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S2 and S3 Medicines
S2/S3 Meds and Legal Requirements
| Question | Answer |
|---|---|
| Fill in the blank: All requests relating to Pharmacist Only Medicines must | be referred to a pharmacist |
| Fill in the blank: The pharmacist must be satisfied that | there is a therapeutic need. This means more than agreeing to supply the medicine on request, or merely asking patients if they have used the medicine previously and know how to use it. |
| How many proprietary packs of S2/S3 medicines should be supplied at a time? | Only one proprietary packof Pharmacy Medicines and Pharmacist Only Medicines is to be supplied at a time, unless there are exceptional circumstances clearly demonstrable by the customer, additional documentation of which should be kept. |
| Pharmacy Only and Pharmacist Only Medicines are located in a secure area that: | Is within sight, hearing and supervision of the pharmacist. Consumers do not have direct access to Consumers are unable to self-select from |
| What are pharmacy medicines (S2 medicines)? | substances/preparations for therapeutic use safe in use but where advice/counselling is available if necessary are for minor ailments /symptoms which can be easily recognised minor ailments and symptoms that do not require diagnosis/managed by GP |
| What are pharmacist only medicines (S3 medicines)? | for therapuetic use safe in use but require professional advice/counselling by a pharmacist Use requires pharmacist advice, management/monitoring for minor ailments that can be verified by a pharmacist Do not require close medical management |
| What is the key difference between S2/S3 medicines? | Cannot supply an S3 medicine without referral to the pharmacist |
| What is recorded in project stop for the sale of pseudoephedrine? | Log in to Projectstop™using pharmacy’s log-in details Patient’s photo identification number Product requested Amount of product requested Whether the product was supplied or not |
| What are the resources to support the supply and sale of S2 and S3 medicines? | Suitable workflow design Ongoing staff training Current editions of the APF, aMH. e-MIMS, AusDi, TG, Don't rush to crush, herbs and natural supps, merck manual |
| What is the pharmaceutical care quality cycle? | 1. Patient assessment and data collection 2. Identify problems 3. Set treatment gioals 4. Evaluate therapeutic alternatives 5. Individualise therapy 6. Implement therapeutic plan 7. Monitor outcomes |
| What are the four steps to patient assessment? | Step 1: Gathering initial data and getting a general idea via a)Observation of the patient –professional noticing b)Considering the presenting complaint Step 2: Asking questions Step 3: Confirming the facts. Step 4: Making a clinical decision |
| What are subjective findngs? | is obtained verbally from the patient or caregiver and so is not directly observed or measured by yourself e.g. the main complaint/symptom(s) presented; history of present illness; past medical history; social history; family history |
| What are objective findings? | details data that can be directly measured or observed by yourself or the pharmacist OR can be verified by you e.g. medication history from pharmacy’s records, physical observations of any symptoms, measuring someone's blood pressure |
| What are the general triggers for referral? | symptoms of long duration recurring or worsening problems severe pain treatment failure with appropriate medications suspected adverse drug reactions |
| How do I pick a treatment? | Safe, appropriate and efficacious treatment based on the patient’s need What has patient already tried Patient’s preferences (dosage form, flavour/taste) Know active ingredient (ignore marketing) |
| What to do if the request is made by a third party? | Determine whether the third party has full responsibility for the consumer’s medication (eg. parent of a child, or carer for an aged person). Include written info with the medicine: safe and effective use, what to do if ADR is occurs and pharmacy details |
| What does the SOAP acronym stand for? | Subjective information Objective information Assessment Plan/Recommendation |
| What does the assessment part include? | a prioritised problem list and any drug-related problems Initial assessment of any problems Treatment goals, treatment options and justification |
| What does the plan part include? | Treatment plan Education and counselling Monitoring, follow-up & referral advice |
Created by:
LDM