EAST KENT HOSPITALS

Lead Clinical Trainer: Site Clinical Pharmacy Service Manager. Mike Skeratt (QEQM),
Gail Franklin (KCH) and Alison Worwood (WHH).

Aims To develop skills in identifying and solving pharmaceutical problems under
supervision. To demonstrate responsibility. To build competence and confidence in
actively communicating pharmaceutical advice to medical and nursing practitioners
under supervision.
Core objectives
1. To competently complete all SEMMED and EKHT clinical objectives..

2. To competently complete at least two PMMPs from the general list in SEMMED
practice activities and at least one from the specialist list.

3. To clearly and accurately document all interventions / contributions which should be
signed by supervising pharmacist with a brief testimonial where appropriate.

4. To act as a clinical ward pharmacist and take responsibility for pharmaceutical care,
under supervision, for a period of one month.**

5. To devise an action plan to address identified learning needs against The General
Level Competency Framework (GLF).

6. To demonstrate ability to implement the Trust’s formulary and record using
intervention form.

7. Shadow a non-medical prescriber and write a reflective account (include governance
and patient diagnosis / assessment issues).

8. Present a critical review of a patient’s drug therapy to colleagues

** Pre-registration Pharmacists must work under supervision at all times**
**The Site Clinical Lead Pharmacist, or their nominated deputy, will be responsible for
ensuring that the prereg is adequately supervised.**
** A formal ward assessment will be conducted and recorded by the Site Lead MM
Pharmacist to determine whether the prereg has reached a satisfactory level of
competence and is aware of their limitations and process for referral, before the prereg is
assigned their own beds / ward under supervision.
** There will be a daily hand-over period at ward level, between the pre-registration
pharmacist and their supervising pharmacist. The prereg will alert the supervising
pharmacist to all the identified pharmaceutical problems and suggest solutions and a
resolution process. The supervising pharmacist will either solve the problem themselves
and use this as a coaching opportunity, or allow the prereg to solve the problem under
close supervision. The supervising pharmacist will be responsible for deciding the level
of supervision. The supervising pharmacist retains responsibility for patient care. On
one day a week (minimum) the supervising pharmacist will accompany the prereg on
their “ward round”. All patients on the ward will be seen. This will be primarily a training
round. The pharmacist will give feedback to the prereg on any issues that they have not
identified. Opportunities for witnessing patient counselling should be taken.

The prereg will keep a daily log of patients on the ward and issues identified. This can be
used to record evidence of appropriate identification and resolution of pharmaceutical
problems if signed by the supervising pharmacist. (see appendix 1).
Yellow intervention forms (countersigned by the supervising pharmacist) should be used
to record interventions and communication of pharmaceutical advice to medical and
nursing staff.

Structure of programme and assessments
The pre-registration pharmacist will undertake these activities on general medical wards.
Ward based assessment – A minimum of three ward based assessments will be completed
during this rotation. They will be conducted by the Pre-registration Manager, Tutor, or
Clinical Services Manager using set criteria. (see rotation 2, appendix 1). The pre-reg will
work to address any shortcomings identified during the assessments, with the support of
their tutor and supervising clinical pharmacists.

PMMPs / care plans will be assessed by any of the aforementioned assessors using set
criteria (appendix 1).

The presentation will be assessed by any of the aforementioned assessors using set
criteria (appendix 2).

Portfolio Evidence
1. Assessor reports of ward assessments.
2. Care plans/ profiles, PMMPs and assessment forms.
3. Anonymous copies of interventions and “Pharmaceutical Problem Log”.
4. Records of evidence, trainer’s testimonials, and CPD records.
5. Green Pre-reg appraisal sheet completed by supervising pharmacist/s.
6. Reflective account of shadowing an NMP.
7. Critical review of a patient’s drug therapy.

RPSGB Performance Standards
Evidence will be produced for a range of performance standards although this will not be

**It is the Site Clinical Pharmacy Service Manager’s responsibility to organise the rotation i.e assign wards
and supervising pharmacists and technicians and ensure that trainers are aware of the preregs objectives,
practice activities, supervision and assessment requirements.**

Lindsey Williamson, Pre-registration Manager EKH, July 2010.
                     Pre-registration Pharmacist -Pharmaceutical Problem Log

                                                      SOLUTION and       Supervising Performance
DATE   Ward &    PHARMACEUTICAL PROBLEM                 OUTCOME          Pharmacist’s     std
       Bed no.                                         (include how)      Signature

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