Transcript Dari - Ronna

EO 001.02 Pharmacy Practice
(Dari)
AFAMS
01/09/2013
Importance of Lesson
(Dari)
• Pharmacy Technicians
serve as Pharmacist
extenders however, they
may only perform some
activities of a Pharmacist.
• Therefore, Pharmacy
Technicians must be
aware of these activities
that require a Pharmacist.
Insert Dari
AFAMS
Overview EO 001.02
(Dari)
•
Understanding roles and
responsibilities:
–
–
•
•
•
Insert Dari
Pharmacist
Pharmacy Technician
Description of Pharmacy
Practice Settings
Lesson Review
Scenarios (not graded)
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Services (Clinical)
Dari
Clinical Pharmacy
“ …patient care that optimizes
medication therapy and promotes health,
wellness, and disease prevention.”
“…it blends a caring orientation with
specialized therapeutic knowledge,
experience and judgment...”
Insert Dari
American College of Clinical Pharmacy
•
Due to the requirement for professional
judgment and therapeutic knowledge
only Pharmacists can provide clinical
services.
AFAMS
Pharmacy Services (Clinical)
Dari
Pharmacist Clinical Activities:
• Ensures safe and effective use of
medications
Insert Dari
– Determines and resolves any
medication therapy problems
•
•
•
•
•
•
•
•
drugs without indications;
medical conditions for which no therapy
is prescribed;
therapy inappropriate for medical
condition;
incomplete immunization record;
inappropriate dose, dosage form,
duration, schedule, route of
administration, method of administration;
therapeutic duplication;
medication allergies; and
clinically significant drug-drug, drugdisease, drug-nutrient, or drug-laboratory
test interactions.
AFAMS
Pharmacy Services (Clinical)
Dari
Pharmacist Clinical Activities:
• Provides responses to requests
for drug information from
patients, physicians and nurses.
• Provide patient discharge
medication teaching upon
request.
• Report medication errors and
adverse drug reactions to the
medical team.
• Inform and provide education to
hospital staff.
• Document clinical activities in
patient chart.
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Dispensing Services
Dari
Dispensing:
• The preparation of a drug or device
referred to in a prescription and
taking steps to ensure the
pharmaceutical and therapeutic
suitability of a drug or device for its
intended use and taking steps to
ensure its proper use.
•
Insert Dari
Government of British Columbia Canada
Prescription:
• A written or verbal order from a
Doctor
AFAMS
Pharmacy Dispensing Services
Dari
Pharmacist Dispensing Activities:
• Assess a prescription for suitability
of medication selected for a
patient’s disease state,
appropriateness dose, and frequency
of dosing, therapy duration,
medication duplication and drugdrug interaction.
• Contacts Physician for questions
about prescriptions.
• Contacts the prescribing Physician
for known contraindications and
drug interactions on medications
that have been requested
Insert Dari
AFAMS
Pharmacy Dispensing Services
Dari
Pharmacist Dispensing Activities:
• Oversee Pharmacy Technician
filling of a prescription.
• Provide medication information and
advice to physician and nursing
staff.
• Provide consultation and advice
regarding medications for patients.
• Ensures appropriate packaging of
medication.
• Ensures adequate supply of
medication to match with
requirements.
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Under Control/ Controlled
Medications
Dari
Management of Under Control/
Controlled Medications:
• Under Control/ Controlled
medications have the potential for
abuse or addiction and therefore,
must be kept in a separate locked
area to prevent unauthorized
removal from the pharmacy
department.
• Pharmacists are responsible for
ensuring policies related to Under
Control/ Controlled Medications are
followed and reports completed.
•
Insert Dari
Including: receipt, storage, issue
and disposal.
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Managing Medical Materials
Dari
Medical Materials (Class VIII):
– Militaries require supplies to be
effective. Supplies can be classified as
rations (Class I), ammunition(Class V),
vehicles (Class VII)….
– Class VIII – Medical and Dental
material.
– Pharmacist’s extent of responsibility
depends on location. Pharmacists must
ensure the proper receipt, accounting,
storage, transfer and issue of medical
supplies under their control:
» Hospital: Drugs, pharmaceutical gels/
creams….
» Warehouse: drugs, pharmaceutical
gels/ creams, bandages, crutches, x-ray
machines….y machines, blood
pressure machines at Class VIII
warehouses.
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Operations
Dari
– The Chief of Pharmacy is responsible
for the professional services and efficient
management of all pharmacy operations.
» Enforcement of national, hospital
and pharmacy policies by pharmacy
staff.
» Management of pharmacy staff (e.g.
administration staff, pharmacy
technicians..). Proper staffing of
clinical, dispensary and
quartermaster positions.
» Liaising with other areas of the
hospital (e.g Wards, Hospital
Management, Emergency
Department,..)
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Administration




Pharmacists are responsible to the
Chief of Pharmacy for administrative
accountability
Pharmacy technicians report to the
Chief of Pharmacy through the
pharmacist supervising their division.
Chief of Pharmacy is responsible for
the disciplining of pharmacy staff
members.
Pharmacy Accountant is responsible
for maintaining accurate records of
medications, equipment and
consumables for the Pharmacy
Department. Works closely with other
members of the Pharmacy Department
and the hospital Finance Officer to
support the department’s needs
Insert Dari
AFAMS
Check on Learning
‫ارزیابی آموزش‬
Question:
• What are the
six areas of
responsibility
for a
pharmacist?
Insert Dari
•
AFAMS
Check on Learning
‫ارزیابی آموزش‬
Answer:
Insert Dari
•
1. Provision of pharmacy services
(Clinical);
2. Provision of dispensing
services;
3. Managing use of Under
Control/ Controlled
Medications;
4. Managing the use of medical
materials;
5. Pharmacy operations; and
6. Pharmacy administration.
AFAMS
Pharmacy Technician Roles/
Responsibilities
Dari
Remember:
• Pharmacy Technicians
serve as Pharmacist
extenders however, they
may only perform some
activities of a Pharmacist.
Insert Dari
• Let’s look at the 6 areas of
a pharmacist’s
responsibilities and where
Pharm Techs fit in.
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Services (Clinical)
Dari
Clinical Pharmacy
“ …patient care that optimizes
medication therapy and promotes health,
wellness, and disease prevention.”
“…it blends a caring orientation with
specialized therapeutic knowledge,
experience and judgment...”
Insert Dari
American College of Clinical Pharmacy
•
Due to the requirement for professional
judgment only Pharmacists can provide
clinical services.
AFAMS
Pharmacy Services (Clinical)
Dari
Professional judgment:
Insert Dari
“…a process used to reach a wellreasoned conclusion that is based on
the relevant facts and circumstances
available at the time of the conclusion.
A fundamental part of the process is the
involvement of individuals with
sufficient knowledge and experience.”
American Accounting Association
AFAMS
Pharmacy Services (Clinical)
Dari
Therapeutic Knowledge
•
knowledge required for the evaluation,
selection, use, monitoring, advice,
education and/or recommendations
related to appropriate drugs to assist in
the:
Insert Dari
(a) management of individual patient’s
symptoms and disease states, and / or,
(b) identification, management and/or
resolution of drug-related problems.
NAPRA Canada
AFAMS
Pharmacy Services (Clinical)
Dari
Therapeutic knowledge does not include
information and basic knowledge related
to: (Technical Questions)
(a) principles related to communication,
collaboration, professionalism, ethics or legal
aspects of pharmacy practice
(b) drug distribution systems
(c) basic pharmacology (i.e. mechanism of
action, uses and customary doses of common
drugs and drug classes)
(d) basic pharmaceutics (i.e. drug contents,
dosage forms, stability and physical
compatibility, pharmaceutical calculations)
(e) principles and practices related to patient
safety
(g) principles and practices related to
pharmacy management
NAPRA Canada
Insert Dari
AFAMS
Pharmacy Services (Clinical)
Dari
Question: True or False?
Insert Dari
Since only pharmacists can
perform clinical services
Pharmacy Technicians cannot
assist in completing these
pharmacist duties?
AFAMS
Pharmacy Services (Clinical)
Dari
Question: True or False?
Insert Dari
Since only pharmacists can
perform clinical services
Pharmacy Technicians cannot
assist in completing these
pharmacist duties?
FALSE
AFAMS
Pharmacy Services (Clinical)
(Dari)
Pharmacy technicians, when helping
Pharmacist to provide patient care can:
•
•
•
•
•
•
Insert Dari
ensure confidentiality when gathering, using or
providing patient information
recognize when a patient potentially requires
assessment, clinical analysis or application of
therapeutic knowledge and consult with the pharmacist
in such instances.
refer to the pharmacist patients who require assessment,
clinical analysis or application of therapeutic
knowledge.
identify and refer to the pharmacist patients who have
discrepancies between their current drug therapy and
their recent or intended drug therapy.
provide information that does not require application of
therapeutic knowledge to patients requiring assistance in
selecting non-prescription drugs and medical devices
determine whether the prescription meets all legal
requirements, and where it does not, notify the
pharmacist
AFAMS
Pharmacy Services (Clinical)
Dari
How Pharm Techs can assist:
1. Answer questions that do not
require professional judgment or
therapeutic knowledge.
(Technical Questions)
Insert Dari
– A Physician asks at what temperature a
certain drug should be stored.
– A Physician asks if a certain drug is
paid for by the ANA.
– A patient asks for the name of the drug
they are taking.
– A patient asks what are the hours of the
pharmacy.
AFAMS
Pharmacy Services (Clinical)
Dari
How Pharm Techs can assist
Pharmacists:
Insert Dari
2. When asked a question that requires
professional judgment or therapeutic
knowledge gather information to assist the
pharmacist in answering the question.
– A Physician asks you what is the best
medication to treat a patient’s high blood
pressure.
– A Physician asks you if a certain drug
could be causing a patient to have a certain
side effect.
– A patient asks you for the reason why they
are taking the medication.
* Do not answer the question but, get a
Pharmacist.
AFAMS
Pharmacy Services (Clinical)
Dari
Information Pharm Techs can
gather to assist Pharmacists in
answering clinical questions:
Insert Dari
1. Patient name
2. Patient age
3. Physician name and contact number
(if applicable)
4. What is the question?
5. Drug name, dose and frequency
(if applicable)
6. Side effect(s) being experienced
(if applicable)
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Dispensing Services
Dari
How Pharm Techs can assist
Pharmacists:
1. Receive, verify, complete and
provide medications to patients
under Pharmacist supervision.
2. Provide information to patients
or healthcare professionals as
directed by the Pharmacist.
3. Compound medications when
required.
4. Follow ANA, MEDCOM and
hospital policies and procedures.
5. Educate patients on using home
care devices (e.g inhalers…)
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Under Control/ Controlled
Medications
Dari
How Pharm Techs can assist
Pharmacists:
*
Insert Dari
Follow policies:
1. Ensure all Under Control/ Controlled
Medication prescriptions are recorded
in the perpetual inventory log;
2. Conduct monthly inventory counts
under supervision of a disinterested
officer;
3. Report any stock discrepancies to a
Pharmacist immediately;
4. Ensure all Under Control/ Controlled
Medications are stored properly; and
5. Under Control/ Controlled medications
are only given to authorized personnel
or to patients with valid prescription;
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Managing Medical Material
Dari
How Pharm Techs can assist
Pharmacists:
1. Keep pharmacy dispensary
shelves well stocked.
2. When working in the
Quartermaster Storeroom: identify
and complete paperwork.
3. Properly receive orders
a.
b.
c.
Insert Dari
Verify completeness of order;
Check expiry dates and condition
of medications); and
Put order away ensuring
medications expiring first are
placed at the front.
AFAMS
Managing Medical Material
Dari
How Pharm Techs can assist
Pharmacists:
4. Maintain cleanliness of
Pharmacy;
5. Monitor temperature controlled
environments (ie. Room temperatures,
fridge temperatures);
6. Identify/ remove expiring and
unserviceable medications;
7. Build and maintain operational
medical kits;
8. Recommend changes/
improvements to procedures;
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Operations
Dari
How Pharm Techs can assist
Pharmacists:
1. Obey all pharmacy procedures;
2. Perform tasks assigned by
Pharmacists;
3. Verify pharmacy procedures are
in effect on wards;
4. Notify superiors when policies
and procedures are not being
followed;
5. Identify unsafe working
practices; and
6. Ask questions when unsure.
Insert Dari
AFAMS
Pharmacist Roles/ Responsibilities
Dari
• Provision of pharmacy
services (Clinical);
• Provision of dispensing
services;
• Managing use of Under
Control/ Controlled
Medications;
• Managing the use of
medical materials;
• Pharmacy operations; and
• Pharmacy administration.
Insert Dari
AFAMS
Pharmacy Administration
Dari
How Pharm Techs can assist
Pharmacists:
1. Attend all pharmacy
department meetings;
2. Be on time for work;
3. Conduct handover with on
coming Pharm Tech staff;
4. Prepare reports correctly; and
5. Assist in the training of new
Pharm Techs.
Insert Dari
AFAMS
Pharmacy Practice Settings
Insert Dari
AFAMS
Pharmacy Practice Settings
Dari
Sites you will see in ANA:
1. Hospital inpatient dispensary;
2. Hospital wards (Clinical
Pharmacists)
3. Outpatient dispensary
(e.g. Polyclinic)
4. Quartermaster storeroom; and
5. Class VIII warehouse.
Insert Dari
AFAMS
Herat Regional Hospital
Mazar-e Sharif Regional Hospital
Gardez Regional Hospital
Kandahar Regional Hospital
AFAMS
Hospital Inpatient Dispensary
Dari
•
Although some outpatient
prescriptions are filled at an inpatient
dispensary the majority of
prescriptions are for inpatients.
• Outpatients: patients not admitted
to hospital.
•
•
•
Insert Dari
E.g. Patients treated in emergency room
but, no further hospital treatment
required.
E.g. Patients discharged from hospital
but, present to pharmacy dispensary with
prescription.
Inpatients: patients admitted to a
ward in the hospital.
AFAMS
Hospital Inpatient Dispensary
Dari
•
Each hospital ward requests
medications from the Hospital
Inpatient Dispensary based on
prescriptions (orders) written by
Physician’s for their inpatients.
•
Medications are then sent up to
the wards based on the Physician’s
orders.
Insert Dari
AFAMS
Hospital Wards
Dari
On Wards Clinical Pharmacists:
•
•
review Physician orders and assess them for
medication product selection, dosage
regimen, effective dose administration and
drug therapy monitoring services.
prevent, detect, and resolve medicationrelated problems and make appropriatebased medication therapy recommendations.
Insert Dari
Emergency Medication Cabinets:
•
Contain medications required quickly by
Physicians.
•
Verified and monitored by Pharm Techs.
AFAMS
Outpatient Dispensary
Dari
•
Example: Polyclinic pharmacy.
•
Similar to Civilian pharmacy
practice.
Insert Dari
•
Outpatients or their family
members present with prescription(s)
to be filled.
• Medications are then provided
with education on how to take the
medication and possible side effects.
AFAMS
Quarter Master Storeroom
Dari
•
•
Stores medications for Dispensary.
Orders and receives medications
for Dispensary from NMH Warehouse
or Forward Supply Depot.
Insert Dari
* Does not provide medications to
patients.
AFAMS
Class VIII Warehouse
Dari
National Class VIII Supply
Warehouse
• Provides medical supplies to NMH
Warehouse and Forward Supply
Depots (FSD).
Insert Dari
NMH Warehouse and FSD
• Stores and supplies medical
supplies (including medications) to
NMH, Regional Hospitals, Kandaks…
* Does not provide medications to
patients.
AFAMS
Review
Dari
What type of information can Pharm
Techs gather to assist Pharmacists in
answering clinical questions?
Insert Dari
AFAMS
Review
Dari
What type of information can Pharm
Techs gather to assist Pharmacists in
answering clinical questions?
Insert Dari
AFAMS
Review
Dari
What type of information can Pharm
Techs gather to assist Pharmacists in
answering clinical questions?
1. Patient name
2. Patient age
3. Physician name and contact number
(if applicable)
4. What is the question?
5. Drug name, dose and frequency
(if applicable)
6. Side effect(s) being experienced
(if applicable)
Insert Dari
AFAMS
Review
Dari
•
Differentiate between outpatients
and inpatients.
Insert Dari
AFAMS
Review
Dari
•
Outpatients: patients not admitted to
hospital.
•
•
•
Insert Dari
E.g. Patients treated in emergency room but,
no further hospital treatment required.
E.g. Patients discharged from hospital but,
present to pharmacy dispensary with
prescription.
Inpatients: patients admitted to a
ward in the hospital.
AFAMS
Review
Dari
In your own words define
Professional judgment:
Insert Dari
AFAMS
Review
Dari
In your own words define
Professional judgment:
Insert Dari
“…a process used to reach a wellreasoned conclusion that is based on
the relevant facts and circumstances
available at the time of the conclusion.
A fundamental part of the process is the
involvement of individuals with
sufficient knowledge and experience.”
American Accounting Association
AFAMS
Questions?
Dari
AFAMS
Scenarios (Assessment)
Dari
Formative Assessment:
• Not marked
• Used to assess the students
understanding of lectures material.
• Instructors will ask the questions
to the class as a whole. Group
discussion amongst the students is
encouraged to answer the questions.
• Instructor will provide a debrief
after each scenario question to
highlight reasons why response was
correct or incorrect.
Insert Dari
AFAMS
Scenario One
Dari
You are working as a Pharm Tech
in a Hospital Dispensary. The
Pharmacist is talking to the Quarter
Master just outside of the
pharmacy.
Insert Dari
The phone rings and you answer it.
A physician has called. They state,
“I have a question about
clarithromycin.”
What do you do?
AFAMS
Scenario One
Dari
Possible Answer:
• Ask the Physician for their
question.
Insert Dari
Examples:
“Yes Doctor, what is your
question?”
Or
“Yes Doctor, how may I help you?”
AFAMS
Scenario One Continued
Dari
Question 1:
The Physician asks:
“Does clarithromycin suspension
have to be stored in the fridge?
Insert Dari
1. Can you answer the question or
do you need to get the Pharmacist?
2. Why?
AFAMS
Scenario One Continued
Dari
Question 1:
The Physician asks:
“Does clarithromycin suspension
have to be stored in the fridge?
Insert Dari
1. Can you answer the question or
do you need to get the Pharmacist?
2. Why?
Answer:
Yes, you can answer the question
since it does not require
professional judgment. The answer
is in the drug monograph.
AFAMS
Scenario One Continued
Dari
Question 2:
The Physician says:
“Thank you for the information. If
you have another minute I have
another question? ”
Insert Dari
“The patient is also taking the drug
atorvastatin is there a drug
interaction with clarithromycin?”
1. Can you answer the question?
2. Why?
AFAMS
Scenario One Continued
Dari
Answer:
No, you cannot answer this question
since it requires the professional
judgment of a Pharmacist. Though
a reference textbook will state there
is a drug-drug interaction the
Pharmacist must assess using
relevant facts (textbook) and
circumstances (reason for the
atorvastatin, reason for the
clarithromycin, length of therapy…)
whether or not the interaction is
serious and ways to minimize any
effect.
Insert Dari
AFAMS
Scenario One Continued
Dari
Since you cannot answer the
question, what can you do to help
the Pharmacist?
Insert Dari
AFAMS
Scenario One Continued
Dari
Since you cannot answer the
question, what can you do to help
the Pharmacist?
Insert Dari
Inform the Physician the Pharmacist
cannot come to the phone right
away but, you can gather some
information for the Pharmacist and
they will phone back once they can.
AFAMS
Scenario One Continued
Dari
Since you cannot answer the
question, what can you do to help
the Pharmacist?
1. Write down the question.
2. Physician’s name and contact
number.
3. Patient name
4. Drug name, dose and frequency
(both drugs)
5. Additional info if possible:
Insert Dari
a. Reasons for each medication.
b. When each medication was started.
c. How long will the patient be taking
each medication.
AFAMS
Scenario Two
Dari
You are working at the Polyclinic
Dispensary. A patient asks if the
medication they just started could
be causing them have muscle pain.
The Pharmacist is presently talking
to another patient.
Insert Dari
You look in the reference book and
see no mention of the drug causing
patients to feel tired.
Do you provide this information to
the patient?
AFAMS
Scenario Two
Dari
No, you cannot provide this
information to the patient.
Professional judgment is required
since there are many circumstances
involved.
i) Is the patient on another
medication that could be causing
the side effect or a drug-drug
interaction.
ii) Is it an expected side effect
that is short term or could be
minimized slowly increasing the
dose.
Insert Dari
AFAMS
Scenario Two Continued
Dari
Since you cannot answer the
question, what can you do to help
the Pharmacist?
Insert Dari
AFAMS
Scenario Two Continued
Dari
Since you cannot answer the
question, what can you do to help
the Pharmacist?
Insert Dari
Inform the patient the Pharmacist
cannot come to see them right away
but, you can gather some
information to help the Pharmacist
when they come over.
AFAMS
Scenario Two Continued
Dari
Since you cannot answer the
question, what can you do to help
the Pharmacist?
1. Write down the question.
2. Patient’s name
3. Drug name, dose and frequency
(both drugs)
4. Additional info if possible:
Insert Dari
a. Any other medications the patient is
taking.
b. When each medication was started.
c. Why they are taking each
medication.
AFAMS
Questions?
Dari
AFAMS
Handouts For Next Class
Dari
For Next Class Read First Three
Documents:
(Instructor to Provide Handouts)
Insert Dari
•
1. Afghan Medicine Law (Drugs Law)
2006
2. National Medicine Policy 2003
3. Counter Narcotics Drug Law 2005
4. National Licensed Drug List 2007
5. Afghanistan Regulation on
Manufacture and Importation of
Medicines and Medical Equipment
2006
6. Afghanistan Regulation on Retail
Pharmacy
AFAMS