Podcast
Questions and Answers
A pharmacist prescriber self-prescribing sumatriptan for a migraine is primarily an ethical issue because it involves:
A pharmacist prescriber self-prescribing sumatriptan for a migraine is primarily an ethical issue because it involves:
What is the primary risk associated with a pharmacist prescriber not documenting their own self-prescribed medication?
What is the primary risk associated with a pharmacist prescriber not documenting their own self-prescribed medication?
In the case of a self-prescribing pharmacist, what could be considered a sign of compromised professional accountability?
In the case of a self-prescribing pharmacist, what could be considered a sign of compromised professional accountability?
How should a pharmacist prescriber balance their health needs with their professional responsibilities when needing medical care?
How should a pharmacist prescriber balance their health needs with their professional responsibilities when needing medical care?
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What is the potential ethical dilemma arising from a pharmacist prescriber working in both a Community Mental Health Team (CMHT) and a local pharmacy?
What is the potential ethical dilemma arising from a pharmacist prescriber working in both a Community Mental Health Team (CMHT) and a local pharmacy?
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A patient informs their pharmacist prescriber of their struggles adhering to aripiprazole tablets. What is the most ethical thing they should do now?
A patient informs their pharmacist prescriber of their struggles adhering to aripiprazole tablets. What is the most ethical thing they should do now?
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In the scenario with the patient struggling with aripiprazole tablets, what should the pharmacist prescriber avoid doing?
In the scenario with the patient struggling with aripiprazole tablets, what should the pharmacist prescriber avoid doing?
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What is the main ethical guideline that applies to a pharmacist working in the community and the mental health team?
What is the main ethical guideline that applies to a pharmacist working in the community and the mental health team?
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A patient requests a long-acting injectable medication, requiring both prescribing and administration by the same healthcare professional. What is the most important consideration to ensure patient safety?
A patient requests a long-acting injectable medication, requiring both prescribing and administration by the same healthcare professional. What is the most important consideration to ensure patient safety?
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What is the best practice to implement when prescribing and administering a long acting injection to ensure patient safety?
What is the best practice to implement when prescribing and administering a long acting injection to ensure patient safety?
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A patient requests a repeat prescription for their asthma medication, but their last asthma review was over two years ago. What is the most appropriate initial step?
A patient requests a repeat prescription for their asthma medication, but their last asthma review was over two years ago. What is the most appropriate initial step?
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In the scenario of a patient requesting a repeat asthma prescription after a long gap in care, which of the following is least important for patient safety?
In the scenario of a patient requesting a repeat asthma prescription after a long gap in care, which of the following is least important for patient safety?
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A patient urgently requests an asthma inhaler prescription and tells you they have less than 10 doses remaining. What action should be taken to ensure patient safety?
A patient urgently requests an asthma inhaler prescription and tells you they have less than 10 doses remaining. What action should be taken to ensure patient safety?
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What is the most important safety consideration when a patient is requesting a repeat prescription, but there is a significant gap in their medical care?
What is the most important safety consideration when a patient is requesting a repeat prescription, but there is a significant gap in their medical care?
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What action would not be very important when issuing a repeat prescription to a patient who has not had their asthma reviewed in 2 years?
What action would not be very important when issuing a repeat prescription to a patient who has not had their asthma reviewed in 2 years?
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When issuing a repeat prescription to a patient with a 2-year care gap, what aspect of care should be prioritised besides providing immediate relief?
When issuing a repeat prescription to a patient with a 2-year care gap, what aspect of care should be prioritised besides providing immediate relief?
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Study Notes
Ethical Issues in Prescribing
- Ethical issues in prescribing are a key area in pharmacy
- Learning outcomes include exploring common ethical issues faced by pharmacists in prescribing and applying ethical considerations to an ethical dilemma in prescribing.
Task 1: Self-Prescribing Prescriber
- A pharmacist prescriber experiences persistent headaches and is a heavy smoker.
- The headache worsens, presenting migraine-like symptoms.
- The pharmacist decides to self-prescribe sumatriptan tablets.
How could self-diagnosis and self-prescription affect safety and accountability?
- Impaired objectivity
- Risk of misdiagnosis
- Lack of documentation and monitoring
- Violating ethical guidelines
- Compromised professional accountability
- Safety risks
- Potential reputational damage
How should professional reputation be balanced with prioritizing own health?
- Seeking medical help
- Importance of professional medical input
- Transparency protects professional standing
Task 2: The Dual Role Dilemma
- A pharmacist prescriber works in community mental health and a local pharmacy.
- A patient with schizophrenia wants a long-acting injection of aripiprazole to improve adherence.
- The psychiatrist hasn't altered the original medication to long-acting injection.
How should the patient's request for convenience be balanced with safety considerations?
- Patient safety priority
- Involve another healthcare professional
- Alternative options
- Maintain professional boundaries
What steps can be taken to ensure patient safety when prescribing and administering long acting injections?
- Follow a clear procedure
- Conduct a mental break
- Maintain a full audit trail
- Consultation with colleagues
Task 3: The Repeat Prescription Dilemma
- A patient recently registered with a surgery requests a repeat prescription for an asthma inhaler.
- The patient hasn't had a comprehensive review in two years.
- The patient needs the inhaler urgently due to low supply.
What steps can ensure patient safety when issuing a repeat prescription?
- Issue a short-term prescription
- Arrange urgent asthma review
- Request access to medical records
- Review prescribing guidelines
- Communicate with the patient
General
- The slides provide various scenarios illustrating ethical dilemmas in prescribing and the importance of appropriate decision-making processes.
- Patient safety and maintaining professional boundaries are emphasized.
- Prescribing guidelines, patient discussions, reviews, and involvements of other professionals are pivotal in all the cases.
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Description
This quiz explores the ethical dilemmas that pharmacists face when it comes to prescribing medications, particularly regarding self-prescribing practices. You'll delve into the potential risks and consequences associated with self-diagnosis and self-medication, while also discussing how to maintain professional accountability and ethical standards.
