Quote:
Originally Posted by johnep Would love to know the details with examples of what you do in medicines management.
johnep |
Oh no, not specifics please!

Oh well, a bit of background then. I started working at the practice when it had dispensing status, part of my job was dispensing, the other part was repeat prescribing and medicines management. Last year we relocated to a huge new premises with five other practices and lost our dispensing status

so half of my job is gone, LOL!
The sort of stuff I do? Update patient's medication records when they've seen a consultant, repeat prescribing queries, actioning recommendations from PCT/NICE etc. I work closely with the prescribing lead. Dose optimisation. If a pharmacy phones with a query, it tends to be filtered through me and 8/10 times I can handle it saving the doctor some hassle. General trouble shooting when it comes to prescriptions. For example, with the dose inequality issue for Beclometasone cfc free I have searched the database, forwarded recommendations to the GP's for switching the patients over and once they have signed off on it I can change their records and fire a letter off to the patient explaining why the change. I sometimes bounce scripts back to the GP's as we do a quick clinical check when issuing repeats but since some of the clerical staff also do repeat prescribing this isn't done 100% of the time. Considering most practice clerical staff have no clinical training it's a step up from nothing I guess.
Quite a few of the local practices employ technicians to oversee their repeat prescribing. I think it's a good use of technician's training. The pharmacies appreciate having someone readily available to speak to with queries. I'm not a big fan of dispensing practices though, I think it's a bit scary that things are being dispensed without a pharmacist doing a clinical check. I'm not liking the sound of remote checking.
