SIRCDIS407
Assist in preparing extemporaneous prescriptions

This unit describes the performance outcomes, skills and knowledge required to assist a pharmacist to prepare ingredients and prepare non-sterile extemporaneous pharmaceutical products from fixed formulas.

Application

This unit applies to dispensary assistants working in the dispensary area of a community pharmacy.

All tasks are performed according to pharmacy dispensary procedures and under the supervision of a pharmacist.


Prerequisites

SIRCDIS303

Assist in dispensing prescriptions


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes of a unit of competency.

Performance criteria describe the performance needed to demonstrate achievement of the element. Where bold italicised text is used, further information is detailed in the required skills and knowledge section and the range statement. Assessment of performance is to be consistent with the evidence guide.

1. Prepare to measure and mix ingredients.

1.1.Obtain the compounding worksheet and seek additional direction from the pharmacist where relevant.

1.2.Confirm that compounding work area is ready for use.

1.3.Select measuring and mixing equipment appropriate for the task and set up ready for use.

1.4.Select and fit appropriate personal protective equipment and clothing.

1.5.Follow personal hygiene procedures in preparation for handling materials.

1.6.Follow dispensary procedures for each stage of assisting in preparing extemporaneous prescription medicines.

2. Collect and measure required ingredients.

2.1.Identify ingredient requirements specified by the compounding worksheet.

2.2.Locate and collect raw materials.

2.3.Measure ingredient quantities to meet worksheet requirements.

3. Prepare compounded products.

3.1.Prepare ingredients by grinding, milling or heating as required to meet worksheet requirements.

3.2.Combine ingredients as required to meet worksheet requirements.

3.3.Inspect prepared product to confirm product quality.

3.4.Confirm labelling and advice requirements with pharmacist and prepare labels.

3.5.Collect dispensing containers as specified by pharmacist.

3.6.Attach labels and other relevant cautionary and advisory information to containers as directed.

3.7.Transfer final compounded product to labelled containers.

3.8.Supply completed compound items, prescription and worksheet to a pharmacist for verification.

3.9.Check pharmacist worksheet calculations and alert pharmacist to any discrepancies.

4. Maintain the compounding materials and work area.

4.1.Return unused ingredients to storage and adjust stock records as required.

4.2.Maintain inventory levels of raw materials and disposable equipment.

4.3.Monitor storage conditions to ensure product integrity is maintained.

4.4.Dispose of waste according to environmental requirements and pharmacy wastemanagement procedures.

Required Skills

Required skills

communication skills to:

provide relevant information to a pharmacist

seek and respond to direction from a pharmacist

initiative and enterprise skills to follow environmental protection practices, such as safely disposing of waste according to pharmacy waste management procedures

literacy skills to:

interpret and follow pharmacy procedures

interpret compounding worksheets and any additional pharmacist directions

prepare labels in plain English

record prescription information using appropriate pharmacopoeia name or active ingredient and quantity

numeracy skills to:

follow pharmaceutical numerical conventions when recording quantities and units of measurement

measure ingredients accurately

planning skills to plan and organise work to meet compounding workflow requirements

teamwork skills to work in a dispensary team under the direction of a pharmacist

technology skills to:

package and label extemporaneous prescription items consistent with protocols and procedures

select and use appropriate mixing equipment, tools and techniques

use measuring instrumentation

Required knowledge

care and storage requirements for compounding equipment

dispensary procedures relating to assisting a pharmacist in the preparation of extemporaneous prescription medicines

equipment calibration schedules and responsibilities, and procedures for checking calibration

cleaning methods and procedures for:

use with water-based ingredients

use with oil-based ingredients

disinfecting equipment and surfaces

common terms and abbreviations used in prescription writingas detailed in the Australian Pharmaceutical Formulary and Handbook (APF) of the Pharmaceutical Society of Australia

compounding work area equipment and layout

hazards and control methods associated with cross-contamination

methods to measure liquids, including accurate reading of meniscus

mixing techniques to achieve even distribution of ingredients, including levigation

work health and safety (WHS) information and procedures, including:

hazards and risks associated with materials and handling processes to be used

information, such as chemical hazard codes and symbols

location and purpose of material safety data sheets (MSDS)

personal limitations and responsibilities of the pharmacy assistant assisting a pharmacist preparing extemporaneous prescriptions

properties and characteristics of ointments, creams, gels and pastes

housekeeping checklist and responsibilities

raw material characteristics, including:

quality or grades

forms

strengths

storage conditions for ingredients before and after compounding

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment

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

Evidence of the ability to:

apply pharmacy protocols and procedures when assisting with the preparation of extemporaneous prescriptions

apply relevant WHS and personal hygiene practices

communicate effectively with a pharmacist to meet compounding requirements

follow procedures for handling and storing dispensary materials

maintain housekeeping standards in the compounding area and handle and dispose of waste according to environmental and waste handling procedures

plan and carry out work to meet compounding workflow requirements.

Context of and specific resources for assessment

Assessment must ensure that competency is:

consistently demonstrated over a period of time and observed by the assessor or the technical expert working in partnership with the assessor as described in the assessment

demonstrated in a real workplace environment that meets Pharmacy Board of Australia and relevant industry standards for dispensary layout and equipment requirements for supplying extemporaneous prescriptions.

Assessment must ensure access to:

relevant pharmacy procedures

access to state and territory legislation and guidelines where appropriate

dispensary recordkeeping systems

relevant documentation, such as:

real or simulated prescriptions

compounding worksheets

raw materials or ingredients and storage areas

cleaning and disinfecting materials and equipment

clothing and equipment that ensure WHS.

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge. The following examples are appropriate for this unit:

a qualified workplace assessor or a technical expert working in partnership with the assessor to observe the dispensary assistant performing a range of compounding activities

written or oral questions appropriate to the language and literacy level of the learner to test relevant underpinning knowledge

review of third-party reports and evidence that indicate the completion of timely and accurate workplace documentation and records relevant to compounding operations.

Guidance information for assessment

Holistic assessment with other units relevant to the industry sector, workplace and job role is recommended.


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. Bold italicised wording, if used in the performance criteria, is detailed below. 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) may also be included.

Compounding worksheetmay include:

data fields, such as:

date

formula name

formula source

ingredients

quantities

source

batch number

expiry date

procedure and notes

prescribing doctor

copy of label

signature.

Measuring and mixing equipmentmay include:

heating equipment

mixing slabs

mortar and pestle

tweezers

syringes

spatulas and mixing rods

volumetric containers, such asbeakers and measuring cylinders.

Personal protective equipment and clothingmay include:

closed footwear

face masks

hairnets

gloves

lab coats

safety glasses or goggles.

Personal hygiene proceduresmay include:

no food or drink in the compounding work area

no food stored next to ingredients used in compounding

no jewellery or cosmetics, such as hand moisturiser or nail polish

tying back hair or using a hairnet

washing hands before and after compounding.

Dispensary procedures may include:

checking worksheet calculations

confirming quality requirements are met

filling compounded products into dispensary containers and preparing and attaching labels and relevant cautionary advice

mixing ingredients

protecting safety of self and product

selecting required equipment and preparing it for use

selecting measuring instrumentation appropriate to the volumes required.

Compounded productsmay include:

one-off products prepared for a specific patient to an extemporaneous prescription, such as:

dermatological preparations (simple creams)

Australian Pharmaceutical Formulary and Handbook formulations for both adults and children

reconstituted products

combined proprietary products

modified formulations, e.g.to remove colours or preservatives.

Storage conditionsmay include:

clearly displayed expiry dates on stock

containers that are tightly sealed

locations that protect product from light, humidity and heat

temperature-controlled storage.

Waste managementmay include:

following dispensary procedures to dispose of materials that could be hazardous to the environment

sorting waste according to waste disposal requirements, e.g.placing sharps in designated container

using spill-control procedures as required.


Sectors

Community Pharmacy


Competency Field

Dispensary


Employability Skills

This unit contains employability skills.


Licensing Information

All relevant federal, state or territory legislation, Pharmacy Board of Australia Guidelines, and established practice and quality assurance standards are to be met.