Ethics Flashcards
What is the ‘right culture’ based upon ?
The ‘right culture’ is a culture based upon the principles of fairness, quality, transparency, reporting, learning and safety.
What are the three reasons we raise concerns?
- duty of care
- protecting people receiving care
- public safety
Who can concerns be raised about ?
-anyone who comes into contact with the patient.
The people pharmacist professionals come into contact with during the course of their work e.g. pharmacists, pharmacy technicians, pharmacy owners, other healthcare professionals or people responsible for providing care for others e.g. carers.
Why can concerns be raised ?
Behaviours, competency, the working environment and any action that may compromise an individual’s safety.
What 3 cultures does a just culture promote ?
A just culture promotes an open culture (transparency and discussion), a reporting culture (raising concerns), and a learning culture (learning from mistakes).
Why can you report concerns on site or off site (e.g. placement) ?
-Bullying and harassment
-Unprofessional practice in clinical staff - a professional whose health or fitness to practise may be impaired
-Poor patient care – abuse of a person receiving care, patient harm
-Breach of patient confidentiality
-Lack of professionalism online
-Irresponsible or illegal prescribing
-A crime, or a civil offence (e.g. illegal diversion of medicines)
-A miscarriage of justice
-A cover-up of information about any of the above
What law /body protects pharmacists from unfair treatments of victimization once a concern has been disclosed ?
PIDA
What to do in the even of a dispensing error (in the correct order 1-8) …
1- Establish if the patient has taken any of the incorrect medicine
2- Inspect the incorrect medicine
3- Apologise
4- Never try to minimise the seriousness of the incident
5- Make a supply of the correct medicine ordered on the prescription, if appropriate
6- Establish their expectations
7- Provide details of how to complain to an ‘official body’ if requested
8- Try and establish what happened and what went wrong
NEXT STEPS …
9- Follow company procedures/ SOPs for reporting errors or complaints
10- Record, review and learn from errors made
11- Notify the pharmacist who was on duty at the time, if it was not you
12- Inform your professional indemnity insurance provider
Why is it important to maintain clear sexual boundaries ?
- can be serious and cause harm to the patient
- crossing these boundaries can damage public trust and confidence in both pharmacy profession and healthcare professions in general.
- there must be test between patients and professionals and that they will act in their best interests.
- if there is a sexual relationship is can affect and impure professional judgement from pharmacist.
Define sexual behavior …
Acts, words or behavior designed to arouse or gratify sexual impulses or desires
What is power imbalance ?
- people receiving care are in a vulnerable position, and pharmacy professionals are in power.
Power imbalance may be because personal information is shared with the pharmacy professional.
Pharmacy professionals should always be clear with the person receiving care about the reason for an examination or why they want them to come into the consultation room.
The person receiving care should be given all the information they need and the opportunity to ask questions, and they should give their consent before the pharmacy professional goes with them into a consultation room.
How can sexual breaches be avoided ?
- can be discussed with impartial colleague, pharmacy organization, professional leadership body, or professional indemnity insurance provider.
- find other care for person e.g. other pharmacist
- maintain professional relationship with patient even if it is them who show sexual behavior or transfer patients care.
- have a chaperone.
- remember cultural differences may affect an individuals view on what is acceptable
