CHPPC Simulator Curriculum
Certified in Hospital Pharmacy Practice Competency (CHPPC)

Simulator Curriculum

A comprehensive, tiered list of simulators designed to build hospital pharmacy skills from core operations to advanced clinical practice and leadership.

Tier 1

Core Operations & Systems Familiarity

  • Automated Dispensing Cabinet (ADC) Simulator: (Pyxis, Omnicell interface simulation — search, pull, waste, returns, overrides)
  • CPOE / Order Verification Simulator: (Review orders for renal dosing, duplicate therapy, IV-PO switch, allergy, etc.)
  • Pneumatic Tube System Interface Simulator: (Send/receive meds, identify “Do Not Tube” drugs, handle offline stations)
  • Pharmacy Information System Overview: (Simulated tabs for patient profile, orders, MAR, notes, labs, vitals)
  • Medication Reconciliation & Admission Orders Simulator: (Home med list review, convert to inpatient formulary equivalents, clarify incomplete orders)
  • Discharge & Med-to-Bed Counseling Simulator: (Transition of care tasks, discharge prescription review, insurance/coverage coordination)
  • Inventory & Restock Simulator: (Select correct meds to restock ADC bins, track expiration dates, handle shortages)
  • Barcode Scanning & Label Verification Simulator: (Scan NDC, compare to order, detect look-alike/sound-alike errors)
Tier 2

IV Room & Sterile Compounding

  • Sterile Compounding Simulator (USP <797> / <800>): (Choose correct supplies, aseptic steps, contamination control)
  • Hazardous Drug Handling Simulator: (Simulate using CSTDs, chemo gowning, negative pressure hood)
  • Batch Preparation & Labeling Simulator: (Prepare multiple doses, label correctly, log batch sheets)
  • IV Compatibility & Stability Checker: (Simulate real-time compatibility lookups and reconstitution techniques)
  • TPN (Total Parenteral Nutrition) Simulator: (Calculate macronutrients, electrolytes, osmolarity, calcium/phosphate solubility)
  • IV Pump Programming & Infusion Rate Calculator: (Enter rate, concentration, volume — identify unsafe rates)
Tier 3

Clinical & Cognitive Decision Support

  • Renal / Hepatic Dosing Adjustment Simulator: (Adjust vancomycin, enoxaparin, gabapentin, etc., based on labs)
  • Antibiotic Stewardship & Culture Review Simulator: (Interpret culture results, de-escalate empiric therapy, switch IV→PO)
  • Kinetic Monitoring Simulator: (Vancomycin/Aminoglycoside levels, half-life calculation, trough timing)
  • Electrolyte Replacement Protocol Simulator: (Respond to low K, Mg, or Phos with correct dose/formulation)
  • Therapeutic Drug Monitoring & Lab Interpretation: (Interpret INR, digoxin, phenytoin levels, etc.)
  • Drug-Drug / Drug-Disease Interaction Challenge: (Flag and explain contraindicated or risky combinations)
  • Clinical Note Documentation Simulator: (Write short, accurate progress notes after interventions)
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Tier 4

High Acuity & Emergency Practice

  • Code Cart / ACLS Simulation: (Select correct drug, concentration, dose under time pressure)
  • Crash Cart Restock & Narcotic Waste Logging: (Reconcile code cart drugs post-event)
  • Rapid Response & STAT Order Verification: (Quickly approve emergent orders with incomplete info)
  • Smart Pump / PCA (Patient-Controlled Analgesia) Setup Simulator: (Input correct basal and bolus parameters; check lockout intervals)
  • Continuous Infusion Drip Management Simulator: (Heparin, insulin, vasopressors — adjust based on lab trends)
  • Critical Care Order Set Simulator (ICU): (Vent sedation, vasopressors, stress ulcer prophylaxis, renal replacement dosing)
Tier 5

Specialty & Unit-Specific Practice

  • Operating Room / PACU Simulation: (Handle anesthesia carts, post-op pain orders, antibiotic timing)
  • Pediatrics & NICU Simulator: (Weight-based dosing, dilutions, syringe pumps, neonatal compatibility)
  • OB/GYN & Labor Unit Simulation: (Magnesium drips, oxytocin protocols, epidural analgesia verification)
  • Oncology / Chemo Order Verification: (Check regimen parameters, body surface area dosing, antiemetic protocols)
  • Psychiatry / Behavioral Health Simulation: (Monitor psych meds, interactions, depot injections)
  • Emergency Department (ED) Rapid Order Processing: (Verify triage antibiotics, pain meds, antiemetics, etc.)
Tier 6

Logistics, Communication, and Compliance

  • Controlled Substance Management Simulator: (DEA log entries, waste, returns, discrepancy reconciliation)
  • Pharmacy Communication Log & Clarification Calls Simulator: (Call provider for incomplete order, document interventions)
  • Shift Handoff & Progress Note Simulator: (Summarize active issues, pending cultures, and monitoring parameters)
  • Regulatory Inspection Readiness Simulator: (Mock Joint Commission audit with timed questions on policies)
  • Temperature Excursion & Recall Management Simulator: (Simulate response to out-of-range refrigerator or recall notice)
Tier 7

Informatics & Systems Integration

  • Cerner Order Entry Practice Simulator: (Mimic Cerner order screens: order components, status updates, order sets)
  • Epic Medication Verification Simulator: (Simulate Epic MAR and pharmacist verification queues)
  • Meditech Order Entry Simulator: (Practice entering oral, IV, continuous orders with linked ingredients)
  • ADC Interface Integration Challenge: (Orders flow → ADC profile updates → correct pulls verified)
  • Clinical Decision Support Override Training: (When to bypass or accept system warnings safely)
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Tier 8

Management & Value Documentation

  • Clinical Intervention Documentation System: (Select intervention category, note, cost avoidance, outcome)
  • Pharmacy Metrics & Dashboard Simulator: (Track interventions, workload, turnaround times, benchmarking)
  • Staff Scheduling / Workflow Management Simulation: (Allocate coverage across central, IV, ICU, and ED)
  • Inventory Shortage Triage Simulator: (Decide substitutions, prioritize patient care during shortage)
Tier 9

Integration Capstone / Scenario Simulations

  • Full Patient Case Simulation (End-to-End): (Admit → verify orders → compound IVs → send via pneumatic tube → monitor labs → discharge)
  • Interdisciplinary Rounds Simulator: (Join physician/nurse conversation, provide recommendations)
  • Pharmacy Residency Readiness Simulation: (Handle multiple competing priorities with time management scoring)