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The Niagara Apothecary: History of Our Profession Labelling Errors

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The Niagara Apothecary: History of Our Profession Labelling Errors The Niagara Apothecary: May/June2009 History of our Profession page 18 Labelling Errors: How to Prevent Them page 24 Update on the Proposed Registration Regulation page 26 ontario college of pharmacists 483 Huron Street, Toronto, Ontario M5R 2R4 • Tel (416) 962-4861 • Fax (416) 847-8200 • www.ocpinfo.com The mission of the Ontario College of Pharmacists is to regulate the practice of pharmacy, through the participation of the public and the profession, in accordance with standards of practice which ensure that our members provide the public with quality pharmaceutical service and care. Council Members Council Members for Districts 1-17 are listed below according to District number. PM indicates a public member appointed by the Lieutenant-Governor-in-Council. DFP indicates the Dean of the Leslie Dan Faculty of Pharmacy, University of Toronto. DSP indicates the Director, School of Pharmacy, University of Waterloo. 1 Joseph Hanna PM Joinal Abdin Statutory Committees 2 Elaine Akers PM Thomas Baulke • Executive 3 Sherif Guorgui PM Corazon dela Cruz • Accreditation 4 Tracey Phillips PM Babek Ebrahimzadeh • Complaints 5 Donald Organ PM David Hoff • Discipline 6 Fayez Kosa PM Margaret Irwin • Fitness to Practice 7 Tracy Wiersema PM Javaid Khan • Patient Relations 8 Saheed Rashid PM Lewis Lederman • Quality Assurance 9 Bonnie Hauser PM Aladdin Mohaghegh • Registration 10 Gerald Cook PM Gitu Parikh Standing Committees 11 Christopher Leung DFP Wayne Hindmarsh • Communications 12 Peter Gdyczynski DSP Jake Thiessen • Finance 13 Sanjiv Maindiratta • Professional Practice 14 Stephen Clement 15 Gregory Purchase Special Committees 16 Doris Nessim • Standards of Practice Working Group 17 Shelley McKinney • Pharmacy Technicians Working Group College Staff Office of the Registrar and Deputy Registrar/ Registration Programs x 250 Pharmacy Openings/Closings, Director of Professional Development [email protected] Pharmacy Sales/Relocation Pharmacy Connection Editor x 241 [email protected] [email protected] Structured Practical Training Programs x 297 [email protected] Registration and Membership Information: Office of the Director of Finance [email protected] and Administration x 263 Investigations and Resolutions x 274 [email protected] [email protected] Pharmacy Technician Programs: [email protected] Office of the Director of Continuing Education Programs and Professional Practice x 236 Continuing Competency Programs x 273 Publications x 229 [email protected] [email protected] [email protected] contents Interested in Becoming More Involved in the Profession? 8 Front-end Counselling 12 Assessing Use of Medical Directives in Community Pharmacies 14 Health Human Resources – A Priority in Canada 17 The Niagara Apothecary – History of Our Profession 18 Remembering Stan Tolan 19 Legislative Amendments Coming into Effect on June 4th 20 Front-end Counselling – page 12 Update on the Proposed Registration Regulation 26 regular features Registrar’s Message 4 Council Report 5 Health Canada Notices 23 Inspectors’ Corner – Labelling errors 24 Bulletin Board 26 Pharmacy Technician Q&A 27 Sick Kids – page 14 Moving Forward with Technology 28 Registration Q&A 29 SPT Q&A 30 Focus on Error Prevention - Misinterpretation of Decimals 31 ISMP 32 Deciding on Discipline 34 CE Resources 42 Laws & Regulations 43 The Niagara Apothecary – page 18 pharmacyconnection May/June 2009July • August Volume 2008 16 • Number Volume 315 • Number 4 The objectives of Pharmacy Connection are to communicate information on College activities and policies; encourage dialogue and to discuss issues of interest with pharmacists; and to promote the pharmacist’s role among our members, allied health professions and the public. We publish six times a year, in January, March, May, July, September and November. We welcome original manuscripts (that promote the objectives of the journal) for consideration. The Ontario College of Pharmacists reserves the right to modify contributions as appropriate. Please contact the Associate Editor for publishing requirements. We also invite you to share your comments, suggestions, or criticisms by letter to the Editor. Letters considered for reprinting must include the author’s name, address and telephone number. The opinions expressed in this publication do not necessarily represent the views or official position of the Ontario College of Pharmacists. Tracy Wiersema, R.Ph., B.Sc.Phm. Sue Rawlinson ISSN 1198-354X President Associate Editor © 2009 Ontario College of Pharmacists [email protected] Deanna Williams, R.Ph., B.Sc.Phm., C.Dir., CAE Canada Post Agreement #40069798 Registrar Agostino Porcellini Undelivered copies should be returned Production & Design / Webmaster to the Ontario College of Pharmacists. Della Croteau, R.Ph., B.S.P., M.C.Ed. [email protected] Not to be reproduced in whole or in part Editor, Deputy Registrar, without the permission of the Editor. Director of Professional Development Neil Hamilton [email protected] Distribution [email protected] registrar’s message Deanna Williams, R.Ph., B.Sc. Phm., C.Dir., CAE Registrar emote Dispensing….the very interior by a pharmacy technician- all When computers came into pharma- notion excites some and in- using video conferencing technology. cies in the mid-70’s, when mail order Rstills fear and angst in others. Others may involve dispensing ma- pharmacy came to Ontario in the ear- Whether a fan, a foe or somewhere chines, such as one currently being pi- ly 90’s and when internet pharmacies in between, it’s important that we all loted through the hospital pharmacy came to Canada in the early 2000’s understand that the College’s key con- system at Sunnybrook Hospital in To- the College did not prohibit the new cern is that the public is safe and pro- ronto, where a pharmacist located at a models, but expected these emerging tected amidst any new or emerging remote location engages with the pa- models to adapt to the existing rules pharmacy practice models. Remote tient in both the cognitive and tech- with the result that a safe and effect- dispensing is a term used to describe nical aspects of the dispensing process, ive drug distribution system has been a pharmacy practice model where again using videoconferencing technol- maintained here in Ontario. The Col- the actual dispensing of a drug oc- ogy. While any change can be anxiety lege must take the same approach with remote dispensing, with the develop- ...if dispensing occurs at a distance, it must still remain ment of appropriate requirements. under the auspices of an accredited pharmacy and Over the past year, the College has therefore under the direct supervision and been considering changes needed to control of a pharmacist... the Drug and Pharmacies Regulation Act (DPRA) and its regulations to en- curs from a place remote- or at a dis- provoking, the College cannot stop able eHealth initiatives such as e-pre- tance from- a pharmacy. In the Col- changes, including technological chan- scribing and remote dispensing. Pre- lege’s view, if dispensing occurs at a ges from coming, nor can we stop their liminary proposals were put to Coun- distance, it must still remain under the effects on pharmacy practice. “Embra- cil for consideration in December auspices of an accredited pharmacy cing technology” is not only embed- 2008 with draft legislative proposals and therefore under the direct super- ded as a strategic direction in the Col- approved for circulation in March of vision and control of a pharmacist and lege’s current strategic plan- it will be- 2009. The difference between legis- the pharmacy’s designated manager come a responsibility for the College lative and regulatory proposals is sig- to ensure safeguards and accountabil- once the new Objects for all Health nificant and its important to under- ities are in place to protect the public. Regulatory Colleges in Ontario come stand that the latter will not happen Several models for remote dispens- into effect this June. The College will without the former. The draft legisla- ing exist in Canada now- one in Brit- stay its course however, to ensure tive proposals that were circulated for ish Columbia where a pharmacist ob- that the appropriate operational stan- member and stakeholder comments serves and “signs off ” on the dispens- dards and requirements are in place to in March and April are amendments ing of drugs to patients in the northern ensure public safety and protection. continued on page 16 4 pharmacyconnection • May/June 2009 council report MARCH 2008 our members to use their profession- quarter, College Council will receive al skills, knowledge and judgment an update respecting progress on in an integrated, evidence-based, each strategic direction. patient-centered, outcome-focused Council approves health care system which will con- By-law amendments amendment to Mission tribute to improving the health of our Ratified Statement population.” At their December meeting, Col- Council approved the follow- lege Council had tentatively ap- ing amendment to the Mission Council then established the fol- proved changes to the College’s gen- Statement: lowing framework of five strategic eral operating by-law pertaining to directions: the register and collection of infor- “The mission of the Ontario Col- (1) Optimize the scope of practice mation from members, pharmacies, lege of Pharmacists is to regulate the of our members, as it evolves, for and health profession corporations. practice of pharmacy, through the the purpose
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