Course Description & Rationale:

This course provides TPN –focused instruction and training for the successful production of sterile Total Parenteral Nutrition, a major responsibility of pharmacy personnel in hospitals, long-term care facilities, and home healthcare.  A study of sterile products, hand washing techniques, pharmaceutical calculations, references, safety techniques, aseptic techniques in compounding, proper use of equipment, and preparation of Total Parenteral Nutrition (TPN).  This important work requires the mastery of aseptic technique:  the procedures that avoid introducing pathogens into sterile products, including Total Parenteral Nutrition (TPN), ensure patient safety, and maintain product consistency.

Prerequisite Requirement:

Credit Prerequisite: PHRA 1345 OR PHRA 1091

Credit Co-Requisite: PHRA 1441 (may be taken concurrently or prior to)

CE Preferred Course (not required): PHRA 1091: Sterile Compounding and Aseptic Technique.

Financial Disclosure Attestation Statement

I, Shannon Bui disclose no vested interest in or affiliation with any healthcare organization or corporation offering financial support or grant monies for this continuing education activity, or an affiliation with an organization whose philosophy could potentially bias my presentation.

End of Course Outcomes

Main Educational Objectives for Pharmacists

1. Identify the components and compatibility of sterile compounding and aseptic technique as defined in USP <797>.
2. Perform and verify pharmaceutical calculations required in sterile compounding of TPN.
3. Demonstrate various aspects of aseptic technique including garbing, hand washing, hood cleaning, equipment cleaning, proper use of automated TPN compounder, proper use of TPN order entry software (templates, patient data, warning limits, CaP04 Curves).
4. Perform TPN order entry and verification using Abacus software.
5. Pharmacist responsibilities of oversight for personnel performing automated TPN compounding with BAXA compounder.
6. Prepare and perform verification checks on various compounded TPN preparations, including:  Adult TPN, Pediatric TPN, Neonatal TPN and Media fill test.

Main Educational Objectives for Pharmacy Technicians

1. Identify the components of sterile compounding, including TPN and aseptic technique as defined in USP <797>.
2. Perform pharmaceutical calculations required in sterile compounding.
3. Demonstrate various aspects of aseptic technique including garbing, hand washing, hood cleaning, equipment cleaning, proper use of automated TPN compounder, proper use of TPN order entry software (templates, patient data, warning limits, CaP04 Curves).
4. Prepare and perform verification checks on various compounded TPN preparations, including:  Adult TPN, Pediatric TPN, Neonatal TPN and Media fill test.

COURSE RESOURCES

Course Blackboard Website:  https://acconline.austincc.edu/

You will use this website to access course material, submit assignments, take assessment quizzes, and take your exam. Make sure you check Blackboard regularly to meet course deadlines.  You are responsible for course information posted.

Textbook:  

TEXTBOOK Sterile Compounding and Aseptic Technique by Lisa McCartney and Brenda Jensen

Textbook + access to videos

LINK: https://www.paradigmeducation.com/austin-cc

Additional materials will be posted on Blackboard.  It is your responsibility to access these materials and bring copies of whatever will be needed during live lab when instructed to do so.

You may also order the book from the Paradigm website at: https://www.paradigmeducation.com/product/sterile-compounding-and-aseptic-technique-second- edition.

Be sure to order a new textbook with Cirrus online (not a used copy), it is the only way that you will be able to access online resources and training videos that are a required component of this course. The textbook for this course is REQUIRED.

Additional materials will be posted on Blackboard.  It is your responsibility to access these materials and bring copies of whatever will be needed in class when instructed to do so.

Technology Requirement

You will be required to access course materials and complete/submit assignments online for this course.  If you do not have access to a computer/laptop, please use the Learning labs available on ACC campus.  See Learning Lab campus locations: http://www.austincc.edu/support-and-services/tutoring-and-academic-help/learning-lab-services

You will also be required to upload documents in PDF format using such programs or apps as Evernote Scannable (you may download this app for free at: https://evernote.com/products/scannable).

COURSE EXPECTATIONS

Class Participation

This course can help you become a more strategic learner if you take responsibility for your own learning and engage the process. The instructor will determine this part of the grade based on your preparedness and participation in the course.  Using your aseptic technique skills and knowledge of performing a manual TPN CSP from Sterile Compounding and Aseptic Technique (SCAT), we will explore the use of the Automated BAXA TPN Compounder.  The virtual lab activities are designed to maximize the value of our time together and leverage the educational benefits of having a cohort of peer to learn alongside., so do yourself and your classmates a favor by coming prepared and contributing to the learning experience during the virtual discussions.

There are five components of success:

• Regular and timely class participation in discussions and completions of work is expected of all students.  If attendance or compliance with other course policies is unsatisfactory, the instructor may withdraw students from the class.
• Advanced reading and preparation of assigned materials - Review the TPN calculation lecture in Blackboard prior to the hands-on lab portion of the course. This will help hardwire your math skills required for TPN compounding in the adult, pediatric and pediatric populations during lab.  Complete the Practice TPN’s assigned in the Adult TPN and Pediatric Modules prior to lab.  I will set up a virtual time to meet to go over calculations. 
• Well-formed comments during lab discussions. Informed and well-formulated comments during lab discussions is and expectation.  USP Chapter <797> are minimum requirements in sterile injectable compounding.  We will discuss best practices during lab.  I won’t be able to address specific facility issues during lab. The time we have in lab is limited and extended discussions regarding interpretation of specific September 2021 USP Chapter <797> UPDATES may continue on our course blog.
• Mandatory attendance and punctuality for hands on lab component of the course - The hands-on lab process validations are designed to maximize the value of our time together and leverage the educational benefits of having a cohort of peers to learn alongside, so do yourself and your course participants a favor by coming prepared and contributing to the learning experience during lab.

• Professionalism.  Our lab sessions are a time and place for learning, where all students are expected to engage the learning process and not disrupt this opportunity for themselves or others.  Behaving respectfully toward everyone in the course means engaging in the learning activities at hand and refraining from doing anything not directly related to them (e.g., using cell phones/tablets/computers, carrying on side conversations, etc). See “Technical Standards and Essential Functions” below.

Lab hands-on component of the course – Mandatory LIVE 2-day hands on portion of the course

Inclement weather – emergency closure:  In cases of emergency where the Eastview Campus is closed on the scheduled lab dates, refer to the course announcements and check you email for updates.  It is your responsibility to communicate with me in an emergent closure situation.  You can text or call in cases of emergency to 512-779-6644.

Stay up-to-date

Unless otherwise stated, all assignments, class materials, supplemental resources, grades, email, and announcements will be posted on the course Blackboard site.  You are responsible for keeping up with information and communication via Blackboard.  There are TPN calculations you need to keep up with before we meet for the LIVE 2-day LAB. I recommend check Blackboard announcements daily.

Professional Code of Conduct 

Treat others with respect. Students will be held accountable for professional behavior during the course.  It is the student’s responsibility to communicate with the instructor throughout the duration of the course.  You may contact me through email and I will respond within 24- 48 hours.

Communicate with me

The best way to reach me is via email at shannon.bui@austincc.edu.  If you have questions or concerns about the course, need some help with a difficult concept or assignment, or anything else, I am always willing to listen and do what I can to help you.  Part of taking responsibility for your own learning in this course is staying in touch with me about any issues you may encounter that could affect your academic performance.  Don’t wait until it is too late to seek help! 

Some things to keep in mind:

• If you have a question that the whole class would benefit from, please ask during lab.
• If you have a personal question (e.g. regarding grades) that lends itself to an extended discussion, please see me during the lab lunch break or after lab concludes for the day. Also, you can make an appointment with me and I will send a link to a private virtual meeting room.

• Instructor E-mail Response Time: It is ACC policy for instructors to respond to a student's e-mail within 24 to 48 hours Monday through Friday during business hours. If a student e-mails an instructor in the off-hours or weekends, e-mails will be responded to the next business day.
• Email Etiquette: All emails between professor and student must be written in a professional manner.  In the subject line include the course description PHRA 2073/2373 and reason for email. (e.g., PHRA 2073/2373 Blackboard Assignment question).

GRADING

DISTANCE LEARNING COURSE WITH LAB COMPONENT

Didactic Home Study Component (60% of Final Grade):

Homework Assignments in Blackboard (8% of final grade)

• TEN (10) Blackboard (Bb) assignments – Comprised of 10 blackboard assignments including chapter material, practice TPN calculations, the BAXA compounder, and USP <797> update.  A passing grade of 85% (or higher) is required to receive a passing grade.  For ACPE Total Parenteral Preparation Certification see requirements below
  • CH 6 material
  • CH 7 material
  • CH13 material
  • Practice Adult Standard Central TPN 1
  • Practice Adult Standard Peripheral TPN 2
  • Practice Adult Custom Central TPN 3
  • Practice Neonatal TPN 4
  • Practice Pediatric Starter TPN 5
  • Assembling the BAXA Compounder – Check Your Understanding
  • November 1, 2023 USP 797 UPDATE – Check Your Understanding

Class Participation/Professionalism (2% of final grade)

• Attendance/tardy compliance
• Professionalism 
• Course blog focused on the November 1, 2023 USP <797> UPDATE 

Final Comprehensive Exam (50% of final grade)

• 50 questions, multiple choice exam. A passing grade of 75% (or higher) is required to receive a passing grade

LIVE Hands-on LAB Component (40% of Final Grade):

LIVE LAB Calculation Packet (5% of final grade) A passing grade of 85% (or higher) is required to receive a passing grade.

• LIVE Adult Standard Peripheral TPN
• LIVE Adult Standard Central TPN
• LIVE Neonatal TPN
• LIVE Pediatric Starter TPN
• LIVE UAC Pediatric fluid

LIVE HANDS-ON LAB (35% of final grade)

• Process Validations (8) – A passing grade of 75% (or higher) is required to receive a passing grade. For ACPE Total Preparation Certification see requirements below.
• Students will have an opportunity to repeat failed process validations (score <75%)

Students must pass the didactic home study blackboard assignments with a grade 85% (or higher), LIVE Hands-on LAB process validations with a grade 75% (or higher), and final exam with a grade 75% (or higher) in order to receive a passing grade for the course. 

For ACPE Total Parenteral Nutrition (TPN) Compounding Certification see requirements below

• Final grades are NOT rounded.  Rounding will be considered only in a pass/fail situation and will be determined on a case by case basis.

ACPE CONTINUING EDUCATION STUDENTS:

Requirements for Statement of ACPE TOTAL PARENTERAL NUTRITION (TPN) COMPOUNDING CERTIFICATON Credit 6.4 CEUs (64.0 hours)

Final Exam - A passing grade of 75% (or higher) is required to receive a passing grade.

Process Validations (8) – A passing grade 90% (or higher) adherence to aseptic technique is required.

Homework Assignments (10) in Blackboard – A passing grade of 85% (or higher) is required.

Homework Calculation Packet in Blackboard - A passing grade of 85% (or higher) is required.

Submission of Required Paperwork -Completed/NOT Completed

• Student ONLINE Registration form
• Documentation of Training Hours form
• ACPE Course Evaluation form – online in Blackboard
• CPE Activity Evaluation – online course evaluation in Blackboard

NOTE: Students attending from outside the Austin area must contact instructor as soon as possible PRIOR to the lab meeting dates to determine procedures for final exam testing.

GRADING SCALE FOR COURSE

A: 90 – 100%    B: 80 – 89%     C: 75 – 79%      D: 60 – 74%   F: 59% and below

Students may check their grades through Blackboard by under the "Grades" tab. Grades for homework assignments will be posted immediately after they are submitted through Blackboard. Practice TPN’s will be uploaded to the Blackboard Assignment and will be graded weekly on Sundays.

Exams

The Final Exam will be administered through Blackboard Respondus Lockdown Browser and Monitor Webcam on indicated day in the syllabus.  The Midterm Exam will cover Adult TPN calculations. The Final Exam will be given over Adult TPN Calculations, Pediatric TPN Calculations and Neonatal TPN Calculations, lecture material including assigned chapters, virtual power point lectures, September 2021 USP <797> UPDATE, and material covered in lab. The Final Exam will comprehensively assess the student's knowledge of concepts, principles, techniques, and procedures related to the course material.

Respondus Lockdown Browser and Webcam:

• Shutdown your cell phone.  NO phones allowed in the room you are testing.
• Make sure you have your student ID or drivers license to show during the recorded exam.
• The exam uses facial recognition.  If you have long hair, pull back so that your face is not obstructed.  No hates are to be worn during the exam.
• The Lockdown Browser will not allow you to open additional pages, websites, notepad during the exam.
• Early exit from exam.  Once you leave the exam, you will not be permitted back in.
• There will be a PRACTICE exam for you to test your home computer and webcam.  If your computer does not have a webcam, you can add an external webcam. 

Homework/Assignment Submission Guidelines

All assignments are required for the progression of the course. Homework/Assignments must be submitted to the instructor through Blackboard unless otherwise instructed. Homework/Assignments are due according to the course schedule in the syllabus.  The assignments must be submitted by 11:59 p.m. on due date.  Passing grade of 85% or above is required for homework assignments to be eligible for ACPE Total Parenteral Nutrition Certification.  You will have the opportunity to retake an assignment up to 3 before or on the deadline.

Late Work Policy

Assigned coursework is required. Students are expected to submit work by the due dates listed in the

course syllabus. Submitting coursework by the due date is the best way to ensure that you are prepared

for the activities conducted in class or lab, and for future coursework that occurs in sequence which may

include lectures, labs, etc. Coursework that is not submitted by the due date will be penalized by 5%

each day (including weekends), up to a maximum deduction of 25%. By the fifth day, the maximum

points the student can earn on the coursework is 75%. After the fifth day, the coursework will be

assigned a score of zero.

Textbook 2nd Edition Sterile Compounding and Aseptic Technique by Lisa McCartney and Brenda Jensen

TEXTBOOK Sterile Compounding and Aseptic Technique by Lisa McCartney and Brenda Jensen

Textbook + access to videos

LINK: https://www.paradigmeducation.com/austin-cc

Additional materials will be posted on Blackboard.  It is your responsibility to access these materials and bring copies of whatever will be needed during live lab when instructed to do so.

End of Course Outcomes

Main Educational Objectives for Pharmacists

1. Identify the components and compatibility of sterile compounding and aseptic technique as defined in USP <797>.
2. Perform and verify pharmaceutical calculations required in sterile compounding of TPN.
3. Demonstrate various aspects of aseptic technique including garbing, hand washing, hood cleaning, equipment cleaning, proper use of automated TPN compounder, proper use of TPN order entry software (templates, patient data, warning limits, CaP04 Curves).
4. Perform TPN order entry and verification using Abacus software.
5. Pharmacist responsibilities of oversight for personnel performing automated TPN compounding with BAXA compounder.
6. Prepare and perform verification checks on various compounded TPN preparations, including:  Adult TPN, Pediatric TPN, Neonatal TPN and Media fill test.

Main Educational Objectives for Pharmacy Technicians

1. Identify the components of sterile compounding, including TPN and aseptic technique as defined in USP <797>.
2. Perform pharmaceutical calculations required in sterile compounding.
3. Demonstrate various aspects of aseptic technique including garbing, hand washing, hood cleaning, equipment cleaning, proper use of automated TPN compounder, proper use of TPN order entry software (templates, patient data, warning limits, CaP04 Curves).
4. Prepare and perform verification checks on various compounded TPN preparations, including:  Adult TPN, Pediatric TPN, Neonatal TPN and Media fill test.