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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 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 6 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. 7 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, 9 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 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