Ethics in Practice 2

Question 1

Raise concerns

Answer 1

• Anything that can cause harm to the patient

Question 2

Right culture

Answer 2

culture based upon the principles of fairness, quality, transparency, reporting, learning and safety

Question 3

Just culture

Answer 3

open culture, a reporting culture where you raise concerns and a there is a learning culture

Question 4

Why do you need to raise concerns

Answer 4

• Duty of care
• Protecting people receiving care
• Public safety

Question 5

Raising concerns about what

Answer 5

• People pharmacist professionals come into contact with during the course of work
• Behaviour and competency of pharmacy team and other healthcare professionals

Question 6

Reporting concerns

Answer 6

• Bulling and harassment
• Unprofessional behaviour and practice
• Poor patient care
• Breach of confidentility
• Lack of confidentiality
• Lack of professionalism
• Irresponsible or illegal prescribing
• A miscarriage of justice

Question 7

Professional empowerment

Answer 7

• Find out the organisation’s policy
• Report without delay
• Report to the immediate supervisor
• Report to another suitable person in authority or an outside body
• Keep a record
• Maintain confidentiality

Question 8

PIDA: Public Interest Disclosure Act 1998

Answer 8

• Protect employees from unfair treatment or victimisation from their employer if they have made certain disclosures of information in the public interest
• Raise a concern about issues which have happened, or which they reasonably believe are likely to happen.

Question 9

How do complaint arise in the pharmacy

Answer 9

• Human error
• System failure
• How a complaint or concern is handled in the pharmacy

Question 10

What to do in the event of a dispensing error?

Answer 10

1. Establish if the patient has taken any of the incorrect medicine
2. Inspect the incorrect medicine
3. Apologise
4. Never try to minimise the seriousness of the incident
5. Make a supply of the correct medicine ordered on the prescription, if appropriate
6. Establish their expectations
7. Provide details of how to complain to an ‘official body’ if requested
8. Try and establish what happened and what went wrong
9. Follow company procedures/ SOPs for reporting errors or complaints
10. Record, review and learn from errors made
11. Notify the pharmacist who was on duty at the time, if it was not you
12. Inform your professional indemnity insurance provider

Question 11

Professional sexulal boundries

Answer 11

• Cross personal and professional boundaries, the result for people under their care can be serious and can cause harm
• Damage public trust and confidence in the pharmacy profession and other healthcare professions
• Trust that pharmacy professionals will act in their best interests

Question 12

Sexualised behaviour

Answer 12

• Acts words or behaviour designed designed to arouse or gratify sexual imulses
• Unecessary physical examination and asking details of sexual orientation when it is not necessary or relevant would be a breach

Question 13

Examples of sexualised behaviour

Answer 13

• Revealing intimate personal details about themselves to a person under their care during a consultation
• Giving or accepting social invitations
• Visiting a home of a person under their care without an appointment
• Asking questions unrelated to a person’s health

Question 14

Avoiding breaches of sexual boundies

Answer 14

• Discuss this with an impartial colleague, a pharmacy organisation that represents them, a professional leadership body or their professional indemnity insurance provider.
• Find other care for the person e.g. another pharmacy professional
• If a person receiving care shows sexualised behaviour towards a pharmacy professional, the pharmacy professional should address the matter in a constructive way and try to re-establish a
• Professional relationship, or transfer the person’s care to another pharmacy professional.
• Ask for a chaparone and write a record of what happens in consultation