chapter 2.1 MEP :Professionalism Flashcards
professionalism
a set of values , behaviours and relationships that underpin the trust the public has in pharmacists
professional judgement
the use of accumulated knowledge and experience , as well as critical reasoning to make an informed professional decision . it takes into law, ethical considerations , relevant standards and all relevant factors
professional empowerment
enabling professionalism and professional judgement . this creates an environment around an individual which enables all of the above.
standards and guidance
provides a framework which helps ensure good care, focused on patients. to have informed care and good decision making you should :
consider what is best for the patient
be guided by your education , training and cpd
conflicts of interest are usually declared to
employer
someone commissioning your services
a chairperson at a meeting you attend
interface between personal and professional lives : before providing advice to a family member you should consider
is it emergency
could they be sent to a more appropriate practitioner
can you remain objective
is confidentiality an issue
are you aware of current care
do you have all necessary info
can you demonstrate transparency
do you have access to all care records
what is in the best interest of the patient
professional indemnity
it is required for every pharmacist to have professional indemnity insurance
revalidation helps pharmacy professionals to :
keep their professional skills and knowledge up to date
reflect on how to improve
demonstrate to the public and to patients how they provide safe and effective care
for revalidation pharmacists must keep on record :
4 CPD cycles
peer discussion
reflective account
an independent prescriber
a practitioner who is responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and can make prescribing decisions to manage the clinical condition of the patient
a supplementary prescriber
a practitioner who prescribes within an agreed patient specific written clinical management plan agreed in partnership with a doctor
mentoring
a mutually beneficial professional relationship.
punitive culture
assigning blame and punishment . it contributes to creating a culture of fear
culture principles for patient safety incidents
patient safety is paramount
deliberate harm and unacceptable risk impacting on patient safety must not be tolerated
patient safety is maintained by healthcare professionals being candid and raising concerns and learning from incidents to improve systems , standards , policies , legislation and people
how to report adverse events
the yellow card scheme
how to handle dispensing errors
Take steps to let the patient know promptly
2 Make things right (this may involve contacting the prescriber)
3 Offer an apology
4 Let colleagues involved in the error know.
When making a risk assessment factors to consider include:
Hazards – this could be a substance or a process that could cause harm such as handling cytotoxic medicines; mixing up medicines packed in similar looking packages or with similar names; temperature control of medicines, storage areas, etc.
The risk. This is how likely harm is to take place. Is it very likely indeed (e.g. mixing up two similarly-packaged medicines with similar names placed side-by-side on the shelf) or not likely (e.g. harm coming to staff when handling blister-packed cytotoxic medicines)?
The degree of harm likely. Is the harm likely to be only minor, or severe? Is it short-lasting or permanent?
Who may be harmed – e.g. employees / self-employed, service users, patients, customers, visitors, etc
Any preventative measures to reduce or eliminate the risk – e.g. colour coding systems; protective equipment. It is important to remember that you do not always need to eliminate a risk, just reduce it to a reasonable level. Sometimes trying to eliminate risk entirely does more harm than good, as it might prevent you doing an important task.
Record the outcome – e.g. in standard operating procedures
key components of pharmaceutical care
the patient assessment to identify unmet pharmaceutical care needs and issues
the development of a pharmaceutical care plan to document the needs identified
to agree patient outcomes , the actions required or taken and the follow up required
medication optimisation
looks at how people use medications and acknowledge that the way people use medicines over time may changed
4 principles of patient optimisation
aim to understand the patients experience
evidence based choice of medications
ensure meds used are as safe as possible
make medicines optimisation part of routine practice
medicines reconciliation
identifying an accurate list of a patients current medicines
key points :
are the sources you are using up to date
cross check adherence
non-daily medications
self selected medicines
medication review definition
a criteria exam of a persons medications with the objective of reaching an agreement with the person about treatment , optimising the impact of medications , minimising the number of medication related problems and reducing waste
poly pharmacy
term used to describe the situation when people are taking a number of medications
