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National Competency Standards Framework for Pharmacists in ...

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Doma<strong>in</strong> 5 Prepare pharmaceutical products<br />

Standard 5.1<br />

Standard 5.2<br />

Standard 5.3<br />

Standard 5.4<br />

Consider product requirements<br />

Prepare non-sterile drug products<br />

Aseptically prepare sterile drug products<br />

Prepare cytotoxic drug products<br />

2<br />

NOTE: Standard 5.1 underp<strong>in</strong>s all of the <strong>Standards</strong> <strong>in</strong> this Doma<strong>in</strong>.<br />

Standard 5.1 must be used <strong>in</strong> conjunction with each of <strong>Standards</strong> 5.2, 5.3 and 5.4.<br />

This Doma<strong>in</strong> <strong>in</strong>cludes those <strong>Competency</strong> <strong>Standards</strong> required <strong>for</strong> the extemporaneous preparation of s<strong>in</strong>gle or<br />

multiple units of a medic<strong>in</strong>e <strong>in</strong>tended <strong>for</strong> immediate issue and/or use by a specific consumer. It also encompasses the<br />

competencies required <strong>for</strong> aseptic preparation of sterile products, <strong>in</strong>clud<strong>in</strong>g those conta<strong>in</strong><strong>in</strong>g cytotoxic drugs.<br />

<strong>Pharmacists</strong> are <strong>in</strong>volved <strong>in</strong> prepar<strong>in</strong>g pharmaceutical products <strong>in</strong> a range of sett<strong>in</strong>gs where the available equipment<br />

and facilities may vary significantly. For example, pharmacies <strong>in</strong> public hospitals are commonly equipped with cleanroom<br />

facilities and related consumables whereas it is uncommon <strong>for</strong> community pharmacies to have such facilities.<br />

Most community pharmacies have some <strong>in</strong>volvement <strong>in</strong> the preparation of non-sterile pharmaceutical products.<br />

A few community pharmacies have extensive <strong>in</strong>volvement <strong>in</strong> the preparation of pharmaceutical products, to the extent<br />

that it has become an area of <strong>in</strong>terest <strong>for</strong> the pharmacy.<br />

The provision of prepared pharmaceutical products is a professional service <strong>in</strong>volv<strong>in</strong>g the use of medication related and/or<br />

cl<strong>in</strong>ical <strong>in</strong><strong>for</strong>mation to make professional judgements impact<strong>in</strong>g on QUM. There<strong>for</strong>e, refer also to Doma<strong>in</strong> 6 Promote and<br />

contribute to optimal use of medic<strong>in</strong>es.<br />

Where pharmacists are required to take overall responsibility <strong>for</strong> the quality, efficiency and effectiveness of compound<strong>in</strong>g<br />

services refer also to Doma<strong>in</strong> 3 Leadership and management. In facilities where sterile products are prepared these<br />

pharmacists would be expected to have a thorough knowledge of relevant Australian <strong>Standards</strong>, <strong>in</strong>clud<strong>in</strong>g those <strong>for</strong><br />

cleanrooms and clean workstations and cytotoxic drug safety cab<strong>in</strong>ets.<br />

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

Standard 5.1 Consider product requirements<br />

Note: This standard underp<strong>in</strong>s all of the standards <strong>in</strong> this Doma<strong>in</strong> and is to be used <strong>in</strong> conjunction with each<br />

of the follow<strong>in</strong>g:<br />

• Standard 5.2 Prepare non-sterile drug products<br />

• Standard 5.3 Aseptically prepare sterile drug products<br />

• Standard 5.4 Prepare cytotoxic drug products.<br />

This Standard is concerned with the ability of pharmacists to determ<strong>in</strong>e the constra<strong>in</strong>ts that may<br />

apply to a requested or required product (sterile and non-sterile), whether a cl<strong>in</strong>ical need exists<br />

and whether suitable equipment and <strong>in</strong>gredients are available. It also covers identification of a<br />

safe and appropriate <strong>for</strong>mulation and actions to be taken on behalf of the consumer if a product<br />

cannot be prepared.<br />

Standard 5.1 Consider product requirements<br />

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

Evidence Examples<br />

Element 1 – Consider legislative and professional obligations<br />

1 Understands specific codes<br />

and regulations that apply<br />

to the preparation of<br />

pharmaceutical products.<br />

2 Complies with workplace<br />

practices and professional<br />

conventions <strong>for</strong> product<br />

preparation.<br />

• Demonstrated understand<strong>in</strong>g of relevant codes (e.g. Pharmaceutical<br />

Inspection Convention and Pharmaceutical Inspection Co-operation<br />

Scheme (PIC/S) Guide to Good Manufactur<strong>in</strong>g Practice <strong>for</strong> Medic<strong>in</strong>al<br />

Products) and legislative requirements.<br />

• Ability to describe professional standards and conventions as well<br />

as workplace policies and procedures <strong>for</strong> the preparation of<br />

pharmaceutical products.<br />

<strong>National</strong> <strong>Competency</strong> <strong>Standards</strong> <strong>Framework</strong> <strong>for</strong> <strong>Pharmacists</strong> <strong>in</strong> Australia 2010 47

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