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National Competency Standards Framework for Pharmacists in ...

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Standard 4.3 Dispense prescribed medic<strong>in</strong>es<br />

Per<strong>for</strong>mance Criteria<br />

3 Considers factors likely to<br />

compromise product efficacy<br />

and stability when repackag<strong>in</strong>g<br />

medic<strong>in</strong>es out of their orig<strong>in</strong>al<br />

conta<strong>in</strong>ers/packag<strong>in</strong>g.<br />

4 Applies legible, comprehensible<br />

and complete labels to<br />

dispensed medic<strong>in</strong>es.<br />

5 Incorporates relevant cautionary<br />

and advisory directions <strong>in</strong>to<br />

the labell<strong>in</strong>g of dispensed<br />

medic<strong>in</strong>es consistent with<br />

legal requirements and<br />

professional conventions.<br />

6 Ensures dispensed medic<strong>in</strong>es<br />

and the applied labels directly<br />

correlate to the prescribed<br />

medic<strong>in</strong>es and dos<strong>in</strong>g regimen.<br />

7 Accepts responsibility <strong>for</strong><br />

ensur<strong>in</strong>g dispensed medic<strong>in</strong>es<br />

are issued (and adm<strong>in</strong>istered<br />

<strong>for</strong> supervised dos<strong>in</strong>g <strong>in</strong> the<br />

pharmacy) to the correct<br />

consumer.<br />

8 Takes prompt action to<br />

m<strong>in</strong>imise the impact of<br />

dispens<strong>in</strong>g errors and reduce<br />

the risk of recurrence.<br />

Element 2 – Manage records<br />

1 Completes prescription records<br />

<strong>for</strong> dispensed medic<strong>in</strong>es,<br />

<strong>in</strong>clud<strong>in</strong>g controlled substances,<br />

consistent with legal<br />

requirements.<br />

2 Ma<strong>in</strong>ta<strong>in</strong>s accurate and<br />

up‐to‐date consumer<br />

medication records<br />

consistent with professional<br />

standards and conventions.<br />

3 Accurately records details of<br />

medication <strong>in</strong>cidents (<strong>in</strong>clud<strong>in</strong>g<br />

‘near misses’) <strong>in</strong>clud<strong>in</strong>g the<br />

actions taken to m<strong>in</strong>imise their<br />

effects and prevent recurrence.<br />

Evidence Examples<br />

• Ability to describe factors (e.g. light sensitivity, deliquescence) relevant<br />

to specific products that affect the advisability of or conta<strong>in</strong>er/packag<strong>in</strong>g<br />

selection <strong>for</strong> product repackag<strong>in</strong>g.<br />

• Ability to produce labels <strong>in</strong> which the type face is large enough and dark<br />

enough to be easily read, <strong>in</strong>structions are expressed <strong>in</strong> readily understandable<br />

English, are adapted to meet specific consumer needs (e.g. poor sight) and<br />

<strong>in</strong>clude all the <strong>in</strong><strong>for</strong>mation specified by the prescriber.<br />

• Ability to select a site <strong>for</strong> the label that does not cover important <strong>in</strong><strong>for</strong>mation<br />

provided by the sponsor company such as expiry date, batch number,<br />

storage requirements or dos<strong>in</strong>g <strong>in</strong><strong>for</strong>mation.<br />

• Ability to use ancillary labels or cautionary and advisory statements as<br />

specified <strong>in</strong> legislation, the Australian Pharmaceutical Formulary and<br />

Handbook (APF) and otherwise as considered appropriate.<br />

• Ability to use the prescription as the primary source <strong>for</strong> check<strong>in</strong>g that both the<br />

label and dispensed medic<strong>in</strong>e exactly correlate to the prescribed medic<strong>in</strong>es.<br />

• Ability to demonstrate a rigorous and systematic process <strong>for</strong> check<strong>in</strong>g<br />

medic<strong>in</strong>es dispensed by others, <strong>in</strong>clud<strong>in</strong>g non-pharmacists.<br />

• Ability to demonstrate the use of a check<strong>in</strong>g process of consumer/dos<strong>in</strong>g<br />

details with those on the prescription at the time prescription medic<strong>in</strong>es,<br />

<strong>in</strong>clud<strong>in</strong>g those <strong>for</strong> which there is supervised dos<strong>in</strong>g (e.g. methadone),<br />

are supplied.<br />

• Ability to describe the steps necessary to m<strong>in</strong>imise the impact of dispens<strong>in</strong>g<br />

errors on consumers and m<strong>in</strong>imise the risk of recurrence.<br />

• Ability to describe the record<strong>in</strong>g requirements <strong>for</strong> prescription medic<strong>in</strong>es,<br />

<strong>in</strong>clud<strong>in</strong>g controlled substances.<br />

• Ability to demonstrate ma<strong>in</strong>tenance of prescription records that <strong>in</strong>clude<br />

prescription annotations and comply with legal requirements.<br />

• Ability to describe and/or demonstrate compliance with professional<br />

conventions <strong>in</strong> relation to ma<strong>in</strong>tenance of consumer medication records.<br />

• Ability to promptly access additional guidance from professional guidel<strong>in</strong>es<br />

and standards.<br />

• Ability to describe appropriate record<strong>in</strong>g and response requirements <strong>for</strong><br />

dispens<strong>in</strong>g errors such as provided <strong>in</strong> Procedure to follow <strong>in</strong> case of a<br />

dispens<strong>in</strong>g error (Pharmaceutical Defence Limited).<br />

• Ability to demonstrate compliance with workplace procedures <strong>for</strong><br />

document<strong>in</strong>g and respond<strong>in</strong>g to medication <strong>in</strong>cidents.<br />

2<br />

The <strong>Competency</strong> <strong>Standards</strong><br />

Element 3 – Assist consumer understand<strong>in</strong>g and adherence<br />

1 Liaises with the consumer/carer<br />

to clarify their <strong>in</strong><strong>for</strong>mation needs.<br />

• Ability to communicate with consumers/carers to confirm their knowledge<br />

and understand<strong>in</strong>g of their disease/condition and medications and clarify the<br />

level, type and <strong>for</strong>m of <strong>in</strong><strong>for</strong>mation required.<br />

<strong>National</strong> <strong>Competency</strong> <strong>Standards</strong> <strong>Framework</strong> <strong>for</strong> <strong>Pharmacists</strong> <strong>in</strong> Australia 2010 45

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