The latest posts to AusPharmList


Here are the latest posts to AusPharmList

Click here to read the full text of each post on the AJP website. The AusPharmList website will remain active for the time being, pending the completion of the new AJP Forum platform.

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CQ Rural Health : Karalyn Huxhagen

This past weekend I was asked to present about what I do to the CQ Rural Health conference. There was strong support from the rural GPs present to having a pharmacist more involved within their GP practices and their medical home models. One of the issues that I contiually struggle with in this region is that the GP only attends these communities on a cycle e.g. two days a fortnight. With all of the programs needing a GP to refer and follow up. Long periods of time can occur.

The other issue is that it may not be the same GP attending the surgery/clinic each time. The knowledge of the patient that a regular GP has is not flowing well.

How can we adapt the referral model to get around this issue?

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Re: Updated poisons reg for chloramphenicol? : Damien Louttit

Michelle Gerrie wrote:

One of my students told me yesterday that as of March 2016, chloramphenicol is S3 for opthalmic use – so no specific mention of conjunctivitis. Does this mean, we can dispense it for styes etc?

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chloramphenicol is S3 for opthalmic use – That is what the Guild guide to the medicines and poison schedule says JULY 2015 Edition. Nothing new there

can dispense it for styes etc? – Well , I suppose if in your professional opinion it’s justified then I say yes. However if there are complications resulting and you are asked to explain your actions then these actions would likely be compared to the Guidance for the provision of a Pharmacist Only medicine – Chloramphenicol for opthalmic use – APF 23 p574.

Damien Louttit – Broulee Beach Pharmacy

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Re: Updated poisons reg for chloramphenicol? : Jarrod McMaugh

Michelle Gerrie wrote:

One of my students told me yesterday that as of March 2016, chloramphenicol is S3 for opthalmic use – so no specific mention of conjunctivitis. Does this mean, we can dispense it for styes etc?

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The SUSMP does contain that current listing.

So they question you have to ask yourself is based on the definition of a stye – is it an ophthalmic issue or a dermatological issue?

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Re: Pseudo changes : Karalyn Huxhagen

Are the new pseudo regs either/or ? My understanding is dispense as s3 on computerised and online at Project Stop as well. My compatriot has told me the Guild has informed him Project Stop is OK by itself as long as he gives it ref number 123456 or some made up number.

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If you are in Qld you will need to do both.

All S3 sales are to be recorded in your dispensing software. As it is a PSE sale it also needs to be in Project Stop.

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Re: Pseudo changes : Jarrod McMaugh

Are the new pseudo regs either/or ? My understanding is dispense as s3 on computerised and online at Project Stop as well. My compatriot has told me the Guild has informed him Project Stop is OK by itself as long as he gives it ref number 123456 or some made up number.

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Depending on your state.

Pseudo-Stop DOES have the ability to record the details of the person purchasing – but from memory (since I don’t use this function), it is not retrievable by your pharmacy later.

If your state has it listed as a Schedule 3R (ie, recordable) it must be recorded and retrievable.

The other thing you might want to consider is that it is extremely useful to have this information recorded in a patient dispensing profile.

In my opinion, you should record it that way,

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The professor obeys the Guideline and watches the child die: Peter Allen

…. people who use an EpiPen or somebody you care for uses EpiPen Adrenaline Auto-Injectors, people should check the expiry date on each EpiPen device and compare it with the information on the carton. If these dates do not match, return the product to the place of purchase for replacement.

“EpiPen Adrenaline Auto-Injectors must not be used beyond its expiry date,” Professor Skerritt said.

“If you have an expired EpiPen, you must replace it with an EpiPen which is within its expiry date.”

Always when dispensing EpiPens we have a thorough discussion.

One question: ‘If the pen is out of date, would you use it?’

One answer (the one true answer) ‘yes of course’ [discussion follows…]

Second question: You are a teacher. If your student is having an anaphylactic reaction and they left their EpiPen at home, would you borrow another child’s?’

One answer: ‘No, it’s someone else’s property. And they might need it themself.’

[do we need to discuss the relative risks here??]

‘But the coroner came down like a tonne of bricks on a kindergarten director who let a child die in exactly that situation.

‘Well at my school we have our guidelines.’

‘And you would follow those guidelines?’

‘Yes… and it’s the same at other schools.’

Who do we talk to about this?

Peter Allen   ptrallen@melbpc.org.au

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Pseudo changes

Are the new pseudo regs either/or ?

My understanding is dispense as s3 on computerised and online at Project Stop as well.

My compatriot has told me the Guild has informed him Project Stop is OK by itself as long as he gives it ref number 123456 or some made up number.

???

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Re: For Sale Items: Thomas Petrucci

Alyson Webster wrote: Try www.noodnet.com – nood(nearly out of date) medications

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There are some good local facebook groups too

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Re: Opportunity to buy into pharmacy.. : Who do I talk to? : Anne Todd

Anthony Tassone wrote:

It looks like there’s a big decision and potential opportunity ahead of you so there are a range of things you need to consider, not just the bank to meet or interest rates ….. and then lots of great advice..

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But the thing that took my eye was the original post. The current partners are not in a happy relationship and one wants to buy the other out and can’t at this point in time. So are you hoping to replace one of the two partners or become a third spoke in a currently flat wheel?

Either way sit down and think long and hard about why you want to own this particular pharmacy. How will you make the partnership / relationships better than it is now? Set out your ideas on what you want from the arrangement and go into the discussion with clear ideas about everyones role now and into the future including greivance processes.

When I was thinking about a partnership I wrote down two and a half pages of questions to discuss with the original owner. End result I bought the entire business and he retired to the ski fields of New Zealand as my expectations from a partnership and his didn’t coincide.

So best advice I can give you is yes think of the financial issues but pay close attention to the business relationships and getting that right from the start. Think with your head not your heart and if it’s not goint to work well, walk away and look elsewhere for an ownership opportunity.

Anne Todd (ex-owner)

PS check if stamp duty is due on the loan and consider how the new entity will deal with PAYG tax installments and your loan interest repayments while still earning your wage as working stiff in the pharmacy.

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