1. A. Personnel shall be trained in the following areas where appropriate:

   1. (1) Patient rights and responsibilities;
   2. (2) Patient safety;
   3. (3) Performance improvement program;
   4. (4) Universal precautions which are incorporated by reference in COMAR 10.06.01.01-1;
   5. (5) Warehouse and equipment orientation;
   6. (6) Waste management;
   7. (7) Handling hazardous substances;
   8. (8) Policies and procedures;
   9. (9) Recognizing signs of patient abuse and neglect;
   10. (10) Recognizing signs of IV drug abuse;
   11. (11) Customer service and cultural sensitivity training;
   12. (12) Emergency policies and procedures which support the continuum of patient care during natural or manmade disasters; and
   13. (13) Patient confidentiality and the Health Insurance Portability and Accountability Act, 45 CFR Parts 160 and 164.

2. B. A pharmacist shall be trained and evaluated in the following areas, including but not limited to:

   1. (1) Clinical management of therapies and disease states managed by the infusion pharmacy services, including but not limited to:

      1. (a) Specific dosing and monitoring protocols;
      2. (b) Care planning;
      3. (c) Lab value ranges; and
      4. (d) Side effects;
   2. (2) Pump use and programming;
   3. (3) Parenteral infusion access devices and therapy-specific appropriateness by device;
   4. (4) Supplies by therapy and device;
   5. (5) Accurate set-up of compounding worksheet instructions;
   6. (6) Pharmacist functions on computer systems;
   7. (7) Documentation;
   8. (8) If performing sterile compounding, COMAR 10.34.19;
   9. (9) Medication storage;
   10. (10) IV compatibility and stability;

   11. (11) Calculations to ensure:

       1. (a) IV dose appropriateness; and
       2. (b) Compounding accuracy, if applicable; and
   12. (12) On-call requirements and procedures for handling after-hours care.

3. C. A pharmacy technician obtaining clinical information shall be trained and evaluated in the following areas, including but not limited to:

   1. (1) Pharmacy technician functions on computer systems;
   2. (2) Parenteral infusion access devices
   3. (3) Supplies specific to therapy and device
   4. (4) Storage and shipping protocols;
   5. (5) Pharmaceutical calculations for IV compounding, if applicable;
   6. (6) Patient triage forms — therapy-specific training and communication with the pharmacist as specified in Regulation .05A(3)(a) of this chapter; and

   7. (7) Documentation of:

      1. (a) Communication with patients or caregiver; and
      2. (b) Delivery scheduling.

4. D. Unlicensed personnel shall be trained and evaluated in the following areas as applicable:

   1. (1) Insurance pre-authorization;
   2. (2) Billing;
   3. (3) Delivery procedures;
   4. (4) Supplies;
   5. (5) Picking and packing of supplies;
   6. (6) Drug storage;
   7. (7) Shipping protocols; and
   8. (8) Cleaning, testing, and maintenance of patient-use equipment according to manufacturers’ specifications.

Authority: Health-Occupations Article, §12-205, Annotated Code of Maryland

Effective date: March 1, 2012 (38:23 Md. R. 1421)