Flashcards in Alberta Pharmacist's Practice Model Deck (13):
What are the three principles of pharmacy services?
- Established within legislative framework
- Support pharmacist's full scope (e.g., receiving APA)
- Enabling pharmacists to meet needs of Albertans
What is an eligible service provider in pharmacy practice?
- Registered on clinical register within ACP
- Understands eligibility and rules for service provision
What do Albertans need to qualify for service eligibility?
- Valid Alberta HCN
- Certain disease/risk factors, depending on service
- Have been/will be prescribed Schedule 1 Drug, drug on ADBL, or be using insulin (depending on service)
What do pharmacies need to be eligible for compensation from government?
- Eligible service provider performing service is employed by the pharmacy
- Pharmacy has entered into agreement with AB Blue Cross and Alberta Health to provide service
- Pharmacy is licensed by ACP to operate in Canada
What are the three broad categories of pharmacy services?
- Chronic care assessments for Albertans
- Episodic care assessments for Albertans related to dispensing of a medication
- Primary care assessments for Albertans
What is a comprehensive annual care plan (CACP)? Brief overview of criteria?
- Conduct a detailed assessment to understand how patient uses med and create a care plan that includes drug therapy problems, goals of therapy, identification of possible interventions, and plans for follow-up
- Patient must have either: two or more chronic conditions OR one chronic condition and one or more risk factor (e.g., smoking, obesity, etc.)
What is a standard medication management assessment (SMMA)?
- Similar to CACP but meant for patients who do not meet criteria for CACP but could benefit from a care plan
- Helps set goals, monitor and manage drug therapy, enable Albertans to better manage conditions
- Have one or more chronic conditions and be currently taking more than three schedule 1 drugs or take insulin/schedule 1 drug for DM or use tobacco daily
What is an adaptation of a prescription medication?
- Enables pharmacist to assess patient and appropriateness of their prescription based on individual patient's needs
- Alter dose/regimen, substitute, discontinue medication
- Excluded from service are substitutions to generic brands and altering formulation for schedule 1 drug that has been prescribed
What is a prescription renewal?
- Allows pharmacist to renew a patient's prescription based on assessment of their needs
- Adapting an existing prescription by renewing it to ensure continuity of care
What are assessments for trial prescriptions?
- Pharmacist assesses patient and prescription to determine if it is appropriate to dispense reduced quantity of newly prescribed drug in order to assess patient's response to tolerance
- Trial quantity dispensed at pharmacists discretion
Describe administering drugs by injection
- Authorized pharmacists are expected to provide patient with eligible product by IM or SC injection following patient assessment
- Assess pre- and post-administration and any necessary follow-up
Describe prescribing in an emergency
- Service allows pharmacists to assess patient for drug therapy in absence of existing prescription in emergency situations
- Can prescribe schedule 1 drugs that are new to patient or have not been used in the past two years
- Emergencies are defined as then it is not reasonable for patient to seek emergency care elsewhere or when there is an immediate, high-risk to the patient's health if not treated