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1 General Pharmaceutical Council, Dispensing Assistant programme reaccreditation report National Pharmacy Association, 22 July 2014

Reaccreditation of a Dispensing / Pharmacy Assistant programme, National Pharmacy Association (NPA)

Report of a reaccreditation event, 22 July 2014

Introduction The General Pharmaceutical Council (GPhC) is the statutory regulator for pharmacists and pharmacy technicians and is the accrediting body for pharmacy education in Great Britain.

Background The National Pharmacy Association (NPA), ‘the provider’ is a trade organisation and membership comprises community pharmacy owners. The NPA Professional Development Department supports community pharmacy owners with support staff training. The NPA was originally accredited by the previous regulator, the Royal Pharmaceutical Society of Great Britain. In 2011, a GPhC accreditation team agreed to recommend to the Registrar of the General Pharmaceutical Council that the NPA dispensing assistant course should be reaccredited for a period of three years from March 2011, subject to the following three conditions. 1. The qualification must be mapped to the National Occupational Standards and submitted to the GPhC for review and approval by the accreditation team. Thereafter there must be a process in place where this is regularly reviewed other than when the qualification is due for reaccreditation by the GPhC.2. The provider must ensure that the training materials correctly state that the dispensary assistant course is taught and assessed at level 2, even though the first four modules are common to the knowledge-based qualification for level 3. This must be clear to in all documentation available to the public and students. 3. The GPhC must be notified when the IT initiative involving online training materials and assessment is launched. 4. All outstanding mapping errors and adjustments must be rectified. Conditions 1, 2, and 4 must be met by 1 May 2011. All conditions were met. The accreditation team made the following recommendation: A separate guide is produced for locum pharmacists/pharmacy technicians who may work with a trainee. This should be available within the ‘Supervisors’ Guide’ to enable locums to understand their training obligations. In response, the NPA decided that any locum who is acting as a witness for the students would need to read the whole Supervising Pharmacists guide as all information contained within is essential for full understanding of the course. The NPA representatives at the present event told the accreditation team that none of them had been in post at the time of the last accreditation but were aware of the outcomes.


Documentation The provider submitted submission documentation to the GPhC in line with agreed timescales and a pre-event meeting took place at the General Pharmaceutical Council headquarters at Lambeth on 2 July 2014. During the pre-event meeting the schedule of meetings and timings for the accreditation event were confirmed. The following documents were submitted by the provider in advance of the accreditation event:

- Completed GPhC submission template ‘Accreditation of dispensing/pharmacy assistant programmes’. - Evidence documents: - Module 1 Marking Form, Textbook, Workbook and Guidance Marking - Module 2 Marking Form, Textbook, Workbook and Guidance Marking - Module 3 Marking Form, Textbook, Case Studies, Multiple Choice Questions (MCQs) and Guidance Marking - Module 4 Marking Form, Textbook, Case Studies and Activities, MCQs and Guidance Marking (3 versions: England and Wales, Scotland, Northern Ireland). - Supervising pharmacist’s guide - Candidate guide - Learning Contract with Module 1 - Patient Confidentiality Agreement - Personal Profile Exercise - Evaluation Form - NPA Course Policies and Procedures 2014 comprising: Assessment procedure; Appeals procedure; Malpractice and Plagiarism Policy and Procedure; Quality

Assurance Procedures – Comparative Marking Procedure for New Markers, Ongoing Comparative Marking Procedure, Random Assessment Procedure and associated documents; Reviewing and Updating Course Material; Dyslexia Procedure.

- Role Profiles of all Staff Members. - CV of Course leader, QA pharmacist and Head of Department - Application Form - Numeracy and Literacy Skills Document - Marker Contract (Appendix 6) and Service Level Agreement - Marker Information Pack - Certificate

The following document was submitted at the event:

- Level 2 (ADAC) to Level 3(QCF) Transfer Process Flow Chart


The event The event was held on 22 July 2014 at the NPA offices in St Albans

Accreditation team The GPhC’s accreditation team (‘the team’) comprised:

Name Designation at the time of accreditation event

Mrs Barbara Wensworth* Accreditation team leader, Freelance Consultant Pharmacist Mrs Cath Davies Mrs Donna Bartlett

Accreditation team member, Health Science Co-ordinator, Stoke-on-Trent College (proxy member) Accreditation team member, Area compliance co-ordinator, Whitworth Chemist Ltd

Professor Dorothy Whittington

Accreditation team member (Lay), Emeritus Professor of Health Psychology, University of Ulster and Non-executive Director, Northern Health and Social Care Trust (Northern Ireland)

along with:

Name Designation at the time of event

Ms Joanne Martin * Quality Assurance Manager (Education), General Pharmaceutical Council Ms Jenny Clapham * Dr Ian G Marshall

Quality Assurance Officer, General Pharmaceutical Council Rapporteur , Emeritus Professor of Pharmacology, University of Strathclyde, Glasgow

*attended pre-event meeting on 2 July 2014

Declaration of potential conflicts of interest No potential conflicts of interest were declared.


The accreditation criteria

Accreditation team’s commentary

1. The Training Programme All of the seven criteria relating to the training programme are met. The documentation submitted stated that the course is designed to meet the minimum training requirements for those working in the dispensary including meeting the requirements of the S/NVQ level 2 (QCF) in Pharmacy Service Skills. The course is open to candidates employed by members of the NPA within community or other sectors of pharmacy. The course is also made available to NPA (non-member) customers, i.e. large multiple pharmacy chains. Admission onto the course is determined by supervising pharmacists (on behalf of employers) for staff members, whose role involves them working in the dispensary. The programme consists of four modules (Introduction to Dispensing Practice and Stock Control, Pharmacy Practice and Procedures, Pharmacy Law and Ethics, The Drug Tariff). The programme is undertaken on a distance learning basis with students working through the modules at their own pace over a period of 6 months to 1 year. The team was told that the course has not undergone any major changes since the last accreditation and that the provider looks at national QCF Standards and takes account of the result of the previous accreditation in determining the appropriateness of the level of the course. Although independent pharmacy assessors are used from the outset of the course, the team considered that it would be better to use NVQ Level 2 assessors to help with the benchmarking of the level of the course. The team was told that staff of the NPA had undertaken a capability exercise organised by the Chartered Institute of Personal Development on writing distance learning materials and the use of the correct terminology with respect to outcomes for different levels; future developments in this area will be the responsibility of a newly recruited Professional Development Manager. The team told the provider’s representatives that it considered that the target group of students for Modules 1 and 3 would not be able to develop appropriate communication, and team-working skills to gain a more rounded understanding of cultural and diversity issues likely to be encountered in diverse communities in which they might work; it suggested that the course team re-visit equality and diversity issues contained in these modules. Additionally, the team noted that there appeared to be additional issues with the mapping where it has not been mapped to the correct areas; for example, there is confusion between issuing stock and issuing prescriptions. The team pointed out to the provider where the inaccuracies had occurred and the team indicated to the provider that it should re-map the curriculum. Each module is assessed with an individual piece of coursework. Modules 1 to 4 all consist of one summative assessment and also contain formative assessments in the form of inter-text activities, and in the case of Modules 3 and 4, multiple choice question papers. Each summative assessment has a detailed guidance marking which is regularly updated and sent to all markers for the course. External self-employed markers are used for the marking of assessments. All new markers undergo 100% Comparative Marking until the NPA Quality Assurance Pharmacist is happy with the level of accuracy and quality of feedback given to each learner.

2. Academic Management Structures

All of the four criteria relating to Academic and Management Structures are met. The programme is a 6 month to 1 year course; under extenuating circumstances the course may be extended for a further 12 months


at the discretion of the NPA Pharmacist Course Leader, following consultation with the supervising pharmacist. Students are required to pass assessments for all four Modules in the programme. For Module 1 and 2 this consists of completion of a workbook (summative assessment), while for Module 3 and 4 there is a formative assessment in the form of an MCQ and a summative assessment in the form of case studies. External self-employed markers who are registered pharmacists or pharmacy technicians are currently used for the marking. For new markers all modules marked undergo 100% comparative marking by an experienced NPA marker and feedback is given at regular intervals. The 100% comparative mark continues until the NPA Quality Assurance Pharmacist is happy that the marker is working to a consistently high level comparative to peers for all 4 modules. Each marker is evaluated using a Quality matrix based on amount of errors and analysis of comparative marking. Any marker may be recalled for 100% Comparative marking if there are concerns related to the quality of marking or feedback given to students. Guidance marking is provided for each module detailing the criteria to follow when marking student’s coursework. If a student is unhappy with an assessment decision either the student or the supervising pharmacist must write to the NPA stating the reason behind the appeal. The student is asked to forward their work to the Course Leader. The Professional Development Pharmacist marks the module independently to the initial marker and reviews the mark and grade awarded. Students are made aware that the grade may be lowered, raised, or stay the same as a result of the review. The supervising pharmacist is contacted within 14 days of receipt to discuss the outcome. A full review of the training material is conducted at least annually by the Course Leader, with review of the Law and Ethics Module and The Drug Tariff Module undertaken every 6 months, to reflect the fact that these topics are subject to the most changes. If a major change occurs during a course an addendum is sent to all current students and included as a supplement in the module for those students who enrol before the formal update. A log of all amendments has been kept on an on-going basis. Cases of malpractice could be identified by students, supervising pharmacists, peers, markers or NPA personnel. Where identified these should be reported to the NPA in writing, with supporting evidence as applicable. The NPA will acknowledge the report within 7 working days and investigate the allegation. A panel comprising the Course Leader, Professional Development Manager and Quality Assurance Pharmacist will consider the findings of the report and decide upon further action required dependent on the specific case.

3. Resources All of the eight criteria relating to Resources are met. The NPA Professional Development Department is made up of a team of a mix of pharmacists, pharmacy technicians, member liaison officers and student support officers. The team is led by the Head of Professional Development, a senior management position reporting directly to the NPA Chief Executive. The Head of Professional Development is supported by the Professional Development management team consisting of the Professional Development Manager, Member Liaison Manager and Quality Assurance Pharmacist. The Professional Development Pharmacists report to the Professional Development Manager. The NVQ Centre Manager is a registered pharmacy technician and reports directly to the Quality Assurance Pharmacist. The student’s supervising pharmacist is responsible for tutoring and mentoring. The supervising pharmacist is provided with a guide at the beginning of the course which outlines the course structure and content, guidance on study time, assessments including worked examples, their roles and responsibilities, quality assurance procedures, what to do if candidates are having problems completing the course and require additional time or support, the


appeals procedure, equality procedure, how to coach and give feedback. The pharmacist is responsible for helping the student through their course and bridging the gap between the theory of the modules and the practical aspects of working in a pharmacy. In addition to the supervising pharmacist, NPA Professional Development Pharmacists are also available for support and guidance. A student interviewed by teleconference expressed herself as satisfied both with the course and the level of support she had received during her studies. The NPA contracts 16 self-employed external markers/assessors to mark summative assessments who are either pharmacists or registered pharmacy technicians. The markers/ assessors are given the resources required to undertake the marking of modules and assessment of portfolios including all guidance marking and supplementary course materials. The NPA uses a record- keeping computer system (Integra – a bespoke customer relationship management IT system) which allows for electronic recording of student details including pharmacy address, supervising pharmacist, courses enrolled on, any disabilities, a log of all communication with the student and grades received. The course is to be completed within a period of 6-months to 1- year time frame, though extensions are permissible. The documentation explained that from the 2013 enrolments the completion rate to date has been lower than desired. The NPA is currently investigating ways to increase success rates within the 6-month to 1-year period. The student support strategy has been implemented in 2014 to give all active student regular status letters detailing the grades held for them on the system and relevant dates e.g. enrolment date and expected completion date. If required, an outbound call is made to the student 3 months after the letter is sent if there is no contact or progression on the course. End of course student feedback evaluations are sent to all students with their certificate. Additionally, there are online evaluation forms. Evaluation forms are analysed and used to improve the course to ensure it better meets the students and members’/customers’ needs.


Summary and conclusions The team agreed to recommend to the Registrar of the General Pharmaceutical Council that National Pharmacy association should be reaccredited as a Dispensing Assistant course provider for a period of 3 years. No conditions were set. The accreditation team identified an area of strength: The team recognised the progress made by the NPA education team and will look forward to the next visit to see its continuation.

The full record and report includes other comments from the team and the Registrar regards the record and report in its entirety as its formal view on provision. Providers are required to take all comments into account as part of the reaccreditation process. Standing condition of accreditation: These are the conditions which will apply in all circumstances of Dispensing Assistant accreditation: 1. The General Pharmaceutical Council has assumed responsibility for the regulation of pharmacy education. The Pharmacy Order, the legislation establishing the

General Pharmaceutical Council as regulator, states that the General Pharmaceutical Council accept previous decisions of the Society. In this context, that means previous accreditation decisions of the Society will stand.

2. The recommendations are not binding on the Registrar and the Registrar may add, remove or modify points on reflection and in light the accreditation panel views. 3. The General Pharmaceutical Council’s record and report will be sent to the NPA shortly to comment on factual accuracy. The providers must respond to the

definitive version of the record and report within three months of receipt. 4. Thereafter the summary report, along with the NPA response, will be published on the General Pharmaceutical Council’s website and remain for the duration of the

accreditation period. The record remains confidential to the Training provider and the General Pharmaceutical Council. 5. All accredited providers are required to inform the General Pharmaceutical Council annually of changes to the curriculum and/or resources.


The Pharmacy Order 2010 states: Schedule 1 The Council’s duties in respect of publications 6. (2) The Council may from time to time publish or provide in such manner as it sees fit guidance to registrants, employers and such other persons as it considers

appropriate in respect of the standards for the education, training, supervision and performance of persons who are not registrants but who provide services in connection with those provided by registrants.

Reference: http://www.legislation.gov.uk/uksi/2010/231/contents/made

Following the above event, the Registrar of the General Pharmaceutical Council subsequently accepted the accreditation team’s recommendation and approved the course for reaccreditation for a further period of three years, until the end of September 2017.

http://www.legislation.gov.uk/uksi/2010/231/contents/made


Appendix 1 - Accreditation Criteria 1. The training programme

a. The programme is equivalent to one or more units of the S/NVQ level 2 (QCF)

b. The unit(s) the course is designed to cover are specified.

c. The course content covers the relevant units of the ‘GPhC underpinning knowledge template’ (see mapping of the course to the programme requirements).

d. For each unit, the transfer of underpinning knowledge into the workplace is demonstrated through the use of a variety of methods

e. The programme is taught at Qualifications Credit framework level 2.

f. The programme is planned with reference to the S/NVQ (QCF) level 2 underpinning knowledge template.

g. Assessments have been developed by subject experts from the Pharmacy sector and directly relate to the relevant units of the S/NVQ (QCF) level 2 underpinning knowledge template.

2. Academic and Management Structures a. Assessment process and strategies assure appropriate standards in assessment and that students are able to demonstrate fitness for purpose.

b. In the processes of programme review and development, the training provider has taken account of advances in pharmacy practice, for instance recent POM to P reclassifications, and developments potentially impacting on pharmacy.

c. Course regulations include procedures for appeals against assessment decisions

d. Course regulations include procedures for dealing with suspected plagiarism and/or malpractice

3. Resources a. Buildings, human, equipment, and other resources available to the training provider are sufficient for the effective delivery of the course to the numbers of

students on the course, and overall.

b. Record keeping systems are able to generate data on candidates completing, completion rates, student sector of practice and disability.

c. Systems are in place for issuing certificates of completion to successful students in the GPhC’s approved format

d. There is an appropriate mix of tutors, mentors and assessors.

e. The student has access to a personal tutor or tutors for academic guidance and pastoral care.

f. The student is instructed in the use of information resources.

g. There are adequate student feedback mechanisms in place.

h. The training provider seeks to provide the student with a positive learning experience.


Mapping to programme requirements Please demonstrate how the training programme has been designed to meet one or more units of the NVQ level 2 (QCF) Pharmacy Services by providing a mapping using the tables below.

1. Assist with the provision of a pharmacy service to meet individual needs

To demonstrate knowledge and understanding in this NOS , assistants should be able to apply:

Name of document and unit/module number

Page

Legislation, policy and good practice

1.1 A working knowledge of SOPs and the importance of adhering to them at all times

Module 1 Section 2 Module 2 Section 2

19-20 22-28

1.2 A working knowledge of the importance of maintaining individual satisfaction, loyalty and confidence to the organisation and how you contribute towards it


5-18 35-39, 41-44

1.3 A working knowledge of the organisation’s policy on individual service and individual relationships and how this applies to your role


5-18 35-39, 41-46

1.4 A working knowledge of the organisations procedure for handling complaints

Module 1 Section 1

14-17

1.5 A working knowledge of the importance of working within the limits of your competence and authority

Module 1 Section 3 38-39

1.6 A working knowledge of the importance of establishing the requirements of individuals clearly and accurately

Module 1 Section 1

5-18

1.7 A working knowledge of the importance of verbal and non verbal communication when communicating with individuals

Module 1 Section 1

5-18

Provide information


1.8 A working knowledge of how to give clear and accurate information and check the individual’s understanding


10-12 25-27

1.9 A working knowledge of relevant products and services or advice for which information and/or advice is required

Module 1 Section 2 Module 1 Section 6 Module 2 section 7 Module 3 section 6 Module 3 Section 7 Module 4 Section 9 (E&W) Module 4 Section 9 (S) Module 4 Section 9 (NI)

25-27 85, 87-88 53-64 25-26 27-31 49-54 57-64 55-60

1.10 A working knowledge of where to get assistance if you can’t provide information and advice yourself

Module 1 Section 1 Module 1 Section 2 Module 1 Section 3

12-18 22, 25-27 38-39

1.11 A working knowledge of what source of information to use, what information can be given to the individual

Module 1 Section 2 Module 1 Section 3 Module 2 Section 3

25-27 38-39 37

1.12 A working knowledge of the source(s) of information that can be accessed and the information that can be given to individuals by the pharmacist

Module 1 Section 2 Module 2 Section 3 Reference sources e.g. BNF referred to throughout the four modules and there is a reference source list in the supervising pharmacist guide. Module 4 covers Drug Tariff

25-28 37 All

Resolve queries and complaints

1.13 A working knowledge of how to manage conflict and/or individuals who are angry

Module 1 Section 1 Module 1 section 3

14-16 44-45

1.14 A working knowledge of how to assess complaints and what action to take


1.15 A working knowledge of when you should refer complaints to a higher authority



2. Make sure your own actions reduce risks to health and safety

To demonstrate knowledge and understanding in this NOS , assistants should be able to apply knowledge of:


Page

2.1 What ‘hazards’ and ‘risks’ are Module 1 Section 5 63-64

2.2 Their responsibilities and legal duties for health and safety in the workplace

Module 1 Section 5 Module 2 section 7 Module 3 Section 12 Module 3 Section 14 Module 3 Section 15 Module 3 Section 16

62-63 56-59 73-76 87-90 91-94 97-98

2.3 Their responsibilities for health and safety as required by the law covering their job role

Module 1 Section 5 Module 2 section 7 Module 3 Section 12 Module 3 Section 14 Module 3 Section 15 Module 3 Section 16

62-63 56-59 73-76 87-90 91-94 97-98

2.4 The hazards which exist in their workplace and the safe working practices which they must follow

Module 1 Section 5

63-72

2.5 The particular health and safety hazards which may be present in their own job and the precautions they must take

Module 1 Section 5

63-71

2.6 The importance of remaining alert to the presence of hazards in the whole workplace

Module 1 Section 5

61-73

2.7 The importance of dealing with, or promptly reporting risks

Module 1 Section 5

63-71

2.8 The responsibilities of health and safety in their job description

Module 1 Section 5

62-63

2.9 The safe working practices for their own job role Module 1 Section 4 56-59


Module 1 Section 5

62-63

2.10 The responsible people they should report health and safety matters to

Module 1 Section 5

61-73

2.11 Where and when to get additional health and safety assistance

Module 1 Section 5

69-72

2.12 Their scope and responsibility for controlling risks Module 1 Section 5

62-72

2.13 Workplace instructions for managing risks which they are unable to deal with

Module 1 Section 5

62-63

2.14 Suppliers’ and manufacturers’ instructions for the safe use of equipment, materials and products which they must follow


64 57-59

2.15 The importance of personal presentation in maintaining health and safety in their workplace

Module 1 Section 5

62-63

2.16 The importance of personal behaviour in maintaining the health and safety of themselves and others

Module 1 Section 5

62-63

2.17 The risks to the environment which may be present in their workplace and/or in their own job

Module 1 Section 5

69-72

3. Contribute to the effectiveness of teams


Name of document and unit/module number Page

Values

3.1. A working knowledge of legal and organisational requirements on equality, diversity, discrimination and rights when working in teams


35-47 99-103

Legislation and organisational policy and procedures


3.2. A working knowledge of codes of practice and conduct, and standards and guidance relevant to their own roles, responsibilities, accountability and duties of others when working in teams to support individuals

Module 1 Section 3

35-47

3.3. A working knowledge of current local, UK and European legislation, and organisational requirements, procedures and practices for:

a) Accessing records b) Recording, reporting, confidentiality and sharing

information, including data protection

c) Team working

a) Module 2 Section 6

b) Module 1 Section 1 Module 2 Section 6 Module 3 section 17

Patient Confidentiality Factsheet Patient Confidentiality Agreement

c) Module 1 Section 3

50-51 17-18 50-51 99-100 36-39 41-44

3.4. A working knowledge of how to access up-to-date copies of the organisation’s workplace policies, procedures and systems, and practice and service standards related to team working


19-33 35-47

Theory and practice

3.5. A working knowledge of the principles that underpin effective team working


3.6. A working knowledge of individuals’ styles of interaction and how these can affect team working


3.7. A working knowledge of barriers to developing relationships within the team and how these can be overcome


3.8. A working knowledge of problems which may be encountered when relating to and interacting with other team members and how these can be best handled


3.9. A working knowledge of their own strengths and weaknesses as an individual worker and as a team member


3.10. A working knowledge of development and learning Module 1 Section 3 45-47


opportunities available to support them in team working and activities

5. Receive prescriptions from individuals



Page


5.1 A working knowledge of the importance of working within the limits of their own role and recognising when to refer to an appropriate person


22-23 38-39

5.2 A working knowledge of Standard Operating Procedures regarding the receiving of prescriptions and the importance of adhering to them at all times

Module 1 Section 2

Module 2 section 2 22-23 22

5.3 A working knowledge of current legislation relating to prescription charges and exemptions and differences in practice across the UK

Module 1 Section 2 Module 4 Section 16 (E&W) Module 4 Section 16 (S) Module 4 Section 16 (NI)

22-24 85-91 105-108 93-95

5.4 A working knowledge of regulations and procedures relating to prescriptions for clinical trials


5.5 A working knowledge of the relevant national and local guidelines, policies and procedures that are available and how and when they should be accessed

Module 1 Section 2 Module 2 section 2 Module 3 section 10 Module 3 section 12 Module 3 section 14

22-23 21-22 56- 57 73 87

5.6 A working knowledge of the different types of prescribers

Module 1 Section 1 Module 1 Section 2 Module 3 section 2

13-14 32-33 17-18


Module 3 section 8 Module 3 section 12 Module 3 section 13 Module 4 Section 2 (E&W) Module 4 Section 2 (S) Module 4 Section 2 (NI) Module 4 Section 12 (E&W) Module 4 Section 12 (S) Module 4 Section 12 (NI) Module 4 Section 13 (E&W) Module 4 Section 13 (S) Module 4 Section 13 (NI)

45-46 69, 76-79 81-82 9-14 9-15 9-13 67-68 77-79 71-72 69-72 81-85 73-77

Specific health related knowledge and skills

5.7 A working knowledge of the different types of prescriptions and when they are used

Module 1 Section 2 Module 3 section 2 Module 3 section 12 Module 3 section 13 Module 4 Section 2(E&W) Module 4 Section 2 (S) Module 4 Section 2 (NI) Module 4 Section 3(E&W) Module 4 Section 3 (S) Module 4 Section 3 (NI)

32-33 18 70, 76-79 81 9-14 9-15 9-13 15-18 17-21 15-19

5.8 A working knowledge of the different types of prescriptions and when they are used

Module 1 Section 2 Module 3 section 2 Module 3 section 12

32-33 18 70, 76-79


Module 3 section 13 Module 4 Section 2(E&W) Module 4 Section 2 (S) Module 4 Section 2 (NI) Module 4 Section 3(E&W) Module 4 Section 3 (S) Module 4 Section 3 (NI)

81 9-14 9-15 9-13 15-18 17-21 15-19

5.9 A working knowledge of exemptions and how individuals can claim refunds, including the use of official forms and prepayment certificates

Module 1 Section 2 Module 4 Section 16(E&W) Module 4 Section 16 (S) Module 4 Section 16 (NI)

24 86-88 106-108 93-95

Procedures and techniques

5.10 A working knowledge of how to deal with individuals with special needs

Module 1 Section 1

10-12

5.11 A working knowledge of the transactional and administration procedures as required by governmental regulations and those that apply to the workplace

Module 1 Section 2 Module 4 Section 16(E&W) Module 4 Section 16 (S) Module 4 Section 16 (NI) Module 4 Section 17(E&W) Module 4 Section 17 (S) Module 4 Section 17 (NI)

22-23 85-91 105-108 93-95 93-97 109-112 97-100

Records and documentation

5.12 A working knowledge of the importance of maintaining dispensary records

Module 1 Section 2 Module 2 section 6 Module 3 section 8 Module 3 section 9 Module 3 section 12

28-30 49-52 36-38, 40-45 49-53 71-74, 78-79 82-83


Module 3 section 13 Module 3 section 14 Module 3 section 16

87-88 98

6. Assemble prescribed items



Page


6.1. A working knowledge of the importance of working within the limits of their own role and recognising when to refer to an appropriate person

Module 1 section 3 Module 3 Section 12

38-39 71, 73-74

6.2. A working knowledge of current ethical and legal requirements that govern the dispensing and issuing of a prescription

Module 1 section 2 Module 2 section 2 Module 2 section 3 Module 2 section 4 Module 2 section 5 Module 2 section 6 Module 2 section 8 Module 3 section 6 Module 3 section 8 Module 3 section 9 Module 3 section 12 Module 3 section 13 Module 4 section 2(E&W) Module 4 Section 2 (S) Module 4 Section 2 (NI) Module 4 section 3(E&W) Module 4 Section 3 (S) Module 4 Section 3 (NI)

19-22 19-29 31-37 39-43 45-47 49-52 67-78 25-26 34-47 49-53 67-80 81-85 9-14 9-15 9-13 15-18 17-21 15-19


Module 4 section 4(E&W) Module 4 Section 4 (S) Module 4 Section 4 (NI) Module 4 section 5(E&W) Module 4 Section 5 (S) Module 4 Section 5 (NI) Module 4 section 12(E&W) Module 4 Section 12 (S) Module 4 Section 12 (NI) Module 4 section 13(E&W) Module 4 Section 13 (S) Module 4 Section 13 (NI)

19-22 23-29 21-26 23-25 31-32 27-29 67-68 77-79 71-72 69-72 81-85 73-77

6.3. A working knowledge of SOPs and the importance of adhering to them at all times

Module 1 section 2 Module 2 section 2

19-22 22-28

6.4. A working knowledge of relevant national and local guidelines, policies and procedures that are available including when they should be used and how to use them

Module 1 section 2 Module 2 section 2 Module 2 section 3 Module 2 section 4 Module 2 section 5 Module 2 section 6 Module 2 section 8 Module 3 section 8 Module 3 section 11

19-22 19-29 31-37 39-43 45-47 49-52 67-78 41-43, 45-46 65

6.5. A working knowledge of the importance of personal hygiene and correct use of protective clothing


56-59 69-72

6.6. A working knowledge of basic hygiene and the importance of maintaining a clean working


56-59 31-36


environment and equipment


6.7. A factual knowledge of the principles underlying the dispensing of sterile products

Module 1 section 4

57-59

6.8. A factual knowledge of factors which cause deterioration of stock including:

Environmental conditions

Storage conditions

Microbial contamination

Module 1 section 4

52-58

6.9. A factual knowledge of sources of contamination and appropriate corrective action including:

Microbial

Cross-chemical

Physical, environmental and storage conditions

Module 1 section 4

52-58

6.10. A factual knowledge of prescribing conventions and abbreviations

Module 2 section 2 24-25

6.11. A factual knowledge of the common proprietary and generic names

Module 1 section 6 Module 4 section 4(E&W) Module 4 Section 4 (S) Module 4 Section 4 (NI)

85-86 20-22 26-27 24-26

6.12. A working knowledge of dosage forms and their properties and use


6.13. A working knowledge of different strengths, doses and quantities of medicines, and why they are used and how to calculate them


74-75 67-79

7. Order pharmaceutical stock

To demonstrate knowledge and understanding in this NOS , assistants should be able to apply :


Page



7.1 A working knowledge of working within the limits of their own authority and when to refer to an appropriate person


38 77-79

7.2 A factual awareness of current legislation that applies to the ordering of pharmaceutical stock

Module 1 section 6

77-79

7.3 A working knowledge of their responsibilities under current legislation when ordering pharmaceutical stock

Module 1 section 6

77-79

7.4 A working knowledge of the importance of following ordering SOPs

Module 1 section 6

77-79

7.5 A working knowledge of the health and safety requirements related to ordering of pharmaceutical stock

Module 1 section 6

77-79

7.6 A working knowledge of local or regional pharmaceutical contracts

Module 1 section 6

75-76, 87-88


7.7 A working knowledge of the different formulation of drugs and why it is important to order sufficient quantities of the correct formulation and strength

Module 1 section 6

77-79

7.8 A working knowledge of the difference between branded and generic drugs

Module 1 section 6

85-86

7.9 A working knowledge of the importance of referring to current drug alerts and company recalls when ordering pharmaceutical stock


24-25 80

Ordering stock

7.10 A working knowledge of the sources and suppliers of stock

Module 1 section 6

75-77 87-89

7.11 A working knowledge of the procedures for Module 1 section 2 28


responding to urgent requests. Module 1 section 2

81

7.12 A working knowledge of the importance of taking account of seasonal variations when ordering pharmaceutical stock

Module 1 section 6

75

7.13 A working knowledge of the action to be taken if stock is unavailable


28 81 50


7.14 A working knowledge of the input and retrieval of stock data


77-79 49-52

7.15 A working knowledge of the parameters set for the computer ordering system

Module 1 section 6

77-79

7.16 A working knowledge of the importance of maintaining correct, accurate documentation, including backup systems to IT failure where appropriate.


77-79 49-52

8. Receive pharmaceutical stock



Page




38-39 79-83

8.2 A factual knowledge of current legislation and their responsibilities that apply to the receipt of


79-83 73-74 97-98


pharmaceutical stock

8.3 A working knowledge of the importance of following SOPs related to receiving pharmaceutical stock


79-83 73-74 97-98

8.4 A working knowledge of the COSHH and health and safety requirements related to receipt of pharmaceutical stock


69-72 79-83

8.5 A working knowledge of local or regional pharmaceutical contracts

Module 1 section 6

79-83 87-89


8.6 A working knowledge of the different formulation of drugs and why it is important to stock sufficient quantities of the correct formulation and strength

Module 1 section 6

79


Module 1 section 6

85-86

8.8 A working knowledge of the importance of referring to current drug alerts and company recalls when receiving pharmaceutical stock


24-25 80

Receiving stock

8.9 A working knowledge of the sources and suppliers of stock

Module 1 section 6

75-77 87-89

8.10 A working knowledge of the procedures that apply to receiving pharmaceutical stock, including:

a) only receiving stock identified on the original order b) expiry dates and batch numbers c) identifying damaged, contaminated or deteriorated

stock

Module 1 section 6

79-83



28 81 49-52

8.12 A working knowledge of the action to be taken if Module 1 section 6 79-83


received stock:

a) not on original order b) is not the complete order c) beyond expiry date d) has inconsistent batch number or batch number

for which drug alerts/recalls have been issued e) damaged or contaminated

8.13 A working knowledge of promptly informing the appropriate person of the availability of the stock where the goods received are for a special or outstanding order


28 81

Incorporating received stock into storage

8.14 A working knowledge of the storage requirements of different types of products and why they are important

Module 1 section 4 Module 1 section 6 Module 3 section 12 Module 3 section 14 Module 3 section 16

52-56 79-85 73-74 88 97

8.15 A working knowledge of the importance placing received stock in a manner that allows stock rotation


52-56 79-85

8.16 A working knowledge of the importance placing received stock in a safe storage environment


52-56 79-85 73-74 88 97

Resolve queries and complaints


Module 1 section 6 Module 2 section 6 Module 3 section 12 Module 3 section 13 Module 3 section 14 Module 3 section 16

79-83 49-52 71-73 82-83 87-88 97-98


8.18 A working knowledge of the parameters set for the computer ordering system where appropriate


79-83 49-52

8.19 A working knowledge of the importance of maintaining correct, accurate documentation, including back up systems to IT failure where appropriate


79-83 49-52

9. Maintain pharmaceutical stock


Name of document and unit/module Page




39 69-72 77,80, 84-85

9.2 A working knowledge of your responsibilities and current legislation that applies to maintaining pharmaceutical stock


69-72 77, 80, 84-85

9.3 A working knowledge of the importance of following SOPs related to maintaining pharmaceutical stock


19-22 70 79-82 71-76 87-88

9.4 A working knowledge of the health and safety requirements related to:

a) maintaining pharmaceutical stock b) disposing of outdated, damaged or

a)Module 1 section 4 Module 1 section 6 Module 3 section 12 Module 3 section 14 Module 3 section 16

52-59 84-85 71-76 87-88 97-98


decontaminated stock b)Module 1 section 5 Module 1 section 6 Module 3 section 12

69-72 84-85 74-76


9.5 A working knowledge of the different formulation of drugs and why it is important to stock sufficient quantities of the correct formulation and strength

Module 1 section 6 79



9.7 A working knowledge of the of the action to take immediately when drug alerts and company recalls are received


24-25 80

Maintaining stock

9.8 A working knowledge of the importance of maintaining a safe storage environment

Module 1 section 4 Module 3 section 12 Module 3 section 14 Module 3 section 16

52-59 71-76 87-88 97-98

9.9 A working knowledge of the storage requirements of different types of products and why they are important


52-59 71-76 87-88 97-98

9.10 A working knowledge of the importance of storing stock into the correct:

a) storage area b) location


52-55 79-85 71-80 87-88 97-98


9.11 A working knowledge of the importance of taking any special storage requirements into consideration


52-55 79-85 71-80 87-88 97-98

9.12 A working knowledge of the importance of good stock management, including:

a) the rotation of stock b) checking expiry dates of stock c) the quantity of stock - taking account of seasonal

variations d) identifying damaged, contaminated or deteriorated

stock

a) Module 1 section 6 b) Module 1 section 4

Module 1 section 6

c) Module 1 section 6 d) Module 1 section 6

82-85 52-53, 58 82 75 80



28 81

9.14 A working knowledge of the action to be taken if stock:

a) is beyond expiry date b) is damaged or contaminated c) has inconsistent batch number or batch number

for which drug alerts/recalls have been issued

a) Module 1 section 6 Module 1 section 5 Module 3 section 12

b) Module 1 section 4 Module 1 section 6

c) Module 1 section 6

80,82 71 74-75 52-59 80 80




79-83 49-52 71-76 82-83 87-88 97-98

9.16 A working knowledge of the parameters set for the Module 1 section 6 Module 2 section 6

79-83 49-52


computer ordering system

9.17 A working knowledge of the importance of maintaining correct, accurate documentation, including back up systems to IT failure where appropriate.


79-83 49-52

10. Issue pharmaceutical Stock



Page


10.1 A working knowledge of working within the limits of your their authority and when to refer to an appropriate person


26-27 38-39 28

10.2 A factual knowledge of current legislation that applies to issuing pharmaceutical stock


25-28 35-47 68-70, 76-79 82 97-98

10.3 A working knowledge of your responsibilities under current legislation when issuing pharmaceutical stock


25-28 28 68-70, 76-79 82 97-98

10.4 A working knowledge of the importance of following SOPs related to issuing pharmaceutical stock


25-28 28 68-70, 76-79



82 97-98

10.5 A working knowledge of the health and safety requirements related to issuing pharmaceutical stock


25-28 28


10.6 A working knowledge of the different formulation of drugs and why it is important to issue sufficient quantities of the correct formulation and strength


74, 79 7-17 31-38 67-79



85-86 74

Issuing stock

10.8 A working knowledge of the action to be taken if stock is not fit for purpose


10.9 A working knowledge of the importance of checking stock for issue against current drug alerts/recalls


24-25 80

10.10 A working knowledge of the procedures for responding to urgent requests


28 81 41-45

10.11 A working knowledge of which products need special packaging and transportation and why it is important to adhere to these special requirements.


30-31 39-44 91-95

10.12 A working knowledge of the importance of labelling containers correctly


20-21 25 45-48 50 45-47 54 61-62



71 82, 85 89 91-93

10.13 A working knowledge of issuing stock to the correct destination using the correct delivery method


30-31 28 69, 78 87 97-98




79-83 49-52 71-73 82-83 87-88 97-98

10.15 A working knowledge of the importance of maintaining correct, accurate documentation, including back up systems to IT failure where appropriate


79-83 49-52 71-73 82-83 87-88 97-98

15. Assist in the issuing of prescribed items



Page


15.1 A working knowledge of the limits of their own role and when to refer to an appropriate person


25-28 38-39 28


15.2 A working knowledge of principles for issuing dispensed medicines and products and the local Standard Operating Procedures that relate to this


25-28 28 62-63 74

15.3 A working knowledge of the current ethical and legal requirements that govern the issuing of a prescription


25-28 28 68-71 82 97-98

Procedures and techniques

15.4 A working knowledge of how to deal with individuals with special needs


10-12 25-28

15.5 A working knowledge of the importance of confirming the individual’s identity before issuing dispensed items


25-28 28 70

15.6 A working knowledge of the importance of providing information on:

a) the storage and maintenance of prescribed items b) possible side effects


25-28 56


15.7 A factual knowledge of the importance of maintaining dispensary records including the use of the dispensary computer

Module 1 section 2 Module 2 section 6 Module 3 section 8 Module 3 section 10 Module 3 section 12 Module 3 section 13 Module 3 section 14 Module 3 section 16

28 49-51 36, 40-41 62 71-75 82 87-88 98

15.8 A factual knowledge of how medicines are administered


7-12 26-27

Materials and equipment


15.9 A working knowledge of the importance of selecting the correct equipment for use


31-38 39-44

15.10 A working knowledge of the properties of different types of container types and when to use each


50 39-44

16. Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check



Page


16.1 an in-depth understanding of the limits of their own role and recognising when to refer to an appropriate person


22, 26-27 38-39 26-27

16.2 an in-depth understanding of Standard Operating Procedures and the importance of adhering to them at all times


19-22 26-27

16.3 a working knowledge of current ethical and legal and professional requirements that govern the dispensing of a prescription

Module 1 section 2 Module 2 section 2 Module 3 section 8 Module 3 section 9 Module 3 section 12 Module 3 section 13 Module 4 sections 2-13 inclusive

19-33 19-30 36-40, 47 49-54 68-69, 76-79 81-82

16.4 a working knowledge of the different types of check on a prescription


22 19-30 36-40 68-69, 76-79


Module 3 section 13 Module 4 sections 2-13 inclusive

81-82

16.5 a working knowledge of different types of prescribers

Module 1 section 2 Module 3 section 2 Module 3 section 8 Module 3 section 12 Module 3 section 13 Module 4 section 2(E&W) Module 4 Section 2 (S) Module 4 Section 2 (NI) Module 4 section 12(E&W) Module 4 Section 12 (S) Module 4 Section 12 (NI) Module 4 section 13(E&W) Module 4 Section 13 (S) Module 4 Section 13 (NI)

32-33 17-18 36-37, 41-42 69 81-82 9-14 9-15 9-13 67-68 77-79 71-72 69-72 81-85 73-77

16.6 a working knowledge of the types of medicines

supply

Module 1 section 2 Module 2 section 2 Module 3 section 8 Module 3 section 10 Module 3 section 11 Module 3 section 12 Module 3 section 13 Module 4 The entire module 4 refers to the use of the drug tariff relating to medicines supply

25-28 19-30 41-45 61-62 65 68-69, 76-79 82 All

16.7 a working knowledge of how to identify near

misses and dispensing errors


16.8 a basic awareness of the causes and consequences Module 2 section 2 19-21


of near misses and dispensing errors

16.9 a basic awareness of error recording



16.10 a working knowledge of the details required on a

prescription and why these are necessary

Module 1 section 2 Module 2 section 2 Module 3 section 8 Module 3 section 12 Module 3 section 13 Module 4 section 5(E&W) Module 4 Section 5 (S) Module 4 Section 5 (NI) Module 4 section 7(E&W) Module 4 Section 7 (S) Module 4 Section 7 (NI)

22 22-23 37-40 69-70, 76-79 81 23-25 31-32 27-29 33-35 39-41 37-39

16.11 a working knowledge of the prescribing

conventions and abbreviations


16.12 a working knowledge of the common proprietary

and generic names

Module 1 section 6 Covered throughout whole course with inter-text activities and assessments

85-86

16.13 a factual knowledge of how medicines are

administered


7-9 45-47

16.14 a working knowledge of different strengths, doses

and quantities of medicines

Module 1 section 6 Module 2 section 8 Covered throughout whole course with inter-text activities and assessments

74-75 67-79


16.15 a working knowledge of different relevant national and local guidelines, policies, procedures that are available including:

a) when they should be used b) how to use them


19-22, 24-25 19-30


16.16 a working knowledge of when and why Patient

Medication Records (PMRs) are used


16.17 a working knowledge of the importance of

maintaining dispensary records.

Module 1 section 2 Module 2 section 6 Module 3 section 8 Module 3 section 9 Module 3 section 12 Module 3 section 13 Module 3 section 14 Module 3 section 16

28-30 49-52 36, 40-46 49-51 67, 71-75 78-79 82 87-88 98

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