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A woman comes to the pharmacy and hands you a packet of tablets. She tells you she found them in her 17 year old daughter’s room and asks you what they are used for.
You are on a hospital placement and have been put under the care of the Specialist Gastroenterologist Pharmacist along with another pre-registration pharmacist. You notice the pharmacist seems to favour the other pre-registration pharmacist over you and provides them with more tasks and learning opportunities.
You are assisting the pharmacist on a hospital ward and she asks you to counsel a patient on a newly prescribed medication. After discussing the advice to give to the patient with the pharmacist, she tells you she is happy for you to talk to the patient alone. You introduce yourself to the patient and realise they do not speak English or any language you know. The patient gestures to the adjacent patient who can speak the same language and English too.
You are the only person working in the dispensary alongside the pharmacist in a community pharmacy. One of the counter assistants has called in sick leaving only one person working on the shop floor and you have been asked to cover the shop floor while they go on their lunch break. While serving customers, you notice the shop floor is untidy, things are in the wrong place on the shelves and there are delivery boxes and products spread over the shop floor.
You are working in a community pharmacy and have just completed a busy shift alongside a locum pharmacist. While closing up the pharmacy, the locum notifies you of some important issues to handover to the regular pharmacist the next day. However, you have taken the day off tomorrow.
You are dealing with a patient in the community pharmacy you work in. The patient explains they came in two days ago to collect their prescription. Your colleague informed them that the pharmacy had not received their prescription yet and that they would follow this up with the GP surgery and advised them to return today to collect. You are unable to find the prescription on the shelf and find out that the patient’s repeat has still not been requested from the GP Surgery.
A customer presents at the community pharmacy you are working in visibly angry and upset. He tells you that he collected his medication from the pharmacy last week and wanted to start taking the tablets today but noticed that they expired last month. He recognises you as the person who handed him his medication and blames you for the error.
Your pre-registration tutor gave you the task of completing the clinical audit for the pharmacy 2 months ago. You were meant to have completed the audit last week and your tutor requested from you today to present the audit to her tomorrow. You have been unable to complete the audit due to personal circumstances.
On a ward round, a patient asks you questions about her newly prescribed medication. On checking you realise her newly prescribed medication is contra-indicated with her other treatments.
It is 9am and you are beginning a shift. A fellow pre-registration trainee colleague has called in sick stating that he has food poisoning. The following day you learn that your absent colleague had posted pictures on a social networking site from a party that he had attended the night before his shift.
You are working alone alongside the pharmacist as the counter staff is away on annual leave and the pharmacy assistant is off sick. As the pharmacy is very busy, you are struggling to complete all of the tasks for the day and find yourself rushing through your work. As a result, you are making many more mistakes than usual and the pharmacist is becoming frustrated with you.
A patient is being prepared for discharge from the hospital within the next thirty minutes after being diagnosed with a long-term eye condition. She finds it difficult to squeeze her newly prescribed eye drops due to her arthritis and has been given a device to help with its administration. This is your first time seeing this device and counselling a patient on eye drops. While the patient expresses their concern about not knowing how to administer the eye drops you realise that you do not have the knowledge to correctly demonstrate this to the patient. You are the only pharmacy staff member on the ward, and you are aware that a nurse is waiting to see her before her discharge.
As the pharmacy is opening, you notice that the pharmacist is behaving in a way that suggests he is intoxicated. On approaching him, you can smell alcohol on his breath. The first patients of the day have started to queue up at the medicines counter and you have been instructed to start speaking to them by the manager.
You are approached by a customer who hands over to you a box of oral contraceptives that have been dispensed from your pharmacy. She demands that you keep the tablets and do not supply her fifteen year old daughter with contraceptives again as she does not approve of her daughter’s choices.
You are a pre-registration pharmacist working in a GP Practice. You have been asked to deal with a phone call from a patient informing you they are becoming confused with their medication and need assistance managing them.
You are a pre-registration pharmacist working in a busy community pharmacy. You have experienced lower back pain since starting your role which you have attributed to prolonged standing and your posture. Your back pain has become increasingly worse of late and your GP has prescribed analgesics to help you manage your pain. The dispenser is on leave for two weeks and you are working alone in the dispensary alongside the pharmacist. You are finding it increasingly difficult to work and have started to make mistakes due to your inability to concentrate.
You are a pre-registration pharmacist working in community pharmacy. You are assisting in the dispensary and have been asked, by the counter assistant, to come and talk to a patient who is getting angry about having to wait for their prescription. The patient begins shouting at you and demands to know why a patient who came in 15 minutes after he did was given their medication immediately while he continues to wait. He tells you that his parking ticket has expired, and it would be your fault if he got a penalty.
This is your second month in your position as a pre-registration pharmacist in a community pharmacy. The locum pharmacist who regularly works Mondays in the pharmacy, spends most of his time on his telephone and checks prescriptions while talking on the telephone after you have labelled and dispensed the items. You are finding it increasingly difficult to work with him as you are having to do more work on the days he is in. He has also begun leaving prescriptions brought in by patients during your break and lunch for you to label and dispense on your return.
You are a pre-registration pharmacist working in the dispensary of a hospital pharmacy approaching the end of your pre-registration year. All the pharmacists have been called to a meeting and you are left in the dispensary with an Accuracy Checking Technician (ACT). A nurse presents at the pharmacy with an urgent prescription for a patient on the ward. The ACT asks you to label and dispense the prescription and check it for clinical appropriateness before he does a final accuracy check and give the medication to the nurse. He comments “you will be a pharmacist in a few weeks anyway”.
You have been working in a community pharmacy for two months and have noticed that a customer comes to the pharmacy at least once a week and purchases Kaolin and Morphine mixture. The counter assistant sells it to the customer without appropriately questioning them and when you ask the counter assistant about this she tells you she suspects the patient is abusing it but if he does not buy it from this pharmacy, he will obtain it elsewhere.
You are working in the dispensary alongside a pharmacy assistant and a pharmacist on a very busy Tuesday afternoon. There is a long line of patients waiting to collect their medication. One of the patients waits for only a few minutes before being handed their medication. This was because their prescription had been handed earlier in the day and was ready for collection. A patient who had been waiting for over 15 minutes becomes angry as he believes he should have been served first. He storms out of the pharmacy without his medication then returns later in the day to make a complaint.
Choose the THREE most appropriate actions to take in this situation.
The pharmacy technician is speaking loudly to a patient about their drug misuse history and treatment plan in front of other patients. The patient outwardly shows signs of being frustrated with your colleague, but the pharmacy technician remains unaware of how uncomfortable they are making the patient. You continue to observe the situation and can see that the patient is becoming more and more visibly angry.
Choose the THREE most appropriate actions to take in this situation.
A patient is getting ready to be discharged. You know he has been prescribed antibiotics to take home. You accidentally overhear a family member who is helping them prepare for discharge discouraging them from taking one of the antibiotics as they had experienced unpleasant side effects with the same medicine. You hear the patient agree to stop taking the medicine once discharged.
While observing a nurse administer a patient’s medicine, you notice that he is administering a lower strength of pain relief medication than prescribed on the drug chart. You tell the nurse about your observation to which he responds that he knows what he is doing as he has been working with patients for much longer than you have.
As you and the rest of the pharmacy team are closing up the pharmacy for the day, you see the pharmacist and pharmacy assistant laughing about a funny photo they had taken during the day. Later that day the pharmacist uploads the photo onto the pharmacy group chat. When you take a closer look you see a patient’s prescription in the background with their name and medicines clearly showing.