.C.G.A. §26-4-82(d). However, upon application and approval by the Board, the pharmacist to pharmacy technician may exceed one pharmacist providing direct supervision to three pharmacy technicians in a hospital setting. See O.C.G.A. §26-4-82(d).
  4. "ARC 4291C - Iowa Administrative Rules". State of Iowa’s Administrative Rules. State of Iowa. Retrieved 23 May 2022. 40.3(6) Pharmacist-to-technician ratio. In any pharmacy which utilizes a TPV program, the ratio of pharmacists to technicians physically present in the pharmacy shall not exceed 1:2 at any time, including when TPV is not in use.
  5. "NCBOP -Pharmacist FAQs". North Carolina Board of Pharmacy. Retrieved 23 May 2022. A pharmacist may not supervise more than two pharmacy technicians unless: (1) the pharmacist-manager receives written approval from the Board in advance; and (2) each additional technician is certified. (See G.S. § 90-85.15A.)
  6. "Rules of the Tennessee Board of Pharmacy CHAPTER 1140-02 PROFESSIONAL CONDUCT AND RESPONSIBILITIES" (PDF). Tennessee Secretary of State Official Compilation of Rules and Regulations. p. 4. Retrieved 23 May 2022. The pharmacy technician to pharmacist ratio shall not exceed 2:1; however the ratio may be increased up to a maximum of 4:1 by the pharmacist in charge based upon public safety considerations but only if the additional pharmacy technicians are certified pharmacy technicians. However, the pharmacist in charge may request a modification of the ratio from the Board.
  7. 1 2 Koehler, T; Brown, A (2017). "A global picture of pharmacy technician and other pharmacy support workforce cadres". Res Social Adm Pharm. 13 (2): 271–279. doi:10.1016/j.sapharm.2016.12.004. PMC   5317197 . PMID   28190479.
  8. 1 2 Lutz, Rachel. "Pharmacist-Technician Ratios Require More Evaluation". Pharmacy Times. Pharmacy & Healthcare Communications, LLC. Retrieved 1 July 2018.
  9. Guglielmo, B. Joseph. "Health care: The pharmacist-to-technician ratio". Capitol Weekly. Capitol Weekly. Retrieved 1 July 2018.
  10. Marotta, Ryan. "The Evolving Role of Pharmacy Technicians". Pharmacy Times. Pharmacy & Healthcare Communications, LLC. Retrieved 1 July 2018.