Ann Privett

Transcript

1. Ann Privett FPS The Emerging role of Pharmacists
2. • Community • Hospital • Clinical eg: PHO’s, Prescribing Pharmacists • Drug Company • Government eg: Pharmac, Ministry of Health, DHB’s PHARMACISTS ROLES
3. COMMUNITY PHARMACIST’s
4. Information, Advice , Medications and no appointment needed.
5. Cough, Colds and all manner of minor aliments
6. Dispensing, medications, pills and potions
7. A lot goes on behind the scenes
8. • Patient is Registered with a pharmacy – patients are encouraged to use the ONE pharmacy for dispensing • Pharmacy develops a management plan which detail the actions that the pharmacist and the patient will work together on to address the adherence issues • Send a report to their GP ( in the future) • Document all interactions with the patient • Re- assess every year to make sure that the patient still meets LTC criteria LTC : Long Term Condition Service
9. • LTC identifies adherence problems and provides practical Aids to help improve adherence • LTC manages the dispensing . Making sure that they stay synchronised , taking the prescribed medication at the correct time, Provides organisation for their medications ( repeat reminders ) • Happens while patient is in pharmacy as part of the dispensing process • LTC – highlights the problems and increases the need of higher level medication management services in pharmacy LTC : Long Term Condition Service
10. Medico Packs, blister packs, compliance packs etc…
11. Counselling
12. Consulting Rooms
13. • Visiting health professionals eg :Asthma Nurse Educator. • Personal consultations eg ECP , UTI , • Blood Pressure Monitoring • Weight loss • First Aid • Opens up doors to new services: vaccinations and CPAMS Consulting Rooms
14. • Uses the CoaguChek meter using a finger prick to obtain blood for testing • Records clinical information relevant to Warfarin treatment. • Provides automatic dosing using a unique dosing algorithm. • Records all results in tabular and graphical format. • Provides a scheduling system and automatic e-mail reminders for patients. • Results are sent via email into the GP’s computer CPAMS – Community Pharmacy Anticoagulation Management service
15. CPAMS
16. Provides a printed dosing calendar to aid compliance Patient comes into the pharmacy
17. CPAMS : Community Pharmacy Anticoagulation Management Service • “Better Sooner More Convenient” Patient Care
18. • Working to their level of expertise • Working with Doctors • New opportunities CPAMS
19. • MUR :Medication Use Review • It’s a sit down ,face to face could be up to an hour discussion on their beliefs about their medications reasons for taking or not taking their medication , and solving their issues • MUR finds out the reason why the patient is not adherent • May involve some clinical solutions • Pharmacist needs to be accredited • Providing them through community pharmacy since 2004 • “ information gained from the pharmacist is extremely helpful” “ the fact that a patient has had a review enables me to make more informed clinical decisions on their medication Medication Management Reviews
20. • MTA : Medication therapy assessment • Takes place in consultation with other healthcare providers • Pharmacist needs information from the Prescriber • It asks the question “Is this the most appropriate medication” • Provides a report with recommendations on medications issues • Rest Home • Pharmacists needs Post Graduate Qualifications Medication Management Reviews
21. Vaccinations
22. • Pharmacists need to be accredited • Flu, Whooping cough, Shingles and Meningococcal • Access • Comments “ no appointment needed” “ Great information, learnt a lot” Vaccinations
23. • Prescribing Pharmacists: Independent, work alongside GP’s • PHO Pharmacists : Visit GP’s, advise on prescribing , can do medication reviews Clinical Roles
24. • Minor Ailments Service • Funded Smoking Cessation • Medication Reviews • Prescribing Pharmacists • Clinical Hospital Services (evidence-based -reduced mortality) • Immunisation Services • Point-of-Care Monitoring Services e.g. Clozaril • IT platform that enables communication between GP and hospital and pharmacy THE FUTURE
26. › Ann Privett FPS Miramar Unichem Pharmacy › 58 Miramar Ave › Miramar › Ph 04 3888516 › miramarpharmacy@xtra.co.nz › annprivett@xtra.co.nz Thankyou