Community Pharmacy-based Point-of-Care Testing Certificate Program

Course Description

  • WHO: This course provides community pharmacists and members of academia, industry and government with the skills necessary to develop and implement a collaborative testing program for influenza, Group A streptococcus, HIV and hepatitis C.
  • WHY: There is a recognized need for community pharmacists to collaboratively improve patient access to care through the use of point-of-care tests.
  • HOW: The course's 20 hours of continuing education (16 hours of home study and 4 hours of live training) will cover information on the targeted disease state, the physical assessment of a patient presenting to a community pharmacist, point-of-care tests and how to establish a point-of-care testing service.
  • WHEN: Please visit the upcoming trainings webpage for more information. 

Program Course for 2018

Home-Study Modules (16 Hours)

 Module 1: Overview of Point-of-Care Testing in Community Pharmacies

Length: 1 hour

  • Identify opportunities for pharmacists to use point-of-care tests (POCT) paired with a Collaborative Practice Agreement (CPA) in community pharmacy settings.

  • Describe the role of pharmacists in the community and feedback from the general public and public health representatives on expanded roles for pharmacists.

  • Summarize the findings from recent collaborative research projects using POCT and CPAs for influenza and Group A Streptococcus.

 Module 2: Pharmacy Practice Acts and the Clinical Laboratory Improvement Amendments

Length: 1.5 hours

  • Summarize the Clinical Laboratory Improvement Amendments (CLIA) as they pertain to pharmacy point-of-care testing (POCT).

  • Describe the process of obtaining a CLIA certificate of waiver.

  • List elements of Good Laboratory Practices recommended for CLIA-waived testing sites.

  • Identify useful websites offering guidance on CLIA-waived testing.

  • Outline an approach to find each state’s pharmacy practice acts.

 Module 3: Point-of-Care Testing Technology

Length: 2 hours

  • Summarize the seven criteria used to assign a Clinical Laboratory Improvement Amendments (CLIA) category for point-of-care tests (POCT).

  • Describe common technology and the evolution of technology use for POCTs.

  • Identify and discuss the function of the components of a lateral flow assay.

  • Differentiate between competitive and sandwich lateral flow assays.

  • List the ideal characteristics of a POCT.

 Module 4: Essential Elements for Patient Testing

Length: 1.5 hours

  • Identify the basic requirements for performing Clinical Laboratory Improvement Amendments (CLIA)waived testing.

  • Identify at least three good laboratory practices for preparing the laboratory or testing site to produce high quality test results.

  • Select at least two good laboratory practices that ensure the right sample type is obtained from the correct patient.

  • Identify at least two good laboratory practices for testing.

  • Identify at least two good laboratory practices for recording and reporting results.

 Module 5: Selected Infectious Disease States

Length: 3 hours

  • Specific Disease States Covered

  • Respiratory infections (e.g., Influenza, Respiratory Syncytial Virus)

  • Pharyngitis

  • Conjunctivitis

  • HIV

  • Hepatitis C Virus

  • Sexually Transmitted Infections (e.g., syphilis, chlamydia and gonorrhea)

  • Home Study Competency Assessment

 Module 6: Physical Assessment

Length: 1 hour

  • Discuss the value and limitations of various physical assessment procedures, including temperature, pulse, blood pressure, respiratory rate, pulse oximetry and physical inspection.

  • Describe and show the procedures for conducting a systematic physical assessment and identify normal and critical findings.

  • Interpret physical assessment data and recognize limitations of the data.

 Module 7: Specimen Collection

Length: 1 hour

  • Describe the basic process of specimen collection for point-of-care testing (POCT).

  • Identify a patient specimen that would be appropriate for a Clinical Laboratory Improvement Amendments (CLIA)-waived POCT.

  • Describe the technique involved for the specimen collection types discussed.

 Module 8: Test Performance

Length: 1 hour

  • Define the terms used to describe test performance, including sensitivity, specificity, PPV (Positive Predictive Value) and NPV (Negative Predictive Value).

  • Describe factors that can influence test performance.

  • Explain how test performance influences interpretation of test results.

 Module 9: Development of Collaborative Disease Management Programs

Length: 2 hours

  • Describe the elements required for an effective, patient focused point-of-care testing (POCT) service.

  • Discuss issues related to billing insurers for POCT in a community pharmacy.

  • Describe considerations and preparations needed prior to performing waived testing.

 Module 10: Use of Point-of-Care Tests to Promote Antimicrobial Stewardship (AS)

Length: 0.5 hours

  • Define and summarize antimicrobial stewardship.

  • Identify ways that community pharmacists can practice stewardship and reduce antimicrobial resistance.

  • Summarize how point-of-care testing (POCT) can reduce unnecessary antibiotic use and contribute to a community pharmacy’s stewardship program.

 Module 11: Collaboration with State and Local Health Departments

Length: 0.5 hours

  • Understand the role and responsibilities of state and local health departments, especially as they relate to disease surveillance and reporting.

  • Identify steps to develop partnerships with state and local health departments around point-of-care testing (POCT).

  • Summarize the benefits and value of partnering with state and local health departments.

 Module 12: HIV and Hepatitis C Testing and Counseling

Length: 1 hour

  • Discuss the unique testing and counseling needs of an HIV/HCV screening program.
  • Describe appropriate pre-test counseling for HIV/HCV.

  • Describe appropriate post-test counseling for HIV/HCV based on test results.

  • Discuss state laws regarding mandatory reporting of HIV and HCV testing.

 Live Training Session (4 hours)

  • Identify opportunities for expanding patient-centered services in the community pharmacy setting, using point-of care testing
  • Discuss the value and limitations of patient reported symptoms, medical history, and drug allergies

  • Describe and perform the following physical assessments, when appropriate to patient care: Blood Pressure, Pulse, Respiratory Rate, Oxygenation, Cervical Lymph Node Inspection, Body Temperature

  • Describe and perform the following specimen collections used in point of care testing: Throat swab, Oral fluid collection, Nasal swab, finger stick

  • Apply this information to patient-specific cases based on common community pharmacy-based patient interactions

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