Pharmacy training event
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Pharmacy Training Event. 17 th June 2014 Claire Walters Services Manager SoT Routes to Recovery Stuart Fisher Clinical Co-Ordinator. Welcome!!. Here to improve relationships, share knowledge and best practice Regular event going forward. Why Are We Here?.

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Pharmacy Training Event

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Pharmacy training event

Pharmacy Training Event

17th June 2014

Claire Walters Services Manager SoT Routes to Recovery

Stuart Fisher Clinical Co-Ordinator


Welcome

Welcome!!

  • Here to improve relationships, share knowledge and best practice

  • Regular event going forward


Why are we here

Why Are We Here?

  • You are an important ‘piece of the puzzle’ and our eyes and ears in managing the risks that our SU present with

  • We need to make sure that you now what information we need, when we need it and why we need it

  • We need to be clear about what you need from us

  • We all need to know the best ways to communicate with each other in order to manage risk and support decision making

  • Some things work well some don’t – from all sides we could be better


Missed pick ups

Missed Pick Ups….

  • 1st Missed Pick Up

    • Try and contact SU are they OK??

  • 2nd Missed Pick Up

    • Outreach team contacted, Visit at Home

  • 3rd Missed pick up

    • Police called safe and well

    • PX Stopped. Need to see Dr before restart

    • OD risk higher


Missed pick ups and spoc

Missed Pick Ups and SPOC

  • 1st Missed Pick Up

    • Try and contact SU are they OK??

    • Call the SPOC leave a message

  • 2nd Missed Pick Up

    • Outreach team contacted, Visit at Home

    • Call SPOC and leave a message

  • 3rd Missed pick up

    • Police called safe and well

    • PX Stopped. Need to see Dr before restart

    • OD risk higher

    • Call SPOC and leave a message – Don’t dispense again until new prescription is issued


Spoc phone

SPOC Phone

  • For information giving only.

  • All hubs info is on the back of prescription. If you need to speak to someone call that number – they will be able to advise


What to do with missed pick ups

What to do with Missed Pick Ups

  • One Day Missed

    • If Titration script don’t dispense and urgent Red call to hub

    • If not call SPOC and continue dispensing

  • Two Days Missed

    • Call SPOC and continue to dispense

  • Three Days Missed

    • DO NOT DISPENSE

    • Call SPOC

    • Prescription is cancelled. Only dispense again after new prescription is issued


What we can help with

What we can help with…

  • Violent and aggressive SU’s

  • Training for new staff

  • Advice and guidance on complex cases

  • Alerts and Info on local trends


Supervised consumption

Supervised Consumption

  • One of the most important things you do

  • Ensure that SU’s are getting what is prescribed and reduces illicit drug availability

  • Check and Balance

  • Concerns of missed pick ups for weekly dispense


Supervised consumption agreement

Supervised Consumption Agreement

  • Highlighted text is why we have chosen to have this event today

  • We have slightly changed the wording to fit in with the SPOC process and behaviour expectations of our service users

  • Look through the agreement


Supervised consumption assessment

Supervised Consumption Assessment

  • The tool we use to help determine who is who isn’t on supervised consumption

  • Things we consider

    • Safeguarding

    • Alcohol Use

    • Drug use ‘on top’

    • Engagement with services

    • Continual missed doses

    • Intelligence that full doses arn’t being taken


Prescriber q and a

Prescriber Q and A

  • Any questions for Dr Ian Coffey?


Pharmacy training event

LIN

  • We work closely with the LIN liaising with them around errors, issues and security concerns that we have

  • We report

    • prescriptions not dispensed by the correct pharmacy

    • Wrong amounts dispensed

    • Dispensing not in accordance with how prescribed

    • Lost prescriptions

  • They were instrumental in, (and paying for!), tonights event in an attempt to reduce the amount of incidents that are reported

  • Important work in reducing the amount of illicit prescribed substances that are on the streets of Stoke on Trent.


Case study

Case Study

  • What could have happened if we don’t communicate….

  • SU A comes in severely intoxicated. He is on weekly dispense 75ml methadone a day.

  • Whats wrong with this picture?

  • What are the dangers here?


Case study1

Case Study

  • SU is on daily supervised buprenorphine. They are being increasinly inpatient for having to wait for it to disolve….

  • What happens next?

  • What could be happening?

  • What part can we play in this?


Case study2

Case Study

  • You have noticed for the past 4 days a SU has come in with small children.

  • What happens next?


Case study3

Case Study

  • Service User comes in and asks you to accept a prescription that hasn’t got your stamp on it

  • What happens next?

  • What could be the consequences


Safeguarding we need you

Safeguarding… We Need You

  • Regular contact with our service users

  • Might see things that haven't been disclosed

  • Patterns of behavior, including people that they are regularly with

  • General welfare of the child if they are with them

  • Like anything we are only as good as the info we are told.

  • Good way of making sure everything adds up


Ideas for next time

Ideas For Next Time…

  • What would you like support in

  • Ideas for Discussion

  • Case studies for peer support


Any questions

Any Questions?


Thank you and goodnight

Thank You and Goodnight!


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