learning experiences, including reviewing and providing written copies of the learning experience educational goals and objectives, associated learning activities, and evaluation strategies. Rating Criteria 4.2a Orientation FC The RPD or preceptors orient the residents to all of the following: Overall purpose of the residency program Applicable accreditation regulations and standards Required learning experiences Evaluation strategy If needed, the RPD orients staff to the residency program. Each preceptor orients the residents to the specifics of his/her learning experience including written copies of all of the following: List of learning activities Educational goals and objectives Evaluation strategy PC Some, but not all of the are in place NC None of the above are in place. Requested pre-survey documentation Anticipated on-site review Documentation or verbal confirmation of orientation to overall program Documentation or verbal confirmation of orientation to learning experiences Interviews with the RPD, preceptors and residents to confirm if the required elements of program and learning experience orientations occurred 4.2 with actual implementation Requirement CRITICAL FACTOR 4.2b. The RPD and, when applicable, preceptors will customize the training program for the resident based upon an assessment of the resident’s entering knowledge, skills, attitudes, and abilities and the resident’s interests. Any discrepancies in assumed entering knowledge, skills, attitudes, or abilities will be accounted for in the resident’s customized plan. Similarly, if a criteria-based assessment of the resident’s performance of one or more of the required educational objectives is performed and judged to indicate full achievement of the objective(s), the program is encouraged to modify the resident’s program accordingly. This would result in changes to both the resident’s educational goals and objectives and to the schedule for assessment of resident performance. The resulting customized plan must maintain consistency with the program’s stated purpose and outcomes. Customization to account for specific interests must not interfere with achievement of the program’s educational goals and objectives. The customized plan and any modifications to it, including the resident’s schedule, must be shared with the resident and all preceptors. Rating Criteria 4.2b customized plan FC Mechanism utilized to assess entering resident’s skills, abilities and interests.
Requirement- CRITICAL FACTOR 7.8c. Automated medication systems and software support a safe medication-use system. Rating Criteria 7.8c FC The pharmacy’s automated medication systems and software support a safe medication-use system and are in compliance with best practices. PC Some, but not all of the above are in place. There is inconsistency in the use of safe systems. NC None of the above are in place. Requested pre-survey documentation Anticipated on-site review Written pharmacy policies and procedures Facilities tour – review of automated systems in use Note: This requirement pertains, for instance, to the interface between the point-of-use automated storage cabinets, robotics, barcode, and other pharmacy computer systems. The scope includes all areas where patients receive routine medication from pharmacy, including the emergency room, special diagnostic laboratories, --except when the medication is directly administered by a physician or in an emergency. ED if service patients waiting for beds >24hrs should have prospective RPH review of orders. References: - ASHP Guidelines on the Safe Use of Automated Medication Storage and Distribution Devices. - ISMP Guidance on Interdisciplinary Safe Use of Automated Dispensing Cabinets – 2008 - ASHP Guidelines on Minimum Standards for Ambulatory Services - ASHP Guidelines on Standardized Methods on Pharmaceutical Care Requirement CRITICAL FACTOR 7.8d. Computerized systems support a safe medication-use system. Rating Criteria 7.8d FC Pharmacists have all necessary information to perform all aspects of pharmaceutical care including laboratory data, radiology data, consults, and records of current and previous encounters in the health system. Systems for pharmacist documentation of interventions and patient care services. Medication administration records are produced by the medication-use information system (see note below). All medication labels are clear. PC Some, but not all of the above are in place. There is inconsistency in the use of safe systems. NC None of the are in place.