Dispensing Lab.pdf

DISPENSING LAB | Instructor: Ms. Tupas| bless b. | BSPhar2-B WORKSHEET 1 & 2 BARRIERS TO VERBAL COMMUNICATION physical barriers STANDARD SCRIPT IN RECEIVI...

DISPENSING LAB | Instructor: Ms. Tupas| bless b. | BSPhar2-B WORKSHEET 1 & 2 BARRIERS TO VERBAL COMMUNICATION physical barriers STANDARD SCRIPT IN RECEIVING PATIENT lack of privacy A constructive pharmacist-patient relationship is the telephone essential, the sound healthcare practice and the optimal well-being of the patient. Barriers Overcome This relationship involves using both verbal and physical barriers To make sure that all nonverbal communication. To provide quality patient conversations take care, pharmacist must have the desire and ability to place face to face at or communicate effectively with patients, other below the patient's eye healthcare professionals and the public. level. Sharing of information, ideas, thoughts and feelings lack of privacy Converse with patients helps in achieving and understanding between the and discuss patient- participants. specific information with other health care It involves the spoken word and what is conveyed professionals in private through inflection, vocal quality, facial expression, counseling or body and other behavioral responses. consultation rooms. If The interaction between a pharmacist and a patient physically separate usually can be categorized as either an information space is not available, gathering or information giving communication converse in a space session. that is as private as possible. BARRIERS TO EFFECTIVE COMMUNICATION the telephone Telephone calls should be dealt with as lack of time unhurriedly and economic considerations professionally as poor/lack of confidence in communication skills possible. BARRIERS TO EFFECTIVE COMMUNICATION SPECIAL SITUATIONS lack of knowledge about current drugs/ patient ANTAGONISTIC PATIENTS history patient's failure to value the counseling session or be as professional and direct as possible. pharmacist expertise These patients may be frightened or simply fed up not taking into account the patient's cultural with thi entire health care system; therefore perspective clarification of the purpose of and reasons for the interaction and the ways in which the information Barriers overcome obtained from the interaction are used may be helpful. Lack of time and Increasing the use of technical Most patients have great respect for pharmacists and economic personnel to relieve pharmacist cooperate if the need for the interaction is clearly consideration from dispensing functions and defined and they perceive that they are treated with allowing the pharmacist to spend respect. time with patients Poor communication appropriate choice of continuing CHRONICALLY ILL PATIENTS skills or lack of professional education expertise about recent opportunities to improve Assess the needs of each patient and be flexible drug advances knowledge and skills in areas of enough to communicate on an appropriate level. identified weakness Discussing sophisticated therapeutic regimens may Patients’ failure to advertising the service provided in be a pleasure with pleasant and well informed appreciation the personally offering the patients but extremely difficult with bitter, Chronically volume of consultation consultation to each patient with ill patients must learn to live with their disease; this with the pharmacist a brief description of the may take years and may never be fully accomplished. importance of this process in improving patient medication CULTURALLY DIVERSE PATIENTS therapy outcomes Incorrect prescription develop a relationship with the Talk with the patient about his or her beliefs and work of the patient often patient that allows both parties to to integrate the patient's beliefs into the prescribed due to stereotypes view the other in an appropriate regimen. way ELDERLY PATIENTS ANGRY PATIENTS Take the time to engage elderly patients in unhurried Assertiveness techniques may be useful in dealing conversation. with patients who are angry or aggressive include the Speak slowly and distinctly and avoid youth-oriented following: vernacular on slang. o language ownership Great elderly patients with respect, Do not assume o specificity that every elderly person has impaired hearing. Speak directly to the patient and do not assume that LANGUAGE OWNERSHIP the patient is incompetent or that the person This is demonstrating that you own your feelings and accompanying the patient is a caregiver or guardian. emotions rather than using nonspecific terms speak in Use large-print labels and printed materials the first person. and reinforce written information with verbal For example, when speaking to a verbally abusive patient communication don't respond with: touching the patient betty on the arm or shoulder may "Everyone in the pharmacy hates it when you talk to reassure the patient and reinforce the contest of the them in that tone. conversation. To use ownership language saying, "I feel angry and uncomfortable when you speak to MUTE PATIENTS me in condescending tone and use in appropriate words." Written communication and the use of point and spell letter boards can be time consuming but often are the SPECIFICITY only means for two-way communication, Encourage these techniques and allow sufficient time Clearly state your needs and expectations for adequate communication, In addition, maintain For example when speaking who has made several your end of the conversation and de not limit your unreasonable demands don't respond with: verbal responses just because the patient is mute. "You are being totally understandable." Do use language specificity, say HEARING INFAIRED CAMERAS "It is not appropriate to ask me to refill a prescription that is not authorized for refills without an approval Be sensitive to the potential for patients to have from your doctor that would be a violation of hearing impairment. pharmacy laws. Do not assume that all people with hearing impairment can read lips or understand American Sign Language (ASL): WORKSHEET 3 Do not assume that a hearing aid returns the patients hearing to normal. Do not assume that hearing impaired patients have diminished intellectual disabilities. MENTALLY RETARDED PATIENTS Communicate clearly and directly with mentally retarded patients and I. PURPOSE To direct responsible person on the proper dispensing practice do not assume that the patients are incapable of procedure in order to l promote quality service. participating in their health care. Look beyond the II. POLICY disability and deal directly with the patient. However, Responsible person shall follow good dispensing practice to communicate clear y and directly with the patient's facilitate workflow. caregiver III. RESPONSIBLE PERSON Pharmacist HARD-TO-REACH PATIENTS Owner Pharmacy Staff Look beyond these issues and communicate clearly IV. Procedure and directly with each patient as an individual, 1. Handling of prescriptions regardless of the patient's status. i. Pharmacist checks the prescription for its integrity and legality. (Name of patient, Age, Sex, Date, Generic Name, Help illiterate patients organize complex medication Brand name, quantity, signa, name of physician and PTR regimens by using different-sized bottles for each number.) medication or color-coding the labels. ii. Pharmacists checks for the availability of the medicines Be sensitive to the cost of medications and the ability iii. In case the prescribed medicine is not available, the of the patient to pay for the medication. Pharmacist informs its generic equivalent in the Pharmacy and asks the customers for his/her choice. Help illiterate patients organize complex medication 2. Picking and packing of Medicines regimens by using different-sized bottles for each i. Read the name and dosage strength in the label of the medication or color-coding the labels. container before picking and packing the medicine. 2  ii. Check the label against the prescription for accuracy. using referenced, written instructions for products iii. Check the quantity of medicines before packing. that require extemporaneous preparations and iv. Use proper equipment for counting loose tablets and having another individual doublecheck quantities of capsules. Use spatula to count required number of tablets and capsules. Avoid direct contact with loose tablets and drug and excipients prior to compounding; capsules. Use disposable gloves if needed. providing a demonstration of how to use the syringe v. Provide a proper label for repacking loose tablets and for liquid medications and dispensing a marked, oral capsules. Write the generic name, brand name, batch syringe; number, expiry date and quantity. counseling patients and caregivers about indication vi. Provide ice pack for biologicals and refrigerated items before dispensing it to the customer. for use, directions on how to administer and how vii. Pharmacy staff who fills up the prescription signs on the often, patient-specific drug interactions, special available space provided on the prescription. storage instructions, and side effects, while tailoring 3. Issuing of official receipts instructions based on the patient's cognitive i. Pharmacy staff checks the quantity of medicines before development, using more pictograms for the younger writing in the official receipt. patients and texts for older patients ii. Senior citizens and PWD's are given 20% discount as required by law. iii. Pharmacy staff fills up information in the purchase booklet Case 2 for senior citizens and PWD s. 4. Issuing of Medicines Chlorothiazide 500 mg by mouth was ordered. i. Countercheck the prescription and the packed medicines for Chlorthalidone 500 mg by mouth was inadvertently the third time before giving it to the customer ii. Call the customer in the counter for its medicine. entered and verified for a patient. The dose of iii. Proceed to another customer if there are no queries. chlorothiazide entered was a 10-fold increase over the 5. Patient counselling recommended dose. A technician recognized that 10 x 50 i. Patient counselling is carried out by the Pharmacist if need mg tabs for one dose were unusual, and questioned the arises can be done privately. order with the pharmacist and the order entry error was ii. If longer time is needed, bro the customer at the side of the realized. In this scenario, the pharmacist and pharmacy counter so that counselling technician have a major role in recognizing medication 6. Filing of prescriptions error. i. All filed prescriptions must be kept and recorded every end of the month. ii. Partially filled prescriptions are returned to the customer What are the possible factors that contributed to this error? after indicating the quantity and date that was dispensed. iii. Store the prescriptions for the period of three years as 1. SALAD (Sound-alike, Look-Alike drugs) required by the Pharmacy Law. 2. Incorrect Dosage Entry 3. Cognitive Error b. Write down the steps that the pharmacist and the 4. Double checking process 5. Work Environment pharmacy aide/technician can take to prevent this type of o Distractions and Interruptions error from happening in the future 6. Knowledge gaps Double check or verify all the details in the How could this be avoided to prevent medication errors? prescription. Make sure that it complies with the legal, regulatory 1. Highlight Alerts for SALAD Medications and safety requirements. 2. Dose-checking and Verification process Assess the appropriateness of the prescribed 3. Workload management medicine, dosage and the route of administration. 4. Education enhancement and trainings Ensure that the label matches the prescription details and is legible and clear. How can the support personnel/pharmacy aide/technician help Double check the prepared medication against the the pharmacist prevent the incident? prescription for accuracy and safety. 1. Review the prescription thoroughly. 2. Dose verification and calculation c. Write a guideline that can be used in the pharmacy with the 3. Double check process 4. Proper labeling and packaging support personnel when dealing with pediatric prescriptions. Pharmacist refers to a health professional who has been registered and issued a valid Certificate of ensuring that all components of a pediatric Registration (COR) and Professional Identification prescription are provided, including concentrations of Card (PIC) by the PRC and the Professional liquid medications; Regulatory Board of Pharmacy obtaining the patient's weight and converting it to Pharmacy aides refer to persons who assist the kilograms; pharmacists in the different aspects of pharmacy calculating the dose and comparing it to the operation based on established standard operating recommended dosing information provided in procedures and processes, with very minimal degree pediatric-specific drug references; of independence or decision making and without direct interaction with patients. 3  Pharmacy assistants refer to persons who assist the PHARMACY ASSISTANT pharmacists in different aspects of pharmacy operation based on established standard operating QUALIFICATION procedures and processes, with a minimum degree of High school diploma or GED. (TESDA Pharmacy independence or decision making and may have Services NC II) supervised interaction with patients. Proven experience assisting in a pharmacy. Pharmacy technicians refer to persons who assist in Proficient in all Microsoft Office applications. compounding and dispensing of medicines in Detail-oriented and accurate. Trustworthy. The ability community, hospital, institutional and industrial to work as part of a team. settings or engaged in other activities under the Excellent communication skills. supervision of the pharmacist Exceptional customer service skills PHARMACIST ROLES QUALIFICATION Answer phones and direct calls To become a Registered Pharmacist in the Maintain patient files Philippines, a graduate of BS in Pharmacy needs to Place orders for supplies, pharmaceuticals and pass the Pharmacist Licensure Examination. The equipment examination is conducted by the Board of Pharmacy Monitor inventory levels under the supervision of the Professional Regulations Package and arrange shipments to patients Commission (PRC). PHARMACY AIDE ROLES the quality of medicines supplied to patients QUALIFICATION ensuring that the supply of medicines is within the law High school diploma ensuring that the medicines prescribed to patients Ability to perform repetitious work accurately are suitable Experience in managing inventories advising patients about medicines, including how to Good customer service and communication skill take them, what reactions may occur and answering patients' questions. ROLES supervise the medicines supply chain and ensure Accepts prescriptions for filling pharmacy premises and systems are fit for purpose May operate cash register advise other healthcare professionals about safe and Records the pharmaceutical products that is effective medicines use, and safe and secure supply delivered to the pharmacy, store incoming stocks and of medicines informs the supervisor of stock needs respond to patients' symptoms and advise on medicines for sale in pharmacies WORKSHEET NO. 4 PHARMACY TECHNICIAN Prescription 1 QUALIFICATION Attain a high school diploma or the equivalent (e.g., GED). Graduate from an accredited pharmacy technician training program (1 year). Get certified by national and regional certification bodies (timeline varies). Maintain active certification (every two years) ROLES Preparation of medications for patients Receiving and verifying the prescriptions Obtaining pharmacist’s approval Completing patient paperwork related to the filling of prescription Pharmacy technician is prohibited to do by law is: 1. Perform the final check of the prescriptions 2. Perform counselling with the patients – you can not give them any advice related to drugs or health- related issue. This has to be done by the pharmacist. 4 DIAGNOSIS: Urinary Tract Infection List 10 drugs under this regulatory classification Medication History: Iberet-500 1 tablet daily 1. Finasteride Allergy: None 2. Cefuroxime Indication: Uncomplicated UTI 3. Alendronic Acid REGULATORY CLASSIFICATION OF THE DRUG: Rx-only 4. Carbidopa medicine 5. Lisinopril 6. Levodopa DOSE CHECK 7. Amoxicillin 8. Sertraline DRUG (Active Ing) 9. Amlodipine Ciprofloxacin 10. Felodipine Prescribed Dose Prescription 2 Single Dose 500mg 250 mg/dose Daily Dose 1000mg/day Recommended Dose Single Dose 250-500 mg PO Daily Dose 1000 mg OD Source Mayo Clinic/ Drugs.com/MIMS DIAGNOSIS: Dysmenorrhea Drug interaction Medication History: None Allergy: None Drug 1 Indication: Dysmenorrhea Ciprofloxacin REGULATORY CLASSIFICATION OF THE DRUG: OTC Drug Drug 2 DOSE CHECK MTV + Iron (Iberet 500) DRUG (Active Ing) Effects Ibuprofen 200 mg Iron can cause a decrease in the absorption of Ciprofloxacin resulting in a reduced serum Prescribed Dose concentration and potentially a decrease in efficacy. Single Dose Folic acid may decrease the excretion rate of 200 mg/dose Ciprofloxacin which could result in a higher serum level. Daily Dose 200-800 mg/day PRN Recommendations Leave 2 hours in between taking supplements and the Recommended Dose dose of ciprofloxacin tablets or liquid. Single Dose 200-400 mg/dose Source MIMS/Drugbank Daily Dose 1200 mg/day Further information needed (from the prescriber and patient): none Source LEGAL Implications: License number of the prescriber MIMS (PRC and PTR Number) Further information needed (from the prescriber and patient) From the patient: none Relevant Counseling Points. From the Prescriber/Relevant Counseling Points: Discuss Avoid milk and dairy products. Dairy products and the dosage and administration calcium fortified juices LEGAL Implications: decrease the absorption of ciprofloxacin. Limit caffeine intake. Take with or without food. The absorption is not significantly affected by food. (Drugbank.com) 5 List 10 drugs under this regulatory classification LEGAL Implications: (Violative prescription: the generic 1. Naproxen name was not written in the Rx) 2. Paracetamol 3. Loperamide List 10 drugs under this regulatory classification 4. Cetirizine 1. Naproxen 5. Ascorbic acid 2. Paracetamol 6. Bisacodyl 3. Loperamide 7. Mefenamic Acid 4. Cetirizine 8. Brompheniramine 5. Ascorbic acid 9. Evening Primrose 6. Bisacodyl 10. Omega 3 7. Mefenamic Acid 8. Brompheniramine PRESCRIPTION 3 9. Evening Primrose 10. Omega 3 PRESCRIPTION 4 DIAGNOSIS: Cough Medication History: None DIAGNOSIS: Neuropathy Allergy: None Medication History: None Indication: Cough Allergy: None REGULATORY CLASSIFICATION OF THE DRUG: OTC Drug Indication: Peripheral neuropathy REGULATORY CLASSIFICATION OF THE DRUG: OTC Drug DOSE CHECK DRUG (Active Ing) DOSE CHECK Dextrometorphan Hydrobromide Guaifenesin Alcohol DRUG (Active Ing) 1.4% Vitamin B1 100 mg Prescribed Dose Vitamin B6 5 mg Single Dose Vitamin B12 50 mcg 10 ml/dose Prescribed Dose Daily Dose Single Dose 40 ml/day 1 tablet/dose Recommended Dose Daily Dose Single Dose 1 tab/day 10 ml/dose Recommended Dose Daily Dose Single Dose 40 ml/day 1 tab/dose Source Daily Dose MIMS 1-2 tab/daily Further information needed (from the prescriber and Source patient) From the patient: Check for Patient’s Medical MIMS History From the Prescriber: none Relevant Counseling Points: Discuss the dosage and administration 6 Further information needed (from the prescriber and PRESCRIPTION 6 patient) From the patient: Check for Patient’s Medical History From the Prescriber: none Relevant Counseling Points: Discuss the dosage and administration LEGAL Implications: Erroneous prescription PRESCRIPTION 5 DOSE CHECK DRUG (Active Ing) Ketoconazole Prescribed Dose Single Dose 1 sachet/day DIAGNOSIS: Medication History: None Daily Dose Allergy: None 1 sachet once every 1-2 weeks Indication: REGULATORY CLASSIFICATION OF THE DRUG: OTC/Non- Recommended Dose Rx Drug Single Dose 1 sachet/day DOSE CHECK Daily Dose DRUG (Active Ing) 1 sachet once every 1-2weeks Moringa oleifera Source Prescribed Dose MIMS Single Dose Further information needed (from the prescriber and 2 capsules/day patient) Daily Dose Relevant Counseling Points: Discuss the proper 2 capsules/day application of the drug LEGAL Implications: Recommended Dose Single Dose PRESCRIPTION 7 1-2 caps/day for 2 weeks prior to giving birth 1 cap/day Daily Dose 1 cap daily or as recommended by health professional Source MIMS Further information needed (from the prescriber and patient) From the patient: Check for Patient’s Medical History From the Prescriber: none Relevant Counseling Points: Discuss the dosage and administration LEGAL Implications: Erroneous Prescription 7 DIAGNOSIS: Anxiety-induced insomnia (d) Development and enhancement of professional Medication History: None competence of pharmacists through continuing Allergy: None professional development, research, and other related Indication: Anxiety-induced insomnia activities; and REGULATORY CLASSIFICATION OF THE DRUG: EDD/ Rx (e) Integration of the pharmacy profession. Drug New concepts that are now considered as Practice of Pharmacy DOSE CHECK under RA 10918 which was not covered by the Old pharmacy law. DRUG (Active Ing) 1. Pharmaceutical Care Diazepam 2. Point of Care Testing 3. Medication Management Prescribed Dose 4. Immunizing Pharmacists Single Dose REQUIREMENTS for PHARMACISTS to administer 1 tablet TID vaccines Daily Dose Training and Certification Continuing Education 3 tablets/day (30 mg daily) Recommended Dose The Foods, Drugs, Devices, and Cosmetics Act Republic Act No. Single Dose 3720 5-15 mg up to 30 mg An act to ensure safety and purity of food, drugs and Daily Dose cosmetics being made available to the public by creating Up to 30 mg/daily the Food and Drug Administration which shall administer and enforce the law pertaining thereto. Source MIMS The Food and Drug Administration of 2009 - Republic Act No. 9711 Further information needed (from the prescriber and patient): S2 license of the Prescriber This is an act made to rename Bureau of Food and Relevant Counseling Points: Discuss the proper Drugs into Food and Drug Administration. This act administration of the drug also strengthens and rationalizes regulatory capacity LEGAL Implications: of the bureau by establishing adequate testing laboratories, upgrading equipment and augmenting List 10 drugs under this regulatory classification human resource and appropriating funds. 1. Fentanyl Adopt, support, establish, institutionalize, improve and 2. Alprazolam maintain structures, processes, mechanisms and 3. Clonazepam initiatives that are aimed, directed and designed 4. Diazepam to: 5. Lorazepam A. protect and promote the right to health of the Filipino 6. Escitalopram people; and 7. Sodium valproate B. help establish and maintain an effective health 8. Midazolam products regulatory system and undertake 9. Morphine appropriate health manpower development and 10. LSD (Lysergic Acid Diethylamide) research, responsive to the country's health needs and problems Enhance its regulatory capacity and strengthen its WORKSHEET NO. 5 capability with regard to the inspection, licensing and monitoring of establishments, and the registration and monitoring of health products. Short reflection on the documentary “The Comprehensive Dangerous Drug Act of 2002 - Republic Act No. Pharmacist” 9165 The Philippine Pharmacy Act - Republic Act No.10918 Policy of the State to safeguard the integrity of its territory and the wellbeing of its citizenry particularly An act regulating and modernizing the practice of the youth, from the harmful effects of dangerous Pharmacy in the Philippines, repealing for the purpose drugs on their physical and mental well-being, and to RA 5921. defend the same against acts or omissions This Act provides for and shall govern the: detrimental to their development and preservation. (a) Standardization and regulation of pharmacy Intensive and unrelenting campaign against the education. trafficking and use of dangerous drugs and other (b) Administration of licensure examination, registration, similar substances through an integrated system of and licensing of pharmacists. planning, implementation and enforcement of anti- (c) Supervision, control, and regulation of the practice of drug abuse policies, programs, and projects. pharmacy in the Philippines. 8  Achieve a balance in the national drug control How can the pharmacist help in the campaign against program so that people with legitimate medical needs are not prevented from being treated with adequate counterfeit drugs? amounts of appropriate medications, which include the use of dangerous drugs. Special Law on Counterfeit Drugs - Republic Act No. 8203 a Philippine law enacted to combat the proliferation of In principle and practice, how are the counterfeit drugs. It was signed into law on October 23, 1996. This law addresses the issue of counterfeit pharmacists liable for wrong dispensing? pharmaceuticals by establishing regulations and penalties to protect public health. How will the pharmacist be able to detect drug abuse and misuse of prescription drugs? Monitor Prescription Review Prescription Monitoring Programs Patient Counseling In line with the nation’s war on drugs, how are the pharmacists empowered in its implementation? Identify also the most abused drugs in the Philippines. The Expanded Senior Citizen Act of 2010 – Republic 1. Methamphetamine HCl Act No.9994 2. Marijuana An act granting additional benefits and privileges to 3. Ecstasy senior citizens, further amending Republic Act No. 4. Opioids 7432 as amended, otherwise known as an act to maximize the contribution of senior citizens to nation Discuss the ethical issues of a medical doctor building, grant benefits and special privileges and for other purposes. dispensing medicine inside the clinic. (a)What This Act shall: 1) establish mechanisms whereby the contributions of law, if any, did the doctor violate? (b) Is it a the senior citizens are maximized. 2) adopt measures whereby our senior citizens are defense that a doctor can now dispense assisted and appreciated by the community as a whole. medicine since he is knowledgeable on the 3) establish a program beneficial to the senior citizens, products he prescribes to his patients? their families and the rest of the community they serve and establish community-based health and rehabilitation programs for senior citizens in every Give the law that covers generic dispensing. How do you think political unit of society. can the pharmacist promote generic dispensing? Also, how can The Code of Ethics for Pharmacists the pharmacist convince patients that generics drugs work just the same as branded drug? Focus Area: The Pharmacist’s Patients and Clients 1. A pharmacist places the health and well-being of the The Generics Act – Republic Act No. 6675 individual and the community at the center of To promote, encourage and require the use of generic professional practice. terminology in the importation, manufacture, 2. A pharmacist respects the autonomy and rights of the distribution, marketing, advertising and promotion, patient and recognizes cultural differences. prescription and dispensing of drugs. 3. A pharmacist cares for each individual with To ensure the adequate supply of drugs with generic competence and compassion. names at the lowest possible cost and endeavor to make them available for free to indigent patients. Focus Area: The Pharmacy Profession To encourage the extensive use of drugs with generic 1. A pharmacist acts with honesty, integrity and names through a rational system of procurement and professionalism in her/his relationship with patients, distribution. careers and other stakeholders in To emphasize the scientific basis for the use of drugs, 2. healthcare. in order that health professionals may become more 3. A pharmacist abides by regulatory requirements, aware and cognizant of their therapeutic scientific principles, professional practice and ethical effectiveness; and standards. To promote drug safety by minimizing duplication in 4. A pharmacist is committed to lifelong learning to medications and/or use of drugs with potentially enhance professional competence. adverse drug interactions 5. A pharmacist demonstrates commitment to the development and enhancement of the profession. 9 Focus Area: Other Health Professionals 1. A pharmacist respects and collaborates with other healthcare professionals and colleagues to achieve optimal treatment outcomes for their patients and ensures continuum of care. Focus Area: Professional Business Practices 1. A pharmacist conducts the business of pharmacy in an ethical and professional manner. Focus Area: The Society 1. A pharmacist, in coordination with the government and non-government organizations, actively participates in the formulation and implementation of healthcare policies, standards and programs designed for the benefit of society. 2. A pharmacist advocates equitable distribution of health resources, health promotion, disease prevention and wellness. The Code of Governance for the Professions in the Philippines. A hallmark of true professionals is the willingness to accept a set of professional and ethical principles and follow these principles in the conduct of their daily affairs. The acceptance of these principles require that professionals maintain a higher standard of conduct than is called for by law. The Code stated that good governance will promote and establish ethical awareness and competency among Filipino professionals to make them accountable and fulfill their professional obligation to clients. 1. Service to Others 2. Integrity and Objectivity 3. Professional Competence 4. Solidarity and Teamwork 5. Social and Civic Responsibility 6. Global Competitiveness 7. Equity of All Profession The Legal and ethical control of Pharmacy profession in ASEAN countries. The code consists of 8 articles originated from principles of bioethics and professionalism in pharmacy: each one containing special notes. These articles include: 1. patient’s dignity and autonomy 2. beneficence 3. non-maleficence 4. justice 5. empathy 6. honesty 7. cooperation 8. excellence 10