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TITLE 22EXAMINING BOARDS
PART 15TEXAS STATE BOARD OF PHARMACY
CHAPTER 291PHARMACIES
SUBCHAPTER CNUCLEAR PHARMACY (CLASS B)
RULE §291.53Personnel

    (B) Sterile Preparations. All pharmacists engaged in compounding sterile preparations, including radioactive preparations, shall meet the training requirements specified in §291.133 of this title (relating to Pharmacies Compounding Sterile Preparations).

  (3) Duties. Duties which may only be performed by an authorized nuclear pharmacist are as follows:

    (A) receiving oral prescription drug orders for controlled substances and reducing these orders to writing, either manually or electronically;

    (B) interpreting and evaluating radioactive prescription drug orders;

    (C) selecting drug products; and

    (D) performing the final check of the dispensed prescription before delivery to the patient to ensure that the radioactive prescription drug order has been dispensed accurately as prescribed.

(d) Pharmacy Technicians and Pharmacy Technician Trainees.

  (1) General. All pharmacy technicians and pharmacy technician trainees shall meet the training requirements specified in §297.6 of this title (relating to Pharmacy Technician and Pharmacy Technician Trainee Training).

  (2) Special requirements for compounding.

    (A) Non-sterile preparations. All pharmacy technicians and pharmacy technician trainees engaged in compounding non-sterile preparations, including radioactive preparations, shall meet the training requirements specified in §291.131 of this title.

    (B) Sterile Preparations. All pharmacy technicians and pharmacy technician trainees engaged in compounding sterile preparations, including radioactive preparations, shall meet the training requirements specified in §291.133 of this title.

  (3) Duties.

    (A) Pharmacy technicians and pharmacy technician trainees may not perform any of the duties listed in subsection (c)(3) of this section.

    (B) An authorized nuclear pharmacist may delegate to pharmacy technicians and pharmacy technician trainees any nuclear pharmacy technique which is associated with the preparation and distribution of radiopharmaceuticals provided:

      (i) an authorized nuclear pharmacist verifies the accuracy of all acts, tasks, and functions performed by pharmacy technicians and pharmacy technician trainees; and

      (ii) pharmacy technicians and pharmacy technician trainees are under the direct supervision of and responsible to a pharmacist.

  (4) Ratio of authorized nuclear pharmacist to pharmacy technicians and pharmacy technician trainees.

    (A) The ratio of authorized nuclear pharmacists to pharmacy technicians and pharmacy technician trainees may be 1:6, provided at least three of the six are pharmacy technicians and are trained in the handling of radioactive materials.

    (B) The ratio of authorized nuclear pharmacists to pharmacy technician trainees may not exceed 1:3.


Source Note: The provisions of this §291.53 adopted to be effective March 19, 1998, 23 TexReg 2815; amended to be effective September 16, 1999, 24 TexReg 7259; amended to be effective September 12, 2001, 26 TexReg 6920; amended to be effective March 4, 2004, 29 TexReg 1999; amended to be effective June 6, 2004, 29 TexReg 5362; amended to be effective September 14, 2010, 35 TexReg 8357; amended to be effective June 7, 2012, 37 TexReg 4047; amended to be effective March 26, 2014, 39 TexReg 2080; amended to be effective September 14, 2015, 40 TexReg 6110; amended to be effective December 6, 2015, 40 TexReg 8766; amended to be effective December 10, 2020, 45 TexReg 8854

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