2026 Eastern States Conference

Authors: Han Jeong, PharmD; Julie M. Waldfogel, PharmD, BCGP, BCPMP; Suzanne Nesbit, PharmD, BCPMP, FCCP, FASHP; Tiffany Michalowski, PharmD, BCGP, BCPMP; Lisa Hutchins, PharmD, BCPPS

Learning Objective: Describe the structured implementation andassessment of a PCA competency plan forpharmacists who verify orders

Opioids are high-risk medications. This project develops and implements a PCA competency to improve analgesic safety, enhance pharmacist workflow, and support better patient outcomes through more consistent PCA practices across the institution. 

A formal competency module was established to encompass case-based scenarios, knowledge assessments, and workflow simulations tailored to institutional practices. Educational materials covering PCA principles, dose verification, and population-specific considerations for adult and pediatric populations were developed and integrated into a shared pharmacy education platform. To ensure organizational alignment, the implementation strategy was developed by involving key administrative and clinical stakeholders. Targeted pharmacist audiences were identified to ensure comprehensive clinical proficiency. All assessment materials underwent review by a specialized clinician group to ensure clinical standardization and  accuracy. Implementation followed a structured plan including departmental communication and competency facilitation supported by a sustainability plan to ensure long-term operational longevity. 

Deliverables including educational content slides and a comprehensive competency development plan have been finalized, incorporating feedback from key stakeholders and other competency module stewards. Educational materials and assessments have been reviewed by clinical experts. Next steps include submitting the final plan for leadership approval, assessment upload onto the shared education platform, and module roll out.  Final results will report on departmental integration to assess the module's effectiveness in ensuring clinical proficiency. 

The implementation of this competency module is expected to enhance pharmacist workflow efficiency and reduce variability in PCA practices. By aligning with national safety standards and providing targeted adult and pediatric training, the project will support better patient outcomes through safer analgesic management. Processes will be established for ongoing updates to ensure the continuous improvement and sustainability of the competency.