Download Pre-reg training plan 17 18 final

THE SHERWOOD FOREST
HOSPITALS
NHS FOUNDATION TRUST
(SFHT)
PRE-REGISTRATION
TRAINEE PHARMACIST
TRAINING PLAN
2017/18
1
GPHC Training site accreditation
Site number: 1035789
Approval expires: 30th November 2017
Details of the establishment:
Hospital:
Pharmacy Department,
Sherwood Forest Hospitals NHS FoundationTrust,
Kings Mill Site
Mansfield Road,
Sutton in Ashfield,
Notts
NG17 4JL.
Contact:
Mrs Sandra Harris
Education and Training Pharmacist at SFHT.
(Preregistration trainee pharmacist manager)
Tele:
01623 622515 ext 3799
Email: [email protected]
Particulars of the training site:
Number of trainees:
Four
Number of Tutors:
Four
Will each trainee have their own tutor: Yes
Entry to the training year:
Recruitment to SFHT:
Via the National Pre-registration Pharmacist Recruitment
scheme: Oriel.
Trainee qualifications:
All trainees must have passed their Pharmacy degree
MPharm / OSPAP from a GPhC accredited university to start
their training year at SFHT.
Pre-registration training application: All trainees must have completed the GPhC
application form, signed a learning contract with their tutor
and made payment to the GPhC to enter the training year.
Pre-registration number:
This unique number (from the GPhC) is on the trainee
training record, and should be passed to the SFHT pharmacy
department as proof of approval of training. It will also be
required by the HEEM (Health Education East Midlands).
2
PRE-REGISTRATION TRAINEE PHARMACIST
TRAINING PLAN
CONTENTS
Page
GPhC training site accreditation
2
Foreword
4
The training year at SFHT
6-15
The Annual training plan
15-14
Example Timetable of local clinical tutorials
17
Timetable of De Montfort University Regional Study Days
18
GPhC Performance Standards mapped to SFHT training plan
19-21
Department/ Rotation detailed objectives:
22-39
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






Dispensary
Pharmacy Stores
Technical QC (Quality Control)
Technical (ADU) Aseptic Dispensing Unit
Clinical Pharmacy
Audit / Quality Improvement process
Medicines Information
Cross Sector Experience (CSE)
3
FOREWORD
Welcome to Sherwood Forest Hospitals NHS Foundation Trust (SFHT) at the
commencement of your pre-registration year.
This training plan has been produced to enable you to obtain maximum
benefit from your training year. It contains details of your training programme.
A year is only a short time to acquire the necessary experience and practical
skills to become a competent and reliable pharmacist; hence considerable
dedication and motivation are required to achieve success. It is essential to
develop good relationships with your colleagues and a professional manner
with patients and other hospital staff.
Your training has been carefully planned and modified in the light of
experience and trainee feedback over the years. It will be directed and
supervised by experienced pharmacists but much will depend upon your
personal application and attitude; your aim should be to acquire the maximum
expertise and knowledge in the short time available.
Your day-to-day training will be undertaken in the pharmacy department at
King's Mill Hospital. However the local clinical tutorial programme is a
common one for all pharmacy graduates working in the Nottinghamshire
hospitals. You will meet monthly with your colleagues from the Nottingham
hospitals for these.
Regional study days will be co-ordinated by the Regional Pre-reg Facilitator
based at De Montfort University, and also occur on a monthly basis.
The SFHT programme is designed to comply with the GPhC requirements for
the training year. The local training programme should be used in conjunction
with the GPhC pre-reg manual which is found on the GPhC website:
http://www.pharmacyregulation.org/preregmanual
We hope you will find the information useful, but do not hesitate to ask further
questions or to make constructive comments. Any of us listed below, or
indeed any pharmacist with whom you will be working will be happy to deal
with your problems and queries. Opportunities are there - make the most of
them.
We hope you enjoy your pre-registration training with us and wish you a very
successful year.
Sandy Harris
Education and Training Pharmacist
Pre-registration Manager
Bryony Stevens
Specialist Pharmacist: Medicine &
Training, Pre-registration Tutor and
co-ordinator.
4
The training year at SFHT
The pre-registration year is a statutory period of practical training required by
the General Pharmaceutical Council (GPhC), following graduation in
Pharmacy from a recognised College or University. Pre-registration trainee
pharmacists may not start their training until they have notified the GPhC of
their intention, and are employed on a fixed 12-month contract.
Your year is essentially one of practical experience, and you will spend
much of your time 'learning the job by doing the job'. However, whilst it
is a training year, you will be expected to acquire experience by
contributing to the working of the department.
Trainee pharmacists must follow the GPhC’s standards of conduct,
ethics and performance during this year.
http://www.pharmacyregulation.org/standards/conduct-ethics-andperformance
The pre-registration training and experience programme has two main
components:a)
Core component - competence based training. To enable you to
demonstrate that you have the skills, knowledge and character to
practice to the standards expected of a pharmacist.
b)
Sectoral component - specific experience relating to hospital
pharmacy services.
1.
1.1
Purpose of the pre-registration year
To instil a sense of professional responsibility in your approach to
a)
the general attitude to work in the practice of pharmacy;
b)
contact with patients;
c)
contact with other members of staff both in the department and
in other sections of the hospital.
1.2
To provide experience in the basic techniques of pharmaceutical
practice.
1.3
To gain detailed knowledge of the arrangements of the NHS hospital
pharmaceutical services, including the extent of the service and the
functions of the various grades of staff.
1.4
To gain experience in the purchasing, control and issue of medicines
and dressings.
1.5
To study the application of the statutory laws appertaining to the
practice of pharmacy.
5
1.6
To provide experience in giving advice and information on medicines
and related matters and solving problems which arise day to day.
1.7
To gain an understanding of the position of the pharmacist, and the
pharmaceutical service, in relation to other disciplines in the hospital
service.
2.
The Tutors
At the Sherwood Forest Hospital Trust we have a pre-registration
Manager (Sandy Harris) and 4 Pre-registration tutors.
Tutor
Bryony Stevens
Sandra Harris
Alison Hall
Emma Street
Tutor GPhC no.
2071107
2041216
2060978
2080094
The tutors are responsible for making sure that you receive the
necessary training to develop skills to meet the performance standards
set out by the GPhC. Your tutor will meet with you on a regular basis
i.e. every 2 weeks, to review your performance and progress. In
addition, a monthly meeting will be held for all tutors and trainees.
3.
Section Leads
Below are the section managers / training leads that run the areas that
you will be rotating through.
Dispensary
Hayley Parke / Amy Nuttall
Stock Control & Stores
Mandy Hartley / Keri Henson
Medicines Information (MI)
Steve Haigh / Jono Dewhurst
Production (SPU)
(Sterile)
Shila Hamzepur / Julie
Binney
Quality Assurance
Jill Jennison
Clinical Services
Cath Fletcher
 Medicine (Clinical)
Martin Bullock
 Surgery (Clinical)
Tom Bell
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4.
Induction
There is a two-week induction programme to introduce you to the
Pharmacy Department at SFHT, the NHS and the pre-registration
training year.
5.
Your base hospital
You will be based at King's Mill Hospital for your training year.
7.
Training plan / annual timetable
To cover the various aspects of hospital pharmacy it is necessary to
follow a programme of rotational experience. Summary details of the
training plan are included in this document.
During your training year you will be expected to participate in case
study presentations /drug reviews/ audit presentations at the
departmental Tuesday lunchtime meeting.
Your rota will also include visits to other hospital departments/ clinics
and meetings with various healthcare professionals e.g. Physiotherapy,
Occupational Therapy, specialist nurses etc. These will occur towards
the end of your training period at SFHT.
You will spend 2 weeks undertaking cross sector experience (CSE) in a
local community pharmacy. Steve Carter, Pre-Registration Manager at
Manor Pharmacy (Local chain of community pharmacies) supports the
Trust with the placements. The exact dates and details will be
confirmed through the year.
8.
Performance Criteria and Assessment
The General Pharmaceutical Council (GPhC) has provided a list of
performance criteria to assess pre-registration pharmacist competence
during their training. This core component requires the tutor and
trainers to regularly assess the trainees’ competence in the aspects of
practice that are vital to the profession of pharmacy.
At SFHT, different areas of practice have been identified in which these
performance criteria can be demonstrated, for example, dispensary,
and medicines information and clinical. Many performance criteria will
be assessed in more than one area. See the mapping document in this
booklet.
It is the responsibility of the pre-registration pharmacist to document at
least 5 examples of evidence for each of the performance criteria,
where appropriate, during their clinical training. They should develop a
portfolio of evidence and also use the form GPhC on-line CPD form as
required.
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Without evidence the pre-registration tutor will not be able to sign
that the pre-registration pharmacist has achieved the performance
standards.
You will have formal reviews with your tutor at 13 weeks, 26 weeks and
39 weeks. At these meetings your progress in achieving competence in
the performance criteria will be reviewed.
13 week review
w/c 23rd October 2017
26 week review
w/c 22nd January 2018
39 week review
w/c 23rd April 2018
Each sectoral component is not formally assessed but the trainer must
be confident of the trainee's potential to achieve competence. At the
end of each rotational period the supervising trainer in charge of the
section will complete with you an “evaluation of performance” feedback
form. NB: It is the responsibility of the student to ensure that they
receive this feedback at the end of each section.
9.
Department / Rotation Objectives
Every effort will be made to ensure that you gain as wide an experience
as possible in hospital pharmacy. A list of objectives for each rotation
has been devised which will be provided at the relevant times during
the year and linked to the GPhC performance standards. These
objectives should provide some guidance as to what activities you
should undertake and what evidence you could collect.
10.
Local clinical tutorials:
A programme of seminars has been arranged as part of your training
programme. The seminars take place at the Post Graduate Centre,
QMC, Nottingham on a monthly basis (All day). Some of the aims of
your training programme are as follows:
a)
To bridge the gap between academic knowledge and the
knowledge required to be a practising pharmacist.
b)
To give you the opportunity to discuss and evaluate the use of
medicines in hospital practice.
c)
To extend your knowledge and understanding of disease
processes and the relevant drug treatment in order to prepare
you for participation in ward pharmacy.
d)
To gain insight into the work of other departments, particularly in
relation to the pharmacy department.
e)
To help prepare for the GPhC pre-registration examination.
8
11.
Regional Study Days – De Montfort University.
A number of regionally organised study days are included in your
training programme. These will cover areas that are difficult to do at
your base e.g. soft skills, responding to symptoms, audit, the Drug
Tariff. Details of these will be sent to you well in advance of each study
day. They are COMPULSARY.
12.
Audit Projects
As part of your training, you will be encouraged to undertake a suitable
audit project. You will have some dedicated time allocated for this. You
will present your results to the Pharmacy Department at one of the inhouse Tuesday lunchtime meeting around Easter time. Your preregistration tutor will provide a list of suitable topics and/or supervising
pharmacists or you may identify a suitable topic. Details of this will be
provided at the Regional study day on audit.
You will also be expected to contribute to in-house rolling audits e.g.
clinical activity figures for Drug Histories, and the HAPPI (Hospital
Antimicrobial Prudent Prescribing Indicators) audit.
13.
SFHT Pre- Registration training resources:
The preregistration training information is located in the Pharmacy
drive: S/staff/ training/ pre-reg. This folder contains a variety of
information and copies of the monthly pre-reg meeting minutes.
The department also keeps a variety of books to support the preregistration year (See resources specified in the GPhC pre-reg manual)
i.e. on calculations, responding to symptoms etc, which you can
borrow. They are kept in the department training office. NB: There are
additional textbooks in the Medicines Information department.
14.
Clinical Pharmacy
Initially, you will spend some time gaining competence in the core
knowledge and skills that are required for you to work as a clinical
pharmacist on wards e.g. interpreting drug charts, clinical monitoring
charts and patient notes.
During the year you will also complete a number of validations linked to
ward based activities. For example: checking Patients Own Drugs
(PODS), ordering medication and taking a Drug History from a patient.
During the year you will work with a MMT (Medicines Management
Technician) to understand their role and you will be allocated to various
wards to work with clinical pharmacists.
In addition, pre-registration trainee pharmacists will receive
accompanied ward visits to a range of wards specialities within the
Trust: medical, surgical, ICCU, hospice, paediatrics, NNU,
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anticoagulation clinic. Lastly you will also work in specialist areas e.g.
Emergency admissions ward, psychiatry and health promotion.
Hopefully in May/ June time you will take responsibility for your own
ward if you have successfully completed all the necessary validations.
The training booklet “Ward based training programme” provides the
stepwise approach to this training.
15. Department in-house validations
To ensure consistency and competence at the SFHT various Pharmacy
tasks have associated validations. The majority relate to steps in the
process of preparing a prescription for a patient i.e. The Drug History,
Dispensing + Labelling, accuracy checking of the final product,
prescription screening a prescription.
16. GPhC Tutor Requirements
The requirements for a pre-registration tutor are defined by the GPhC.
Tutors must abide by the GPhC’s standards on conducts, ethics and
performance and apply them in the context of being a tutor.
Requirements of tutors and SFHT expectations;
Recruitment to tutor role:
 Annually, at springtime the SFHT pre-reg pharmacist manager or
supervisor will communicate with the pharmacy department and ask for
expressions of interest from pharmacists who meet the GPhC criteria
that are interested in being a tutor.
 Suitable pharmacists will be recruited to the role of pre-reg tutor with
help from the SFHT Clinical Services manager.
 The pre-reg manager will match trainees and tutors, and then notify all
of the decision.
 Pre-reg tutor and trainee will then meet to complete and sign the
“application” for training SFHT and associated GPhC “learning
contract”.
 New tutors will receive an in-house induction to the role of tutor
provided by the SFHT pre-reg programme manager/ deputy.
SFHT tutor expectations
To comply with the GPhC pre-reg tutor requirements, and in addition

Undertake an initial meeting with their trainee.

To meet with their tutee every 2/52, unless not possible because of AL,
sickness or external rotations.

Undertake 13, 26 and 39-week appraisals with their trainee and
complete the necessary paperwork.
10

To keep a secure and confidential record of their tutor / trainee
meetings. They must share this with the trainee

To attend the SFHT pre-reg tutor + trainee monthly meeting.

To notify the pre-reg manager, regional reg-reg facilitator or Education
lead at HEEM as necessary of any concerns regarding their trainees
training.

To attend and participate in regional pre-reg training / study days at
DMU as necessary.

To attend a SFHT in-house line managers appraisal course
17. What to do if you have concerns
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About patient care
About your training at SFHT
About your relationship with your tutor
About your regional training programme at DMU
Ensure you read the GPhC guidance on raising concerns (GPhC
website). This guidance is underpinned by the pharmacy profession
standards of conduct ethics and performance. Every pharmacy
professional has a duty to raise any concerns about individuals, actions or
circumstances that may be unacceptable and that could result in risks to
patient and public safety. As a trainee you are also expected to abide by
these same professional ethics. The Trust also has guidelines on
whistleblowing and safeguarding, please read and understand these.
What to do if you have concerns about patient care
All staff who work for the trust have a responsibility to safeguard patients. All
staff have a duty to report any allegations or suspicions of abuse to the staff
member in charge of the ward/department or the site co-ordinator.
The person raising a concern must complete these actions immediately:
 Ensure the immediate safety and welfare of the vulnerable adult.
 Ensure the person in charge of the ward/department are informed
 Do not approach suspected perpetrator.
 Record a factual record of your concerns and actions.
11
What to do if you have concerns about your training at SFHT.
In the first instance discuss any concerns you have about your training
with your personal tutor or section lead that is co-ordinating your rotation. If
you feel unable to discuss things with those previously stated you should
approach the SFHT Pre-registration supervisor or manager, or another
senior pharmacist working in the department. (The SFHT Pre-registration
manager is responsible for ensuring that you have an allocated pre-reg
tutor).
If necessary, you can escalate the process by approaching the Regional
pre-reg Facilitator at De Montfort University or the SFHT Chief Pharmacist.
In extreme circumstances you can contact the Education Commissioner at
Health Education East Midlands.
What to do if you have concerns about your relationship with your tutor.
Please address concerns in a timely fashion. In the first instance it is
usually best to discuss your concerns with your tutor to see if things can be
resolved. If you are unable to discuss things with your tutor, you could
discuss it with their line manager, the pre-reg supervisor or manager, or
another senior pharmacist, or the Regional pre-reg Facilitator at DMU.
You will be asked about your tutors support by DMU in the mid-year and
end of year electronic surveys. However, it is advisable not to make this
the first time you voice serious concerns.
What to do if you have concerns about the regional training programme
There are several ways:
 Written feedback on the evaluation form provided at the end of each
regional day.
 Contact the Regional Facilitator directly by email or phone.
 Via your regional student representatives who will be elected at the
beginning of the year.
 In the programme mid-year and end of year electronic surveys
 At the SGHT monthly tutor / trainee meetings. This is a regular meeting
agenda item. Or directly with the SFHT pre-reg manager.
Also, see the additional information provided by the Regional Facilitator DMU
regarding what to do if you have concerns.
12
18. Patient safety incident – What happens if a Pre-registration trainee
pharmacist is involved?
MEDICATION ERRORS:
During your training year you will be validated to label and dispense
medication, accuracy check dispensed medication, take and use drug
histories, undertake MMT duties and counsel patients on their medications.
When successfully validated you will undertake these tasks unsupervised,
therefore if you make an error it is possible to be involved in a patient safety
incident. If you are involved in such an incident it will be dealt with in
accordance with the SFHT Medicines Policy – Medication errors chapter 19,
SFHT intranet site.
You will also be validated to professionally screen prescriptions, but these will
always be double checked by pharmacists as you are in a training role, and
cannot undertake this activity unsupervised until you join the GPhC register.
MEDICATION NEAR MISSES:
When working in the dispensary you will participate in the Pharmacy
Department in-house internal error monitoring for labelling and dispensing that
is applied to all staff who work in the department I.e. Where “near miss”
dispensing errors are identified within the dispensary at the point of the
second check and do not reach the patient. (Dispensary procedure
“Recording on internal red errors in Trust dispensary, Pharmacy S Drive)
You will be notified of all your ‘near miss’ dispensing errors as they are
identified, and your labelling and dispensing error rate will be continuously
monitored. You and your tutor will be notified if your error rate exceeds the
agreed acceptable department dispensing error rate. Ultimately the
expectation is that you attain the department standard, to which all SFHT
pharmacy staff work, to fulfil the GPHC performance standard “C1.6
Assemble the prescription correctly”, to be allowed to register with the GPhC
as a pharmacist.
19. Support for learners in difficulty
The training year is busy and demanding, but ultimately rewarding. For most
trainees it will be their first experience of full time long-term employment. On
occasions trainees may encounter difficulties. These can vary widely for
example: personal problems at home, difficulties with an element of the
training programme, or not getting along with other members of the team.
In the first instance, ideally discuss any concerns or problems you have with
your personal tutor. Other staff that you can approach for support includes
 SFHT pre-reg programme manager / supervisor.
 Other senior pharmacy staff / chief pharmacist
 Regional pre-reg facilitator
NB: a department mentor can be arranged if necessary.
13
20. Training plan: Management, review and evaluation.
As stated previously your training has been carefully planned and modified in
the light of experience and trainee feedback over the years. You will have
opportunity to provide feedback in the following ways:
 Directly to your tutor at your regular 1:1 meetings
 At the monthly in-house trainee/ tutor meeting
 Verbal / written feedback at the in-house 6/12 and end of year review
sessions.
 Electronically to DMU at 6/12 and the end of the year.
Your comments are reviewed and an action plan developed as necessary.
Annually the pre-reg pharmacy manager writes a report of the year with
actions and outcomes. This is presented at the SFHT TED (Training
Education and Development) Committee. Accordingly the deputy director for
Education and Training will report to the Hospital Trust Board.
14
Sample pre-registration annual training plan: all trainees follow the
same overall plan but in different chronological order.
Week
1
2
3
4
5
6
7
8
9
10
11
12
13 week appraisal
13
14
15
16
17
18
19
20
21
22
23
24
25
26 week appraisal
26
27
28
29
30
31
32
33
34
35
36
37
38
39 week appraisal
39
40
41
42
Pre-reg A
Induction
Induction
QC
QC
Dispensary 1
Dispensary 1
Dispensary 1
Dispensary 1
Dispensary 1
Dispensary 1
MI
MI
Pre-reg B
Induction
Induction
MI
MI
MI
MI
Dispensary 1
Dispensary 1
Dispensary 1
Dispensary 1
QC
QC
MI
MI
ADU
ADU
ADU
Dispensary 1
Dispensary 1
Stores
Dispensary 1
Clinical
Specialities
Clinical
Specialities
Audit
Dispensary 2
Dispensary
Dispensary
MI
MI
MI
Dispensary 1
Stores
Dispensary 1
Dispensary
Dispensary
Audit
Dispensary 2
Dispensary 2
Health
Promotion
Cross sector
Cross sector
Audit
Dispensary 3
Dispensary 3
Dispensary 3
Dispensary 3
Clinical
Specialities
Clinical
Specialities
Admissions
MI
MI
Dispensary 2
Dispensary 2
ADU
ADU
ADU
Audit
Dispensary 3
Dispensary 3
Dispensary 3
MI
Health
promotion
Cross Sector
Cross Sector
MI
MI
MI
MI
Admissions
Dispensary 3
Dispensary 3
Dispensary 3
15
43
Dispensary 4
44
Dispensary 4
45
Dispensary 4
46
Dispensary 4
47
Dispensary 4
Exam week
48
Final Declaration prior to registration
49 Onwards
Flexible time
Dispensary 4
Dispensary 4
Dispensary 4
Dispensary 4
Dispensary 4
Exam week
Flexible time
Key to rotations
Induction
The first two weeks are spent being introduced to the department, ensuring paperwork complete and
familiarising self to wards and expectations for the year.
Dispensary + Ward
The dispensary is joined with ward rotations. You spend at least two hours on a ward whilst on a
dispensary rotation
Rotation 1 – Labelling and dispensing
Rotation 2 – Controlled drugs and ward validations
Rotation 3 – Accuracy checking
Rotation 4 – Clinical Screening
QC
You spend two weeks in quality control. This includes checking validation (which we often convert to
releasing officer if you stay within trust), fridge monitoring and microbial growth monitoring.
MI
Medicines information is split across two rotations to teach you the skills for assuring evidence based
medicine and then allow you to implement these skills. You will also be required to work on formulary
projects to help expand our comprehensive formulary database.
Stores
A week in spent in stores to look at stock processing including MHRA recalls procedure and robot
management.
ADU – Aseptic Dispensing Unit
Three week rotation covering the basics of TPN, chemotherapy and aseptic production.
Cross sector
This is a linked placement with a local pharmacy chain. In turn their pre-regs experience time with us
allowing you the opportunity to enhance your teaching skills.
Clinical Rotations/ wards: as above whilst in the dispensary and the following….

Clinical Specialities
Two weeks are spent within a clinical speciality such as mental health, haematology, rehabilitation
and anticoagulation.

Admissions
A week is spent on our busy admissions unit to improve your prioritisation skills and complete your
medicines reconciliation training
a) Health promotion
This week is spent investigating and practising health promotion to the public in the different forms it
occurs in across the hospital such as Cardiac rehab talks, warfarin counselling, smoking cessation
and alcohol advice.
Audit
Time is set aside to design, conduct and write up the GPhC required audit
Flexible time
This is provided to allow you complete sections not finished due to annual leave or regional study days,
this time can also be used if appropriate to experience areas you are especially interested in.
16
PREREGISTRATION TRAINEE PHARMACISTS TUTORIAL PROGRAMME 2016-2017
All tutorials will be held at the Post-Graduate Medical Education Centre, QMC Campus
NB: Session 1: 9.30-11.30, Session 2: 11.35- 1.35, Session 3: 2.30-4.30
Date
August
Thursday
18th August
September
Thursday
1st September
September
Thursday
6th October
October
Thursday
3rd November
November
November
December
Thursday 8th December
2015
Subject/ Topic
Regional Day #1: Introduction & Planning
1. Patient profiles, medication histories & care plans
2. Medical notes and biochemical tests
Regional Day #2: Medicines Information
1. Lateral Thinking #1
2. Anticoagulation & Other Haematological Problems
3. Calculations
Regional Day #3: Audit/ Insights
1. IV Nutrition
2. Respiratory #1
3. Respiratory #2
Regional Day #4: Minor Ailments
1. Antibiotics
2. Evaluating new drugs
3. Cardiovascular #1
Regional Day #5: First Aid
Regional Day #6: OSCEs #1/ CPD
Regional day #7: Careers workshop/Resolving Conflict
1. Lateral thinking #2
2. Diabetes
3. HIV & AIDs
Thursday
5th January
2016
1. Acute pain & PCAs/epidurals
January
Regional Day #8: OSCEs #2/ Professionalism
Thursday
2nd February
1. Quality Control
2. Oncology & Haematology
3. Paediatrics
2. Gastroenterology
3. Renal #1
February
Regional Day #9: Confidence in Consultation Skills
February
Regional Day #10: NHS Funding/ Speed Counselling
Thursday
2nd March
1. ITU medicine
2. Liver Disease
3. Intravenous therapy & compatibilities
March
Regional Day #11: GPhC Inspectors Talk/ Acute Care
Thursday
30th March
1. Cardiovascular #2
2. Psychiatry
3. Ophthalmology
April
Regional Day #12: Law & Ethics & Audit Presentations
Thursday
27th April
1. Renal #2
2. Symptom control in terminal care/ syringe drivers
3. Neurology
17
Provisional Timetable of Regional Study Days 2016/2017
Month
PROVISIONAL date
August
Wednesday 10th -confirmed
Planning a successful Pre-Registration year (with tutors)
Sept
Wednesday 7th -confirmed
Medicines Information
Sept
Wednesday 28th -confirmed
Audit
October
Wednesday 19th
Insightful communication and conflict management
Nov
Group A -3rd/10th Nov TBC
Group B -4th/11th Nov TBC
First Aid
Nov
Group A – Wed 16th
Group B – Wed 23rd
Group C – Wed 30th
Careers workshop
OSCEs 1
Dec
Wednesday 7th
NHS funding
Acute care
January
Group A – Tues 17th
Group B – Thurs 19th
Group C – Weds 26th
Professional issues
OSCEs 2
February
Group A – Weds 8th
Group B – Thurs 9th
Confidence in consultation skills
Feb/
March
Group A –Tuesday 28th Feb
Group B – Thursday 2nd Mar
Minor Ailments
March
Group A – Tuesday 14th
Group B – Wednesday 15th
Law update and speed counselling
April
Weds 26th
May
10th May
Mock exam
May
11th May
Mock exam feedback
As
arranged
Topic -am
Topic -pm
Whole group tutorial
audit presentations
Sim suite 1 day
18
SFHT Rotation Specific Performance Standards
Local
Tutorials
Regional
Tutorials
Cross-Sector
Medicines
Information
Clinical
Rotations +
Audit
Technical
ADU + QC
Stores
Dispensary 4
Dispensary 3
PERFORMANCE STANDARDS
Dispensary
1+2
All performance standards can be met in the following rotations :
Unit A – Personal effectiveness
A1 Manage self
A1.1 Behave in a manner consistent with
membership of the profession
X
X
X
X
X
X
X
X
X
X
A1.2 Manage your time effectively
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
A2.1 Carry out tasks effectively
X
X
X
X
X
X
X
X
X
X
A2.2 Approach tasks and situations in accordance
with the law and GPHC Standards of conduct, ethics
and performance
X
X
X
X
X
X
X
X
X
X
A2.3 Follow work systems correctly
X
X
X
X
X
X
X
X
X
A2.4 Use resources effectively
X
X
X
X
X
X
X
X
X
X
A3.1 Recognise and define actual or potential
problems
X
X
X
X
X
X
X
X
X
X
A3.2 identify workable options to resolve problems
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
A4.1`Work to an acceptable standard when
preparing products and delivering services
X
X
X
X
X
X
X
X
A4.2 Check your own work effectively
X
X
X
X
X
X
X
X
X
X
A1.3 Recognise your personal and professional
limitations and refer appropriately
A1.4 Respond with willingness and flexibility to new
situations and to change
A1.5 Remains composed and personally effective in
all situations
A1.6 Make decisions which demonstrate clear and
logical thought
A1.7 Take responsibility for, and accept outcomes of,
your own decisions
A1.8 Amend your behaviour, when necessary based
on evaluation of your performance by yourself or
others
A2 Manage work
A3 Manage problems
A3.3 Select the best solution , based on sound
analysis and appropriate evidence
A3.4 Suggest and, if appropriate, implement
solutions to problems
A3.5 Evaluate the outcome of the situation after
implementation, and if necessary redefine the
problem (see A3.1)
A4 Demonstrate a commitment to quality
A4.3 Minimise errors by others through effective
supervision
A4.4 Identify and rectify your own and others'
mistakes promptly and effectively
A4.5 Minimise health and safety risks to yourself and
others
X
X
X
X
A4.6 Base action, advice and decisions on evidence
X
X
X
X
A4.7 Obtain and process the evidence you need to
meet A4.6
A4.8 Have successfully engaged in a quality
improvement process
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
19
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
A5.5 Identify your further learning needs
X
X
X
X
X
X
X
X
X
X
A5.6 Record your own learning and development
process and outcomes
X
X
X
X
X
X
X
X
X
X
A5.7 Apply learning to practice
X
X
X
X
X
X
X
X
B1.1 Communicate effectively in English
X
X
X
X
X
X
X
X
X
X
B1.2 Behave in a polite and helpful manner
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
B1.5 Listen effectively to whole message
X
X
B1.6 Respect and observe confidentiality
X
X
B1.7 Act appropriately in response to spoken and
unspoken needs of others
X
X
B1.8 Behave in a manner which instils confidence
X
X
B1.9 Behave assertively
X
X
B1.10 Use appropriate body language
X
B1.11 Provide info and advice appropriate to the
needs of the recipient(s)
B1.12 Handle conflict appropriately
Local
Tutorials
Cross-Sector
X
Regional
Tutorials
Medicines
Information
X
Clinical
Rotations +
Audit
X
Technical
ADU + QC
X
Stores
X
Dispensary 4
X
Dispensary 3
X
Dispensary
1+2
X
PERFORMANCE STANDARDS
A5 Demonstrate ongoing learning & development
A5.1 Identify and prioritise your own learning and
development needs, based on selfreflection/evaluation and on feedback from others
A5.2 Develop your own plans to meet identified
needs, using SMART learning objectives
A5.3 Make full use of learning and development
opportunities
A5.4 Evaluate whether you’re learning objectives
have been met
Unit B –Interpersonal skills
B1 communicate effectively
B1.3 Sensitively approach people who need or who
may need assistance
B1.4 Elicit all relevant information by the use of
appropriate questions
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
B2 works effectively with others
B2.1 Acknowledge the ideas and opinions of others
and act on them when appropriate
B2.2 Present your own ideas and opinions
appropriately when speaking and in writing
B2.3 Meet commitments made to others in agreed
deadlines
B2.4 Give constructive feedback to others based on
accurate evaluation of their performance
B2.5 Secure help from others when necessary in an
appropriate manner
x
x
X
X
X
B2.6 Assist others when necessary
X
X
B2.7 Delegate tasks appropriately
X
X
X
B2.8 Supervise others in an appropriate manner to
ensure that agreed outcomes are achieved
B2.9 Use your knowledge and skills effectively when
helping others learn
X
X
X
X
X
X
X
X
X
X
X
X
X
x
X
20
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
C1.5 Perform calculations correctly
X
X
X
C1.6 Assemble the prescription correctly
X
X
x
X
X
X
X
x
X
X
X
X
x
X
X
x
X
X
X
X
X
X
C1.3 Asses the prescription for safety and clinical
appropriateness
C1.4 Resolve any identified problems
appropriately
C1.7 Supply extemporaneously prepared products
according to correct formula
C1.8 Correctly issue dispensed item(s) to patient
or representative, with appropriate information
and advice
C1.9 Ensure stock is managed correctly
C1.10 Respond appropriately to requests to
X
dispense prescription-only items without a
prescription
C1.11 Correctly process necessary
X
documentation
C1.12 Effectively check prescriptions dispensed
by others
C2 Provide additional clinical and pharmaceutical services
C2.1 Provide considered and correct answers to
queries, founded on research-based evidence
C2.2 Pro-actively assist pts to obtain maximum
X
benefit from their treatment
C2.3 Identify and take action to minimise risk to
X
pts from their treatment
C2.4 Actively provide information and advice to
X
healthcare professionals
C2.5 Construct medication histories using a range
of sources
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
C2.6 Use medication histories correctly
C2.7 Recognise possible adverse drug reactions,
evaluate risks and take action accordingly
C2.8 Provide appropriate information and advice
on management of minor and common ailments
C2.9 Effectively use opportunities to promote and
support healthy lifestyle and prevent disease
C2.10 Demonstrate awareness of emergency first
aid
C2.11 Refer or direct the person to a more
suitable source of help or information, when
necessary
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
21
X
X
X
X
Local Tutorials
X
Cross-Sector
X
Medicines
Information
X
C1.2 Check prescription is valid
Regional
Tutorials
Clinical
Rotations + audit
Technical ADU +
QC
X
Stores
Dispensary 3
X
Dispensary 4
Dispensary 1+2
X
PERFORMANCE STANDARDS
Unit C medicines and health
C1 Manage the dispensing process
C1.1 Correctly receive a prescription into the
pharmacy
ROTATION AIMS AND OBJECTIVES
Dispensary 1 (Location: SFHT - Kings Mill Site)
Aim:
To label and dispense medication safely, accurately and efficiently
Key Objectives
a) Be able to describe the different types of prescriptions used at SFHT.
b) Be able to receive outpatient prescriptions and describe the application
of prescription charges and exemption criteria.
c) Have read and understood the various procedures/ Standard Operating
Procedures (SOPS) that underpin the dispensary processes.
d) Be able to manage pharmaceutical stock correctly.
e) Complete the in-house “labelling and dispensing” validation, and be
able to accurately and efficiently dispense medicines for in and out
patients. Not exceeding the maximum acceptable error rate as set by
the department.
f)
Be able to demonstrate appropriate action where a prescription / order
cannot be read or interpreted.
g) Be able to follow procedures relating to the dispensing robot in the
main dispensary.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7
C1 C1.1, C1.2, C1.4, C1.5, C1.6, C1.7,C1.9, C1.10, C1.11
C2 C2.2, C2.3, C2.4, C2.11
22
DISPENSARY 2: (Location: SFHT - Kings Mill Site)
Aims:
To label and dispense controlled drugs safely, accurately and efficiently
To have started to counsel out-patients on the use of their medicines
Key Objectives
a) Complete the in-house “controlled drug labelling and dispensing”
validation, and be able to accurately and efficiently dispense these
medications. Not exceeding the maximum acceptable error rate as set
by the department.
b) To start the in-house patient medication counselling validation.
c) To be able to describe the steps needed to counsel a patient on their
medication.
d) To continue to label and dispense medicines safety and accurately,
attain the department accuracy standard, to which all SFHT pharmacy
staff work.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.3, B2.5
C1 C1.2, C1.3, C1.4, C1.6, C1.8, C1.9, C1.10, C1.11
C2 C2.2, C2.11
23
DISPENSARY 3: (Location: SFHT - Kings Mill Site)
Aims:
To successfully complete the in-house validation for the accuracy
checking of dispensed medication.
To counsel out-patients on the use of their medication
Key Objectives
a) Complete the in-house “accuracy checking of dispensed medication”
validation. Be able to accurately and efficiently check dispensed
medicines for in and out patients. Not exceeding the maximum
acceptable error rate as set by the department.
b) To be able to describe the processes involved in accuracy checking.
c) Be able to provided constructive feedback to staff in whom they have
identified a dispensing error.
d) Be able to counsel out-patients on the use of their medicines.
e) To continue to label and dispense medicines safety and accurately,
attain the department accuracy standard, to which all SFHT pharmacy
staff work.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11,
B1.12
B2 B2.1, B2.2, B2.3, B2.4, B2.5, B2.6, B2.7
C1 C1.1, C1.2, C1.3, C1.4, C1.5, C1.6, C1.7,C1.8, C1.9, C1.10, C1.11,
C1.12
C2 C2.2, C2.3,C2.4, C2.11
24
DISPENSARY 4: (Location: SFHT - Kings Mill Site)
Aim:
To be competent to perform the clinical screening of prescriptions under
the supervision of a qualified pharmacist.
Key Objectives
a) To be able to use reference sources in the dispensary to gain required
information.
b) To be able to describe the process used to clinically validate a
prescription
b) To complete the in-house validation for the clinical screening of
prescriptions by pharmacists. Not exceeding the maximum acceptable
error rate as set by the department.
c) To be able to contact prescribers to resolve pharmaceutical care issues
identified during the clinical screening process under supervision of an
accredited pharmacist.
d) To be able use knowledge when helping others learn, and to supervise
individuals to ensure agreed objectives are achieved i.e. supervise
summer vacation students in the dispensary.
e) To continue to label and dispense medicines safety and accurately,
attain the department accuracy standard, to which all SFHT pharmacy
staff work.
f) To continue to accuracy check dispensed medicines label and attain
the department accuracy standard, to which all SFHT pharmacy staff
work.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.3, A4.4, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.4, B1.6, B1.8, B1.9
B2 B2.4, B2.5,B2.7, B2.8 B2.9
C1 C1.1, C1.2, C1.3, C1.4, C1.5, C1.6, C1.7, C1.8, C1.9, C1.10, C1.11,
C1.12
C2 C2.1, C2.2, C2.3, C2.7
25
Pharmacy Stores (Location: SFHT - Kings Mill Site)
Aim:
To understand the processes of receiving and distributing medicines
within the Trust
Key Objectives
a) To understand the layout of the Pharmacy Stores department.
b) To understand the various staff roles in the pharmacy stores
department.
c) To understand the medicine ordering process by spending some time
with those involved.
d) To be able to take the necessary steps when a medicine is recalled.
I.e. Understand the Drug Alert process.
e) To observe a ward stock-top up visit.
f) To understand the process of filling a ward stock box.
g) To understand the process for making adjustments to a ward stock list.
h) To observe the process for dealing with medication returns and
disposal.
i) To understand the process for how to handle goods receipts.
j) To understand the process of stock control and rotation in the
Pharmacy department.
k) To understand how the Trust orders/ obtains IV fluids.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7, B2.9
C1 C1.5, C1.9, C1.11,
C2 C2.11
26
Technical: QC (Quality Control) (Location: SFHT - Kings Mill Site)
Aims:
To understand the importance of GMP style Quality System
To be able to safely and accurately check: Bulk raw Materials,
Unlicensed medicines and Pre-packed medicines
Key Objectives
a) To have read and understood the policies and procedures used in QC
Pharmacy Stores department.
b) Be aware of the rules and guidance for pharmaceutical manufacturers
(the “orange guide”) book.
c) Understand the Quality System in place in the Pharmacy Pre –packing
unit and QC.
1.
2.
3.
4.
5.
6.
7.
Document control and approval
Deviation process
Change control process
Self-inspection
Recall and complaints
Training
Retain sample storage
d) Successfully complete the SFHT QC validation for checking “Bulk raw
materials”, Unlicensed medicines and pre-packed medicines: Achieving
the required validation numbers, and not exceeding the specified error
rate
e) Understand and observe the process for releasing medicines in QC.
f) Understand how fridge temperatures are monitored and the action to
be taken if a deviation is recorded.
g) Understand the importance of environmental monitoring in
pharmaceutical production areas.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2
B2 B2.1, B2.2, B2.3,B2.5,
C1 C1.5, C1.11
C2
27
Technical: ADU (Aseptic Dispensing Unit)
(Location: SFHT - Kings Mill Site)
Aim:
To understand the work of the Aseptic Dispensing Unit.
Key Objectives
a) To be able to demonstrate the appropriate method of entry into the
sterile and pre-packing units.
b) To be able to describe the types of Environmental Monitoring in the
aseptic dispensing unit and show an understanding of how the results
are used. Understand the role of QC and outside contractors.
c) To demonstrate the ability to use aseptic technique.
d) To be able to describe the following for Parenteral Nutrition (PN) in
adults: appropriate indications, the main components of a PN bag, how
the patient’s requirements are calculated and the possible stability
problems associated with PNs and which information sources to use.
e) To demonstrate the ability to accurately prepare worksheets for
extemporaneously prepared products in ADU.
f) To understand the final checking process in ADU, and carry this out
under supervision
g) Demonstrate the ability to accurately carry out a variety of calculations
used in the production process.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.5,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6,
C1 C1.3, C1.5, C1.6, C1.7, C1.9, C1.11,
C2 C2.11
28
Clinical Rotations/ wards
A) Core Knowledge weeks (Location: SFHT - Kings Mill Site)
Aim:
To ensure that trainees have sufficient skills, competence and
knowledge to enable them to work safely and effectively as a clinical
pharmacist on their own ward.
Key Objectives
a) To read and understand the Standard Operating Procedures
supporting the pharmacy clinical service at SFHT.
b) To demonstrate the ability to interpret and use the prescription charts in
routine use at SFHT To experience and understand Clinical Pharmacy
Paperwork at SFHT.
c) To gain experience in Interpreting/ monitoring/ and taking action on
relevant blood results.
d) To gain experience in communication in a clinical environment and
using clinical records.
e) To gain experience and understand the Management of common
infections and associated antibiotics.
f) To gain experience and understand Anticoagulation +
thromboprophylaxis.
g) To gain experience and understand ADRs, analgesia.
h) To gain experience in core clinical prescription screening in a clinical
/ward environment.
i) To demonstrate that they are able to use effectively all the medicines
information sources at ward level.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7
C1 C1.2, C1.3, C1.4, C1.5
C2 C2.1, C2.2, C2.3, C2.4, C2.7
29
Clinical Rotations/ wards
B) Core Competency weeks (Location: SFHT - Kings Mill Site)
Aim:
To ensure that trainees have sufficient skills, competence and
knowledge to enable them to work safely and effectively as a clinical
pharmacist on their own ward.
Key Objectives
a) To complete the in-house validation for taking a drug history.
b) To complete and gain competence in the various MMT Medicines
Management Technician Validations i.e. POD checking, medication
ordering and dispensing pre-packs.
c) To show competence in taking a patient's Drug History and the
associated medicines reconciliation.
d) Checked independently, under the supervision of an experienced
pharmacist, inpatient prescription charts, and be able to recognise
problems and propose / follow up solutions.
e) Demonstrated their ability to prepare and use a pharmaceutical care
plan.
f) Conducted formal patient medication counselling under the supervision
of a clinical pharmacist.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7
C1 C1.2, C1.3, C1.4, C1.5, C1.8
C2 C2.1, C2.2, C2.3, C2.4, C2.5, C2.6, C2.7, C2.8, C2.9, C2.11
30
Clinical Rotations/ wards
C) Shadowing Pharmacists on their wards (Location: SFHT - Kings Mill
Site)
Aim:
Completed visits to a range of wards accompanied by a clinical
pharmacist i.e. medical, surgical and healthcare of the elderly wards
Key Objectives
a) To understand the different patient groups treated at the SFHT and the
associated medications.
b) To understand the role and duties of a clinical pharmacist.
c) To develop your own approach to “Clinical Pharmacy” and Clinical
pharmacist ward priorities.
d) To observe and undertake a patients Drug History.
e) Become competent to counsel a patient on their medication.
f) Become competent and validated to professionally screen an inpatient
medication chart/ TTO.
g) To observe (Acute Kidney Injury) medication reviews.
h) Shown that they are aware of the responsibilities of the various health
care professionals who pharmacists may encounter on wards.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7
C1 C1.2, C1.3, C1.4, C1.5, C1.8
C2 C2.1, C2.2, C2.3, C2.4, C2.5, C2.6, C2.7, C2.11
31
Clinical Rotations/ wards
D) Admissions ward (Location: SFHT - Kings Mill Site)
Aim:
Understand the role(s) of the EAU pharmacist & MMT on an admissions
ward
Key Objectives
a) To understand the role(s) of the EAU pharmacist & MMT on an
admissions ward in carrying out DHx taking / medicines reconciliation.
b) Understand the problems associated with missed doses on the
admissions ward.
c) Be aware of the benefits / limitations of non-medical prescribing on an
admissions ward.
d) Understand the importance of patient prioritisation & how this is
achieved on an admissions ward.
e) Be aware of the admission pharmacist’s role in recognising ADRs.
f) Understand how to process TTOs on an admissions ward.
g) Have encountered the following patient groups & understand how each
is treated in the acute setting: Exac COPD, Exac Asthma, ACS, EtOH
withdrawal, PE/DVT, GI Bleed, DKA, Hypoglycaemia, Seizures
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7
C1 C1.2, C1.3, C1.4, C1.5, C1.8
C2 C2.1, C2.2, C2.3, C2.4, C2.5, C2.6, C2.7, C2.8, C2.9, C2.11
32
Clinical Rotations/ wards
E) Clinical specialities e.g. Paediatrics ward, ICCU, Hospice
(Location: SFHT - Kings Mill Site)
Aim:
Understand the role(s) of the specialist pharmacists in paediatrics,
intensive care (ICCU), palliative care (Hospice) etc.
Key Objectives
a) To visit paediatric ward, ICCU, Hospice etc. under supervision of the
specialist pharmacist.
b) To adapt own screening tool to reflect changes needed for paediatric
dosing, organ failure (Kidneys, liver impairment), end of life
considerations.
c) To read and understand paediatric treatment guidelines provided by
the paediatric pharmacist.
d) To be able to accurately complete Paediatric, ICCU and palliative care
calculations.
e) To lean and understand paediatric OTC preparations, including dosing,
contraindications and licenses.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7
C1 C1.2, C1.3, C1.4, C1.5, C1.8
C2 C2.1, C2.2, C2.3, C2.4, C2.5, C2.6, C2.7, C2.11
33
Clinical Rotations/ wards
F) Clinical specialities e.g. Mental Health (Location – Millbrook Pharmacy, on the
same site as Kings Mill Hospital, Nottinghamshire Healthcare Foundation NHS Trust)
Aim:
Understand the role(s) of the specialist pharmacist working in Mental
Health
Key Objectives
a) Understand how and when to use the different reference sources for
mental health. E.g. Maudsley, Bazire (psychotropic drug directory)
b) Gain an appreciation of the MHA (Mental Health Act 2007) and how
this affects patients’ rights, how it relates to medicine administration
and how pharmacists are directly involved .
c) Gain a broad appreciation of the diagnosis criteria and symptoms of the
main psychiatric disorders. Schizophrenia, Bipolar Affective Disorder,
Depression, Dementia, Personality Disorders, Psychosis, Anxiety
d) Gain an understanding of the main classes of psychotropic medications
including place in therapy, side-effects, monitoring and national
guidance on use i.e. NICE. Antipsychotics including depot
preparations, Antidepresssants, Hypnotics, Benzodiazepines, Mood
stabilisers, Opioid replacement, Clozapine
e) To develop an appreciation of the role of pharmacists as part of the
wider multi-disciplinary team.
f) To appreciate the complexities of counselling mental health patients.
g) Clinically screen outpatient and inpatient mental health charts under
supervision of a senior pharmacist.
h) Undertake medicine reconciliation processes for mental health
inpatients, understanding the complexities of using the sources in
mental health.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.5, A4.6
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.4, B1.5, B1.6, B1.7, B1.8, B1.10, B1.11
B2 B2.1, B2.2, B2.3, B2.5
C1 C1.2, C1.3, C1.4
C2 C2.1, C2.2, C2.3, C2.4, C2.5, C2.6, C2.7
34
Clinical Rotations/ wards
G) Health Promotion (Location: SFHT - Kings Mill Site)
Aim:
To provide suitable underpinning knowledge, and the opportunity to
apply that knowledge by counselling suitable patients on relevant
medicines, or providing them with health promotion advice.
Key Objectives
a) To understand the concepts of health promotion and health education.
b) Understand and be able to discuss the social, environmental, lifestyle
and dietary factors that influence health.
c) Become familiar with the actions the pharmacist and pharmacy support
staff can take to promote health and prevent disease.
d) Become familiar and be able to advise patients on smoking cessation
e) Read and understand the relevant papers on how to determine
cardiovascular risk for a patient.
f) Observe a Pharmacy Cardiac Rehabilitation counselling session, and
learn about the treatments that are commonly prescribed, so that you
are confident to lead a session.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7, B2.8, B2.9
C1 C1.8
C2 C2.1, C2.2, C2.3, C2.4, C2.7, C2.8, C2.9, C2.11
35
Clinical Rotations/ wards
H) Own ward rotation (Location: SFHT - Kings Mill Site)
Aim:
To gain further experience and understanding of the role of a ward
pharmacist.
Key Objectives
a) By the end of the rotation to be able to manage your own ward clinical
pharmacy involvement.
b) To make your own objectives for this rotation with the help of your tutor
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.3, A4.4, A4.5, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6, B2.7, B2.8, B2.9
C1 C1.2, C1.3, C1.4, C1.5, C1.8
C2 C2.1, C2.2, C2.3, C2.4, C2.5, C2.6, C2.7, C2.8, C2.9, C2.11
36
Audit / Quality improvement process
(Location: SFHT - Kings Mill Site)
Aim:
To successfully complete an audit / quality improvement project.
Key Objectives
a) To attend the pre-registration pharmacist regional study day on audit /
quality improvement projects.
b) To complete an in-house audit during the week(s) allocated on your
rota. (Your pre-registration tutor will provide a list of suitable topics
and/or supervising pharmacists or you may identify a suitable topic).
c) To write a short report for your audit project, and submit it to region for
review (As per the instructions in the regional audit handbook)
d) To write and deliver a presentation in-house for your audit project (As
per the instructions in the regional audit handbook).
e) To contribute to in-house rolling audits e.g. Clinical activity figures for
Drug Histories, and the HAPPI (Hospital Antimicrobial Prudent
Prescribing Indicators) audit.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.6, A4.7, A4.8
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5
C1
C2
37
Medicines Information (Location: SFHT - Kings Mill Site)
Aims:
To gain an insight into the function of the medicines information service
To develop strategies for undertaking complex queries relating to
Medicines
Key Objectives:
a) To understand the role and structure of MI including regional and
specialist centres.
b) To demonstrate the ability to follow document enquiries and search
past enquiries on MI databank.
c) To demonstrate knowledge of the principles and basics of searching MI
databases.
d) To be able to obtain information from sources outside the Medicines
Information centre, for example libraries, pharmaceutical
manufacturers.
e) To comply with, and discuss, the legal and ethical aspects of the
provision of information.
f) To be able to describe the formulary process.
Under supervision to do the following:
g) To take in enquiries received by the Medicines Information Centre and
obtain the relevant background information, under supervision.
h) To be able to use appropriate search strategies and effectively retrieve
information from the resources in the Medicines Information centre to
answer enquiries.
i) To competently answer and document a range of enquiries.
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.6, A4.7,
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.5, B2.6,
C1 C1.5,
C2 C2.1, C2.2, C2.3, C2.4, C2.7, C2.11
38
Cross-Sector Placement
(Location: A Manor Pharmacy community pharmacy store in the Mansfield area.
TBC nearer the time. Headquarters: Manor House, Merlin Way, Quarry Hill Industrial
Estate, Ilkeston, Derbyshire, DE7 4RA)
Aim:
To gain an understanding of community pharmacy, the services they
provide and their funding.
Key Objectives:
a) To be able to describe the differences between a hospital pharmacy
and a community pharmacy.
b) Individual objectives should be agreed in advance with the cross-sector
exchange student and should be written in a SMART format.
c) The following are suggestions of possible objectives.









To experience the following to gain increased knowledge and
understanding:
The dispensing of prescriptions in a community pharmacy
Selling over the counter (OTC) medicines
Responding to patients' symptoms
Enhanced Services:
o Diagnostic services such as pregnancy testing, blood pressure
measurement, and testing of blood fluids
o Needle exchange supply for drug misusers
o Supply of methadone or buprenorphine to drug misusers
Health promotion
Medicines Use Reviews (MURs)
New Medicines Service (NMS)
Working with general medical practitioners on prescribing issues
Advisory services to local care home
Possible Performance Standards
A1 A1.1, A1.2, A1.3, A1.4, A1.5, A1.6, A1.7, A1.8
A2 A2.1, A2.2, A2.3, A2.4
A3 A3.1, A3.2, A3.3, A3.4, A3.5
A4 A4.1, A4.2, A4.4, A4.5, A4.6, A4.7
A5 A5.1. A5.2, A5.3, A5.4, A5.5, A5.6, A5.7
B1 B1.1, B1.2, B1.3, B1.4, B1.5, B1.6, B1.7, B1.8 B1.9, B1.10, B1.11, B1.12
B2 B2.1, B2.2, B2.3, B2.4, B2.5, B2.6, B2.7, B2.8, B2.9
C1 C1.1, C1.2, C1.3, C1.4, C1.5, C1.6, C1.7, C1.8, C1.9, C1.10, C1.11,
C2 C2.2, C2.3, C2.7, C2.8, C2.9, C2.11
39