Introduction To Community Pharmacy Flashcards
Outline what community pharmacists do (7)
1) responsible for all aspects of medicines storage and supply
2) provide information on the sale of OTC medicines and general health care issues
3) carry out clinical assessment of prescriptions
4) oversee safe dispensing processes
5) counsel patients on effective medication use
6) some community pharmacists work in GP practises and advise on appropriate prescribing
7) provide advanced clinical consultations to patients after further education and training
Who can own a pharmacy? (3)
- a pharmacist
- body corporate, under management of a superintendent pharmacist (boots)
- the term pharmacy is a restricted title- may only be used in respect of a registered pharmacy or pharmaceutical department of a hospital or a health centre
List the different types of community pharmacies (5)
1) large multiples e.g boots
2) small multiples e.g day lewis
3) super markets e.g tesco
4) independents
5) hospital based community pharmacies
Explain the community pharmacy contractual framework (7)
NHS England 3 tiers
1) Essential services
- dispensing medication
- repeal dispensing
- disposal of unwanted waste
- promotional of healthy lifestyle
- signposting patients to other healthcare providers
- support for self-care
- clinical governance
2) advanced services (NHS commissioned)
3) enhanced services ( locally commissioned)
A) The GPhC set standards for registered pharmacies, the standards are set out under five principles, list these principles.
B) Outline what the standards are designed to do. (3)
A) principle 1 - identifying and managing risk in your pharmacy
Principle 2 - staffing issues
Principle 3 - pharmacy premises
Principle 4- delivery of pharmacy services
Principle 5 - equipment and facilities
B)
The GPhC standards are designed to:
1) strengthen the regulation of pharmacies
2) improve the quality of pharmacy practice
3) promote a safe and effective environment for delivering patient care.
Outline what PSNC does.
what is their goal? (3)
The PSNC promotes and supports the interests of all NHS community pharmacies in England. It is the role of the PSNC to liaise with the department of health to negotiate the contractual terms for the provision of NHS community pharmacy services
Their goal is:
1) develop the NHS community pharmacy service
2) enable community pharmacies to offer an increased range of high quality and fully funded services that meet the needs of their local community
3) provide value and good health outcomes forthe NHS and the public
Explain the role of a responsible pharmacist (5)
Ensures:
1) the safe and effective running of the registered pharmacy business
2) only one pharmacist can be the responsible pharmacist and any given time
3) in order to lawfully conduct a retail pharmacy business , a registered pharmacist must be in charge of the pharmacy- they must act as the responsible pharmacist
4) they establish, maintain and review pharmacy procedures which set out how activities are to be carried out in the pharmacy
5) the level of activities which may take place in the pharmacy will depend upon the level of supervision and wether the responsible pharmacist is absent
List what a responsible pharmacist notice must contain (4, 2)
Legal: the responsible pharmacist is
Legal : name
Legal: registration number
Legal : at this time the above named person is the pharmacist in charge of this pharmacy
- the RP notice must be placed in the registered pharmacy
- the notice allows the patient and public to identify who is responsible for the safe and effective running of the pharmacy
Explain why the responsible pharmacist record is important (3)
1) RP record is an important legal document
2) shows who the responsible pharmacist was at a given date and time
3) provides an audit trail in the event of any incidents or errors it shows who was accountable.
Explain what happens when the responsible pharmacist is absent (2)
1) the responsible pharmacist may be absent for up to a maximum period of two hours during the pharmacy business hours- runs from midnight to midnight
2) only certain activities can be carries out in the absence of the pharmacist
Describe the journey of a prescription (5)
1) prescription is booked in at pharmacy reception by dispensary assistant/ counter assistant
2) prescription is clinically validated by pharmacist
3) labeled on patient medication record (PMR) system by dispensary assistant
4) medicine is dispensed by pharmacy technician/ dispensary assistant
5) medicine is accurately checked by accuracy checking technician/ pharmacist
List the types of medicines found in the fridge and the fridge temperature
Vaccines, eye drops, insulin
2-8 degrees Celsius checked 2 times a day
What is the controlled drugs cabinet and list TWO drugs stored in it
Contains controlled drugs which are subject to “safe custody” requirements.
Methadone, morphine
The keys to the cabinet should be in the possession of the pharmacist at all times
Explain how medicine is separated in the dispensary (5)
1) A-Z by generic drug name
2) eye/ear/nose drops
3) creams
4) inhalers
5) injections/ suppositories/pessaries
Pharmacists make 90p per item dispensed . List some other things a pharmacist can do to generate revenue (2)
- enhanced or advanced services
- provide alternate non pharmacy services
Photography, perfumes, body piercing
