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Supplementary information SIRCIND002 Support the supply of Pharmacy Medicines and Pharmacist Only Medicines Learner guide – supplementary V1.0 2017

SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 2 © Pharmaceutical Society of Australia Ltd., 2017 This publication contains material that has been provided by the Pharmaceutical Society of Australia (PSA), and may contain material provided by the Commonwealth and third parties. Copyright in material provided by the Commonwealth or third parties belong to them. PSA owns the copyright in the publication as a whole and all material in the publication that has been developed by PSA. In relation to PSA owned material, no part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968 (Cth), or the written permission of PSA. Requests and inquiries regarding permission to use PSA material should be addressed to: Pharmaceutical Society of Australia, PO Box 42, Deakin West ACT 2600. Where you would like to use material that has been provided by the Commonwealth or third parties, contact them directly. Version control log Version Date Changes/Notes Proposed Review Date 1.0 June 2017 Release

SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 3 Contents Learner guide introduction .......................................................................................................... 1 Learning objectives ......................................................................................................................... 1 Information about scheduling of medicines .............................................................................. 2 Pharmacy protocols/procedures ................................................................................................. 4 Important questions ..................................................................................................................... 5 Referral situations ........................................................................................................................ 6 Gap assessment ........................................................................................................................... 7 Assessment overview ..................................................................................................................... 7 Assessment submission ....................................................................................................... 7 Assessment submission cover sheet .............................................................................................. 8 Written assessment ........................................................................................................................ 9 Appendix A – Table template 1 ........................................................................................... 11 Appendix B – Table template 2 ........................................................................................... 19 Instructions for supervising pharmacist .................................................................................. 21 Third party report .......................................................................................................................... 22 Competency assessment mapping ........................................................................................... 24

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SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 1 Learner guide introduction The contents of this learner guide will help prepare you for the assessment of the unit SIRCIND002 Support the supply of Pharmacy Medicines and Pharmacist Only Medicines . When reading this learning content, reflect upon your current experience in your pharmacy workplace(s) with regard to supporting the supply of Pharmacy Medicines and Pharmacist Only Medicines (S2 and S3 Medicines). This content should supplement the two online presentations on your learning portal. You may find some of this information familiar and some of it you may not have learned or been aware of previously. Take this opportunity to review your existing knowledge and understand any new information. Learning objectives  Identify and locate various sources of information about the scheduling of medicines, including relevant legislation, industry guidelines/standards and codes.  Understand the importance of using pharmacy protocols/procedures for supplying Pharmacy/Pharmacist Only Medicines.  Identify and use correct questions for collecting important information from your customers to identify their needs and triggers for referral.  Explain why you need to ask the important questions as identified in the pharmacy protocols for supporting the supply of Pharmacy/Pharmacist Only Medicines.  Identify and act upon situations that require referral to a pharmacist.  Understand your roles and limitations with regard to supporting the supply of Pharmacy/Pharmacist Only Medicines as a pharmacy/dispensary assistant.

SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 2 Information about scheduling of medicines Scheduled medicines in pharmacy are surrounded by legislation. The legislation dictates requirements for scheduled medicines, such as where it is stored in the pharmacy, how it is to be supplied and any restrictions to supply, and even what is allowed to be advertised. It is important that you are aware of where relevant information is available with regard to the scheduling of medicines. You need to be able to interpret the information that you do refer to. In Table 1, a list of web references that you should become familiar with has been provided. When you have access to a computer with internet access, ensure you go to each of the sites listed and look at the type of information that is available. Table 1: Information sources Web link Description ACT www.legislation.act.gov.au/a/2008-26/ Each state has its own legislation. The links listed are state-specific and provide the applicable state-specific regulations on the sale, supply, production of and storage of scheduled medicines. NSW www.health.nsw.gov.au/pharmaceutical/Pages/leg islation.aspx NT https://health.nt.gov.au/professionals/environment al-health/medicines-and-poisons-control Qld https://www.legislation.qld.gov.au/view/html/inforc e/current/sl-1996-0414 – Health (Drugs and Poisons) Regulation 1996 SA https://www.legislation.sa.gov.au/LZ/C/R/CONTR OLLED SUBSTANCES (POISONS) REGULATIONS 2011.aspx – Controlled Substances (Poisons) Regulation 2011 Tas http://www.dhhs.tas.gov.au/psbtas/legislation_link s Vic www2.health.vic.gov.au/public-health/drugs-and- poisons/drugs-poisons-legislation/regulation- guidance WA ww2.health.wa.gov.au/Health-for/Health- professionals/Medicines-and-poisons Therapeutic Goods Administration (TGA) www.tga.gov.au Provides information about the role of the TGA, scheduling process, access to databases, consumer information and education and access to various publications and legislation. Therapeutic Goods Advertising Code 2015 www.tga.gov.au/publication/therapeutic-goods-advertising- code Outlines the rules for the advertising and marketing of therapeutic goods. Therapeutic Goods Administration (TGA) www.tga.gov.au/behind-news/evaluation-new-medicine- tgas-lifecycle-approach-regulation Provides information on the approval of new medicines.

SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 3 Web link Description Standards for uniform scheduling of medicines and poisons (SUSMP) – June 2017 www.legislation.gov.au/Details/F2017L00605 Also known as the Poisons Guide or Poisons Standard. Legal instrument indicating legal requirements for scheduled medicines. Industry websites For example: Pharmaceutical Society of Australia (PSA): www.psa.org.au (NB. Some information may require membership access.) Access to professional practice standards for pharmacists, current TGA advice, various guidelines/protocols to support Pharmacist Only Medicines. National Prescriber Service (NPS): www.nps.org.au Reliable health information for health professionals and consumers. Pharmacy Board of Australia (PBA) – codes and guidelines: www.pharmacyboard.gov.au/Codes-Guidelines.aspx Access to pharmacy codes and guidelines to support legislation and industry requirements. Develop your own table for reference and list other industry websites or information sources that you refer to. There are also industry publications that you may refer to – discuss with your supervising pharmacist. Some useful definitions (refer to TGA website (as listed in Table 1) for further clarification):  Therapeutic Goods: Goods that are likely to be taken for therapeutic use or as an ingredient or component in the manufacture of therapeutic goods or as a container for the goods mentioned.  Medicine: A therapeutic good that will, or likely will, achieve its intended action when used in or on the body of a human.  Poison: An ingredient, compound, material or preparation that may cause death or injury and is included in the Poisons Standard.

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SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 4 Pharmacy protocols/procedures Each pharmacy follows industry guidelines and legislation when supplying scheduled medicines. These may be known to you as pharmacy procedures or protocols. Protocols are like a set of rules. When you are involved with supplying Pharmacy or Pharmacist Only Medicines, you should ensure that you always follow your pharmacy procedures or protocols. In this guide, we will use the word protocols, which may also mean procedures. Your pharmacy protocols have been designed to ensure that legal requirements are met with regard to supplying scheduled medicines. Following the protocols ensures:  We have provided duty of care to the customer (for example, pharmacist is available to counsel and advise the customer).  That relevant information is obtained from the customer to ascertain/confirm their needs by asking important questions. The pharmacy protocols should list the important questions that must be asked.  That situations requiring referral to a pharmacist are identified and acted upon.

SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 5 Important questions The way to discover what a customer needs and their individual circumstances is to ask questions. As stated previously, your pharmacy protocols should list the questions that must be asked. Some questions will elicit information from your customer that will allow you to identify whether there is a need to refer them to the pharmacist. Take a moment to think about your customer interactions in your current experience. What questions do you always ask when you are involved with supplying Pharmacy or Pharmacist Only Medicines? Important questions to ask and the reason you need to ask the question is listed in Table 2. Table 2: Important questions Question Reason to ask Who is the product for? Identify the actual patient. Identify if you need to refer (e.g. request is for a child under 2 years old). What is their condition/symptom(s)? Find out what the customer’s needs are – is the product suitable/appropriate? Are you able to recommend a product? Is the response a trigger for you to refer the customer to a pharmacist? What is the duration of the symptom(s)? Confirming if the symptoms are recent, long-term/chronic or recurring. Chronic symptoms or recurring symptoms are a trigger to refer the customer to the pharmacist. Any other existing health conditions? This identifies if the customer will need referral to a pharmacist. Some medications and health conditions may not be a good combination. What other medications are currently being used? This identifies if the customer will need referral to a pharmacist. Some medications may interfere with or have other issues when taken together with another medication(s).

SIRCIND002_gap Learner_assmt_guide | V1 | © Pharmaceutical Society of Australia Ltd. I 6 Referral situations Understand your responsibilities and your limitations as a pharmacy/dispensary assistant. The pharmacist in charge is responsible for any actions taken in the pharmacy workplace. Any situation that is identified as requiring referral to a pharmacist must be referred to the pharmacist. Pharmacy and dispensary assistants cannot provide therapeutic advice, counselling to customers or discuss drug interactions or contraindications. Additionally, Pharmacist Only Medicines must only be recommended by a pharmacist and all requests from customers for such medicines requires you to refer them to the pharmacist. This does not mean that you cannot ask questions and pass on the relevant information to the pharmacist when you refer the customer. However, your pharmacy may have a preference as to what information you gather – ensure you are familiar with your pharmacy protocols. A list of referral situations is listed in Table 3. Your pharmacy protocols may have additional situations; ensure you follow your pharmacy’s requirements. Ensure you know each of the situations when you must refer the customer to the pharmacist. Table 3: Referral situations Circumstances which require and trigger referral to a pharmacist and typical schedule of triggers Customer who is:  a child under 2 years old  an aged person  pregnant or breastfeeding  taking other medicines. Customer has:  had the complaint for some time  other health conditions  used the product before but is not satisfied with its efficacy. Customer appears to be:  sick  angry  confused  dissatisfied  uncertain  under the influence of drugs or alcohol. Pharmacy assistant is unsure and needs confirmation of the medicine selected, even if the product has been requested by name. Request for Pharmacist Only Medicine (S3).

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NATIONAL OFFICE Level 1 25 Geils Court Deakin ACT 2600 PO Box 42 Deakin West ACT 2600 P: 02 6283 4777 F: 02 6285 2869 E: psa.nat@psa.org.au BRANCH CONTACT DETAILS P: 1300 369 772 F: 1300 369 771 AUSTRALIAN CAPITAL TERRITORY Level 1, 25 Geils Court Deakin ACT 2600 PO Box 42 Deakin West ACT 2600 E: act.branch@psa.org.au NEW SOUTH WALES 82 Christie Street St Leonards NSW 2065 PO Box 162 St Leonards NSW 1590 E: nsw.branch@psa.org.au QUEENSLAND PACE Level 3, West Wing 20 Cornwall Street Dutton Park QLD 4102 PO Box 6120 Buranda QLD 4102 E: qld.branch@psa.org.au SOUTH AUSTRALIA Suite 7/102 Greenhill Road Unley SA 5061 E: sa.branch@psa.org.au TASMANIA 161 Campbell Street Hobart TAS 7000 E: tas.branch@psa.org.au VICTORIA Level 1, 381 Royal Parade Parkville VIC 3052 E: vic.branch@psa.org.au WESTERN AUSTRALIA 21 Hamilton Street Subiaco WA 6008 E: wa.branch@psa.org.au PHARMACEUTICAL SOCIETY OF AUSTRALIA LTD ABN 49 008 532 072

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