Pharmacy Practice
PP2 2014 OTC related conversation Feedback / Assessment Student ………………………………………..................................................... Assessor ………………………..
This simulated patient interaction test allows the student pharmacist to demonstrate the application of their knowledge and skills in terms of conducting a conversation around prescription
medicines (patient counselling) and over-the-counter (OTC) consultations. Student pharmacists will have 30 minutes to prepare the prescription label(s) and CMI/other relevant information. The
student pharmacist will not know the OTC scenario. At the end of the preparation period, a total of 12 minutes will be available for each student pharmacist to conduct a conversation around a
prescription and an OTC scenario.
Course Objectives
CO3. Clearly and concisely communicate reasoning for decisions made (GQ1, GQ6)
CO5. Respond to requests for provision of an expanded range of `over the counter' pharmacy products at the level of the professional standard (GQ1, GQ2, GQ3, GQ6)
Graduate Qualities (GQ)
A graduate of UniSA:
GQ1. operates effectively with and upon a body of knowledge of sufficient depth to begin professional practice
GQ2. is prepared for life-long learning in pursuit of personal development and excellence in professional practice
GQ3. is an effective problem solver, capable of applying logical, critical, and creative thinking to a range of problems
GQ6. communicates effectively in professional practice and as a member of the community
Criterion
Opening
Fail
Pass
Critical error:
1.
2.
Does not confirm patient
Does not introduce
him/herself if patient not
known
Pass: all of the following
Confirms patient
Introduces as appropriate
Offers privacy
Establishes level of engagement with patient
Fail
1.
2.
Information
gathering
Does not offer privacy
and/or
Does not establish level of
engagement with patient
Fail:
1.
2.
3.
Does not gather sufficient
information to made a
reasoned diagnosis
Does not gather relevant
information to made a
reasoned diagnosis
Attempts to gather
information but Interprets
gathered information
incorrectly and
consequently is not able to
make a reasoned diagnosis
Pass:
Able to gather and interpret sufficient relevant information to make a reasoned diagnosis
Information includes;
1.
2.
3.
4.
5.
6.
7.
8.
9.
Symptoms/issue
Factors influencing choice (age, wt, pregnancy, lactation)
Onset/duration
Frequency
Previous history
Previous treatment/successful?
Treatment to date
Health and medical history if appropriate
Allergies if appropriate
Diagnosis
Critical error:
Incorrect diagnosis
Pass:
Correct diagnosis
Criterion
Fail
Pass
Credit
Distinction
High distinction
Provision of care
plan including
recommendations
and advice
Notes
“Directions*” includes
demonstrating of use of
product eg inhaler, eye
preps etc)
“Check patient
understanding**”
includes giving
opportunity for patient to
ask questions, and getting
verification that patient
knows how to take/use
medication by the patient
reiterating pharmacist’s
instructions
Critical error
Error(s) of fact
Fail:
1.The care plan will not
address problem identified
in the diagnosis.
2.The patient does not have
the necessary knowledge
and skills to achieve the
goals.
3.The patient is unable to
evaluate the progress of
their problem.
The pharmacist delivers a care plan,
which states the desired goals of
therapy, determines an appropriate
intervention that manages the
identified problem and achieves the
goals of therapy, and schedules a
follow-up if necessary.
The patient will leave the pharmacy
with an understanding of the issue,
have sufficient knowledge and skills
to be able to undertake the
intervention successfully, and is
given a conditional referral to a GP.
If a product is supplied, the
following information and
education is provided;
(a) Drug name
(b) Directions*
(c)
Expected benefits and
possible side effects
(d) Related health management
advice
(e) Conclude by summarising key
points
The pharmacist delivers a care plan, which
states the desired goals of therapy,
determines an appropriate intervention
that manages the identified problem and
achieves the goals of therapy, and
schedules a follow-up if necessary.
The patient will leave the pharmacy with
an understanding of the issue, have
sufficient knowledge and skills to be able
to undertake the intervention successfully,
and is given a conditional referral to a GP.
The pharmacist negotiates a care plan
which states the desired goals of therapy,
determines an appropriate intervention
that manages the identified problem and
achieves the goals of therapy, and
schedules a follow-up if necessary.
The patient will leave the pharmacy with
an understanding of the issue, have good
knowledge and skills to be able to
undertake the intervention successfully,
and is given a conditional referral to a GP.
If a product is supplied, the following
information and education is provided;
(a) Drug name
(b) Directions*
(c) Expected benefits and possible
side effects
(d) Storage/Handling instructions
(e) Related health management advice
(f) Check patient understanding **
(g) Conclude by summarising key
points
If a product is supplied, the following
information and education is provided;
(a) Drug name
(b) Directions*
(c)
Expected benefits and possible side
effects
(d) Timeframe for follow up
(e) Storage/Handling instructions
(f)
Related health management advice
(g)
Check patient understanding **
(h) Conclude by summarising key points
Interactive use of relevant counselling aids
Interactive use of relevant counselling aids
The pharmacist negotiates a care plan, taking into
account the patient’s present and potential
capabilities, which states the desired goals of
therapy, determines an appropriate intervention
that manages the identified problem and achieves
the goals of therapy, and schedules a follow-up if
necessary.
The patient will leave the pharmacy with a clear,
unambiguous understanding of the issue, have the
necessary knowledge and skills to be able to
undertake the intervention successfully, and
knows what to do if the problem does not
improve as expected.
If a product is supplied, the following information
and education is provided;
(a) Drug name
(b) Directions*
(c)
Expected benefits and possible side effects
(d) Timeframe for follow up
(e) Storage/Handling instructions
(f)
Related health management advice
(g)
Check patient understanding **
(h) Conclude by summarising key points
Interactive use of relevant counselling aids
Relevant counselling aid provided to
patient, but not used interactively
Criterion
Communication
skills (P/F)
Fail
Pass
Failure to satisfy all of these
criteria as the patient struggles
to follow or understand the
pharmacist or the approach used
by the pharmacist is confusing
(a)
(b)
(c)
(d)
Methodical approach used (See PP1)
Listens and understands all statements
Speaking; articulation (vocal expression), pronunciation
Body language; facial expression appropriate, appropriate eye contact maintained, nodding and verbal cues used appropriately to signal understanding
Student Pharmacist to complete this feedback form and present it to the assessor immediately following the completion of the interaction
Student Pharmacist-assessor conversation summary:
Time taken for interaction:
minutes)
Student reflection - answer the following questions after the conversation with
your assessor:
What do you think was the outcome of your care for this patient?
Comments
What areas did I do well in? Why did I make errors/lose marks?
What could have happened to this patient because of errors I made?
What will I do differently next time?
*With grateful thanks to Dr Geoff March for the original task of which this is an adaptation.