Overview of e-portfolio Learning Activities for Part III Community Pharmacy Placements Placement Module 2 & 3 The following sections must be completed for Placement. Pre-placement Preparation My Glossary Daily Learning Record Hospital or Community Pharmacy Placement section Reflection Pre-Placement Preparation Confirmation of placement preparation form. Contacted placement site Adhere to privacy code Read and adhere to Pharmacy Council of NZ social guidelines Revise hand hygiene Code of Health and Disability Commissioner My Glossary Refer back to Placement 1 My Glossary to build on with new terms or expand on previous understandings. Daily Learning Record Complete the Daily Learning Record Table Medicine Management and Medication Safety Chart/Prescription Review Review as many as possible prescription forms and if possible medicine charts for an Age Residential Care Facility and describe the main issues the pharmacist is looking for prior to the dispensing/medicine supply process. Medication History Taking and Information Gathering Describe five sources of information you can use to help provide a complete history of a patient s medications. Medication History Guide Create your own medication history guide using the resources provided and your learning from Clinical and Professional Skills module 1 and 2. Medication History Taking Undertake several medicine histories from a variety of LTC patients then choose ONE to reflect on. How was the experience, what have you learnt from it and how did you manage the conversation with the patient in order to gather the information needed?
Medicine Reconciliation Explain the term Medicine Reconciliation in your own words, as if you were describing this to someone who has no understanding of this. Briefly explain how a medicine reconciliation differs from a person s medication history. How would you define a difference vs a discrepancy in a medicine reconciliation? List some common types of discrepancies including an example of an intentional and a non-intentional discrepancy. Care Plan/Medication Review Undertake a full Medication Review/Care Plan for at least one patient. Refer to your medication history taking guide and gather the relevant information from a variety of sources including taking a medication history from the patient. Complete and upload Background Information for Care Plan Form Undertake a Medicine Reconciliation to establish a complete accurate medicines list for the patient you are undertaking a Care Plan/Medication Review on. Complete and upload Medicines Reconciliation Form Analyse and evaluate the gathered information to identify medicine related problems. Complete and upload the Medication profile form. Write a care plan using the form provided to prioritise the identified medicine related problems and provide options and recommendations to resolve these. Complete and upload the Care Plan form Write a formal letter that is appropriate for a health professional involved in the care of the patient you have undertaken a care plan/medication review for. For example the patient s doctor. (Approximately 500 words). This letter must include: Brief introduction that you have undertaken a medication review for this patient Brief summary of the patient s current status Summary of the issues you identified backed up with appropriate facts and your recommendations to resolve the issues you identified. Each identified issue should be in a separate paragraph. Current list of prescribed medicines the patient is taking.
Reflect on your Care Plan/medication review process, what you learnt, what aspects went well, and what aspects didn t go well identify your own learning needs or areas you need to improve on next time you undertake a careplan/medication review. Medicines Management Briefly explain who is eligible to for the Long Term Conditions (LTC Service) which is provided by community pharmacies. Briefly explain the difference between Intentional Non-Adherence and Unintentional Non-Adherence and provide examples to demonstrate your understanding. Medicine Safety List some common dispensing errors, how they are documented and any subsequent actions, when dispensing medication. E.g. incorrect dose calculations, incorrect product choice. Describe the control steps you have observed that minimise medication / dispensing errors? E.g. Tall Man lettering, product placement on shelf. List some precautions the community pharmacy undertakes when dispensing high risk medicines e.g. colchicine, warfarin, cytotoxic medicines. Complete the following pharmacovigilance form for an Adverse Drug Reaction. List a summary of the information that is required in order to complete a CARM report if there is a need to report an adverse Drug Reaction (ADR) to NZ Pharmacovigilance Centre. Controlled drugs are handled differently from other medicines. Describe the process including the prescription form, storage, recording, how the drugs are delivered to and managed in the pharmacy.
Providing Patient Care Thinking about your consultations/interacting with patients, and describe in your own words the term Patient Centred Care. Patient Education Converse with as many patients as possible about their prescribed medication when handing out dispensed medicines in the pharmacy. Use this template to record several patient interactions where you have provided patient education on prescribed medications, then choose ONE to submit for assessment. Describe two cases where you have had to discuss a patient s adherence to their medication or lifestyle factors. Providing Primary Health Care and OTC medicines consultations. The role of the pharmacist in providing primary health care is to encourage and assist people to take responsibility for their own health. Primary health care incorporates holistic care of patients including attention to lifestyle, diet, health promotion, illness prevention, referral and the supply of non-prescription medicines, therapies, diagnostic and therapeutic aids. This involves the pharmacist in treatment, referral and education. You are expected to provide primary health care on as many occasions as possible during your placement under the watchful eye of a supervising pharmacist, and to record cases. You should familiarise yourself with some of the commonly recommended OTC products, including medication for children. Advise as many patients/customers on OTC preparations i.e. Gather information from the patient, assess appropriate treatment and provide patient-centred advice on pharmacological and/or nonpharmacological treatment for an over the counter consultation. Submit ONE summary for a General/Pharmacy only Medicine interaction with a health consumer for assessment. Submit ONE summary for a Pharmacist only Medicine interaction with a health consumer for assessment. Developing as a Medicine Expert Medicines Information Enquiry From the Medicines Information Enquires you have answered select ONE and complete the form. These can be; administration/dosage, adverse effects, availability/supply, choice of therapy, interactions, pharmaceutics related, pharmacology related, pharmacokinetic related.
Criteria Interpretation Briefly describe in your own words what section 29 medicines are, what details must be included in the record that is sent to Medsafe and what information the medical practitioner must provide to the patient. Briefly describe the term special authority. Interpret three Pharmac special criteria restrictions on supply of medicines by stating what the restriction means to the patient and the pharmacist dispensing the item e.g. compounding a cream/ointment, dispensing of methylphenidate Medicine Knowledge Complete the table for respiratory inhalers covering; Generic name of the medicine/active ingredient; Trade name of the medicine product; Mechanism of action of medicine/active ingredient; Clinical indication; Form of device; Duration of action; What advice would you provide a patient?; Are there any special requirements with regard to this medicine product? Consider the therapeutic classes of medicine below and complete the table for OTC cough and cold medicines using all medicine categories i.e. General Sale Medicine, Pharmacy Only Medicine, Pharmacist Only Medicine. For the following categories; analgesic, oral decongestant, intra-nasal decongestant, anti-tussive, expectorant, mucolytic, gargle/lozenge/throat spray, complementary medicine, other; please list: Generic Name, Medicine Classification, Mechanism of action, symptoms medications indicated to treat, examples of OTC products in each class of medication. Community Pharmacy Management. Based on the operation of the pharmacy you have been in during your placement, describe pharmacists tasks, roles and responsibilities they undertake in the pharmacy, in addition to providing direct patient care. For example (but not limited to), membership of committees, teaching, staff training, management, quality improvement initiatives, quality standards and audit requirements, staff management, financial management, reports, interacting with professional organisations and advocacy organisations. (Maximum of 300 words)
Other Evidence for Optional Learning Activities Reflection Briefly describe the 5 most important aspects in providing good patient care, you have learnt and observed during your pharmacy placement. Briefly describe, in your view, what your pharmacist s key contribution to patient healthcare is. What aspects of the pharmacy setting appeal to you and why? Provide two detailed reflections on two aspects of what you learnt, went well, didn t go well and learning needs identified/actions. Reflecting on your preceptor s and your own mid and end point assessment of your skills think about your progress and list five specific skills you would like to work on for the future. Learning Plan Create a learning plan for one of your identified learning needs do I have the skills/knowledge etc.