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Professional Competency #2: Provide Drug Information - NAPRA

Professional Competency #2: Provide Drug Information - NAPRA

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<strong>Professional</strong> <strong>Competency</strong> <strong>#2</strong>:<br />

<strong>Provide</strong> <strong>Drug</strong> <strong>Information</strong><br />

Optional Advanced Role: Possible Performance Indicators Examples of activities that might prove fulfilment of<br />

Possible Performance Indicators<br />

<strong>Competency</strong> Unit<br />

Pharmacists assume responsibility for information retrieval,<br />

evaluation and dissemination to ensure safe and effective provision of<br />

pharmaceutical care and to promote health.<br />

Situations in Which All Registered Pharmacists Must Fulfil this<br />

<strong>Competency</strong> 5 :<br />

In response to requests from individual patients or individual health<br />

care professionals, pharmacists provide:<br />

• information about all drugs, including herbal therapies;<br />

•recommendations concerning commonly used drugs in the<br />

management of common diseases, and;<br />

5. This competency differs from the provision of information to individual patients as part of patient counselling during the provision of pharmaceutical care (<strong>Competency</strong> #1). It also differes from<br />

<strong>Competency</strong> #3 which relates to the education of students or groups regarding drugs, drug use and health promotion.<br />

6. Although pharmacists are encouraged to use primary literature, they must, at a minimum, use appropriate secondary and tertiary literature.<br />

• information about commonly recommended, evidence-based<br />

disease prevention and health promotion strategies.<br />

Pharmacists use appropriate, readily accessible secondary and tertiary 6<br />

medical and pharmaceutical resources, Internet-based information<br />

and / or consultation with other pharmacists or health care<br />

professionals when fulfilling this competency. Pharmacists fulfil this<br />

competency in all sites where they provide the products and services<br />

that legally constitute pharmacy practice, or where they are identified<br />

as pharmacists when providing such information or<br />

recommendations.<br />

<strong>Competency</strong> Element Required Performance Indicators Examples of activities that might prove fulfilment of<br />

Required Performance Indicators<br />

2.1 A pharmacist must<br />

identify sources of relevant<br />

information.<br />

Accurately determine the depth of information<br />

required to answer a question.<br />

Accurately identify whether tertiary, secondary or<br />

primary literature is necessary to appropriately<br />

respond to the request for information or<br />

recommendations.<br />

The pharmacist accurately differentiates between a<br />

physician’s request for a standard dose of an antibiotic and<br />

a physician’s request for recent changes in the treatment of<br />

choice for otitis media; differentiates between a patient’s<br />

and a physician’s question as to how Zyban® works in the<br />

treatment of smoking cessation.<br />

The pharmacist differentiates between a patient’s request for<br />

information on new antibiotics for treating urinary tract<br />

infections and a physician’s request for information on<br />

investigational antibiotics for managing chronic urinary tract<br />

infections.<br />

Model Standards of Practice for Canadian Pharmacists 15


<strong>Competency</strong> Element Required Performance Indicators Examples of activities that might prove fulfilment of<br />

Required Performance Indicators<br />

2.1 (Continued) Accurately identify and name the tertiary and<br />

secondary resources available to appropriately<br />

respond to the request for information or<br />

recommendations.<br />

2.2 A pharmacist<br />

must retrieve<br />

information from<br />

relevant sources.<br />

Accurately manage requests for information or<br />

recommendations that are beyond their capabilities.<br />

Optional Performance Indicators reflecting<br />

advanced or exemplary practice:<br />

Accurately and efficiently locate relevant<br />

primary literature or resources based on<br />

extensive knowledge base and experience in a<br />

specialized field of pharmacy practice<br />

Consistently recognize and respond appropriately to<br />

the time frame requirements for a question or<br />

request for recommendation.<br />

Systematically access reliable information in a<br />

timely and accurate manner.<br />

Regularly use professional judgement to determine<br />

when sufficient, appropriate information has been<br />

obtained<br />

Optional Performance Indicators reflecting<br />

advanced or exemplary practice:<br />

Routinely and efficiently retrieve the information<br />

necessary to provide recommendations about<br />

all drugs, including herbal and complementary<br />

medicines.<br />

Obtain the required information in an efficient<br />

manner.<br />

Maintain an up-to-date and complete collection<br />

of primary literature relevant to his/her practice.<br />

16 Model Standards of Practice for Canadian Pharmacists<br />

The pharmacist assesses whether the Compendium of<br />

Pharmaceutical Specialties, American Hospital Formulary<br />

Service <strong>Drug</strong> <strong>Information</strong> or Therapeutic Choices provides<br />

appropriate information; determines if reference must be<br />

made to provincial antibiotic guidelines; identifies if<br />

information should be accessed from drug information or<br />

government web sites.<br />

The pharmacist identifies other pharmacists or health care<br />

professionals available to provide required information;<br />

consults with the appropriate experts or refers the requestor<br />

to the appropriate source of information.<br />

Examples of activities that might prove fulfilment of<br />

Optional Performance Indicator:<br />

The pharmacist refers to specific studies that address<br />

the request; maintains a network of contacts in<br />

specialized fields of practice<br />

The pharmacist responds rapidly to physician’s request for<br />

information required to prescribe for a patient in his/her<br />

office; considers workload and time available before<br />

promising a time frame for a response for more complicated<br />

information.<br />

The pharmacist obtains the appropriate information from<br />

tertiary resources, the Internet, pharmacists or other health<br />

care professionals.<br />

The pharmacist does not rely on a single, general text when<br />

newer references or DI bulletins are available; acknowledges<br />

when sufficient reliable information is not available to<br />

respond accurately to the request.<br />

Examples of activities that might prove fulfilment of<br />

Optional Performance Indicator:<br />

The pharmacist has an extensive knowledge of sources<br />

and types of drug information and selects the<br />

appropriate source; employs a structured systematic<br />

approach for responding to requests; utilizes a<br />

structured systematic approach for documenting<br />

questions and responses and makes use of such a<br />

system to facilitate responses to similar questions;<br />

completes primary literature searches appropriately and<br />

efficiently.<br />

— Continued


<strong>Competency</strong> Element Required Performance Indicators Examples of activities that might prove fulfilment of<br />

Required Performance Indicators<br />

2.3 A pharmacist must<br />

evaluate scientific<br />

information.<br />

2.4 A pharmacist must<br />

organize and disseminate<br />

information.<br />

2.5 A pharmacist must<br />

provide information on<br />

disease prevention and<br />

health promotion.<br />

Critically review information to ensure its<br />

appropriateness prior to responding to a request.<br />

Consistently present relevant, accurate information<br />

in a usable form and in a timely manner.<br />

The pharmacist provides an assessment of the relevance,<br />

applicability and accuracy of an article located by a patient;<br />

provides only relevant, accurate information to patients.<br />

Place information in perspective to current practice. The pharmacist explains why therapy cannot be based on<br />

suggestions made in popular magazines or un-referenced<br />

resources; explains why a single, well done study may not be<br />

applicable to a particular patient’s case.<br />

Optional Performance Indicators reflecting<br />

advanced or exemplary practice:<br />

Critically analyze primary or basic science<br />

literature as it applies to the provision of drug<br />

information and recommendations.<br />

Optional Performance Indicators reflecting<br />

advanced or exemplary practice:<br />

Proactively identify and fulfil drug information<br />

needs of individuals and groups.<br />

<strong>Provide</strong> recommendations about all legal drugs,<br />

including herbal and complementary medicines.<br />

Support health promotion campaigns related to<br />

recognition and management of common, critical<br />

diseases such as diabetes, cardiac disease, stroke,<br />

hypertension and breast cancer.<br />

<strong>Provide</strong> accurate information to patients inquiring<br />

about poison prevention.<br />

Optional Performance Indicators reflecting<br />

advanced or exemplary practice:<br />

<strong>Provide</strong> recommendations on disease<br />

prevention and health promotion<br />

Examples of activities that might prove fulfilment of<br />

Optional Performance Indicator:<br />

The pharmacist assesses the adequacy of research<br />

design, relevance, applicability, accuracy, reliability,<br />

validity and generalizability of primary literature.<br />

The pharmacist within several days provides a verbal<br />

summary and copies of information located to a physician<br />

asking for information about the use of a new antibiotic for<br />

community acquired pneumonia; provides an immediate<br />

verbal recommendation to a mother asking about the use of<br />

aspirin for fever in her infant.<br />

Examples of activities that might prove fulfilment of<br />

Optional Performance Indicator:<br />

The pharmacist prepares and distributes DI newsletters<br />

to patients or other health care providers.<br />

The pharmacist uses his/her drug information skills to<br />

participate in the development of formularies or drug use<br />

policies.<br />

The pharmacist makes available appropriate pamphlets or<br />

other prepared information regarding these conditions; when<br />

requested, provides verbal summaries of information<br />

contained in such pamphlets or other prepared information.<br />

The pharmacist explains appropriate safe storage of<br />

household products, medications, non-prescription drugs<br />

and vitamins around children.<br />

— Continued<br />

Model Standards of Practice for Canadian Pharmacists 17


Optional Advanced Roles: Possible Performance Indicators Examples of activities that might prove fulfilment of<br />

Possible Performance Indicators<br />

<strong>Drug</strong> Policy<br />

Actively seek or assume leadership roles in policy<br />

making regarding appropriate drug use.<br />

Routinely use evidence-based principles to make<br />

recommendations for drug policy.<br />

<strong>Drug</strong> <strong>Information</strong> Use complex forms of analysis to discover issues<br />

requiring the provision of drug information or drug<br />

use recommendations.<br />

Actively promote their role in the provision of drug<br />

information and recommendations by identifying<br />

needs in populations (communities) beyond their<br />

individual practice site.<br />

Prepare and present routine sources of drug<br />

information.<br />

Undertake specialty employment in a drug<br />

information or related centre.<br />

Routinely assess the outcomes of drug information<br />

provided to individual clients.<br />

Health Promotion Routinely work with patients to plan and attain<br />

health goals related to health promotion.<br />

Regularly offer educational events that focus on<br />

disease prevention and general health promotion.<br />

18 Model Standards of Practice for Canadian Pharmacists<br />

The pharmacist volunteers for membership in policy-making<br />

committees; accepts responsibility for developing key<br />

recommendations regarding reimbursement.<br />

The pharmacist uses primary literature to assess the<br />

therapeutic and pharmacoeconomic benefits of one drug<br />

relative to another for inclusion in a formulary or coverage in<br />

a drug program.<br />

The pharmacist analyses drug use patterns within the<br />

practice setting (from various data sources including<br />

surveys, data bases); analyses documentation completed<br />

for management of individual patient’s drug related<br />

problems; completes surveys of clients to identify need for<br />

information or recommendations.<br />

The pharmacist creates linkages with other pharmacies to<br />

identify issues in drug use; completes surveys of clients to<br />

identify needs for information or recommendations.<br />

The pharmacist writes review articles, education articles or<br />

continuing education articles; prepares and distributes new<br />

drugs bulletins or newsletters; offers drug information<br />

columns in newspaper or advice shows on TV, radio, or<br />

Internet.<br />

The pharmacist discusses the value of good nutrition and<br />

exercise for an overweight patient and refers him/her to a<br />

dietician if appropriate; addresses the requirement for<br />

bicycle helmets for children.

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