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Course Outline

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  1. Module 1: The Hospital Pharmacy Landscape
    • 1.1 The Mindset Shift
    • 1.2 The Hospital Ecosystem
    • 1.3 The Care Team
    • 1.4 Your New Toolbox
    • 1.5 Regulatory and Safety Bodies
  2. Module 2: Clinical Monitoring Essentials
    • 2.1 Decoding the Basic Metabolic Panel (BMP)
    • 2.2 Interpreting the Complete Blood Count (CBC)
    • 2.3 The Comprehensive Liver and Coagulation Panel
    • 2.4 Calculating Renal and Hepatic Function
    • 2.5 Vital Signs and Physical Assessment
    • 2.6 Simulator: Clinical Dashboard Simulator
  3. Module 3: Order Verification and Entry
    • 3.1 The Anatomy of a Hospital Order
    • 3.2 Common Order Types and Clinical Checks
    • 3.3 Essential Calculations and Formulas
    • 3.4 Common Problems and How to Solve Them
    • 3.5 Simulator: Comprehensive Order Verification
  4. Module 4: Sterile Compounding and IV Room Operations
    • 4.1 Fundamentals of USP and
    • 4.2 IV Compatibility and Stability
    • 4.3 IV Room Workflows and Safety Controls
    • 4.4 Chemotherapy Basics
    • 4.5 TPN Compounding Practicum
  5. Module 5: Automation, Distribution, and Controlled Substances
    • 5.1 Mastering Automated Dispensing Cabinets
    • 5.2 Smart Pumps, PCAs, and Epidurals
    • 5.3 Pneumatic Tube System Best Practices
    • 5.4 Controlled Substance Management
    • 5.5 Simulator: Operations and Security Simulator
  6. Module 6: High-Acuity Pharmacy
    • 6.1 Sepsis Bundles
    • 6.2 Rapid Sequence Intubation (RSI)
    • 6.3 DKA/HHS Protocols
    • 6.4 Ischemic Emergencies: Stroke (CVA) and STEMI
    • 6.5 Hemodynamic Support: Vasopressors and Inotropes
    • 6.6 Sedation and Analgesia in the Critically Ill
    • 6.7 The “Big Three” Prophylaxis Bundles
    • 6.8 High-Risk Medications Deep Dive
    • 6.9 Electrolyte Replacement Protocols
    • 6.10 Simulator: High-Acuity Crisis
  7. Module 7: Perioperative Pharmacy
    • 7.1 Surgical Prophylaxis
    • 7.2 Post-Op Pain Management and Antiemetics
    • 7.3 Anesthesia Narcotic Workflows and Reconciliation
    • 7.4 Hemostasis and Reversal Agents
    • 7.5 Simulator: Perioperative Pharmacy Simulator
  8. Module 8: Specialty Populations — Core
    • 8.1 The Med-Surg Patient
    • 8.1.1 Anticoagulation Bridging
    • 8.1.2 Pain Management Transitions
    • 8.1.3 The Art of the IV-to-PO Conversion
    • 8.2 Inpatient Psychiatry
    • 8.2.1 Rapid Tranquilization
    • 8.2.2 The Pharmacist as QTc Guardian
    • 8.2.3 Long-Acting Injectables (LAIs)
    • 8.3 Inpatient Oncology
    • 8.3.1 Deconstructing the Chemotherapy Order
    • 8.3.2 Chemotherapy Compounding and Safe Handling
    • 8.3.3 Mastering CINV
    • 8.4 Simulator: Controlled Substance Management
  9. Module 9: Specialized Care — Women and Children
    • 9.1 The Obstetrical Patient (OB/GYN)
    • 9.2 The General Pediatric Patient
    • 9.3 The NICU Patient
    • 9.4 Simulator: Women and Children
  10. Module 10: Key Protocols and Stewardship
    • 10.1 Antimicrobial Stewardship
    • 10.2 Anticoagulation Management
    • 10.3 Glycemic Control
    • 10.4 Metabolic Support
    • 10.5 Simulator: Key Protocols and Stewardship
  11. Module 11: Professional Practice and Communication
    • 11.1 Communicating with Nurses
    • 11.2 Communicating with Physicians
    • 11.3 Documentation: The Art of the Clinical Note
    • 11.4 Presenting a Patient Case
  12. Module 12: Code Carts and Emergency Preparedness
    • 12.1 The Code Cart and Your Role in a Medical Emergency
    • 12.2 Mastering ACLS/PALS Pharmacology
    • 12.3 Specialized Emergency Kits and Protocols
    • 12.4 Post-Code Operations and Drills
    • 12.5 Simulation Lab: Code Blue Command
  13. Module 13: IV Bag Safety and Line Management
    • 13.1 Final Bag Checks, Labeling, and Stability
    • 13.2 Peripheral vs. Central Lines and Infusion Limits
    • 13.3 Mastering Y-Site Compatibility
    • 13.4 Smart Pumps and Guardrails
    • 13.5 Extravasation: Prevention and Antidotes
    • 13.6 Simulation Lab: IV Line Management
  14. Module 14: Bedside Pharmacist Safety Rounds
    • 14.1 The Daily Rounding Workflow
    • 14.2 Medication Reconciliation Touchpoints
    • 14.3 High-Alert Medication Double Checks
    • 14.4 ADR and Toxicity Surveillance
    • 14.5 Collaborative Nurse and Physician Communication
    • 14.6 Simulation Lab: Bedside Safety Rounds
  15. Module 15: Transitions of Care and Discharge Medication Reconciliation
    • 15.1 Admission Med Rec
    • 15.2 Inpatient Therapy Continuity
    • 15.3 Discharge Simplification and Reconciliation
    • 15.4 “Meds-to-Beds” Counseling
    • 15.5 Community Handoff Best Practices
    • 15.6 Simulator: Transitions of Care
  16. Module 16: Operations Under Stress and Crisis Management
    • 16.1 Mass-Casualty Response
    • 16.2 EHR and ADC Downtime Procedures
    • 16.3 Drug Shortages and Interchanges
    • 16.4 Staffing Triage
    • 16.5 Maintaining Safety Culture Under Pressure
    • 16.6 Simulator: Crisis Management Triage
  17. Module 17: Hospital Order Entry Fundamentals
    • 17.1 The Order Composer: Anatomy of a Hospital Order
    • 17.2 IV-Specific Fields: The Language of Infusion
    • 17.3 Common Inpatient Order Types
    • 17.4 Clinical Guardrails While Entering
    • 17.5 Documentation and Communication
    • 17.6 Simulator: Advanced Hospital Order Entry
  18. Module 18: Epic (Willow Inpatient) — Order Entry and Verification
    • 18.1 Work Queues and Verification Mastery
    • 18.2 The Epic Order Composer
    • 18.3 Handling Best Practice Advisories (BPAs)
    • 18.4 Dispense and Compounding Flow
    • 18.5 Common Epic Pitfalls
    • 18.6 Guided Practice Set
    • 18.7 Simulator: Epic (Willow) Verification and BPAs
  19. Module 19: Meditech (Expanse) — Order Entry and Verification
    • 19.1 Order Entry and Verification
    • 19.2 Protocols and Panels
    • 19.3 MAR and Administration Views
    • 19.4 Compounding and Labels
    • 19.5 Common Meditech Pitfalls
    • 19.6 Guided Practice Set
    • 19.7 Simulator: Meditech Order Verification
  20. Module 20: Cerner (Millennium/PharmNet) — Order Entry and Verification
    • 20.1 Ordering and Verification Concepts
    • 20.2 Alerts and Clinical Decision Support
    • 20.3 Dispense Routing and ADC
    • 20.4 IV and Compound Workflow
    • 20.5 Common Cerner Pitfalls
    • 20.6 Guided Practice Set
  21. Module 21: Interactive EHR Simulation Lab — Data-Entry Replicas
    • 21.1 Interactive EHR Simulation Lab (Comprehensive)
  22. Module 22: The Hospital Ecosystem — A Pharmacist’s Navigational Guide
    • 22.1 Points of Entry, Exit, and Observation
    • 22.1.1 The Emergency Department
    • 22.1.2 Direct and Inter-Facility Transfers
    • 22.1.3 The Observation Unit (“Obs”)
    • 22.1.4 The Discharge Hub
    • 22.2 The Inpatient Wards
    • 22.2.1 The Medical-Surgical (“Med-Surg”) Floor
    • 22.2.2 The Telemetry (“Tele”) Unit
    • 22.2.3 Specialized Surgical Units
    • 22.2.4 The Acute Rehabilitation Unit (ARU)
    • 22.3 The High-Acuity Towers
    • 22.3.1 The ICU Philosophy
    • 22.3.2 A Guide to the ICU Alphabet
    • 22.3.3 The Pharmacist’s Role: The “Drip-ologist” and Resuscitation Expert
    • 22.4 The Specialized Pavilions
    • 22.4.1 The Women and Children’s Pavilion
    • 22.4.2 The Behavioral Health Pavilion
    • 22.4.3 The Cancer Center: Inpatient Oncology and BMT
    • 22.4.4 The Comfort Care Pavilion: Palliative and Hospice Units
    • 22.5 Deconstructing the Procedural Order Set
    • 22.5.1 The Procedural Hubs
    • 22.5.2 Anatomy of a Pre-Surgical Order Set
    • 22.5.3 The Pharmacist’s Role: The Pre-Procedure Safety Officer
    • 22.6 The Bridge to Home
    • 22.6.1 The Outpatient Infusion Center
    • 22.6.2 The Pharmacist-Run Ambulatory Care Clinic
    • 22.6.3 Radiation Oncology, Wound Care, and Specialty Services
  23. Module 23: Hospital Rounds for the Retail Pharmacist
    • 23.1 What Rounds Look Like
    • 23.2 Pre-Round Prep
    • 23.3 When to Speak and What to Say
    • 23.4 SBAR in 60 Seconds
    • 23.5 Common Round Scenarios
    • 23.6 Scripts and Phrases That Land Well
    • 23.7 Avoiding Pitfalls
    • 23.8 Post-Round Follow-Through
  24. Module 24: Speaking Hospital — Communication, Culture, and Politics
    • 24.1 Unwritten Rules of Respect and Hierarchy Dynamics
    • 24.2 Paging and Secure Chat Etiquette
    • 24.3 SBAR vs. SOAP
    • 24.4 Talking with Nurses, Residents, Attendings, and Anesthesia
    • 24.5 De-Escalation Scripts for Disagreements and Heated Moments
    • 24.6 Meeting and Committee Etiquette
    • 24.7 Email and Message Writing That Gets Action
  25. Module 25: Your First 30 Days — Street-Smart Survival Playbook
    • 25.1 Week-by-Week Objectives and Quick Wins
    • 25.2 Where to Find Information Fast
    • 25.3 Smart Questions vs. “Tell Me Everything”
    • 25.4 Building Allies
    • 25.5 Acronym Decoder and Local Slang Capture System
    • 25.6 Creating Your Personal “Blue Book”
  26. Module 26: Queue Command — Time-Triage for Verification Under Fire
    • 26.1 Prioritization Framework
    • 26.2 Batching Tactics
    • 26.3 Interruption Management
    • 26.4 When to Park vs. Push Back an Order
    • 26.5 The 5-Second Safety Scan (Micro-Audits)
  27. Module 27: After-Hours, Nights, and On-Call Realities
    • 27.1 Skeleton Crew Workflow
    • 27.2 “Do I Wake the On-Call?” Decision Ladder
    • 27.3 Common Night Crises
    • 27.4 Cross-Coverage Nuances
    • 27.5 Personal Safety and Stamina
  28. Module 28: Conflict, Escalation, and Psychological Safety
    • 28.1 Early Signals of Trouble and Pre-Emptive Outreach
    • 28.2 Stepwise Escalation Pathways
    • 28.3 “Hold Your Ground” for Safety
    • 28.4 Debriefs and Closing the Loop
    • 28.5 Documentation That Protects Patients and You
  29. Module 29: Documentation Mastery — Notes, Interventions, and Metrics
    • 29.1 Note Types and When to Use Them
    • 29.2 The “Two-Sentence Note” Structure
    • 29.3 Logging Interventions
    • 29.4 Building Your 90-Day Wins Portfolio
    • 29.5 Compliance Pitfalls
  30. Module 30: Override and Bedside Realities
    • 30.1 Pyxis/Omnicell Override Etiquette
    • 30.2 “Missing Med” Escalation Tree
    • 30.3 Bedside Troubleshooting
    • 30.4 Tube System Failure Playbook
    • 30.5 Documenting and Preventing Recurrence
  31. Module 31: Smart Pumps — Practical Troubleshooting
    • 31.1 Drug Library Street Smarts
    • 31.2 Common Safety Drifts
    • 31.3 PCA/Epidural Gotchas
    • 31.4 When to Call Biomed vs. Anesthesia vs. Nursing
    • 31.5 Reversal/Antidote Pages
  32. Module 32: Formulary, Non-Formulary, and Therapeutic Interchange
    • 32.1 Reading the Room
    • 32.2 Making a Swap the Team Accepts
    • 32.3 Non-Formulary Request Tactics
    • 32.4 Communicating Changes
    • 32.5 Capturing Wins for Stewardship
  33. Module 33: Decoding Hospital Order Sets
    • 33.1 The Anatomy and Logic of Order Sets
    • 33.2 Foundational Sets: Admission and Transfer
    • 33.3 Range Orders and Protocol Parameters
    • 33.4 Emergency and Critical Care Sets
    • 33.5 Protocol-Driven Playbooks
    • 33.6 Specialty Populations: OB and Pediatrics
    • 33.7 The Communication Masterclass
  34. Module 34: Interservice Nuances
    • 34.1 Cardiology Culture
    • 34.2 Neuro Pearls
    • 34.3 Trauma/SICU Rhythm
    • 34.4 Transplant Basics
  35. Module 35: Medication Order Policies, Range Orders, and Stop Rules
    • 35.1 Automatic Stop Orders (ASO)
    • 35.2 Hard Stops vs. Soft Stops
    • 35.3 Range Orders and Protocol Parameters
    • 35.4 PRN Indications
    • 35.5 Unapproved Abbreviations
  36. Module 36: Common Order Sets and Protocol Consults
    • 36.1 The Vancomycin Protocol Consult
    • 36.2 The Weight-Based Heparin Protocol Consult
    • 36.3 The Sepsis Order Set
    • 36.4 The Acute Stroke (tPA) Order Set
    • 36.5 The Alcohol Withdrawal (CIWA) Protocol
  37. Module 37: LASA and High-Alert Drug Safety
    • 37.1 Identifying LASA Pairs and Packaging Hazards
    • 37.2 Labeling, Storage, and ADC Configuration Strategies
    • 37.3 The “Tall-Man Lettering” System Explained
    • 37.4 High-Alert Drugs and Independent Verification
    • 37.5 Real Case Studies and Root Cause Analysis
  38. Module 38: Adverse Drug Reactions (ADR) and Medication Error Reporting
    • 38.1 ADR vs. ADE vs. Allergy
    • 38.2 The Pharmacist’s Daily Surveillance Routine
    • 38.3 Internal vs. National Reporting: MedWatch, ISMP, and VAERS systems
    • 38.4 Building a Safety Narrative
    • 38.5 Closing the Loop: How Reports Drive Change
  39. Module 39: Hospital Quality Metrics and the Pharmacist’s Role
    • 39.1 Core Measures, HACs, and SCIP Protocols
    • 39.2 Pharmacy’s Contribution to Readmission Reduction and Length of Stay
    • 39.3 Integrating Pharmacy Metrics into Quality Dashboards
    • 39.4 The P&T Committee: How Evidence-Based Medicine Drives Policy
    • 39.5 Linking Documentation to Value-Based Purchasing (VBP)
  40. Module 40: Safe IV Push Practice
    • 40.1 Why Certain Drugs Should Never Be IVP
    • 40.2 Common Offenders
    • 40.3 Recommended Dilution and Administration Timelines
    • 40.4 Smart Pump Guardrails and IVP Workarounds
    • 40.5 Training Nurses and New Pharmacists on IVP Risk Awareness
  41. Module 41: Retail → Hospital — Practical Policy and Practice Differences
    • 41.1 Substitution and Conversions
    • 41.2 Scheduling Semantics
    • 41.3 Administration Windows and Missed Doses
    • 41.4 NPO, Tube, and Route Migration
    • 41.5 Pharmacist-Driven Protocols
    • 41.6 Service-Specific Nuances
    • 41.7 Procedure-Anchored Timing
    • 41.8 Order Grammar and Safety
    • 41.9 Product and Supply Realities
    • 41.10 Ownership and Communication
    • 41.11 Result-Driven Dosing
    • 41.12 Discharge Continuity
  42. Module 42: Mastering Clinical Surveillance
    • 42.1 Foundations
    • 42.2 Workflow and Triage
    • 42.3 Anti-Infective Stewardship
    • 42.4 Anticoagulation and Hemostasis
    • 42.5 Renal/Hepatic Dosing and Electrolytes
    • 42.6 Parenteral Therapy Safety
    • 42.7 Communication and Documentation
    • 42.8 Metrics, Governance, and Quality Improvement (QI)
  43. Module 43: Hospital Pharmacy Career Prep and Interview Success
    • 43.1 Crafting a “Hospital-Ready” Resume
    • 43.2 Building Talking Points from CHPPC Competencies
    • 43.3 Common Interview Scenarios
    • 43.4 Mock Interview Script and Confidence Framing
  44. Module 44: CHPPC Hospital Pharmacy Simulator Curriculum
    • 44.1 SimuCab — ADC Simulator
    • 44.2 EHR — CPOE and Order Verification
    • 44.3 PTS — Pneumatic Tube System
    • 44.4 PIS — Pharmacy Information System
    • 44.5 Medication Reconciliation
    • 44.6 Discharge Counseling
    • 44.7 Barcode Scanning
    • 44.8 Dosing Adjustment
    • 44.9 Antibiotic Stewardship
    • 44.10 Kinetic Monitoring
    • 44.11 Electrolyte Replacement
    • 44.12 TDM and Lab Interpretation
    • 44.13 Interaction Challenge
    • 44.14 Clinical Note Documentation
    • 44.15 Code Cart / ACLS
    • 44.16 Crash Cart Restock and Narcotic Waste Logging
    • 44.17 Rapid Response and STAT Order Verification
    • 44.18 Smart Pump / PCA Setup — Pro Edition (Compat)
    • 44.19 Continuous Infusion Drip Management — Pro
    • 44.20 Critical Care Order Set (ICU)
    • 44.21 Operating Room / PACU
    • 44.22 Pediatrics and NICU Dosing
    • 44.23 OB/GYN and Labor Unit
    • 44.24 Oncology / Chemo Order Verification
    • 44.25 Psychiatry / Behavioral Health (Interactive)
    • 44.26 ED Rapid Order Processing
    • 44.27 Cerner Order Entry Practice — MAR, Typeahead, Cosign, and Barcode
    • 44.28 Epic Medication Verification — Fixed Build
    • 44.29 Meditech Order Entry
    • 44.30 ADC Interface Integration Challenge
    • 44.31 Clinical Decision Support Override Training
    • 44.32 IV Compounding Accuracy
    • 44.33 Controlled Substance Management
    • 44.34 Communication and Clarification
    • 44.35 Shift Handoff and Progress Notes
    • 44.36 Regulatory Inspection Readiness
    • 44.37 Temperature Excursion and Recall
    • 44.38 Interactive IV Pump
    • 44.39 Clinical Pharmacy Surveillance
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Preparing for Your Exam

What do I need to have for my exam?

 

To ensure a smooth exam launch, please have the following items ready:

  • Valid Photo ID: One form of non-expired, government-issued photo identification (e.g., driver’s license, passport).
  • Technical Requirements: A working webcam and microphone, a strong and stable internet connection, and a compatible computer.
  • Environment: A quiet, private room with a hard surface to work on. Your desk or table must be clear of all other items.
  • Reflective Surfaces: Avoid rooms with cell phones or significant reflective surfaces.

What time should I arrive for my exam?

 

We recommend connecting to the exam platform 10-15 minutes before your scheduled start time. This will give you ample time to complete the identity verification and system check process without feeling rushed. The exam timer will not begin until after the exam has been officially launched.

Where am I NOT allowed to take my exam?

 

To ensure a secure exam environment, you may not test in certain locations. This is especially important for a high-stakes certification exam. You will NOT be permitted to test from:

  • A bathroom/restroom
  • A public space with other individuals like a coffee shop
  • The outdoors
  • A vehicle such as a car or boat
  • An office with glass walls

You should be seated at a hard surface like a desk or table, with your back to the main room entrance. Standing or lying down is not permitted.

Can I have children or pets with me?

 

No, you must be in a private, secure room alone. The presence of other people, including children, is not permitted and may result in the termination of your exam. While we love pets, they can be a distraction, so please ensure they are in a separate room during your exam session.

During The Exam

What am I allowed and not allowed to do during my exam?

 

To maintain the integrity of the certification process, the following actions and behaviors will be flagged and are not permitted:

  • Talking aloud: Unless you have an approved accommodation, talking or whispering is not permitted.
  • Being out of camera view: Your face must be clearly visible in the camera frame at all times.
  • Anyone else in your testing area: You must be alone in your room. No one else may enter or speak to you.
  • Looking off-screen: Your gaze should remain on the screen.
  • Using unauthorized materials: You may only use materials explicitly allowed.
  • Taking pictures or screenshots: This is strictly forbidden. Our system will detect and block such actions.
  • Copying and pasting: The system will not allow you to copy or paste any exam content.
  • Using a secondary monitor: Only one monitor is permitted.

Can I have food or a drink during my exam?

 

Only clear liquids in a clear container (e.g., a glass of water, a clear water bottle with no label) are permitted. Food, smoking, and vaping are not allowed as they can cause unnecessary distractions and noise.

Are breaks allowed during my exam?

 

No, breaks are not permitted during the exam for any reason.

Accommodations & Technical Support

How do I receive accommodations for my exam?

 

To receive accommodations, you must register your needs with the exam administrators. The Council will then submit an accommodation request on your behalf. We do not need any information about your disability. The Council needs to send us the following information about you:

  • First and last name
  • The email address you used to register for the exam
  • Accommodation information (e.g., extra time, bathroom breaks, permitted use of a screen reader, etc.)

This must be done prior to your exam day. If we do not have a record of your accommodations, it will delay your start process and may require rescheduling. If you have questions, please use our Contact Support form.

What should I do if I’m disconnected from my exam?

 

If you are disconnected, remain calm. Try to reconnect to the exam immediately. Follow the on-screen instructions to rejoin the session. If you are unable to reconnect within 5 minutes, please contact our technical support immediately for assistance. The support contact information is provided in your exam confirmation email.

After The Exam

How do I access my exam results?

 

Exam results are provided directly by the Council on Pharmacy Standards, not by the proctoring service.

 

 

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