Nebraska Scorecard

Grading Scale:
A – 85-100%, B – 70-84.9%, C – 55-69.9%, D – 40-54.9%, F – 0-39.9%


Grading Categories & Criteria


Nebraska Law

I. Laws
Nebraska Revised Statute

38-2836. Pharmacy technician, defined.
Pharmacy technician means an individual registered under sections 38-2890 to 38-2897.
38-2890. Pharmacy technicians; registration; requirements.
(1) All pharmacy technicians employed by a facility licensed under the Health Care Facility Licensure Act shall be registered with the Pharmacy Technician Registry created in section 38-2893.
(2) To register as a pharmacy technician, an individual shall (a) be at least eighteen years of age, (b) be a high school graduate or be officially recognized by the State Department of Education as possessing the equivalent degree of education, (c) have never been convicted of any nonalcohol, drug-related misdemeanor or felony, (d) file an application with the department, and (e) pay the applicable fee.
(3) A pharmacy technician shall apply for registration as provided in this section within thirty days after being hired by a pharmacy or facility. Pharmacy technicians employed in that capacity on September 1, 2007, shall apply for registration within thirty days after September 1, 2007.

38-2892. Pharmacy technicians; employer responsibility.
(1) A pharmacy employing pharmacy technicians shall be responsible for the supervision and performance of the pharmacy technicians.
(2) The pharmacist in charge shall be responsible for the practice of pharmacy and the establishment of written control procedures and guidelines governing the qualifications, onsite training, functions, supervision, and verification of the performance of pharmacy technicians. The supervision of such technicians at the place of employment shall be performed by the licensed pharmacist who is on duty in the facility with the pharmacy technicians.
(3)(a) Each pharmacy shall document, in a manner and method specified in the written control procedures and guidelines, the basic competence of the pharmacy technician prior to performance of tasks and functions by such technician. Such basic competence shall include, but not be limited to:
(i) Basic pharmaceutical nomenclature;
(ii) Metric system measures, both liquid and solid;
(iii) The meaning and use of Roman numerals;
(iv) Abbreviations used for dosages and directions to patients;
(v) Basic medical terms, including terms relating to ailments, diseases, or infirmities;
(vi) The use and operation of automated dispensing and record-keeping systems if used by the employing pharmacy;
(vii) Applicable statutes, rules, and regulations governing the preparation, compounding, dispensing, and distribution of drugs or devices, record keeping with regard to such functions, and the employment, use, and functions of pharmacy technicians; and
(viii) The contents of the written control procedures and guidelines.

(b) Written control procedures and guidelines shall specify the functions that pharmacy technicians may perform in the employing pharmacy. The written control procedures and guidelines shall specify the means used by the employing pharmacy to verify that the prescribed drug or device, the dosage form, and the directions provided to the patient or caregiver conform to the medical order authorizing the drug or device to be dispensed.
(c) The written control procedures and guidelines shall specify the manner in which the verification made prior to dispensing is documented.
(4) Each pharmacy or facility shall, before using pharmacy technicians, file with the board a copy of its written control procedures and guidelines and receive approval of its written control procedures and guidelines from the board. The board shall, within ninety days after the filing of such written control procedures and guidelines, review and either approve or disapprove them. The board shall notify the pharmacy or facility of the approval or disapproval. The board or its representatives shall have access to the approved written control procedures and guidelines upon request. Any written control procedures and guidelines for supportive pharmacy personnel that were filed by a pharmacy and approved by the board prior to September 1, 2007, shall be deemed to be approved and to apply to pharmacy technicians.

NEBRASKA HEALTH AND HUMAN SERVICES REGULATION AND LICENSURE
TITLE 172 PROFESSIONAL AND OCCUPATIONAL LICENSURE CHAPTER 128 PRACTICE OF PHARMACY
128-012 PHARMACIST INTERN & PHARMACY TECHNICIAN SUPERVISION REQUIREMENTS
128-012.01 A pharmacist may supervise pharmacist interns and pharmacy technicians in the following ratios:
1. A pharmacist may supervise up to two pharmacy technicians at any time, unless prohibited by a disciplinary action. (1:2)
2. A pharmacist may supervise up to three pharmacist interns at any time, unless prohibited by a disciplinary action. (1:3)
3. A pharmacist may supervise any combination of pharmacy technicians and pharmacist interns at any time up to a total of three people, as long as no more than two are pharmacy technicians. (1:3)
4. The supervision ratios of these regulations do not apply to pharmacist interns who are receiving experiential training directed by the accredited pharmacy program in which he or she is enrolled.
5. A pharmacy may apply to use more than two pharmacy technicians per pharmacist and the Board may approve such an application under the following guidelines:
a. The pharmacy is participating in a scientific study based upon improved patient care or enhanced pharmaceutical care,
b. The pharmacy has provided the Board with the following information regarding the patient care study: EFECTIVE DATE NEBRASKA HEALTH AND HUMAN SERVICES November 1, 2005 REGULATION AND LICENSURE 172 NAC 128 40
(1) Duration of the study, not to exceed 12 months.
(2) Duration may be extended twice in not greater than six month increments,
c. Goal of the study or the hypothesis being tested,
d. Names of the pharmacists participating in the study,
e. Expected date of completion of the study,
f. Expected date of study data to be forwarded to the Board, and
g. An affidavit that the pharmacy will provide all study data and results to the Board at the completion of the study report.
6. The Board may revoke permission to use more than two pharmacy technicians per pharmacist at any time when they have reason to believe that patient care is not being benefitted by the study.
7. The Board may grant permission to continue the practices used in the study for up to 24 months during the promulgation of rules and regulations.
8. Nothing in these regulations will be construed to require the Board to approve an increase in number of technicians per pharmacist for any study.
128-012.02 Nothing in these regulations will be construed to prohibit one pharmacist intern or one pharmacy technician from being supervised by more than one pharmacist at any time.
128-012.03 All persons functioning as pharmacy technicians must meet the requirements of Neb. Rev. Stat. § 71-1,147.33.
128-012.04 Each pharmacy technician must be identified as a pharmacy technician while performing the duties of a technician.
128-017.18 Initial Registration Fee for Pharmacy Technician: By an applicant for a registration as a pharmacy technician, the fee of $25 and the Licensee Assistance Program fee of $1 for each year remaining during the current biennial renewal period.

The data contained in this 2012 Annual Scorecard are accurate as of December 2012 .  Because statutes and regulations are continually revised, the data are subject to change.  These data have been verified with the state board of pharmacy.  This scorecard is updated on an annual basis in order to incorporate statutory and regulatory changes.  A new scorecard will be issued in July 2013.

Scoring rationale for Education and Training:
In order to protect the public and help ensure patient safety, it is important that pharmacy technicians are properly educated and trained.  The most rigorous training is accredited training.  The sole entity empowered to accredit pharmacy-technician training programs is the American Society of Health-System Pharmacists (ASHP).  Please note that this is “programmatic accreditation” – not “institutional accreditation.”  It is the content of the training program – as measured against established standards – that is being evaluated and accredited.  Accredited training is vital to protecting patient safety because it means that a pharmacy-technician training program has met established quality standards to provide assurance and confidence to the public.  For more information, please see http://www.ashp.org/menu/Accreditation/TechnicianAccreditation.aspx.

Scoring rationale for Certification:
Certification is the process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association.  This is often determined by an examination process.  Numerous organizations have recommended that the certification exam conducted by the Pharmacy Technician Certification Board (PTCB) should be recognized as the sole, nationally-accredited certification exam for pharmacy technician certification – including the National Association of Boards of Pharmacy (NABP), the Texas State Board of Pharmacy (TSBP), and the U.S. Department of Veterans Affairs (VA). In a recent report, NABP recommended that states be encouraged to “recognize certification by the Pharmacy Technician Certification Board (PTCB).” Moreover, NABP performed a psychometric audit of the PTCB’s pharmacy technician certification examination (PTCE) in 2001 and determined that the PTCE is psychometrically sound, defensible, and valid. In May 2010, the TSBP awarded the PTCB with the Pharmacy Technician Certification Provider contract in Texas. PTCB was selected for the contract after a rigorous bidding and evaluation process that included formal reviews and evaluations from three independent psychometricians. TSBP confidently recognizes PTCB as the single provider of certification examinations for pharmacy technicians. In addition, in June 2010, the VA began requiring PTCB certification for VA pharmacy technicians employed at grade GS-6 and above.

Scoring rationale for Registration/Licensure:
Registration/licensure is the process by which the state maintains a list of all pharmacy technicians in the state and grants permission for an individual to work as a pharmacy technician in the state based on the applicant’s completion of all pre-requisites to registration/licensure – such as required training and certification.

Scoring rationale for Continuing Education:
Continuing education enables pharmacy technicians to fulfill their professional responsibility to maintain competence and up-to-date knowledge and skills in an environment of technological advances and increasingly complex, new medications and therapies.


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