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Community_training_plan2007.xls

PHARMACEUTICAL COUNCIL OF WESTERN AUSTRALIA Pre-Registration Training Plan for the First Segment - Months 1 to 3 Objective: To ensure the competencies are achieved by each Graduate Trainee Pharmacist with consistent experience gained by all.
Orientation and discussion of time allocation and prioritisation of tasks with preceptor Familiarise with cash register policies and credit facilities available to customers Distinguish between required and other texts, their location and appropriate uses Familiarise with extemporaneous product preparation equipment and procedures Review Dispensing Practice Guidelines APF Initiate near miss event reporting of preregistrant incidents in dispensary Review Guidelines for Pharmacists providing medicines information to patients APF Review NHS/PBS explanatory notes (yellow book) Review labelling of extemporaneous products Prepare daily, weekly and monthly task lists of your duties Receive prescriptions from patients and check details for legality and completeness Review Beta-Blockers and other antihypertensives such as prazosin, clonidine and methyldopa Review the medication and devices used to treat travel sickness Communicate simple customer requests to other staff Review PBS/RPBS explanatory notes (yellow book) Review Extemporaneous Dispensing Notes and General Formulary APF Authenticate and interpret prescriptions and review patient history Review Calcium Channel Blockers, ACE Inhibitors and Angiotensin II Antagonists Clarify simple prescription problems with the prescriber Learn the pharmacy's procedure for the day-to-day ordering of ethicals, special orders and the rationale behind the use of Familiarise with drug information resources, such as Drug Information Centres, including their location and type of information Familiarise with the pharmacy's procedures in case of armed hold-up or burglary Develop monthly Professional Plan for month 2 Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Accurately dispense prescriptions and establish checking procedures Review the Professional Practice Standards APF for medication aids (dosettes, Webster Pack) Learn the pharmacy's procedure for providing dose administration aids to community patients Review Topical Nasal Decongestants including sprays, drops and inhalations Hand out simple prescriptions and counsel patients on the safe and effective use of their prescribed medication Review the Standards for the Provision of Pharmacy Only and Pharmacist Only Medicines in community pharmacy and The Professional Role of Pharmacists in Assisting Self-medication by Consumers APF Familiarise with the handling of customers and accounts for Health Insurance Funds Counsel on the correct use of nasal drops and sprays Consolidate a procedure for checking and handing out prescriptions Review the regulations and pharmacy procedure for dosing Methadone & Subutex clients Review the drugs used to treat respiratory problems such as asthma and emphysema Review the use of laxatives in the treatment of constipation Counsel patients on the use of metered dose inhalers, turbuhalers, accuhalers and other asthma drug delivery devices Review Pharmacist Only and S3R regulations, SUSDP Appendix H (advertising S3s) and Council policy on the advertising of laxatives, antacids, analgesics & recordable products Learn the pharmacy's daily cashing up and banking procedures Use CMI or other written information to assist medication counselling Discuss the appropriate action to take when a drug interaction is detected Discuss how to deal with an unusual dose or strength of a drug as far as who to contact and how to articulate the problem Review Hormone Replacement Therapy and the treatment of osteoporosis Review basic Vitamin and Mineral Supplements Review the regulations regarding telephone prescriptions, including checking the authenticity of the caller.
Familiarise with the different sources of supply of stock Review the information provided by drug companies and phone one with a query Review dispensary checking procedures including identification of items easily misinterpreted, eg: Luvox, Lovan, Lasix, Losec Review the drugs used to treat/prevent infection other than Antibiotics, such as Antiviral agents and Antimalarials Advise patients on the use of nebulisers and vaporisers Review the restrictions on the retail sale of Pharmacy Only and Pharmacist Only Medicines in the Poisons Regulations Commence preparation for a major project culminating in a talk to a community group. You can prepare a detailed handout and any other necessary materials. Choose a topic which you feel you could improve your knowledge in eg Vitamins, herbal Review prophylactic therapies against travel related illness Review Guidelines for Pharmacists on PBS Brand Substitution APF Review General Practitioners' and Pharmacists' Interprofessional Communication APF Review professional development provided by professional associations Develop monthly Professional Plan for month 3 Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Learn how to generate Drugs of Addiction and Owing Prescription Reports for review at the end of each month Review Cardiac Glycosides, Antiarrhythmics and Anticoagulants Review popular complementary medicines and homeopathy Discuss how to communicate problems to a prescriber Review the laws for keeping prescription, patient and Doctor's Bag Order records, including what information is required, under what legislation is it described and how long must the records be kept Develop guidelines for questioning patients Review the procedures for regulation 24 and dental prescriptions Review topical eye, ear, nose and throat drugs Review OTC eye, ear, nose and throat preparations Practise counselling techniques for patients on multiple medications (polypharmacy) Review emergency supply legislation & regulations regarding urgent supply of S4s and S8s Learn stock control systems, including point-of-sale systems Review the instructions for the correct use and storage of eye/ear drops Discuss when to refer for different conditions 3.2.2, 8.4.3, 8.6.4, 8.6.5 Use referral forms (eg QCPP) to refer patients to other health practitioners eg physiotherapist Prepare an NHS claim on disc and process prescription forms for the claim Review the drugs used to treat GI ulcers and reflux, including triple therapy regimens Review OTC Antacids, H2-Antagonists and Proton Pump Inhibitors Understand the principles of and participate in stock rotation Identify patients suitable for medication management review assignment Learn the backup and update procedures for the computer Review preparations used in the treatment of skin infections of bacterial, fungal and viral origin Form strategies for counselling patients with English as a second language Review the Council policy, Poisons Regulations 19-21and SUSDP Part 2 regarding Dosage Administration Containers, including Learn the pharmacy's procedures for paying wages and keeping records and review the relevant Pharmacy Award Participate in adverse drug reaction reporting to ADRAC and retrieval of information from them Review entering extemporaneous prescriptions into the computer and labelling requirements Review treatment of topical fungal infections, atopic dermatitis, dry skin and eczema Make an intervention eg. Contact a doctor to discuss on out of stock item and suggest an alternative Familiarise with seasonal ordering procedures 1.3.3, 7.1, 7.2.2, 7.3.3 Conduct staff training eg. on the treatment of heartburn, indigestion and reflux and the differential diagnosis of angina Discuss the concept of life-long learning for pharmacists Develop monthly Professional Plan for month 4 PHARMACEUTICAL COUNCIL OF WESTERN AUSTRALIA Pre-Registration Training Plan for the Second Segment - Months 4 to 6 Supervising Pharmacist: Graduate Trainee Pharmacist: Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Review treatment of allergies, psoriasis, acne Review treatment of bites and common rashes, acne/pimples, seborrhoea, dandruff Review counselling for isotretinoin, etretinateReview forensic and NHS requirements for isotretinoin, etretinate; labelling requirements for various topical preparations; restrictions on prescribingParticipate in control of suppliers' accounts (colation of invoices with statements, credits, forward charging, settlement discounts, Research computer-based drug information systems (eg: Martindale Online, ePharm) Discuss chemicals requested for hobby and home use Perform a dispensary check for dated stock and deal with out-of-date stock appropriately Review narcotic and non-narcotic analgesics Review sunscreensPerform a drug of addiction stock check and review S8 regulations, including destruction of unwanted S8s and storage Familiarise with the concept of yearly stock turn Review resources available for information on complementary medicines Review dispensing of NHS authority prescriptions Review drugs used to treat angina and ischaemic heart disease Review topical analgesics and treatment of burns Review guidelines for counselling carers/agents and information on support groups Review the Pharmacy Act and Regulations including the registration of pharmaceutical chemists and pharmacies Review the processing, recording and retention of records requirements for Doctor's Bag Orders Review treatments for vaginal thrush and cystitis Review counselling on contraception and sexually transmitted diseases Review the Pharmacy Act Regulations including the requirements of Appendix C Develop monthly Professional Plan for month 5 Preregistrant Signature:Preceptor Signature: Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Review wound care principles and the use of various bandages/dressings Review the Pharmacy Act Regulations including advertising and Code of Ethics Review other internet based information sources including discussion groups Review Clinically Important Medicine Interactions APF Review treatments for haemorrhoids and counsel on the correct use of suppositories Explain and demonstrate the use and care of crutches and other walking aids Review the SUSDP, Poisons Act and Regulations Review guidelines for hiring medical aids and appliancesPrepare a daily activities chart for an insulin dependant diabetic including timing of doses, blood glucose monitoring, food and Review the procedure for handing out and storage of dispensed medicines Review Diabetes and its treatments including insulin and oral hypoglycaemics Counsel on the use of diabetic monitoring devices Review the Code of Ethics and its application, the Code of Professional Conduct, the Privacy Act and APF Review security guidelines for the pharmacy Review prioritising procedures in the dispensary Review drug treatments for Parkinson's Disease and EpilepsyFamiliarise with diabetic support groups and Diabetes Australia and review their services Review the Poisons Act Regulations including prescribing and sales restrictions on certain drugs, eg: clomiphene, camphor, Familiarise with the principles of shop layout, customer flow, efficient space management and occupational health and safety Review anti-epileptic drugs which pass into breast milk and consider the overall use of anti-epileptic medication in pregnancy Review the dispensing of Controlled Drugs Review oral hygiene practice and products 1.1.2, 1.2.1, 1.2.2, 6.1.3Review guidelines for Methadone and Subutex counselling and communicating with doctors, patients and the Health Department LE1 Review the legal requirements related to the Methadone program and Poisons Act ammendments regarding needle and syringe Familiarise with the principles of stock placement Develop monthly Professional Plan for month 6 Preregistrant Signature:Preceptor Signature: Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Discuss the action that would be taken in a situation of potential or actual misuse of prescribed medication Review how to deal with a suspected case of medication misuse Review the drugs used to treat thyroid and other endocrine disorders Make a clinical intervention - contact a doctor to discuss optimal use of medicines in a patient Review Controlled Drugs in relation to procuring, prossessing and prescribing by dentists Review how to deal with inquiries regarding poisoning Review Guidelines for Pharmacists for Concordance Assessments APF Review the calculation of PRF totals and the issuing of safety net cards and paperwork Review oral and parenteral corticosteroids Review veterinary products and references Review S4 regulations in relation to veterinary prescribing and Appendix H of the Poisons Act Regulations Prepare an information chart for a patient taking oral corticosteroids where the dose is decreasing over a three week period Review the use of C&A labels and typed extra information according to the APF Review miscellaneous hormones, anabolic steroids etc Contact a local branch of the Nursing Mothers' Association and inquire about their services and support Review the Rules of the Pharmaceutical Society of WA Review the guidelines for handling and minimising complaints Prepare a chart of commonly used paediatric preparations including dose and indications Review the guidelines/action in situations of potential or actual patient mismanagement Review advertising regulations, Code of Ethics, Statement on Pharmacists' Professional Responsibilities and the Poisons Act Review Appendix H of the SUSDP and S3 advertising regulations Prepare a chart outlining the exclusion times for common infectious diseases of childhood Take role in supervising and controlling staff eg. Instruct a junior staff member or pharmacy student how to handle prescriptions Plan and conduct a staff training session eg. On a new product, or how to handle S2/S3 requests Review the system for maintenance of owing prescriptions. Describe/implement improvements.
Develop monthly Professional Plan for month 7 Preregistrant Signature:Preceptor Signature: PHARMACEUTICAL COUNCIL OF WESTERN AUSTRALIA Pre-Registration Training Plan for the Third Segment - Months 7 to 9 Supervising Pharmacist: Graduate Trainee Pharmacist: Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Review the role of dispensary assistants and the limits of their responsibility Review commonly prescribed paediatric antibiotics Review the Poisons Act and Regulations for S7s Familiarise with the concept of estimating staff requirements Review medications which may or may not be crushed prior to administration Perform a quality audit of the pharmacy and follow up as necessary Review the role of unqualified staff in the handing out of dispensed medications Review other prescribed medications for infants and children Review oral infant medicationsFamiliarise with local community support groups including SIDS, PND and NMA Familiarise with marketing methods as they relate to pharmacy Review the recommended immunisation schedule for children under 5 years of age Review the pharmacist's legal responsibilities for dispensing records and signatures Review baby products including teething gels, nappy products etc Review drugs in pregnancy and discuss the categorisation of drugs. Familiarise with the process of staff recruitment including interviewing, selecting, appointing, orientation and training Review treatments for coughs and colds in pregnancy and prepare a chart of OTC products which can or cannot be used Review procedure for handling dispensing erros Review foot care including diabetics and geriatrics Review the Privacy Act including confidentiality of patient records, PRF information etc Familiarise with the principles of budgets and budgeting controlProvide a clinical testing service in the pharmacy eg. Blood pressure monitoring, blood glucose measurement. This could be 2.1.1, 3.1.5, 3.2.2, 6.3 done on one day a month or as a one-off 'event' Develop monthly Professional Plan for month 8 Preregistrant Signature:Preceptor Signature: Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Review the guidelines for the disposal of unwanted medicines Practice counselling patients with disabilities, Alzheimer's Disease, elderly etc Familiarise with economic parameters and business ratios that contribute to profitable business operations. Review key performance indicators and their use in the pharmacy eg. Average sale, prescription numbers Prepare information to give to a carer of a patient with Alzheimer's Disease Describe sterile and aseptic techniques employed in the preparation of pharmaceutical products and the equipment used Discuss health promotion programs and initiatives Review OTC medicines and products used by the elderly including antacids, laxatives, dressings, etc Review the Guidelines for Pharmacy Services to Nursing Homes and Residential Care Facilities List the dressings used in the treatment of leg ulcers in the elderly including their name, dressing type and mode of action Review osteo and rheumatoid arthritis and DMARDs Review the treatment and prevention of scabies and lice Review the use of IR lamps, specialist dressings and thermometers Review Controlled Drugs/restricted substances in institutions including ordering and storage. Review specified drugs Review professional pharmacy organisations and resources available, eg: SHPA, AACP Review the drugs used to suppress appetite and treat obesity Discuss action to be follow to deal with a forges prescription Review OTC products used to suppress appetite and treat obesity Discuss diet/counselling for obese patients Review the scheduling and legal uses of amphetamines, ephedrine and pseudoephedrine. Complete patient medication management assignment Develop monthly Professional Plan for month 9 Preregistrant Signature:Preceptor Signature: Attend continuing education lectures as applicable Prepare extemporaneous preparations as necessary Review drugs acting on the GIT excluding ulcer medication Review menstrual problems and iron replacement Review professional ethics and Code of Ethics Discuss the principles of how to motivate staff Describe the preparation of sterile cytotoxic pharmaceuticals including a description of equipment used and action to be taken in Review contraceptives and family planning Prepare a list of actions to be taken in the case of a missed OC pill Review the legislation on Occupational Health, Safety and Welfare and Equal Opportunity Conduct an Occupational Health and Safety audit of the Pharmacy Discuss the pharmacist's involvement in therapeutic drug monitoring Review the Pharmacy Act including the provisions relating to the practice of pharmacy Review stocktaking procedures including the use of POS systems and insurances Discuss how the results of TDM can be used clinically Review the drugs used to treat alcoholism, smoking cessation, heroin addiction and overdose Review sports supplements including vitamins Review the POS system including what it offers in terms of stock management, stock control, data, reports, etc Prepare a checklist for when seeking employment as a locum Plan and conduct a public health display in the pharmacy eg diabetes awareness (include photos as evidence) Discuss principles of staff rostering and prepare a roster (could be theoretical) Review resources for dealing with enquiries relating to the use of drugs in sport Present a talk to a community group (eg: Seniors group) Develop a revision plan for the rest of the year Run and manage the dispensary as if it were your own. Bring together all the principles that you have learned over the year.
Preregistrant Signature:Preceptor Signature:

Source: http://studentweb.usq.edu.au/home/w0049979/PCWAPreceptorSupportSite/docs/Community_training_plan2007.pdf

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