According to the Pharmacy and Drug Act, section 11.1:
“A licensee must ensure that there is always a pharmacist who is registered in either the clinical register category or the courtesy register category of the college’s regulated members register present and supervising the practice of pharmacy at the licensed pharmacy when the public has access to the licensed pharmacy.”
In other words, there must be a pharmacist (from the clinical or courtesy register) on duty, supervising the pharmacy team when the pharmacy is providing pharmacy services.
According to the Pharmacy and Drug Regulation, section 17:
A licensed pharmacy may be without a clinical pharmacist or a courtesy pharmacist during the hours of operation if:
Provisional pharmacists (or interns) and provisional pharmacy technicians are recognized on the provisional register for training. The objective of the Structured Practical Training (SPT) program is to develop competence and confidence in applying the skills required to be a pharmacist or pharmacy technician, and thus requires the attendance and oversight of a supervising regulated member. Skill development and evaluation is the primary intent of the program, not the accumulation of hours.
Provisional pharmacists must not be scheduled to work independently without a supervising pharmacist present. A pharmacy site that is providing pharmacy services must have a pharmacist on site.
Who requires direct supervision?
When direct supervision is required, the supervisor must
Who can practise under indirect supervision?
When indirect supervision is appropriate, the supervisor must
Direct supervision is still required for any intern administering drugs by injection. To administer drugs by injection, the intern must
Furthermore, clinical decision making by the intern, such as adapting a prescription, should be made in consultation with the supervising pharmacist before the pharmacy service is provided to the patient. Initial access prescribing must only occur if the supervising pharmacist themselves has established a professional relationship with the patient at the time of prescribing.
A pharmacy student, provisional pharmacist, or provisional pharmacy technician who works in a pharmacy must always be supervised and must also have a supervising regulated member assigned. If a pharmacy student, provisional pharmacist, or provisional pharmacy technician is working in an institutional setting, like a hospital, or a community pharmacy outside of the SPT program or an educational rotation, they must submit a work experience notification form (pharmacist) or a work experience notification form (pharmacy technician) as applicable. This notification form identifies the supervising regulated member who will accept responsibility for the practice of the student, provisional pharmacist, or provisional pharmacy technician.
It is important to note that even if these individuals are not participating in a structured learning environment, their presence still requires continual support and monitoring. All pharmacy team members should be aware of the student or provisional registrant’s roles, limitations of practice, and the level of supervision required.
The Health Professions Restricted Activity Regulation authorizes a pharmacy technician, under the direction of a clinical pharmacist, to perform certain restricted activities. “Under the direction of a pharmacist” does not necessarily require the “directing” pharmacist to be on the same shift as the technician. The pharmacist providing direction must be engaged in the practice of pharmacists in the same pharmacy as the pharmacy technician. There must be a system in place in the pharmacy that complies with the Standards of Practice for Pharmacists and Pharmacy Technicians and under which a pharmacist is available to consult with, provide guidance to and, if necessary, provide assistance to the pharmacy technician. The pharmacy technician must report to the pharmacist who is responsible for providing direction.