HLTPH414B
Assist in dispensary administration

This unit of competency describes the skills and knowledge required to assist with the administration of dispensary requirements, using knowledge of more advanced aspects of dispensing and dispensary information requirements

Application

The application of knowledge and skills takes place around standards, guidelines, policies and procedures and under the supervision of a qualified person

Individuals may take responsibility for their own outputs

Work performed requires a range of well developed skills where some discretion and judgement is required


Prerequisites

Pre-requisite unit

This unit must be assessed after successful achievement of pre-requisite:

HLTPH314B Assist with basic dispensing of prescriptions


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Apply basic drug knowledge

1.1 Work with an understanding of the major drug groups

1.2 Work with a basic understanding of drugs in each group and their expected effects, including adverse effects

1.3 Work with an understanding of drug-drug interactions and incompatibilities

1.4 Store and locate drugs according to legal and product specific requirements

1.5 Use common medication form abbreviations

2. Perform dispensing administration tasks

2.1 Complete tasks using dispensary administrative systems according to organisation procedures, regulatory requirements and legislation

2.2 Use barcode technology for the dispensing process in line with local Pharmacy Board guidelines

2.3 Enter dispensing data accurately into dispensary information system in accordance with Commonwealth, State and/or Territory legislation

2.4 Confirm accuracy of client details and dispensing data entered

2.5 Confirm approval or authority numbers for medicines requiring approval

2.6 Create and maintain client medication profile for clients using prescription, pharmacist only medicines and/or other medications

3. Maintain dispensary information

3.1 Update dispensary system information as required

3.2 Back up dispensary system information to ensure secure data, and according to organisation protocols

3.3 Extract data (clinical and financial) required for reporting and claiming systems

3.4 Inform relevant pharmacist of changes to the data stored in the dispensary information system

3.5 Confidentiality of dispensary information is maintained

Required Skills

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Awareness of circumstances/situations where referral to a pharmacist is necessary

Basic understanding of different drug groups, including

analgesics and anti-inflammatory agents

anti-coagulants

anti-depressants

anti-diabetic agents

anti-epileptics

anti-gout agents

anti-histamines

anti-hypertensives

anxiolytics and hypnotics

asthma treating agents

cholesterol and lip lowering agents

corticosteroids

diuretics

gastro-intestinal agents

heart preparations

hormonal preparations

osteoporosis preparations

viral and anti-bacterial agents, anti-fungals or antibiotics

Basic understanding of the following factors affecting drug groups:

blood pressure

breast feeding

geriatric

paediatric

pregnancy

Basic understanding of the following terms:

bioavailability

bioequivalence

drug absorption

drug distribution

drug elimination

drug half-life

drug metabolism

Basic understanding of drug-drug interactions and incompatibilities

Charging for pharmaceuticals eg organisation policy and the Pharmaceutical Benefits Scheme

continued ...

Essential knowledge (contd):

Different types of medication orders and their different labelling requirements, including:

inpatient items

outpatient

PBS and Section 100 prescriptions

Dosages and administration methods for commonly used drugs

Drug schedules and their different dispensing/ handling/recording requirement, including schedule 8 drugs

Factors affecting the administration of drugs and pharmacokinetics

Hygiene and the importance of maintaining a clean working environment and equipment

Identification and handling of products, including

formulary drugs and non-formulary drugs eg clinical trial drugs and special access scheme drugs

products with the required integrity as well as those whose integrity has been compromised eg damaged, contaminated or deteriorated stock

routine handling of products and products requiring special handling, eg cytotoxics and its spill management, refrigerated and frozen items, light sensitive materials and flammables

Personal hygiene and the use of protective clothing

Pharmacy dispensary systems

Policies, standards and guidelines, industry codes of practice, legislative and regulatory requirements in regards to performing dispensary administrative tasks

Prescribing conventions, and abbreviations and medical terminology used for instructions for the use of medicines

Principles and procedures of maintaining security of pharmaceutical products

Principles of calculations, weights and measures and knowledge of pharmaceutical calculations using SI system

Procedures and rationale for validating prescriptions

Rationale for applicable legislation, organisation policy and in-house standard operating procedures (SOPs), relating to prescription preparation

Requirements to be satisfied for a complete, unambiguous and valid prescription and actions to take if validity is questionable

Hospital or health facility in-house computer system

Infection control policies, guidelines and symbols and their relevance to working in a hospital pharmacy

OHS policies, guidelines and symbols and their relevance to working in a hospital pharmacy

Procedures for dealing with returned goods

Relevant reference material

Essential skills:

It is critical that the candidate demonstrate the ability to:

Assist pharmacist effectively in the preparation of prescription requirements

Follow instructions and complete tasks accurately and efficiently

Refer issues identified outside scope of practice to the appropriate person

Work in a safe manner

Work in accordance with relevant organisation policy, legislative requirements, industrial awards and agreements and in-house operating procedures (SOPs)

In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Communicate and interact appropriately with colleagues, health care practitioners and clients

Identify and select correct product with reference to form, dose, strength, brand and quantity

Identify discrepancies/deviations and refer to the authorised person

Identify drugs by generic and proprietary names, or readily access the information

Prepare and process information regarding dispensary administration including PBS and Section 100 claims

Source, extract, record and disseminate dispensary administration information (clinical and financial)

Take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

Use available resources and prioritise workload

Use dispensary information technology system

Use literacy, numeracy and oral communication skills required to fulfil the position in a safe manner as specified by the health care facility

Use problem solving skills

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of workplace performance is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible

Context of and specific resources for assessment:

Assessment should replicate workplace conditions as far as possible

Resources essential for assessment include:

Access to relevant workplace or appropriately simulated environment where assessment can take place

Relevant legislation, regulations and guidelines

Relevant policies

Method of assessment may include:

Observation in the work place

Written assignments/projects

Interviewing and questioning

Formal appraisal systems

Supporting statement of supervisor(s)

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities


Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Major drug groups must include:

Analgesics and anti-inflammatory agents

Viral and anti-bacterial agents, anti-fungals or antibiotics

Anti-coagulants

Anti-depressants

Anxiolytics and hypnotics

Anti-diabetic agents

Anti-epileptics

Anti-gout agents

Corticosteroids

Diuretics

Gastro-intestinal agents

Anti-histamines

Cholesterol and lip lowering agents

Asthma treating agents

Hormonal preparations

Heart preparations

Anti-hypertensives

Osteoporosis preparations

Prescriptions may be for:

Inpatients

Outpatients

Extemporaneous preparations that do not have a fixed formulae, for specific clients, need to be mixed and provided eg dermatological preparation, paediatric formulations

Prescription information may include:

Handwritten

Electronically generated

Include an order by a pharmacist

Medication form and related abbreviations include:

Commonly used abbreviations for dispensing instructions, routes of administration as per Australian Pharmaceutical Formulary abbreviations

Prescription discrepancies and/or situations requiring additional assistance may include but are not limited to:

Incomplete or incorrect prescriber and/or client details

Prescription out of date

Prescriptions marked "cancelled" or otherwise such as to indicate that it has been dispensed and completed

Prescriptions for medicines restricted in their availability including hospital specific restrictions, PBS authority and Section 100

Prescriptions for a narcotic written by the prescriber for self treatment

Questionable dosages and administration method for commonly used drugs

Request for excessive quantities

Regulatory and legislative requirements for each State and Territory may include:

Consumer Law, Environmental Law, Occupational Safety, Health and Welfare Law specific to Local Government, State and Federal Legislation

The Pharmacy/Pharmacists Act and related regulations

Drugs, Poisons and Controlled Substances/Poisons Act and related regulations

Therapeutic Goods Act

Health Act and related regulations

Privacy legislation

Pharmaceutical Benefit Scheme (S85, S100)

Standards may include:

Pharmacy Board Guidelines and/or directives

SHPA standard of practice

SHPA code of conduct/ethics

Pharmaceutical Society of Australia's Professional Practice Standards

Accuracy of client details may include but is not limited to:

Name, current address, date of birth

Concessional/entitlement numbers and categories eg pension

Allergies, medical conditions and other medications taken

Name of client's doctor

Medicare numbers

Ward/clinic/cost centre

Client medication profile may include:

Date of birth

Approximate weight and height of the patient

Any known chronic medical conditions or incapacities

Allergies or history of adverse drug reaction

Any known and relevant lifestyle factors eg history of drug dependency, use of non-pharmacy health care services or therapies

Other medications including OTC, complementary products, prescription etc.

SAS approvals

Restricted drug approvals

Authority numbers

S100 status

Dispensary administrative systems and associated technology may include:

Pharmacy dispensary hardware system:

main hard drive, associated floppy and/or CD/DVD drives

various controller boards for peripheral devices

keyboard, screen, printers, modem, scanners

Pharmacy dispensary software system:

proprietary software

spreadsheets, word processing, accounting packages

customer, supplier, stock, and drug usage databases

Dispensary administrative computerised tasks may include but are not limited to:

Updating patient records - demographic details, entitlement numbers

Maintaining prescriber records

Maintaining medication/drug records

Maintaining dispensing/prescription records

Maintaining supply of cautionary and advisory information ready for use

Financial management reports - number and value of prescriptions dispensed

Drug usage reports

Stock control reports

Pharmaceutical Benefits Scheme claims

S100 claims

Government claims

Management accounting - customer accounts

Backing up system and maintaining security - daily, weekly and system backups

Printing consumer product information


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable