Unit 206 Assist with the supply of pharmaceutical stock

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1 Element 1 Element 2 Assist with the maintenance of pharmaceutical Issue pharmaceutical 277

2 278

3 Element 1 Element 2 Assist with the maintenance of pharmaceutical Issue pharmaceutical Background See background for order, receive and store pharmaceutical Key words and concepts These definitions are provided to explain how key words and concepts are used in this unit Standard Operating Procedures Controlled Drugs Stock rotation Special Orders Health and Safety these are referred to as SOPs and include written protocols or procedures. They state the way your organisation requires tasks to be carried out to ensure a quality pharmacy service is provided, this would include, for example how you should store and how must be issued. these are drugs that have special laws that relate to the way they are ordered, supplied, dispensed and stored. You must at all times work within the laws and understand your own level of responsibility. this is the process of ensuring the shortest dated is used first, care must be taken when receiving, storing or issuing. these includes special orders for customers, named patient drugs, clinical trials. this includes correct moving and handling procedures, safe handling of, safe storage of and COSHH regulations 279

4 Knowledge and Understanding You must show that you know and understand: For the whole unit K1 The limits of your own authority and when to refer to a pharmacist or pharmacy technician. K2 K3 K4 K5 K6 K7 The relevant legal policies and procedures that apply to storing and issuing pharmaceutical. The importance of maintaining correct accurate documentation. The different formulation of drugs and why it is important to use the correct formulation and strength. The difference between branded and generic drugs. The relevant Health and Safety requirements in respect to the storage and issuing of including manual handling. Why different products must be stored in different areas. Maintenance of K8 The principles of rotation. K9 K10 The signs to look for and how to handle products that are damaged, contaminated or deteriorated. What to do with out dated or short dated. 280 Issue K11 The procedures for responding to urgent requests. K12 K13 The action to be taken if is unavailable. The correct and appropriate methods of packaging and transportation of.

5 Activities 1. Find out where your procedures for maintaining and supplying pharmaceutical are kept. Read the procedures and discuss the important points with your Trainer/Assessor. 2. Discuss with your Trainer/Assessor your role, your limits and responsibilities in relation to assisting with the supply of pharmaceutical. Identify and record who you should refer to if you need advice, help or guidance on any part of your work. 3. Ask your Trainer/Assessor to explain the layout of the stores and any other areas outside the main department for storing. Draw a map and list all the main and outlying stores areas. 4. Identify the different forms of medicines that are found in your store. Find out how the different medicine forms are used. Find out the difference between internal liquids and external liquids. Discuss with your Trainer/Assessor the different routes of injections you have in your store. 5. Find out what the consequences would be of booking onto the computer incorrectly. 6. Find out what you would do if you found a item in the incorrect location, e.g. a fridge item on the normal shelf. Identify and record who you would need to inform and refer this to. 7. Find what ' rotation' means. Describe why it is important. Find out what you should do when items are found to have a short expiry date. 8. Describe what ' take' or check' means. Identify the reasons why checks are carried out and why they are important. Identify the different types of take/ checks that are undertaken in your stores. Identify how often they are carried out Ask your Trainer/Assessor to give you a list of items to be checked. Get them to observe you carrying out a check on these items. Describe the discrepancies you found and how you dealt with them. Identify and record who you need to inform of any check discrepancies.

6 Activities 10. Find out what you would do if you found any items close to their expiry date. Find out what you do with expired in your stores for the following product types: a) Tablets/capsules b) Ampoules c) Multidose injections d) External liquids e) Internal liquids (syrups, suspensions) f) Intravenous fluids (IV) g) Cytotoxics h) Inflammable products 11. Identify from the previous list the products that need special disposal precautions. Find out what these special precautions would be. 12. Find out and discuss with your Trainer/Assessor, your organisation's or department's policy for the safe disposal of medicines. 13. Discuss with your Trainer/Assessor and describe how you would adjust levels on the computer and review levels of expired medicines. Identify who you would need to discuss this with and who would authorise the adjustments of levels Find out what a drug recall or drug alert is. Identify and record who sends out drug alerts and recalls to all pharmacies. Identify where drug alerts are sent to in your department. Identify and record who is responsible for co-ordinating drug alerts and recalls in your department. Discuss with your Trainer/Assessor the different categories of drug alerts. Ask your Trainer/Assessor to observe you assisting with a drug alert or recall next time one arrives. 15. Find out, according to local procedures, how you would issue on the computer to the ward/department, and what you would do if an item was out of. 16. Identify and record who you would need to inform for unavailable. 17. Ask your Trainer/Assessor to provide you with a picking list to gather the required items and correctly assemble. Ask your Trainer/Assessor to check these for you. a) Number of items on picking list b) Number of correctly picked items Include your checked picking list as evidence.

7 Activities 18. List what transport systems are used locally to ensure the customer receives their completed order. 19. Demonstrate to your Trainer/Assessor opening packages and delivered boxes correctly. Demonstrate to your Trainer/Assessor how you would lift boxes of correctly. 283

8 Questions K1 The limits of your own authority and when to refer to a pharmacist or pharmacy technician. What are your roles and responsibilities relating to supplying pharmaceutical? What are the roles and responsibilities of the other members of your team who are involved in supplying pharmaceutical? 284

9 (continued) K1 The limits of your own authority and when to refer to a pharmacist or pharmacy technician. Under what circumstances would you refer to a pharmacy technician when supplying pharmaceutical? Under what circumstances would you refer to a pharmacist when supplying pharmaceutical? 285

10 (continued) K1 The limits of your own authority and when to refer to a pharmacist or pharmacy technician. Which other healthcare professionals might you refer to when supplying pharmaceutical? Under what circumstances would you refer to these other healthcare professionals when supplying pharmaceutical? 286

11 Questions K2 The relevant legal policies and procedures that apply to storing and issuing pharmaceutical. What legal policies and procedures are in place in your organisation and department which apply to storing pharmaceutical? What are the key points covered in these policies and procedures? Why is it important that you follow these legal policies and procedures? What could happen if you did not follow these legal policies and procedures? 287

12 (continued) K2 The relevant legal policies and procedures that apply to storing and issuing pharmaceutical. What legal policies and procedures are in place in your organisation and department which apply to issuing pharmaceutical? What are the key points covered in these policies and procedures? Why is it important that you follow these legal policies and procedures? What could happen if you did not follow these legal policies and procedures? 288

13 Questions K3 The importance of maintaining correct accurate documentation. What documentation must be maintained in your workplace? Why is it important to maintain correct accurate documentation? What could happen if this documentation was not accurately maintained? What are your roles and responsibilities in maintaining this documentation? 289 What are the roles and responsibilities of the other members of your team in maintaining this documentation?

14 Questions K4 The different formulation of drugs and why it is important to use the correct formulation and strength. What different drug forms are used in your organisation? Under what circumstances are these different drug forms used? Why is it important to supply the correct drug form? What could happen if you supplied the incorrect drug form? 290

15 (continued) K4 The different formulation of drugs and why it is important to use the correct formulation and strength. Why is it important to supply the correct drug strength? What could happen if you supplied the incorrect drug strength? 291

16 Questions K5 The difference between branded and generic drugs. What is meant by a generic drug? What is meant by a branded drug? Under what circumstances must you supply a branded product? 292 Why is it important to supply a branded product in these circumstances? What could happen if you did not supply a branded product in these circumstances?

17 Questions K6 The relevant Health and Safety requirements in respect to the storage and issuing of including manual handling. What are the Health and Safety requirements in respect to the storage of pharmaceutical which are relevant to your job role? What are the key points covered in these requirements? What are your duties for health and safety in the workplace as required by these requirements? 293 Why is it important that you follow these requirements? What could happen if you did not follow these requirements?

18 (continued) K6 The relevant Health and Safety requirements in respect to the storage and issuing of including manual handling. What are the Health and Safety requirements in respect to issuing pharmaceutical which are relevant to your job role? What are the key points covered in these requirements? What are your duties for health and safety in the workplace as required by these requirements? 294 Why is it important that you follow these requirements? What could happen if you did not follow these requirements?

19 (continued) K6 The relevant Health and Safety requirements in respect to the storage and issuing of including manual handling. What hazardous material do you come into contact with in your job role? How can you identify these materials? What special precautions do you need to take when working with these materials? 295

20 (continued) K6 The relevant Health and Safety requirements in respect to the storage and issuing of including manual handling. What manual handling legislation is in place in your organisation and department? What are the key points covered in this legislation? What are your duties for health and safety in the workplace as required by this legislation? Why is it important that you follow this legislation? What could happen if you did not follow this legislation? 296 What manual handling issues do you encounter in your job role?

21 Questions K7 Why different products must be stored in different areas. Which pharmaceutical products that you come into contact with in your job role have special storage requirements? How can you identify these pharmaceutical products? How should these pharmaceutical products be stored? 297

22 (continued) K7 Why different products must be stored in different areas. Why is it important that these pharmaceutical products are stored correctly? What could happen if these pharmaceutical products are not stored correctly? What implications could there be for the patient if these pharmaceutical products are not stored correctly? 298

23 K8 The principles of rotation. Questions What is meant by rotation? What does rotation entail? Why is it important to rotate? What could happen if this did not occur? 299

24 Questions K9 The signs to look for and how to handle products that are damaged, contaminated or deteriorated. How could you tell that a product was damaged? What are the signs to look for? 300 How should damaged products be handled? What are the reasons for this?

25 (continued) K9 The signs to look for and how to handle products that are damaged, contaminated or deteriorated. How could you tell that a product was contaminated? What are the signs to look for? How should contaminated products be handled? What are the reasons for this? 301

26 (continued) K9 The signs to look for and how to handle products that are damaged, contaminated or deteriorated. How could you tell that a product had deteriorated? What are the signs to look for? 302 How should products that have deteriorated be handled? What are the reasons for this?

27 Questions K10 What to do with out dated or short dated. What procedures are in place in your department and organisation for dealing with out dated? What are the key points covered in these procedures? Why is it important that you follow these procedures? What could happen if you did not follow these procedures? 303

28 (continued) K10 What to do with out dated or short dated. What procedures are in place in your department and organisation for dealing with short dated? What are the key points covered in these procedures? 304 Why is it important that you follow these procedures? What could happen if you did not follow these procedures?

29 (continued) K10 What to do with out dated or short dated. Why is it important to check the expiry of the products that you supply? What could happen if you supplied an expired product? 305 What do the following terms mean? - Use before - Do not use after - Expires - Use by

30 Questions K11 The procedures for responding to urgent requests. What procedures are in place in your department which apply to responding to urgent requests? What are the key points covered in these procedures? 306 Why is it important that you follow these procedures? What could happen if you did not follow these procedures?

31 Questions K12 The action to be taken if is unavailable. What procedures are in place in your department which apply to the action to be taken if is unavailable? What are the key points covered in these procedures? Why is it important that you follow these procedures? What could happen if you did not follow these procedures? 307

32 Questions K13 The correct and appropriate methods of packaging and transportation of. What different methods are used in your department for packaging and transporting? Which of the items that you encounter in your job role are packaged and transported using these methods? Why are these methods used to package and transport these items? 308 Why is it important that items are packaged and transported using the correct and appropriate methods? What could happen if items were packaged and transported using the incorrect and inappropriate methods?

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