• Outline History of Mid-level worker in Creating new mid-level workers

Transcription

• Outline History of Mid-level worker in Creating new mid-level workers
Outline
Creating new mid-level workers
in South Africa
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Hlonelikhaya Masiza
Senior Manager: Professional Affairs
South African
Pharmacy Council
Year 2000 Regulations
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Categories registerable in terms of the Act
Â
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Pharmacist’s assistant (learner basic)
Pharmacist’s assistant (basic)
Pharmacist’s assistant (learner post-basic)
Pharmacist’s assistant (post-basic)
Scope of practice of all 4 categories prescribed in
regulation
History of Mid-level worker in
Pharmacy
History
Year 2000 Regulations
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Lessons learnt
New Categories of Mid-level Workers
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In 1987 regulations published in terms of the
Pharmacy Act to allow for training of mid-level
workers in pharmacy
Three categories
 Trainee pharmacist’s assistant
 Qualified pharmacist’s assistant
 Unqualified pharmacist’s assistant
Development of the scopes of practice
Scopes of Practice
Training of mid-level workers
Conclusion
LESSONS LEARNT
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Need for a clear scope of practice with clear
distinction between pharmacist and mid-level worker
Training in the workplace can have a negative
impact on service delivery
Scope of practice, unit standards (competencies)
and training programmes must be well aligned
Quality assurance of providers and training
programmes must be rigorous
Must have appropriate posts, remuneration and
career path
LESSONS LEARNT (cont.)
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Re-look the training model
 Contact time between learners and providers
 Sites for practical learning
 Criteria for tutor approval
 Address discrepancies between training courses
Career progression in pharmacy
Specialist
My
Pharmacy
career
Pharmacist
B. Pharm
Degree plus 2 years
as registered
pharmacist
post CSP
Gr 12 with
Science &
Maths
Pharmacy
Technician
Pharmacy
Technician
Pharmacy
Technical Assistant
Registered
Pharmacy
Technical
Assistant
B. Pharm
Degree
(4 years)
Advanced
Higher
Certificate
(1 year)
Gr 12 with
Science &
Maths
Pharmacist
Assistant
Post-Basic
Pharmacy
General
Assistant
M Pharm/
MSc Pharm
Degree
(2 years)
Gr 12 with
Science &
Maths
Literacy
Higher
Certificate
(1 year)
Further
Education
Certificate
(1 year)
New Categories of Midlevel Workers
NQF
Level
9
NQF
Level
8
HET
HET
NQF
Level
6
HET
NQF
Level
5
HET
NQF
Level
4
Pharmacy
y Technical Assistant Student
Pharmacy
P
acy Technical
ec
Assistant Trainee
Pharmacy Technical Assistant
Pharmacy
harmacy Technician Student
P
Pharmacyy Technician Trainee
Pharmacy Technician
DEVELOPMENT OF THE SCOPES OF
PRACTICE
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Pharmacy
harmacy General Assistant (Learner)
Pharmacy General Assistant
P
Scope of was developed by experts
Approval by SAPC for narrow consultation
stakeholders
Narrow
consultationdifferent
participated - this include different categories of
pharmacy, private and public sectors, providers of
pharmacy education and training
Approval by SAPC for wider consultation where it is
published in the Government gazette
FET
Pharmacist
Assistant
Basic
DEVELOPMENT OF THE SCOPE OF
PRACTICE (Cont.)
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Comments were received in writing and oral
presentations were made where required.
Amendments were made where necessary
Approval by SAPC to amend the Regulations and sent
to the Minister of Health
Minister of Health to publish regulations for comments
and implementation
SCOPE OF PRACTICE MID-LEVEL WORKERS
SCOPE OF PRACTICE MID-LEVEL WORKERS
Applies to PGA, PTA and PT
Applies to PTA and PT only
Scope
Community
and
Institutional
Manufacturing
and wholesale
General housekeeping and administrative task in the pharmacy as
specified by the responsible pharmacist
Yes
Yes
Assist with packaging and re-packaging of Schedule 0 to Schedule 5
(excluding Specified Schedule 5) medicines
Yes
Yes
Picking, packing and dispatching of orders for Schedule 0 to Schedule 5
medicines provided that orders that contain schedule 5 medicines are
validated by a pharmacist prior to release thereof
Yes
Yes
Assist with the management of stock of Schedule 1 to Schedule 5
medicines : Provided that orders that contain medicines which fall into
schedule 5 are validated by a pharmacist
Yes
Yes
Assist with the compounding, manipulation, preparation and
manufacturing of non-sterile Schedule 1 to Schedule 5 medicines ;
provided that the pharmacy general assistant is not involved in the
planning of the production process, interpretation and evaluation,
validation and quality assurance
Yes
Yes
Scope
Community
and
Institutional
Manufacturing
and wholesale
The checking of orders containing Schedule 1 to 4 medicines in closed
packs, prior to the packing and dispatch thereof, which have been
picked by a pharmacist’s assistant, as well as the supervision of such
persons: Provided that this function may only be performed in a
manufacturing pharmacy, wholesale pharmacy or bulk store of an
institutional pharmacy
Yes
Yes
Assist with the manufacturing, compounding, manipulation or
preparation of sterile medicine or scheduled substance, in accordance
with the Medicines Act
Yes
Yes
Assist with the selection or preparation of a Schedule 1 to Schedule 5
medicine or scheduled substance prescribed by an authorized
prescriber and the labelling of an appropriate container, following the
interpretation and evaluation of the prescription by a pharmacist
Yes
No
SCOPE OF PRACTICE MID-LEVEL WORKERS
Applies to PT only
Scope
Community
and
Institutional
Manufacturing
and wholesale
The provision of information to a patient, caregiver or the agent of a
patient to optimize therapeutic outcomes resulting from the use of
medicines which have been dispensed at a pharmacy and sent to the
primary health care clinic for supply to the patient or the patient’s agent
or caregiver
Yes
No
The ordering and receipt of Schedule 1 to Schedule 5 medicines :
Provided that orders that contain schedule 5 medicines are validated by
a pharmacist;
Yes
Yes
The sampling, or supervision of the sampling of medicines
accordance with Good Manufacturing Practice
No
Yes
Supervision of pharmacy support personnel as specified by the
responsible pharmacist
Yes
Yes
The provision of technical support in the provision of screening tests
provided that where an interpretation of results is required this is done
by a pharmacist
Yes
No
in
Scope
Training of Pharmacy Technicians
Training of Pharmacy Technical
Assistants
SCOPE OF PRACTICE MID-LEVEL WORKERS
Applies to PT only
The packaging and re-packaging of Schedule 0 to Schedule 5 (excluding
Specified Schedule 5) medicines , in accordance with the Medicines Act,
provided that the functions of the pharmacy technician may include –
• checking and signing the identity of the bulk product and printed
packaging material in accordance with the Batch Manufacturing
Document and in compliance with standard operating procedures;
• start-up line clearance and opening of the packaging line in
accordance with the Batch Manufacturing/Packaging Document and
in compliance with standard operating procedures; and detailed
checklist, provided that the pharmacist has provided the necessary
signed authorisation thereof;
• in process control during packaging and re-packaging of Schedule 0
to Schedule 5 (excluding Specified Schedule 5) medicines , provided
that the pharmacist does periodic checks in accordance with standard
operating procedures and that final line closure is signed off by the
pharmacist.
Community
and
Institutional
Manufacturing
and wholesale
Yes
No
One year full time programme - Higher Certificate
(Students will register with Council)
Graduation
PTA Trainee
(6 months)
Graduation
PT Trainee
(6 months)
Questions
Thank you
One year full time programme - Advanced Certificate
(Students will register with Council)
Thank you
Thank you
Registered PT
PT Trainee
(6 months)
Thank you
Thank you
Thank you
Graduation
PT
(Advanced Cert)
Thank Thank you
you
Thank you
Thank you
Thank
you