HLTPH314B
Assist with basic dispensing of prescriptions

This unit of competency describes the skills and knowledge required to assist with the preparation of prescriptions according to legal and good pharmacy practice 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

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Accept prescription for dispensing

1.1 Collect prescription and confirm client details

1.2 Identify the prescriber and area initiating the order for the purpose of costing and computer entry

1.3 Confirm the legality, validity and completeness of the prescription

1.4 Report discrepancies to pharmacist

1.5 Determine cost of medication and provide appropriate information to client

1.6 Advise client of any foreseen difficulty in filling the prescription

1.7 Advise client of approximate waiting time and collection arrangements

1.8 Accept payment and issue receipt

2. Ensure clinical evaluation of prescription by pharmacist

2.1 Refer prescription to pharmacist for clinical evaluation

2.2 Confirm pharmacist's clinical evaluation before filling the prescription

2.3 Complete any special documentation

3. Prepare labels according to legal requirements

3.1 Prepare prescription labels to meet legal and regulatory requirements

3.2 Identify procedures to deal with contraventions of law

3.3 Check information on labels for accuracy, according to the prescription requirements

3.4 Check that information on labels is neat, clear, easily understood and in line with legal requirements

3.5 Add appropriate cautionary and advisory labels (either incorporated into label or attached separately)

4. Enter data in to dispensing computer

4.1 Enter dispensing data accurately into pharmacy computer system

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

4.3 Check accuracy of data entered against information from prescription and labels

5. Calculate prescription quantities

5.1 Calculate quantities of each item according to the prescription

5.2 Annotate the prescription

5.3 Refer prescription to pharmacist if uncertain about prescription details or prescribed quantity

6. Assemble prescription items according to good dispensing practice

6.1 Select prescribed products in the desired form in line with local Pharmacy Board guidelines and the Pharmaceutical Defence Ltd guidelines for good dispensing practice

6.2 Package correct quantity into a suitable container

6.3 Attach correct label (and ancillary label if applicable) to container

6.4 Check packed item for accuracy

6.5 Check visibility of expiry date

6.6 Annotate prescription with the quantity supplied, signature and date

6.7 Assemble items for an easy and complete check by the pharmacist

7. Finalise prescription and documentation

7.1 Verify that prescription is checked and signed by the pharmacist

7.2 Complete documentation in accordance with organisation policies and procedures

7.3 Record relevant information and statistics according to organisation policies and procedures

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:

Appropriate methods of disposal of unwanted medicines including short and outdated stock

Basic hygiene and the importance of maintaining a clean working environment and equipment

Charging for pharmaceuticals eg organisation policy and the Pharmaceutical Benefits Scheme

Common proprietary and generic names

Drug forms, dose, strength and quantity

Hospital or health facility in-house computer system

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

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

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

Legal requirements and principles of pharmaceutical product labelling eg product name, batch numbering and expiry date

Medicine administration and use and effect on basic human physiology

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

Personal hygiene and the use of protective clothing

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 and range of storage requirements for pharmaceutical products

Principles of calculations, weights and measures

Procedures and rationale for validating prescriptions

continued ...

Essential knowledge (contd):

Procedures for dealing with returned goods

Procedures to follow regarding dispensing of controlled drugs

Procedures for dealing with drug alerts and company recalls

Processes for reconstitution of products

Properties of container types and principles of selection for use

Relevant reference material

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

Types of prescriptions and their use

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

Work in a safe manner

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:

Apply checking processes through out dispensing procedure

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

Create labels which are legal, clearly readable, with instructions expressed in simple language, including all information specified by the prescriber

Demonstrate safe dispensing practices

Enter and access data on pharmacy computer system

Identify discrepancies/deviations and refer to the authorised person

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

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

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

Use measuring devices appropriately

Use ancillary and cautionary labels and explanatory statements and directions as specified by most recent Australian Pharmaceutical Formulary (APF)

Use time management strategies to set priorities

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

Use available resources and prioritise workload

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

Simulations may be used to represent workplace conditions as closely as possible
Acceptable simulation requires:

Scope to determine that work is conducted within legislative and regulatory requirements

Scope to determine that work is conducted within OHS and infection control requirements

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 (Good Practice requirements)

Weighing and measuring equipment and instructions

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.

Storage and location requirements may include but is not limited to:

Sequential positioning along shelves

Alphabetical arrangements

Controlled substances under specific storage conditions

Refrigeration

Prescription validity may include but is not limited to:

Written in ink or computer generated (must have handwritten signature)

Life of prescription according to legislative requirements

Adequate written instructions on the dosage regimen

Complete client details

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

Label presentation may include:

Typed

Written

Electronically generated

Medication form and related abbreviations may include but are not limited to:

Tablet - Tab

Capsule - Cap

Suspension - Susp

Drops - Gutt

Cream - Cr

Means of calculation may include:

Using SI system in particular weights, volumes, percentages, weight in weight, weight in volume, volume in volume, volume in weight, parts per million, millimoles, body surface and body weight

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 a narcotic written by the prescriber for self treatment

Questionable dosages and administration method for commonly used drugs

Request for excessive quantities

Suitable containers may include:

Boxes

Bottles

Cartons


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable