1. AFAMS Provide a Filled Medication (Dari) EO 003.05

2. AFAMS Purpose of Lesson (Dari) The pharmacy technician student will learn how to: (1)Dispense a ready-form medication/pharmaceutical to a patient, caregiver or health care professional. (2) Instruct patient, caregiver or health care professional on the use of homecare devices. This topic will be taught using a lecture format and students will be given a chance to practice these skills during an in-class assignment as well as during a skills lab. AFAMS Insert Dari

3. AFAMS Overview of Lesson (Dari) (1) Dispense ready form medication. (2) Home care devices (3) In-class assignment AFAMS Insert Dari

4. AFAMS Dispense a Ready-form Medication (Insert Dari)

5. AFAMS Stepwise Approach to dispensing a ready-form medication (Insert Dari) Once you have filled the prescription and it has been checked by a technician and pharmacist (or two technicians), the next step is to provide the medication to the patient. It is very important that you utilize good communication skills when speaking with a patient: Speak using words that the patient understands – avoid complex medical terminology. Allow the patient time to ask questions. Refer any questions of a clinical nature to the on-duty pharmacist.

6. AFAMS Step #1 Confirm Patient Identity (Insert Dari) Once the prescription has been checked and is determined to have been accurately filled it is now ready to be dispensed to the patient. You can notify the patient that their prescription is ready by calling out their name. When they approach the pharmacy counter/window the first thing you should do is confirm their identity. Note: It may not be the patient themselves that is waiting for the prescription, it may be a family member or another health care professional. In this case you should still confirm the identity of the patient.

7. AFAMS Step #2 Provide information to the patient regarding their medication (Insert Dari) It is important that you speak to the patient regarding the medication you are dispensing to ensure that the patient understands how to use the medication properly. The next slide will describe the information that should be passed on to the patient by a pharmacy technician.

8. AFAMS Step #2 Provide information to the patient regarding their medication (Insert Dari) (1)Name of the Medication (2)Indication - only if listed on the prescription order. (3)Instructions for use of the medication - Frequency and dose - How to use the device (4) Side effects - only if discussed with the pharmacist ahead of time. (5) Any storage requirements (i.e. refrigeration). This information can be found on the package insert for the ready- form medication

9. AFAMS Instructions for Use : Medical Devices (Insert Dari) Instructions for use can also include the proper use of various medical devices to include: (1)Blood glucose (sugar) monitoring device (2)Insulin delivery device (3)Inhalers (4)Spacers The slides that follow are generic overviews of how to use these devices. You should always refer to the product insert for exact directions.

10. AFAMS How to Use a Blood Glucose Monitoring Device (Insert Dari) Insert Dari

11. AFAMS How to Use a Blood Glucose Monitoring Device (Insert Dari) Insert Dari

12. AFAMS How to Use a Blood Glucose Monitoring Device (Insert Dari) Insert Dari

13. AFAMS How to use an insulin delivery device (Insert Dari)

14. AFAMS How to use an insulin delivery device (Insert Dari) Insert Dari

15. AFAMS How to use an inhaler (Insert Dari) Insert Dari

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18. AFAMS How to use a spacer (Insert Dari) A spacer is a device (often used for young children) that makes the use of an inhaler much easier. A spacer takes away the need to time the spray of the inhaler with the breathing in.

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20. AFAMS Hint: It is very important that you understand how to use these devices for the upcoming skills lab (Insert Dari)

21. AFAMS Step #3 Ask the patient if they have any questions (Insert Dari) Once you have spoken to the patient regarding their medication it is important that you ask the patient if they have any questions. Sometimes patients may not fully understand the information you have told them and they may require clarification. Some patients may also have additional concerns or queries that they would like to have addressed.

22. AFAMS Step #3 Ask the patient if they have any questions (Insert Dari) Remember what you were taught earlier in PO 001 regarding the types of questions that are appropriate for a pharmacy technician to answer and which questions must be referred to a pharmacist. We will review this topic during the in- class assignment at the end of this lecture.

23. AFAMS Overview of the Stepwise Process (Insert Dari) Inform the patient that their medication is ready and confirm the patient identity. (Remember it could be a family member or another health care professional that is waiting for the medication). Provide the patient, caregiver or health care professional with information regarding the medication to include: (1)Medication name (2)Indication (if listed on the prescription) (3)Instructions for use of the medication (4)Side Effects (only if discussed with the pharmacist ahead of time) (5)Storage requirements for the medication Ask the patient if they have any questions regarding their medication. (Refer clinical questions to the on- duty pharmacist)

24. AFAMS Role of a Nurse in medication administration (Insert Dari) Nurses will pick up in-patient medications from the pharmacy and take them to the ward to administer to hospital patients. Nurses are trained to provide basic information to patients regarding medications.

25. AFAMS Questions? (Insert Dari)

26. AFAMS In-class Assignment (Insert Dari) The in-class assignment will consist of 5 scenarios where a patient will ask a question regarding their medication, you must decide if you can answer the question as a pharmacy technician or if it should be referred to a pharmacist. (Insert Dari)

27. AFAMS Scenario #1 (Insert Dari) You have just spoken with a patient regarding their prescription for prednisolone eye drops. The patient asks you when the eye drops expire, can you answer this question?

28. AFAMS Answer: Scenario #1 (Insert Dari) You have just spoken with a patient regarding their prescription for prednisolone eye drops. The patient asks you when the eye drops expire, can you answer this question? Yes, you can. You can find this information on the medication packaging.

29. AFAMS Scenario #2 (Insert Dari) You have just spoken with a patient regarding their prescription for metoprolol. The patient asks you if this medication will interact with the medication they take to lower their cholesterol, can you answer this question?

30. AFAMS Answer: Scenario #2 (Insert Dari) You have just spoken with a patient regarding their prescription for metoprolol. The patient asks you if this medication will interact with the medication they take to lower their cholesterol, can you answer this question? No, this is a clinical question and should be referred to the pharmacist.

31. AFAMS Scenario #3 (Insert Dari) You have just spoken with a patient regarding their prescription for an anti- infective. The patient asks you how long they should take this medication for?

32. AFAMS Answer: Scenario #3 (Insert Dari) You have just spoken with a patient regarding their prescription for an anti- infective. The patient asks you how long they should take this medication for? Yes, you can answer it – but only if it says on the prescription how to take it for. If not you must refer the question to the pharmacist.

33. AFAMS Scenario #4 (Insert Dari) You have just spoken with a patient regarding their prescription for insulin. The patient asks you what symptoms to expect if they take too much insulin. Can you answer this question?

34. AFAMS Answer: Scenario #4 (Insert Dari) You have just spoken with a patient regarding their prescription for insulin. The patient asks you what symptoms to expect if they take too much insulin. Can you answer this question? No, this is a clinical question and must be referred to the pharmacist.

35. AFAMS Scenario #5 (Insert Dari) You have just spoken with a patient regarding their prescription for a salbutamol inhaler. The patient asks you to explain again how to use the inhaler. Can you do this?

36. AFAMS Answer: Scenario #5 (Insert Dari) You have just spoken with a patient regarding their prescription for a salbutamol inhaler. The patient asks you to explain again how to use the inhaler. Can you do this? Yes, you can. If the patient does not understand after a second time explaining you should refer the issue to a pharmacist (they may need a spacer).