Home' Australian Pharmacist : Australian Pharmacist October 2012 Contents 782 Australian Pharmacist October 2012 I ©Pharmaceutical Society of Australia Ltd.
ACCREDITED PHARMACIST SPECIAL INTEREST GROUP
Adapting the model to t the
By Trish Russell
Trish Russell is a PSA Professional Practice
Pharmacist. She can be contacted at:
Accredited Pharmacists have
developed many models of practice to
suit local conditions.
Justine Chessells lives in Gol Gol, a small town
in far western NSW on the Murray River near
Mildura. The rural location has in uenced
the development of her business as an
accredited pharmacist. She has embraced the
use of encrypted electronic communication
to improve the timeliness and security of
referrals and reports.
Justine has a Quality Use of Medicines (QUM)
and Residential Medication Management
Review (RMMR) contract with a Multi
Purpose Service facility in Ouyen, a town
over 100 kilometres away in western Victoria.
She has developed collaborative relationships
with district nurses and general practitioners
(GPs) through her work in the local
community pharmacy. Planning and juggling
time are essential elements of making her
business function. By scheduling a couple
of Home Medication Reviews (HMR's) on the
same day as a QUM presentation or some
RMMRs, the 200 km+ return trip to Ouyen
becomes a very productive full day, and she
is able to claim for travel under the HMR
program. Her longest return trip was over 400
km for a HMR with an elderly person living
independently in a rural area 100 km beyond
Ouyen. She enjoys the travel and nds people
are very grateful.
Justine's practice tip
When working in a rural area, the distances
involved can cause paper-based
communication by mail, fax or patient
delivered to be slow and/or unreliable.
Using encryption software for electronic
communication can help overcome barriers
with distance and time. The Lower Murray
Medicare Local encourages all health care
professionals to use the same electronic
encryption software (Argus).
The GPs generate referrals using their
software (i.e. Medical Director or Best
Practice) and send them electronically via
Argus. Reports are sent as encrypted word
documents, tracked by a receipt and can be
integrated into the patient's le.
Justine thinks this would bene t
accredited pharmacists in many di erent
Andrea Johnson works in a regional
Queensland town bordering communities
which lack many local services. She is
employed in a community pharmacy two
or three days a week and does RMMRs and
HMRs on the other days.
Her main source of HMR referrals is
the Aboriginal Health Service (AHS).
The interviews are often conducted in the
AHS clinic because it may be culturally
inappropriate for a non-indigenous female to
visit patients in their home. Before she started
working with the AHS, Andrea completed a
course on cultural competence which has
provided her with invaluable skills for working
with indigenous patients.
Andrea's practice tips for working with an
• Build a trusting rapport and show empathy
so that patients don't see you as a health
professional who is telling them what to do.
• Build trusting relationships with the leaders
of the Indigenous communities in order
to reach out to other members of the
• Be prepared to change your normal
interview process, as often the focus
needs to be on simply improving
medication knowledge and increasing
compliance rather than making clinical
• Focus on educating about the role of
preventive medicine versus acute medicine.
• Work with the AHS to put procedures in
place to minimise nancial loss due to high
percentage of patients not turning up to
A success story
A 71-year-old Indigenous male, post STEMI
(ST-segment elevation myocardial infarction)
with type 2 diabetes was referred by the AHS
as he was not reaching therapeutic targets
and they suspected non-compliance.
At the interview he revealed that he had
not taken any medications since leaving
hospital three months ago because he
thought the tablets were only for treatment
in hospital. A lot of time was taken to explain
the importance of each medication. A dose
administration aid was organised.
Two months later he made an appointment
with the GP (without prompting from
the clinic) to thank the GP and accredited
pharmacist for helping him get his life back.
He stated that he never understood why he
had to take medications if he didn't feel sick
or wasn't in pain. Since receiving education
about the role of medications he feels better
than he has for years.
For information on courses in Cultural
Competence see the Centre for Cultural
Competence Australia at: www.ccca.com.au.
The course is accredited as a Group 2 activity
for 14 CPD credits.
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