ACT role in the dispensing process

[melly69]

fair points about the pharmacist using the pmr to clinically check the scripts, we have 1 locum that does that and wont just do it like the manager but the manager like i said only uses the bnf and who ever labels has a ticket that we use if change of strength, new patient, new item, address, and other information that we have to put on all the scripts that have changes from previous months. all the scripts when labelled have to have the pmr interactions as he is fussy and wont suppress any of them and we arent allowed to either even for people who come in month after month with no changes.

[Defblade]

give the same level of input to a regular repeat as a potentially problematic acute script.

And so they should. Neither is always safe.

[Defblade]

fair points about the pharmacist using the pmr to clinically check the scripts, we have 1 locum that does that and wont just do it like the manager but the manager like i said only uses the bnf and who ever labels has a ticket that we use if change of strength, new patient, new item, address, and other information that we have to put on all the scripts that have changes from previous months. all the scripts when labelled have to have the pmr interactions as he is fussy and wont suppress any of them and we arent allowed to either even for people who come in month after month with no changes.

Actually, that all sounds like it's MORE work than the regular way!

[tinx25388]

Just a quick question (out of curiosity) here:
If you have the prescription to clinically check with labels and MAR sheet, which details all the patients current medication, with any new items and possible interactions flagged with post-it notes, would you still insist on checking against the PMR? Or would you only refer to the PMR if you had concerns?

[melly69]

Actually, that all sounds like it's MORE work than the regular way!

thats my manager for u likes to make lots of work out of the easiest of tasks lol he fusses that much it takes a week to set up a dosette box without mar sheets and thats just the medication sheet im surprised it only takes about an hr to sign of about 100-200 items lol

[Defblade]

Just a quick question (out of curiosity) here:
If you have the prescription to clinically check with labels and MAR sheet, which details all the patients current medication, with any new items and possible interactions flagged with post-it notes, would you still insist on checking against the PMR? Or would you only refer to the PMR if you had concerns?

The PMR is always going to be safer. See my earlier examples. Would this system catch the metronidazole face/vaginal mistake, for a start? The previous vaginal gels are not current meds, there's no interactions and no reason not to assume it's not been prescribed appropriately on the face of it ( ) - it's only as I glanced back over her PMR that raised the question.

You could claim this is a rare example, and maybe it is 1 in a 1000. Which means it'll happen every weekly or less..... Thinking: I'd say something like that crops up a couple of times a month, so maybe 1:3000 round our way.





This is all a bit of a side issue to the main point, which has been discussed elsewhere (can't remember here, locumvoice or privateRx) - that ACTs exsist at all points up that there's simply too much work around to be processed in the traditional way by the pharmacist - hence the need/pressure to not work to the highest/safest standards - and everyone looking around for new systems (ACTs, remote supervision, hub'n'spoke) to cope. Sadly, current legislation means the RP will probably cop the comeback when these new systems fail (not that the old ones never did). As there's always more work, and precious little extra money, something is going to have to change.

Sadly, I doubt it willl be company profits.