Lecture 9: Intro To Pharm Pactice, Pharmacist Entry Level Competencies Flashcards

0
Q

How was the HPCA 2003 set up? And what organisations does it involve

A

Pharmacy council set up by minister of health to assure he competence of pharmacists

Also medical council, nursing council etc

Pharmacy council of NZ assumed statutory functions previously held by pharmaceutical society of NZ (registration etc)

PSNZ (Inc.) became a voluntary professional body concentrating on eduction, professional development etc.

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1
Q

What is the purpose of the health practitioners competence assurance act 2003?

A

Designed to ensure public safety by assuring the competence of health professionals

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2
Q

Why is the pharmacy council an important part of the HPCA?

A

Because pharmacists are the best to judge what pharmacists should be doing

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3
Q

What is competence?

A

The ability of an individual to do a job consistently to a professional level. Utilising the appropriate knowledge, skills, behaviour and attitudes

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4
Q

What are the statutory roles of the pharmacy council

A

Registration of pharmacists (incl. from overseas)

Definition of scopes of practice (new pharmacist prescriber scope launched in 2012)

Entry level competency assessment (internship programme)

Ongoing competency assessment and issue of annual practicing certificates

Competence review and screening for disciplinary referral

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5
Q

What are the 7 entry level competencies

A

1) practice pharmacy in a professional and culturally competent manner
2) contribute to the quality use of medicines
3) provide primary health care
4) apply management and organisation skills
5) research and provide information
6) dispense medicines
7) prepare pharmaceutical products

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6
Q

How is competence requirement 1 kept in check?

A

By acts and regulations e.g. HPCA act, medicines act and regulations, misuse of rugs act, privacy act etc

By the code of ethics

By cultural competence (new requirement)

By the role of the pharmacy council, PSNZ inc. and other bodies

By ongoing competence assessments (necessary for APC)

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7
Q

How is entry level competence 2 kept in check?

A

By clinical pharmacy / pharmacotherapy: based on knowledge of diseases and drug therapy

By pharmaceutical care; medication review

By medication counselling

By drug information provision

By prescribing advice; formularies; guidelines

By collaborative prescribing in future e.g. For pharmacists becoming pharmacy prescribers with the GP e.g. Warfarin

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8
Q

How is entry level competence 3 kept in check?

A

Pharmacist as the first contact of health practitioner

By pharmacist noting symptoms and differentials diagnosing

By pharmacist providing treatment or referral

By OTC prescriptions

By health promotion

By health education

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9
Q

How is entry level competence 4 kept in check?

A

By self management

Financial / business management

Personnel management

Strategic planning

Risk management

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10
Q

How is entry level competence 5 kept in check?

A

Using sources of biomedical and drug info: records, electronic databases, texts etc

By information retrieval

By critical evaluation

By communication of information and documentation

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11
Q

How is entry level competence 6 kept in check?

A

By legal, ethical and administrative provisions: medicines act, code of ethics, PHARMAC schedules etc

By pharmaceutical provisions: dose, indication, adverse rectilinear and interactions etc
Relevant studies in pharmaceutics, pharmacy practice me pharmacotherapy

By medication counselling: using communication skills

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12
Q

How is entry level competence 7 kept in check?

A

Via legal, ethical provisions

Via health and disability services, pharmacy services (standard NZS 8314.7 standards 5,6,7)

By standard operating procedures

By pharmaceutical issues: stability, expiry, incompatibilities etc

By sterile and non sterile products (currently entry level competence required for non sterile)

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13
Q

What are the pharmacy practice themes?

A
Professional communication
Law and ethics
Medicines information
Social aspects of pharmacy practice including cultural competence 
   Dispensing and compounding (including aseptic technique)
   Responding to symptoms (OTC)
   Health promotion/education
   Novel services
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14
Q

Who developed the intern programme?

A

Developed and defined by the pharmacy council

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15
Q

How is the intern pharmacist scope of practice different to the pharmacist scope of practice?

A

It is identical to the PSP except the intern must work under the supervision of a pharmacist

The intern is expected to have the basic skills

16
Q

What is the pre registration training programme?

A

Provided by PSNZ

40 week educational programme from feb to nov

Intern usually based in hospital or communist pharmacy under supervision or preceptor ( some split site arrangements)

Study days, on site assessments, assignments
Assessment centre in November

Assessed against entry level competency standards

Successful interns eligible to register as pharmacists