Pharmacy Care Plan Precepting: Setting Up and Implementing Effective Pharmacy Care Plans, Schemes and Mind Maps of Pharmacy

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The Pharmacy Care Plan

Preceptor Development: Patient Care Process

• Setting the stage for precepting the

pharmacy care plan

• Elements of the pharmacy care plan

• Feedback and evaluation of your student

• Overview of the preceptor role

• An example: my practice

Outline

2. Get to know your student

• How much experience have they had in creating

care plans?

• Implementing care plans?

3. Share your approach and expectations for

developing and implementing a pharmacy

care plan

• What are the student’s responsibilities?

• How independently can the student work initially and

as the clinical placement progresses?

Setting the Stage

MEDICAL CONDITIONS

AND/OR DRPs

GOALS OF THERAPY ALTERNATIVES RECOMMENDATIONS/

PLAN

MONITORING

PARAMETERS

FOLLOW-UP

List and prioritize each medical condition first, followed by any DRPs identified for a given condition. Although some medical conditions may not have a DRP, a care plan is still necessary for ongoing patient monitoring. DRP Categories: unnecessary drug● additional drug required● ineffective drug● dose too low● adverse drug reaction/interaction ●dose too high ●nonadherence

For each medical condition and/or DRP state desired goals of therapy/timeframe. Goals: cure, prevent, slow/stop progression, reduce/eliminate symptoms, normalize a lab value. Consider realistic goals determined through patient discussion. Goals of therapy are measurable or observable parameters that are used to evaluate the efficacy and safety of therapy.

Compare relevant drug and non- drug therapies that will produce desired goals. List the pros and cons of each therapy. Consider: Indication Efficacy Adherence Safety Cost/coverage

In collaboration with the patient and other health care providers, select the best alternative and implement the plan. Provide a rationale for the chosen plan. Consider: Drugs: correct drug, formulation, route, dose, frequency, schedule, duration, medication management. Non-drug: non-drug measures, education, patient referral.

Determine the parameters for monitoring efficacy and safety for each therapy. Consider: Clinical & laboratory parameters The degree of change The time frame

Determine who, how and when follow-up will occur.

Adapted with permission from the Division of Pharmacy Practice, Leslie

Dan Faculty of Pharmacy, University of Toronto, 2011.

PHARMACY CARE PLAN WORKSHEET

• A consistent and comprehensive

approach on how to manage drug-

related issues once an assessment is

complete

• The worksheet is:

• a tool for students to write down their

thoughts in a systematic way (in point

form) WHICH

• Facilitates discussion with you, the

preceptor, AND

• Allows for evaluation of their plan

The Care Plan Worksheet

PRECEPTING

TIP:

The worksheet is NOT a

documentation form.

Documentation should flow

from this worksheet.

• Provide feedback to your student on each

component of the care plan:

• Assess for completeness

• Is the suggested plan reasonable and acceptable?

• Which aspect is unacceptable?

• What improvements need to be made?

• Evaluate your student:

• Use the checklist provided to review

their written care plan and provide written

feedback as required by the course.

Feedback and Evaluation

PRECEPTING

TIP:

Ensure the student is

developing specific

monitoring and follow-

up plans that the

pharmacist will conduct.

Note: If student is unable to appropriately create a pharmacy care plan despite

feedback and sufficient practice, please contact the course coordinator.

Before the clinical placement

• Be familiar with the pharmacy care plan process student’s are taught

• Know the number and variety of care plans required by the Faculty

Early in the clinical placement

• Provide plenty of guidance on implementing care plans

• Get to know your students strengths and areas for improvement.

Discuss your expectations for creating and implementing each

element in a pharmacy care plan

• Discuss when you will provide routine feedback and evaluation on

your student’s patient care activities

Later in the clinical placement

• Challenge the student with more complex patients

Overview of Preceptor Role

HIV Ambulatory Practice- Northern Alberta Program,

RAH site

My role and responsibilities

How data is collected and assessed

Developing a care plan

How the plan is implemented

How documentation occurs

Tips for the student as they go through the process

Precepting the care plan in my practice