newsSeptember / October 2012

IN THIS ISSUE... Are “points” good for Quality Pharmacy Practice 3 n How 3 pharmacists are ADAPTing the profession? their practices 5 n New pharmacy licence? Update your website I think inducements 6 n Finding and fixing common degrade our profession pharmacy deficiencies and take away from 8 n Best practices for compliance packaging the value of services. 9 n New form streamlines drug error reviews 10 n Assigning beyond-use dates to Reward non-sterile compounds points improve patients’ 11 n What to expect when you’re expecting a student compliance with their 12 n Are you in The Link? medications. The points n Adapting: What would you do? motivate them to pick up Partners in Practice their initial prescription 12 n Thank you, preceptors and refills. 18 n In memory 19 n Naturopath profession recognized under HPA n OSCE Assessors needed These two comments represent ends of Therefore, it is an issue that council has n 20 Prescription validity FAQs the spectrum ACP heard over the past marked as a priority. month in registrant surveys, stakeholder When we talk about inducements and interviews and public focus groups. pharmacy, the conversation is Thank you to everyone who took time to complex. ACP council is taking steps share their opinions. to better understand the issues and its ACP’s job is to optimize the health of options for dealing with inducements. Albertans and the work environments First, council commissioned a report for pharmacy practitioners. In the past to examine policies and legal year, we have observed changes in the precedent in other jurisdictions. forms, quantities, and frequency of Across the country, regulations and inducements and the targeting of opinions vary. vulnerable populations that have In Alberta, physicians, dentists, and Healthy Albertans heightened our concern that these physiotherapists all have some type of through excellence programs are not conducive to the best inducement prohibition in place. in pharmacy practice patient or pharmacy practice. continued on page 2 news aφnews is published six times per year by the Alberta College of Pharmacists. Send submissions for publication to Are “points” good for the profession? continued from page 1 [email protected] The deadline for submissions for the Pharmacy and inducements: a pan-Canadian view Nov/Dec 2012 issue is October 6. Alberta College of Pharmacists 1100, 8215 - 112 Street NW Province Status Edmonton AB T6G 2C8 780-990-0321 / 1-877-227-3838 British Columbia Inducements and loyalty programs are prohibited on Fax: 780-990-0328 government-insured prescriptions, services and supplies

President: Kaye Moran Alberta Prohibition if potential harm to patients (Code of Ethics, President Elect: Kelly Olstad Principles 1.13 and 7) Vice President: Krystal Wynnyk Past President: Anjli Acharya Saskatchewan Silent Councillors: Manitoba Inducements to transfer pharmacies prohibited Brad Willsey, District 1 Clayton Braun, District 2 Ontario Prohibits inducements and loyalty programs Rick Hackman, District 3 Quebec Prohibits advertising of inducements and loyalty programs Ahmed Metwally, District 3 Krystal Wynnyk, District 3 New Brunswick Silent Kelly Olstad, District 4 Nova Scotia Silent Kamal Dullat, District 5 Kaye Moran, District 5 Newfoundland Prohibits advertising of inducements and loyalty programs Kelly Boparai, Pharmacy Technician NWT/Nunavut Silent Public members: Vi Becker Yukon Silent Bob Kruchten Pat Matusko Pharmacy technician observer: When ACP surveyed the public in 2010 Robin Burns and stakeholders in 2011, we found that Inducements You can contact council members by email 51% of the public and 65% of via our website under About ACP/ Council, or by using the search feature to locate stakeholders considered it inappropriate [in’du:smǝnts] n. them by name. to receive points, rewards or incentives Inducements include programs, Staff Directory in return for products or services promises, or rewards that create All staff are available at 780-990-0321 received from a health professional. an incentive for a patient to fill or 1-877-227-3838 or by fax at prescriptions or to obtain services 780-990-0328. What happens next? from a specific pharmacy. Their email addresses are available on our website at pharmacists.ab.ca under Council will review the information Inducements in the pharmacy Contact Us. gathered from the research of the past profession have historically Registrar: Greg Eberhart month and discuss it at their September focused on loyalty programs (e.g., Deputy Registrar: Dale Cooney meeting. We will also share highlights of Air Miles, “point” collector cards). Complaints Director: James Krempien the research results and any council However, inducements can Practice Development Director: decisions with you in future editions of Debbie Lee encompass a range of incentives Professional Practice Director: Shao Lee The Link and acpnews. for consumers to change Pharmacy Practice Consultants: Tom pharmacies, or to stay with a Curr, Monty Stanowich, Jennifer Voice How can you be involved? company, or to buy more of a Operations and Finance Director: Lynn Paulitsch If you have not yet had the opportunity product. Inducements could Registration and Competence Director: to provide your views on inducements, include in-store coupons, gift Heather Baker it’s not too late. You can: certificates, or bonus products. Registration Manager: Linda Hagen n Communications Director: Karen Mills Contact your councillor – contact In general, an inducement is information is available on the ACP anything that may persuade an website under About ACP/council. individual to act in a particular n Email Karen Mills, ACP way. The inducement is meant to Communications Director push an individual to make a ([email protected]). change or to behave differently. She is collating the information for council’s review.

pharmacists.ab.ca 2 Quality Pharmacy Practice How 3 pharmacists are ADAPTing their practices

Pharmacy practice in Alberta has n Medication assessment hours a week), but found that the more changed a lot over the last five years n Collaboration they put into it, the more they got out and it can be a challenge to keep up. n Patient interviewing and assessment of it. Some units required more time, To stay on the top of their games, n Making evidence-based clinical depending on the subject and the several Alberta pharmacists are decisions pharmacist’s experience. “The patient enrolling in the ADAPT program. n Documentation cases were all based on adult medicine – ADAPT is a 19-week course designed n Developing and implementing patient my practice has been in paediatrics, specifically for practising pharmacists. care plans neonatology ... the only experience I have It was developed by the Canadian with adult medicine is working in the We spoke with three pharmacists who Pharmacists Association (CPhA) and dispensary,” explained Christy Gilkes. the Canadian Society of Hospital have completed the ADAPT program to “I had to teach myself a lot.” Pharmacists (CSHP). Using interactive find out about their experiences and seek online learning, supportive advice for prospective participants. As you might expect, given their different moderators and plenty of peer All three pharmacists agreed that the practice experiences, their opinions interaction, ADAPT helps pharmacists course required a significant time differed when it came to other aspects of master skills and build confidence in: commitment (an average of about eight ADAPT. We’ll let them explain.

Christy Gilkes ... Ryan Stempfle ... Maryann Chmilar ... practices in general paediatrics at Alberta maintains a community practice and works in a small hospital in Redwater. In Children’s Hospital. She has been in works in long-term care and assisted her 29 years of practice, she has worked practice for 20 years. “We precept a lot of living in Edmonton. He has only been in both retail and hospital settings. “I had pharmacy students and residents,” out of school for three years, but been puzzled by our changing scope – Christy notes. “I felt like I needed to enrolled in ADAPT because, “I wanted why did we have to change? An email update my skills to better reflect what is to integrate better into multidisciplinary from CPhA describing the ADAPT pilot being taught in pharmacy school now.” teams, and learn a standardized course caught my eye. The subject matter format for relaying critical information of Module 1 (a review of the background about clients.” of healthcare in Canada, and how it has led to our expanded and changing scope of practice) really caught my interest.”

continued on page 6 aφnews – September / October 2012 3 3 Pharmacists continued from page 3 Maryann: It’s hard to narrow it to one What is the most valuable area. I feel that the skills I gained in thing you learned in ADAPT? Did you learn anything new ADAPT have helped almost all aspects Christy: The last module, where you or surprising? of my practice. I am finding it so put all the pieces together to make a rewarding to be discussing medication Christy: Adult medicine was new to complete patient care plan, was the choices with the physicians when they me. I didn’t have a lot of experience in most valuable. It takes you through are deciding on the patients’ care, and evidence-based medicine; I often use the whole process so you can see how the skills and confidence I gained from journal articles, but the idea of all the skills work together, and makes the course have really helped me in this evidence-based medicine was new – it more realistic as it applies to your new role. this wasn’t taught when I was in own practice. school. Other than that, it builds on Can you describe a scenario Ryan: How to document thoroughly, existing skills and knowledge. where you used the skills the patient interview process, and how Ryan: I’m a fairly recent graduate, so learned in ADAPT to provide to build rapport with patients (and I think it mostly built on what I already better patient care? keep tangential patients focused). know. It did provide a nice approach to Maryann: I learned that pharmacists building multidisciplinary teams, Christy: There was an instance where are very capable of assisting patients though, and it sharpened skills needed we were uncertain about what and working together with our to build patient relationships. It also medications a patient was on. Using colleagues in healthcare (physicians, provided an invaluable one-page tool skills from ADAPT, I communicated nurses, physiotherapists, social on evidence-based medicine. with the patient’s community pharmacy, neurology clinic, and workers, and so on). Maryann: I did pick up some new parents. The actual medications he was skills and knowledge. The history of Is there anything you wish you on were very different from what was healthcare in Canada was really on his chart. would have known before interesting – and a very good basis for starting the program? What understanding the need for Ryan: Working in a multidisciplinary advice would you give to team in assisted living. It has really pharmacists to practice in our new someone who wants to take expanded scope. enhanced and improved outcomes and confidence in these scenarios for me. the program? Christy: What area of your practice do Maryann: We had an outpatient come Get familiar with evidence- you think ADAPT helped you to our emergency department with a based medicine, and the terminology grow in the most, and how? question about a prescription. Her used in it. This is where I struggled most, since I had no background in this Christy: Documentation, evidence- questions had already been dismissed area. If you studied it in school five based medicine, and patient by a very busy MediCentre. I did a years ago, it won’t be as difficult. interviewing skills were the big ones. quick basic history (format I had ADAPT taught me a concise, organized learned in ADAPT), assessed weeks of Also, though the new course units format for documenting – it was better pregnancy, did a drug database search start on Wednesdays and the units than the previous system I used. The of pregnancy risk with her Rx and run Wednesday through Tuesday, the format highlights medication problems, printed a copy of the same to give to deliverables are due on Saturday. is more relevant, and is more useful for her, answered her questions about the Saturday through Tuesday is for other healthcare professionals, too. safety of the antibiotic prescribed discussions and feedback. So, while it during pregnancy, and explained the looked like there would be a week to Ryan: It helped me standardize an difference between a bladder infection do assignments, there was really only approach to documenting clinical and a kidney infection. She left, four days. interventions and care plans. Practising reassured that the Rx was appropriate this throughout the week really and safe for her, and I was reassured instilled confidence. that pharmacists are very able to help ease the pressure in our health system.

aφnews – September / October 2012 4 Ryan: I recommend that pharmacists try to look at ways to integrate into a multidisciplinary team as soon as possible, so that when they get into the course, they’re not searching for those options or team members. Maryann: I definitely wish that I had known it would take a good seven to eight hours of work per week. Who would be a good candidate for ADAPT? Christy: Someone who wants to improve and elevate their practice, and know what students coming out of school are learning. Preceptors would be good candidates, as well as those who really want to become better pharmacists. Ryan: I recommend this program to anyone. If you have discipline, you’ll New pharmacy licence? have no trouble completing it. Update your website Maryann: I feel that any pharmacist – young or old, The 2012-2013 pharmacy licences have just been issued - ensure yours is experienced or new—who puts their uploaded onto your pharmacy website. Section 23 of the Pharmacy and Drug patient/customer as their priority Regulation requires that pharmacy websites display a scanned copy of the would benefit from ADAPT. There current pharmacy licence. are so many tools and skills offered that even a very experienced Your pharmacy website must also n the name and business address of pharmacist will find something new display: the proprietor they were not yet familiar with. n the location, mailing address, email n if the proprietor is a corporation, ••• address and telephone number of the name of the proprietor’s How can you ADAPT your the pharmacy representative practice? n the name, pharmacist practice n a scanned copy of the Patient The next session runs October 17 to permit number, and business Concerns poster (a link to the March 5. Register online now at address of the licensee poster on the ACP website is also www.pharmacists.ca/adapt. n a statement that the licensee is acceptable) ADAPT is accredited for 76 CEUs. required to provide, on the request Pharmacists who successfully of a patient, the name and practice complete ADAPT may also challenge permit number of any regulated a Certificate Assessment process and member who provides a pharmacy be awarded a Certificate in Patient service to the patient or who Care Skills. engages in the practice of pharmacy with respect to a patient

aφnews – September / October 2012 5 Notes from the field

Finding and fixing common pharmacy deficiencies

The background The deficiency: Insufficient If you answer yes to any of these questions, then you know why ACP pharmacy practice consultants documentation of patient care continue to help pharmacy teams activities insufficient documentation of patient care activities tops the list of pharmacy correct deficiencies, improve work Have you ever had an uncomfortable deficiencies ACP pharmacy practice flow and enhance practice. Over the encounter with a patient when you consultants have identified and want to last six months, the consultants have couldn’t answer their question because help you fix. identified the most common there wasn’t enough (or any) deficiencies in pharmacies across information about what another According to Standard 18 of the Alberta. We will review all of them in pharmacist in your pharmacy had done Standards of Practice for Pharmacists and aφnews and The Link over the when they were treating the patient the Pharmacy Technicians, pharmacists must coming months. day before? create and maintain patient records each While we know that change isn’t time they dispense, prescribe, or Don’t you hate it when you go to check a always easy or fast, we hope that with administer a Schedule 1 or 2 product. patient’s history and the story in the file our support and educational tools doesn’t match their story at all? Why? Documentation of patient care such as Chat, Check and Chart, activities provides a record of your And, have you ever provided patient pharmacy teams will be able to make having: incremental changes to their practice care but not documented it even n assessed the patient and their therapy, and operations that are SMART though it frustrates you when others (Specific, Measurable, don’t document? (You don’t have to n resolved actual or potential drug Achievable, Relevant, and Timely). answer out loud.) therapy problems,

aφnews – September / October 2012 6 n implemented a care plan, c) a record of care provided including Use efficient (lean) workflow n provided information to the patient to but not limited to: management and the Chat, support their medication i. drug therapy problems identified management, and and/or interventions, monitoring Check, and Chart system to help you effectively assess your n provided the appropriate follow up plans or actions related to drug patients, evaluate their therapy, for monitoring. therapy problems; form a care plan, and document ii. prescriptions written; This is invaluable information in future interactions clearly and concisely. encounters with the patient. iii. drugs, blood products, or vaccines administered; The eDAP (efficient Data, The fixes iv. other information related to patient Assessment, Plan) format is short, 1. Document assessments, care plans care practice. effective, and gets the job done and follow-up A patient record must also meet the in less than a tweet (144 For most pharmacy interactions, a requirements of Appendix A of the characters). It is a practical way number of patient care activities must Standards. that a busy pharmacist can take place and therefore must also be document. eDAP encapsulates Records must always be clear, concise, documented in the patient’s record. and easy to read (Standard 18.7) These activities include but are not n the Data the pharmacist limited to: 3. Know the record keeping gathers, n completing a patient assessment to requirements n the Assessment of the therapy, evaluate the appropriateness, Standard 18.10 stipulates that these and effectiveness, safety of and the records must be retained for at least 10 patient’s adherence to any medication years after the last pharmacy service or n the follow-up Plan for the to be dispensed; two years past the age of majority, patient once they leave your n developing a care plan; and whichever is greater. pharmacy after getting a new n establishing a follow-up plan. or refill prescription, injection, or a Schedule 2 product. Documenting these activities also meets If you are not already documenting at this level, make a plan to incorporate it Standard 18.2(c), which indicates that the See an eDAP example on the pharmacist must make an appropriate into your practice at once. Start with two Chat, Check and Chart tool card. entry in the patient record when they patients per shift (a new and a refill or establish a follow-up plan or other adaptation), work with your pharmacy patient care plan and Standard 18.3(c) team to support each other, decide how which indicates that the patient record your computer system best supports must include drug therapy problems your ability to document, and gradually and/or interventions, monitoring plans work this into your practice. or actions related to drug therapy problems, and other information related Need more help? to patient care practice. n Use the Chat, Check and Chart tool card and Record Retention Chart, 2. Know what constitutes a patient found on the ACP website under record Practice Resources>Info sheets & posters There is a misconception that n See the Documentation & Record documentation must be voluminous. Retention FAQs on the ACP website Instead, think quality over quantity. under Practice Resources > Practice Standards 18.3 and 18.4 outline the guidelines and references elements of the record of care that must n be documented in the patient record. Talk to your ACP pharmacy practice consultant. They can help you with A patient record must include: LEAN management techniques and a) patient demographics, charting efficiency. b) a profile of drugs provided, and

aφnews – September / October 2012 7 Best practices for compliance packaging

A recent compliance packaging error by all pharmacy staff involved in packaging audit trail records must resulted in a community pharmacy preparing and checking the identify all pharmacy staff involved patient receiving her methotrexate daily, compliance package. in the preparing, checking and when the methotrexate was prescribed to 5. In addition to the labeling dispensing of the compliance have been taken once weekly. As one package in accordance with requirements for all dispensed part of our response to this very Standards 7.15 to 7.17 of the prescriptions outlined in Standard 7.5 unfortunate situation, ACP is providing Standards of Practice for Pharmacists of the Standards of Practice for all pharmacists with the following best and Pharmacy Technicians. Pharmacists and Pharmacy Technicians, practices for providing medications in include for every blister the 11. If circumstances do not permit an compliance packaging. medication’s name, strength and a immediate second check by another Set up sound procedures brief visual description to assist the member of the pharmacy team, delay patient in identifying which releasing the compliance package 1. Scan verify the DINs of all medications he/she is taking in every until the next day when another medications to be placed in blister. The Dispill® Packaging member of the team is available to compliance packaging. System available through most check the package or when the 2. Highlight medications which have an medication wholesalers is one pharmacist then has an opportunity irregular dosing schedule or have a example of a compliance packaging to review his/her own work with narrow therapeutic index (e.g., system that allows for the fresh eyes. methotrexate, warfarin) on the identification of each medication 12. Pharmacy licensees should compliance package worksheet and within each blister. incorporate discussions and feedback explicitly identify the dosing 6. Never amend a patient’s previously about compliance packaging issues schedule. Highlight or segregate the sealed and dispensed compliance into their regular pharmacy staff stock bottles of these medications to package. If changes are made to a meetings. allow for easy recognition. patient’s medication therapy, recall Turn patients into participants 3. Never place medications into any previously prepared compliance compliance packaging directly from packs and then prepare, check and 13. Implement a system which requires manufacturer stock bottles. dispense a new compliance package pharmacist counselling for all Initially place all medications to be in accordance with all of the patient’s compliance packaging that includes dispensed into a compliance current medications. medications with an irregular dosing package into a vial and make an schedule, to ensure patients are 7. Consider packaging medications reminded of once-weekly dosing, etc. initial check at this point to ensure with irregular dosing schedules in a the medications to be packaged are 14. Highlight irregular dosing schedules, separate card. accurate. This intermediate step medication additions or medication allows you to individually count Use staff wisely discontinuations on the compliance and check all medications for packaging labels to help the patient 8. Ensure your pharmacy has clear, accuracy, thereby preventing you to be more aware of any changes to written policies and procedures for from inadvertently placing those the medication therapy he/she is compliance packaging that all medications with unusual dosing receiving. pharmacy staff, including locum requirements (such as once weekly staff, are aware of and adherent to. 15. During counselling sessions, ask or alternate days dosing) into patients to describe their 9. Allocate sufficient, uninterrupted compliance packaging for daily understanding of the information time to prepare and check ingestion. you provide. Notably, ask patients to compliance packs. 4. Document on the patient record all describe all irregular dosing changes made to a patient’s 10. Have compliance packs prepared schedules within their compliance compliance packaging. Have these and then checked independently by packages, such as weekly doses, change records readily accessible at at least two different pharmacy staff increasing doses, and discontinued or the time of packaging and reviewed members. The patient’s compliance newly initiated medications. aφnews – September / October 2012 8 New form streamlines drug error reviews

Once you have documented a drug The incident analysis incident, how can you ensure that goals and process are aligned you and your pharmacy team with the Standards for the Operation implement the changes, sustain the of Licensed Pharmacies; undertaking improvements and achieve the this type of analysis when incidents desired outcomes you set? occur will help pharmacy teams One way is to monitor for repeated meet the quality assurance similar errors. To support your objectives of the Standards. monitoring, ACP has created the Resources: Want to earn CEUs? Drug Incident Quarterly Review Report Form. It helps you On the ACP website, under Practice Review The Systems Approach to document: Resources/Drug Error Management, Quality Assurance for Community you can find the: Pharmacies materials and watch 1. Drug incidents and required n the three audio/visual online actions reviewed Systems Approach to Quality Assurance for Community presentations on ACP’s website. 2. Any significant findings (e.g., Pharmacies You can document these activities repeated incidents of similar using the Non-Accredited n Incident Analysis Process errors - are there any patterns?) Learning Record template under Summary and Quick Reference 3. Further actions implemented Continuing Competence/RxCEL Guide and whether those actions learning portfolio. n resolved the issue Drug Incident Report Form n Appendix 9 in The Systems Approach Drug Incident Quarterly Review to Quality Assurance for Community Report Form Pharmacies manual shows an example of a drug incident quarterly review report. A tear-out copy of the form is included in both Standard 6.6 of the Standards for the Operation of Licensed the manual and the Incident Pharmacies requires licensees to, at least quarterly: Analysis Process Summary and Quick Reference Guide. It is also available n review the pharmacy’s drug-error reports to evaluate as a PDF on the ACP website. whether practice changes or preventative measures are The incident analysis process required to prevent future drug errors, and provides a structured and consistent method to help teams n assess whether any changes implemented as a result of a understand how incidents occur so drug error were successful in advancing patient safety. that they can take steps to reduce the likelihood of recurrence.

aφnews – September / October 2012 9 General guidelines for assigning beyond-use dates to non-sterile compounds

According to the United States • the container in which it is compounded drug preparation for Pharmacopeia (2012)1: packaged signs of instability. n Beyond-use dates (BUD) should be • the expected storage conditions n In the absence of stability assigned conservatively. When • the intended duration of therapy information that is applicable to a specific drug and preparation, the assigning a BUD, compounders shall n When a manufactured product is following table presents maximum consult and apply drug-specific and used as the source of the active beyond-use dates recommended for general stability documentation and pharmaceutical ingredient for a non-sterile compounded drug literature when available and shall non-sterile compounded preparations that are packaged in consider: preparation, the product expiration tight, light-resistant containers and • the nature of the drug and its date cannot be used solely to stored at controlled room degradation mechanism assign a BUD for the compounded temperature, unless otherwise preparation. • the dosage form and its indicated. Drugs or chemicals components n At all steps in the compounding, known to be labile to decomposition • the potential for microbial dispensing, and storage process, will require shorter BUDs. proliferation in the preparation the compounder shall observe the

By type of formulation

For non-aqueous formulations The BUD is not later than the time remaining until the earliest expiration date of any active pharmaceutical ingredient or 6 months, whichever is earlier.

For water-containing oral formulations The BUD is not later than 14 days when stored at controlled cold temperatures.

For water-containing topical/dermal and The BUD is not later than 30 days. mucosal liquid and semisolid formulations

Please also refer to Standard 10 in the Standards of Practice for Pharmacists and Pharmacy Technicians for more information.

Adapting: What would you do? Did you miss the discussion that arose from the adapting skills test we featured on the back cover of the July/Aug aφnews? See the recap in the July 10 edition of The Link. Click The Link icon on the left of the ACP website homepage to access all Link archives.

1 USP-NF Online <795>. Copyright 2012 The United States Pharmacopeial Convention. Used by Permission. aφnews – September / October 2012 10 What to expect when you’re expecting a student

Congratulations; you’re about to be a new preceptor. So you’re a little happy, excited and nervous about the pharmacy student who is coming. Perhaps you are worried that you won’t be a good preceptor and that the role won’t come naturally to you. What will I call him? What will he be able to do? Will I have enough clean white lab coats to get through the first few days? These are all natural questions for participating in an SPT program, you restricted activity and be able to observe preceptors, and the answers can be may call him a pharmacist student or and promptly intervene and stop or found in the regulations, Standards of pharmacy student. A provisional change the actions of the individual you Practice, and preceptor manuals. pharmacist may use the titles pharmacy are supervising. Student pharmacists are regulated intern and pharmacist intern.1 members of the Alberta College of How do I supervise my intern? If the student working in your pharmacy Pharmacists and must be registered to Once an intern is registered on ACP’s is not part of a structured program, they perform restricted activities. provisional register, a preceptor may are considered an “individual” employed provide either direct or indirect Any U of A student who comes to your in your pharmacy. You may not call him supervision of that intern. The preceptor practice location has registered with ACP by either of the restricted titles, i.e., as a student. Students who come to may allow the intern to work under pharmacist student or pharmacy student, Alberta from another province to indirect supervision if the following but rather by an unrestricted title such as complete structured practical training conditions are met: pharmacy assistant. (SPT) are required to register with ACP. n the pharmacy has procedures in place Please ensure that your student is How do I supervise my that: registered if he or she is going to perform student? • comply with the Standards of restricted activities under supervision. Pharmacy students may work only Practice, How do I identify if my student under the direct supervision of the • ensure the safety and integrity of is registered with the college? preceptor pharmacist. The preceptor the drugs dispensed or must be a registered clinical pharmacist. compounded by the individual you Your student or intern will be able to Further, for a preceptor to be able to are supervising; produce a practice permit. You can also supervise and evaluate a student’s n verify that a student or intern is you can ensure that the intern restricted activities, that preceptor must registered by making a quick call to the complies with the procedures; and be authorized to perform that activity college office. n you are readily available for and must not have any condition on their consultation by the intern and, What will we call him? practice permit that restricts supervision. if necessary, available to If you have a registered undergraduate Direct supervision means that you must provide hands-on assistance to student working for you who is be present when supervising the that individual.

1 Section 15, Pharmacists and Pharmacy Technicians Profession Regulation aφnews – September / October 2012 11 Are you in The Link?

Do you know Technicians Profession Regulation) and 4. Click Save. that your spam filter is not blocking n Does a pharmacist have to assess a 5. Your record is now updated. delivery. patient’s drug therapy and health Forgot your password? history for every one of their blister You can update your email packs? address online at any time. To reset your password online: n If you are the only pharmacist 1. Click on Registration profile login. This Follow these steps: working with a pharmacy technician will take you to the login screen. 1. Click on Registrant profile login on the (i.e., a regulated health professional 2. Click on the Click here if you forgot your menu on the left of the ACP who has met all the conditions password link found below the login homepage. required for that restricted title), can screen. you step out for coffee for 15 minutes? 2. Click on Login/Logout and then enter 3. Follow the prompts to reset your What about going to a meeting for an your user User ID (registrant number) password. hour? and your password. Readers of The Link, ACP’s e-newsletter, 3. Click on View Profile. Click on the Edit know the answers. Not reading The Link button in the appropriate section and means you’re missing out on practice update your information. tips and tools, news about upcoming events, and changes to legislation and standards that may affect you and your patients. (And you’ll want to review the July 24, 2012 edition to find the answers to the questions at the beginning of the article.) Use the link on the left of the ACP website to access all archived editions. The Link is emailed every second Tuesday. Make sure the college has your current email (a requirement of Section 41(1) of the Pharmacists and Pharmacy

Save a tree – get your ACP newsletters electronically Clean up the environment and your post office box. To receive acφnews electronically: 1. Go to the ACP homepage (pharmacists.ab.ca) 2. Click on the Registrant profile login button. 3. Log in and then click on View Profile. 4. Click the “edit” icon in the Contact Information box (second from the top). 5. For your newsletter preference, select email.

aφnews – September / October 2012 12 Partners in Practice

Thank you, preceptors Clinical placement sites and preceptors, August 2011 to June 2012 (Primary* preceptors are in bold)

Airdrie n Calgary Co-op #19: Rebecca Chin, Marion Chorney Throughout this past year, the pharmacy community in Alberta n Drugstore Pharmacy #1540: Amy continued to contribute substantially to the experiential program of the Becker, Leslie Leontowich Faculty of Pharmacy and Pharmaceutical Sciences. Over 235 n Highland Primary Care Network: community and institutional pharmacy practice sites volunteered to Cyndy Brocklebank, Michelle accept our first-, second- and fourth-year students. Nearly 400 MacDonald pharmacists served as primary preceptors for one or more of these n Rexall Pharmacy #7231: Patrick Zachar students; a further 230 pharmacists were identified by students as n Safeway Pharmacy #281: Carol Wei having contributed significantly to their rotation experiences. With this Alix outstanding level of support and involvement, we continue to n Alix Drugs: Shannon Glover, Trish graduate the very best pharmacists in Canada. Verveda My sincere thanks to everyone who participated in our program. Your Athabasca contributions are essential to what we do, and greatly appreciated. n Athabasca Healthcare Centre: Cindy Jones n Athabasca Value Drug Mart: Neil Cameron, Louise Zachoda n Rexall Pharmacy #7217: Robert Bownes James P. Kehrer, Dean Banff n Banff Mineral Springs Hospital: Carol Vorster n Gourlay’s Pharmacy Banff: Peter Eshenko, Alma Steyn n Safeway Pharmacy #208: Kim Purdy, Phil Wong Barrhead n Barrhead Health Centre: Richard Anderson, Wilfred Klemp n Fyfe’s Friendly Pharmacy: Lorraine Grant, Jane Morrow n Rita’s Apothecary & Home Healthcare: Margaret Krikke, Rita Lyster Beaverlodge n Beaverlodge Drugs Ltd.: Terri Clegg, Cody Hauger, Lana Lojczyc, Michael Lojczyc, Erin Scheidegger Bellevue n Turtle Mountain Pharmacy: Darsey Milford L to R: student Sheneez Virani with institutional preceptor Holly Reeves, community preceptor Chandel Lovig with student Andrew Wong

aφnews – September / October 2012 13 Bajestani, Melanie Sunderland, Jennifer Syrota n Health Select Pharmacy (Whitehorn): [My preceptor] truly cared Kristine Ewing n about my experience as a student London Drugs #30: Farah Mussa n London Drugs #31: Alex Chu, Erica and wanted to know what the best way Evert for me to learn was. Throughout the rotation n London Drugs #33: Jason Chan he would adapt to my learning style Remillard n London Drugs #40: Stephanie Stabler, (through my active feedback) to further Paul Tran enhance my experience. n London Drugs #58: Garth Bozwuell, Helen Lee, Mason Szutu 4th year student, Class of 2012 n Paragon Pharmacy Mission: Fred Janzen, Brian Jones n Peter Lougheed Centre: Adrian Abu- Ulba, Duane Bates, Tara Bruneski, Julie Carney, Tracy Chin, Angela Giang, Robin Hellweg, Imran Khan, Scott Kirby, Rose Mah, Christine Black Diamond Tailor, Sarah Williams, Teresa Wong, Morris, Judi Parrott, Jane Ward n Pharmasave #364: Jason Spicer, Peter Eldon Zaretski n Pharmacy Plus: Nermen Kassam n Tristram Beacon Pharmacy: Amy Rego, Richard n Rexall Pharmacy #7259: Christa Bartel, Rego Pamela Boulton Blairmore n Calgary Co-op #1 (Midtown): Winnie n Richmond Square Pharmacy: Jennifer n Crowsnest Pass Health Care Centre: Lisa Cheng, Victoria Leost, Chelsey Iwanicki, Sarah Sun Denie, Joanne Larison Zubkow n Rockyview General Hospital: Diane n Calgary Co-op #7: Cathy Cornfield, Bonnyville Blair, Art Chernick, Sharon Eyolfson, Ijenna Osakwe Esther Kanegawa, Gordon Lee, Anne n Bonnyville Health Centre: Sonia Shapka, n Calgary Co-op #9: Charlene Christian, Miller, Julie Min, Dean Tatlow, Lianne Warburton Matt Faulman, Sunil George, Ayodeji Marion Uniat, Pat Wassill, Joseph n Clinic Dispensary: Curtis Conrad Omosun, Irena Sedlakova Wernikowski, Tiffany Woo, Meiti n Pharmasave #325: Tyler Cronk, Peter n Calgary Co-op #10: Rahim Khalfan Yang, Zeke Zobatar Davey n Calgary Co-op #11: Nathan Chiu, n Safeway Pharmacy #276: Kimberly Bow Island Denise Dillman, Fern McNaughton Masker n Calgary Co-op #13 (Crowfoot): Sonal n Safeway Pharmacy #283: Mike Ha n Apple Drugs Pharmacy: Scarlet Ejner n Safeway Pharmacy #287 LTC: Champagne, Taria Gouw, Stefan n Calgary Co-op #16: Mihir Ejner Gilles Lamerton, Anne-Marie Taylor, Onischuk n Calgary Co-op #20 (Rocky Ridge): Ryan Elska Walton Brooks Keller n Safeway Pharmacy #293: Curtis Ross n n n Pharmasave #345: Merle Ann Howard, Calgary Co-op #21 (Westsprings): Safeway Pharmacy #296: Kristen Skogen, Erin Stanton James Kitagawa Nadine Abou Kheir n n Safeway Pharmacy #874: Nader n Shoppers Drug Mart #2344: Amgad Calgary Foothills Primary Care Network: Hammoud Habeeb, Doug Levy, Simisola Giselle Scott-Woo, Mike Thompson, n Oyadiran, Larry Pratt, Reiko Wenzel Esmond Wong Safeway Pharmacy #2243: Rita Arthur, n Calgary West Central Primary Care Sherman Sung, Hong Trieu Calgary Network: Paula Elgar n Shoppers Drug Mart #356: Amyn n Alberta Children’s Hospital: Tanner n Dr. Vernon Fanning Centre – Carewest: Kanjee, Rasma Muiznieks, Margaret Bengry, Laura Bruno, Curtis Terry Chan, Marjorie Cheng, Scott Sayers Claassen, Susana Cocic, Heather Gelfand, Noor Jamal, Robert n Shoppers Drug Mart #373: Michael Ganes, Christy Gilkes, Dorinda Maclachlan, Jill Sexsmith, Truman Chan, Amal Hashim, Donna Newton Gonzales, Terri Hamlin, Kim Hugel, Tong, Judy Yip n Shoppers Drug Mart #376: Brian Jones, Rick Kaczowka, Timothy Kraft, Gina n Foothills Medical Centre: Nicole Lindsey Markusson, Sarah Perez, Kwan, Krista Lade, Karen Leask, Casavant, Raahil Cassim, Chelsea Sharon Wong Angela Liang, Angela MacBride, Haines, Patricia Hung, Josephine n Shoppers Drug Mart #389: Diane Michael Mill, Joni Shair, Jaimini Liu, Samir Patel, Negar Sharif- Schroeder aφnews – September / October 2012 14 n Shoppers Drug Mart #2335: Blake Cyca Cold Lake n Cross Cancer Institute: Gail Campbell, n Shoppers Drug Mart #2413: Hollie n Cold Lake Healthcare Centre: Sharon Kristine Ferguson, Christina McCaw, Neilson, Allan Rajesky Randell Gwen Petryk n n Signature Medicine Centre Pharmacy: n Marina Mall Value Drug Mart: Ron Edmonton General Hospital: Patricia Julia Bonnett, Kim Mettimano Mattice Atkinson n n Southern Alberta Clinic for HIV/AIDS n Wal-Mart Pharmacy #3640: Janelle Fox Edmonton North Primary Care Network: (“SAC”): Jeff Kapler Ihor Pecuh, Oliver Semonis n Southport Pharmacy: Anar Suleman Daysland n Edmonton Oliver Primary Care Network: n The Medicine Shoppe Pharmacy #212: n Daysland Community Health Centre: Mark Makowsky, Kara May, Betsy Anita Dobson, Warren Dobson Randy Skiba Thomas n n The Medicine Shoppe Pharmacy #260: Drayton Valley Edmonton West Primary Care Network: Randy Howden Brenda Lamoureux, Tessa Mondoux n n Tom Baker Cancer Centre: Kristin Drayton Valley Hospital and Care Centre: n Glenrose Rehabilitation Hospital: Anderson, Norma May, Karin Safder Rizvi Monique Bielech, Cheryl Green, n Nadori, Nikki Ryan, Naureen Sheikh, Drayton Valley Value Drug Mart: Diane Lapointe, Darren Okrainec, Patrick Yau Corwin Felstad, Laurie Tkachuk, Jeff Shannon Pappas, Judy Story Zalitach n University of Calgary Medical Clinic n Grey Nuns Community Hospital & Sheldon Chumir and Sunridge: Drumheller Health Centre: Karly Achtymichuk, Jolene Polack Francie Beattie, Larissa Fedor, Lisa n Anderson Drug/The Medicine Shoppe Forster, Leanne Hains, Kelsey Camrose #211: Patrick Doyle Heartwell, Alice Jim n n Drumheller Health Centre: Marvin Camrose Primary Care Network: Phamie n Hawkstone Home Health Care Pharmacy: Menssa, Susan Wemp Gotaas Jordan Allen, Thomas Tam, Emily n n Riverside Value Drug Mart: Ray Camrose Rxellence: Colleen Hancar, Vuong Ainscough, Mike McGillvray, Lindsay Paula Searle, Brian Thiessen n Lois Hole Hospital for Women n Piller Pharmasave #390: Dean Jarrett Menopause Clinic: Nese Yuksel n Safeway Pharmacy #821: Roger Edmonton n London Drugs #21: Steven Chen, Brousseau, Cheryl Feth, Bailey Sereda n Alberta Hospital Edmonton: Andrea Christine Gessell, Jason Pepper, n St. Mary’s Hospital: Anita Kupka Lewczyk, Mark Loowell Kathryn Pon n Wal-Mart Pharmacy #3181: Steve n Allin Building Pharmacy: Emanuela n London Drugs #22: Wilmer Bong, Ken Smith, Jeff Sutton Doan, Kara May, Kevin Neumann, Fu, Nathan Morin, Dianne Stewart Canmore Betsy Thomas n London Drugs #45: Twila Ellis, Sonia n Capital Care Dickinsfield: Lynn Manfrin, Vicky Truong n Bow Valley Primary Care Network: Salanchy n London Drugs #57: Karen Ng, Thomas Catherine Deane n Capital Care Grandview: Helen Girard Schadek n Canmore General Hospital: Therese Brodeur, Bronwyn Jones n Gourlay’s Clinic Pharmacy: Darren Belik, Tanya Sprague, Alma Steyn n Shoppers Drug Mart #2332: Glen Austen Cardston [Our preceptor] n Cardston Health Centre: Alan Wiley was very open and honest with us. Chestermere He would regularly provide us with feedback, n Safeway Pharmacy #2731: Shane encouragement, and thoughts on areas for Cherrington, Sandy Huynh improvement. Even at the end of our time there, he Claresholm continued to encourage us to become the best n Claresholm General Hospital: Kendell pharmacists we can be. Langejans 4th year student, Class of 2012 Cochrane n Calgary Foothills Primary Care Network: Sharon Pregitzer n Rexall Pharmacy #7268: Richard Chan aφnews – September / October 2012 15 n Market Drugs Medical: Ron n Save On Foods Pharmacy #6609: Suzan n Zellers Pharmacy #294: Catherine Marcinkoski, Marie Muszynsky, Flanders, Gillian Lee Dunham, Claudia Wong Katrina Slovinsky, James Wu n Save On Foods Pharmacy #6662: Suzan n Zellers Pharmacy #496: Hanif Kanji n Medi-Drugs Millcreek: Tom Flanders, Maxine Wong Edson Grigoropoulos n Shoppers Drug Mart #302: Lilian Davis, n n Misericordia Community Hospital: Hanaa Hawa, Brian Lysak, Beverley Drugstore Pharmacy #9099: Maya Robert Naherny Nosheen Ahmed, Stephanie Bali, Joy Rushton, Michelle Tynchuk Mathews, , Andrea Rushfeldt DeRoche, Katherine Ewchuk, n Shoppers Drug Mart #317: Fayaz n Shoppers Drug Mart #336: Brian Hiromi Koriyama, Michael Lee, Rajabali Clouston, Jodi Cunningham, Brenda Karen Lu, Deanne Mason, Catherine n Shoppers Drug Mart #344: David Fong Hayes, Kendra Watt Oevering, Jan Orris, Kelly Tran n Shoppers Drug Mart #352: Neelam n Switzer’s Drugs: Matt Rushfeldt, n Northern Alberta HIV Program: Khera, Amy Lee, Heidi Melvyn Laurie Stuve, Harold Switzer Christine Hughes n Shoppers Drug Mart #363: Davy Sam, n Rexall Pharmacy #7220: Pete Dean, Samayeh Sattari Fort McMurray Akram Said n Shoppers Drug Mart #381: Nancy n Northern Lights Regional Health Centre: n Rexall Pharmacy #7229: David Fakry, Corinne Fontaine, Debbie Nadia Khan, Deanna Miller, Megan Andersson, Edna Dmytryshyn, Sally L’Heureux Williams Eliwa n Shoppers Drug Mart #2301: Vincent n Safeway Pharmacy #833: Ashleigh n Rexall Pharmacy #7230 (Heritage): Lee Genyk, Mark Nadon Joanne Mah, Anh Nguyen, Andrea n Shoppers Drug Mart #2440: Esther n Walmart Pharmacy #3157: Mohammed Willie Chun, Jodi Croll, Saly Zachariah, Azeem, Shannon Huyber, Tahir n Rexall Pharmacy #7232: Sylvie Cathy Zhang Malik, Pauline Tijani n Druteika, Aliya Kassamali, Chris Lee, n Shoppers Drug Mart #2441: Tariq Wood Buffalo Primary Care Network: Marwa Rady, Andrew Roberts Chughtai, Andrea Glasgow, Sameh Randy Sloan n Rexall Pharmacy #7236: Christine Moharram Fort Saskatchewan Hoang, Aaron Lim, Katherine Luu n Shoppers Drug Mart #2443: Bonnie n Fort Saskatchewan Health Centre: Jane n Rexall Pharmacy #7251: Trang Bui, Gratton, Jillian Pan, Amanda Frey, Carol Furrer Stacey Liew Visscher n Rexall Pharmacy #7216: Margaret n Rexall Pharmacy #7253 (Southgate): Joel n Shoppers Drug Mart #2446: Eugenia Booker Ghitter, Willi Wangert Braz, Chad Edmonds, Ranjit Dhillon n Shoppers Drug Mart #378: Grace n n Rexall Pharmacy #7257: Marion Kan, Shoppers Drug Mart #2448: Ashley Almond, Corinna Fontaine, Joanne Jason Wu Davidson, Kelly Laforge, Albert MacDonald, James Warburton n Rexall Pharmacy #7265: Kathleen Wong n Sobey’s Pharmacy #3116: Betty Law, Woloszyn n The Bay Pharmacy Southgate: Cheryl Lauren Melnychyn n Royal Alexandra Hospital: Ryan Porcina Grande Prairie Beaucage, Colleen Benson, Cathy n The Medicine Shoppe Pharmacy #185: Biggs, Jody Bobinski, Jennifer Bong, Hugo Leung, Bob McQueen n London Drugs #34: Ashley Baxter, Erin Dave Bonuccelli, Daniel Cyr, Pamela n The Medicine Shoppe Pharmacy #315: King, Lynne Schamehorn Flasha, Stacey Ginther, Lisa Michelle van der Molen n Queen Elizabeth II Hospital: Elizabeth Gromnisky, Susan Haggarty, Brent n University of Alberta Hospital: Chris Dodd, Ian Hamilton, Carol Renfree, Horyn, Kevin Kastner, Danielle Broscheit, Tammy Bungard, Lorie Debbie Rusling, Heather Tangen, Kuzyk, Cecilia Laskoski, Erin Lowe, Carter, Dustin Cooper, Norelle Cote, Curtis van Bushkirk n Erin Manchuk, Robert Ng, Lyndsey Nicola Devlin, Mark Diachinsky, The Medicine Shoppe #291: Curtis Romaniuk, Dave Segatto, Erika Melissa Dutchak, Angela Gee, Kirsten Crough, Donna Oman n Sprake, Kevin Tam, Wendy Wan, George-Phillips, Rachel Heisler, Wal-Mart Pharmacy #3147: Janet Keith Woo, Rosanna Yan Rachel Kligman, Stacy Laird, Sherif Ramsey n Safeway Pharmacy #809: Jackie Mahmoud, Lindsay Meyer, Cindy Hinton Alexandruk, Carrie Ali, Nicole Bredo Polivchuk, Dylan Pollman, Kristen n Hinton Healthcare Centre: Audrey n Safeway Pharmacy #824: Jacqueline Rowntree, Heather Schmidt, Jane Xu McVey Cheang, Cathy Hensel, Jennifer Tran n Village IDA Pharmacy: Janice Cline, n King Drug & Home Healthcare: Eric n Safeway Pharmacy #848: Jasmin Dizon, Doug Weiss , Deborah Yee Holt, Jessica Lang Dixie Richardson, Kit Seto n Wal-Mart Pharmacy #1094: Joanna n Safeway Pharmacy #873: Susan Li Cheung, Amy Chow, Craig Hobbema n Safeway Pharmacy #877: Pardeep MacAlpine n Roots & Berries Pharmacy: Roberta Purchase n Wal-Mart Pharmacy #3029: Irene Hua Taylor, Shelly Wright aφnews – September / October 2012 16 Lacombe n Lacombe Hospital and Care Centre: Marlene Slipp In a short amount of time my preceptor helped contribute Leduc to my transition from a pharmacy student n Leduc Beaumont Devon Primary Care Network: Nandini Desai to a practising pharmacist. I look up to n Leduc Community Hospital & Health [my preceptor] as a role model and he inspires me Centre: Ramona Bosnyak, Marian Hanna to be as dedicated to this profession as he is. n Sobeys Pharmacy #3144: Alena He is a leader and I gained much from my Goulko, Cheryl Hier time spent working with him. Lethbridge 4th year student, Class of 2012 n Chinook Regional Hospital: Michael Bain, Eva Chang, Chris Clack, Julie Cuthbertson, Janna Federkeil, Alice Hinman, Seth Ontkean n Drugstore Pharmacy #1541: Justin Jensen n London Drugs #38: Ryan Lopes, n Palliser Primary Care Network: Chandel Ponoka Maureen McCleary, Rick Siemens, Lovig** n Centennial Centre for Mental Health and Kim Smith n Safeway Pharmacy #2220: Salam Ahjel, Brain Injury: Chad Laughy, Rob n Pharmasave #369: Becky Anderson, Alana Angstadt, Denise Selwood Neumann, Holly Reeves**, Brad Jay Joyal, Andree Mallet n Shoppers Drug Mart #322: Brenda Steeves n Shoppers Drug Mart #308: Loa Legare, Charity Mastel, Leanne n Ponoka Hospital and Care Centre: Barendregt, Amanda Polkinghorne Weisgerber Deanna Waknuk n Stafford Pharmacy: Igor Shaskin n The Medicine Shoppe #128: Dan Reich, n Rexall Pharmacy #7223: Greg Bendera Lloydminster Allana Scott Raymond n Lloydminster Health District Hospital: Okotoks n Raymond Health Centre: Ricks Smith Karen Gossen, Stephanie McGonigal, n Leanne Proctor Calgary Rural Primary Care Network: Red Deer n Taryn Bomersback Safeway Pharmacy #867: Brandi n Red Deer Co-op Pharmacy #5: Grant n Costco Pharmacy Okotoks: George Berquist, Melynda Bottorff, Jamie Fisher, Laura Morrison, John Leung, Don Manson, Owen Moore Clarkson-Herle, Jocelyn Grise Rudrum, Ken Sandquist n n Sprucewood Pharmacy & Homecare: Shoppers Drug Mart #2401: Anita n Red Deer Primary Care Network: Jody Gilby, Sandra Shepherd Brown, Robert Brown, Chris Carter, Stefanie Hanrahan Mayerthorpe Alexsandra Trkjula n Red Deer Regional Hospital: Tamsen n Mayerthorpe Healthcare Centre: Heather Olds Birch, Dean Bruce, Harry Ewasiuk, Michael Gibson, Martine Giguere, Bellerose n Olds Hospital and Care Centre: Lorraine Marissa Hutchison, Lisa Johnson, n Medicine Bottle Rexall Drug #7201: Maybank Donna Kwong Donna Lee Johnson Kathy Roszko , , Peace River Tim Leung, Ilze Schwartz, Kim Zubot Medicine Hat n Shoppers Drug Mart #2415: Todd Law, n Peace River Value Drug Mart: Michael n Costco Pharmacy Medicine Hat: Mary Kim Overbo, Prashantkumar Patel Kinshella, Patrick Kinshella, Vanda Entezary n The Medicine Shoppe #251: Kevin Kinshella n Crescent Heights IDA: Gary Joachim, Bredo n James Larson, Adrianna Maik, Ken Wal-Mart Pharmacy #1068: Jamie Hoy, n Wal-Mart Pharmacy #3194: Dean Walker Stacy Jardine, Tony Nickonchuk Baayens, Kevin Biller n Fourth Street Pharmacy: Janelle Pincher Creek Rimbey Kettner n Koegler’s Pharmasave: Aaron Koegler n Medicine Hat Regional Hospital: Justin n Pharmasave #375: Marg Barr, Sheldon n Fichter, Jodi Kerr, Mike Laevens, Pincher Creek Health Centre: Florrie Parsons, Rod Tkach, Carl Ziegler Joyce Nishi, Velvet Reiling, Burke MacDougall n Rimbey Hospital & Care Centre: Suidan n Rexall Pharmacy #7266: Greg Finnson Heather Rurka aφnews – September / October 2012 17 n Rimbey Value Drug Mart: Angela Taber Cawsey, Patrick Rurka n Safeway Pharmacy #2346: Cameron n Wolf Creek Primary Care Network:  Hazell Angela Cawsey, Patrick Rurka n Taber Health Centre: John Brown, Rocky Mountain House Marilyn Perl, Ralph Van Werkhoven In memory... n Rocky Mountail House Health Centre: Three Hills  Ronald Babinec died on July Greg Carpentier n Three Hills Health Centre: Maureen 3 at the age of 55. Ron was raised St. Albert Arvidson in Calgary and graduated with a n St. Albert Primary Care Network: Tofield degree in pharmacy from the U of A in 1980. His fulfilling career Melissa Dechaine, Tara Grimstead, n Guardian Drugs: Corinne Parent Andrea Pickett as a pharmacist spanned over n Sturgeon Community Hospital: Blaine Vermilion thirty years. Coulter, Ivy Mung, Nick Steele n Long’s Value Drug Mart: Lena Black,  Gerald Maybank died in an Sherwood Park Ernest Peterson accident on his farm near Olds on n Vermilion Health Centre: Dianne n June 19 at the age of 68 years. London Drugs #20: Randeep Birdi, Calder, Shawna Reynolds Aleasha Grattan Apart from his days as a n Save On Foods Pharmacy #6679: Karen Vilna pharmacy student at the Dubbelboer, Bethany Huybregts, n Vilna Pharmacy: Rashida Yamani University of Alberta, Gerry spent Stephanie Ward, Jill Yates his entire life in Olds. As a third Wainright Slave Lake generation pharmacist, he n Drugstore Pharmacy #4379: Damola followed the footsteps of his n Shoppers Drug Mart #2325: Juliana Ogbebor grandfather Matthew, and his Eben-Ebenau n Wainright Health Centre: Cindy father Ralph, operating the family Smoky Lake McMinis business, Maybank’s Drugs. n Wainwright IDA Pharmacy: Michael n Smoky Lake (George McDougall) The family drugstore was a Eberhaidt-Storm Healthcare Centre: Lorrie Verspeelt prominent business in Olds from Westlock 1906 to 1990, with Gerry at the Spruce Grove n Shoppers Drug Mart #2342: Jessica helm from 1974 to 1990. n Safeway Pharmacy #857: Sharon Dicks, Christenson, Sandra Heiken-  Jack (John) Payne of Calgary Dana Schult Schroeder, Bonnie Ollikka, Erica passed away on June 5 at the age Stettler Scallion of 92 years. Jack graduated from n n Stettler Hospital and Care Centre: Westlock Healthcare Centre: Darlene the U of A’s pharmacy program in Charlotte Chase Rowe 1950 and went on to own and operate Payne Drug in Calgary Stony Plain Wetaskiwin n for many years. n Main Street Home Health Pharmacy: Kit Wetaskiwin Hospital and Care Centre: Poon, Mary Purschke Dallas Foulston, Rosanne Grant  Sandra Shepherd died on n n Shoppers Drug Mart #2402: Lascelles Wetaskiwin Family Pharmacy: Michelle July 22 at the age of 61. Sandra Dreidger, Harriet Glasier, Philip Hall Reid obtained her BScPharm from the n Westview Health Centre: Florence U of A in 1970. She practised most Henderson recently at Sprucewood Pharmacy and Homecare in Lloydminster. Sylvan Lake n Sylvan Lake Value Drug Mart: James Bott, Val Langevin, Megan Simon, Linda Zouboules

* Primary Preceptor: the pharmacist who directly supervises and mentors the student during their rotation, and who completes the assessment and evaluation of the student. ** Recipient of the Preceptor of the Year sponsored by Teva Canada  aφnews – September / October 2012 18 Naturopath OSCE profession Assessors recognized needed under The Pharmacy Examining Board HPA of Canada (PEBC) invites interested pharmacists to consider participating as an assessor for the PEBC Qualifying Examination – Part II (OSCE). The national exam will be held on Sat., Nov. 10, 2012 at sites in both Edmonton and Calgary. To qualify you must have been On July 25, Health Minister Fred Horne n injections; licensed in Canada for at least two years and you must currently be a announced that a new regulation under n minor surgeries, such as removing the Health Professions Act establishes the member in good standing and warts and moles, obtaining skin providing or directly supervising College of Naturopathic Doctors of samples for biopsies and doing patient care services, including Alberta and gives that body the sutures; dispensing, clinical and drug authority to establish requirements for n ear examinations, cerumen information services. entry into the profession and ongoing management, nasal lavage and professional development. Interested pharmacists outside of placing herbs in nasal passages; and Edmonton and Calgary are Naturopathic doctors are not n with additional training approved by welcome to apply as assessors. permitted to prescribe drugs, order the College, alternative medical Some travel expenses may be paid x-rays or ultrasounds or administer treatments such as acupuncture, to out-of-town assessors. intravenous nutrition. chiropractic treatments, and For more information, visit the Naturopathic doctors focus on health intravenous administration of ozone, PEBC website at: promotion, illness prevention and chelation therapy or supplemental www.pebc.ca/EnglishPages/OSC treating disease using natural therapies vitamins and minerals. EAssrs/AssrHomePage.html and substances that promote the body’s Currently, there are 144 practising ability to heal. In addition to naturopathic doctors in Alberta. authorizing self-governance, the Minimum education requirements are regulation also describes the restricted three years of pre-medical education plus activities naturopathic doctors completion of a four-year professional registered with the College are program at an approved, accredited permitted to perform, including: naturopathic college or university.

ACP emails and newsletters are official methods of notification to pharmacists and pharmacy technicians licensed by the college. In addition to providing you with timely information that could affect your practice, college emails serve in administrative hearings as proof of notification. Make sure you get ! the information you need to practice legally and safely by reading college  newsletters and ensuring ACP emails are not blocked by your system. aφnews – September / October 2012 19 Prescription validity FAQs

We receive a lot of calls at the ACP office from pharmacists asking prescription questions. Here are the top three and the answers. If I receive a prescription from out of province, may I fill it? If the prescriber is authorized to write the prescription in their province of employment, then you may fill it. Which medications various health professionals are permitted to prescribe varies by province. To confirm prescription validity, check with the prescriber’s college in their province of employment. of Standards of Practice for Pharmacists Are prescriptions and refills This answer applies to both TPP and and Pharmacy Technicians); and valid if they were written by a non-TPP prescriptions. 2. the prescriber has the required physician who has since died May I fill a prescription for exemption. Methadone may only be or retired? methadone from a physician prescribed by a physician with an Officially, if the prescription was written outside of Alberta? exemption under Section 56 of the by a physician who was licensed to Health Canada has indicated that a Controlled Drugs and Substances Act. practise medicine in Canada at the time physician licensed in one province You may check with Health Canada’s the prescription was written, the cannot legally prescribe methadone in Methadone Program (toll free 1-866-358- prescription is still valid. another province. However, Health 0453) if the physician holds an exemption You must still ensure that the Canada recognizes that it may be and if so, for which indication (treatment prescription is appropriate for the necessary for the physician in the of opiate dependence and/or analgesia). patient at the time you dispense. patient’s home province to continue Note: Many provinces in Canada do not Particularly in the case of refills, managing their care for a short period to have a triplicate prescription program. consider whether it is appropriate to allow transition to an Alberta physician. Although methadone is on the triplicate refill a prescription when the patient is If you are filling a methadone list in Alberta, you cannot ask a not being monitored by a physician prescription, you must ensure that: physician from another province to and, if appropriate, for how long. 1. the prescription is current, authentic, comply with Alberta’s triplicate In all cases, encourage the patient to find complete and appropriate (Standard 6 prescription program. a new physician.

aφnews – September / October 2012 20

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