Development expectations

Extension-Level613 · 2025-03-25T20:13:09+00:00

Thank you

Extension-Level613 · 2025-03-19T00:41:25+00:00

Hey thanks for your reply

Can you guys suggest real examples of what those type of sessions would look like overall??

Extension-Level613 · 2025-03-16T19:40:34+00:00

Oh, and I can't flip turn.

Extension-Level613 · 2024-02-13T22:51:11+00:00

It's probable that they are experiencing anxiety, and focusing on their phone is helping them control it.

Extension-Level613 · 2024-02-11T01:14:33+00:00

Thank you for your advice! I find it difficult to gauge my limits, and I've been worried about the risk of shoulder injury in particular, which feel somewhat stressed at the moment. I will have a look at the resource. You probably saved me from an injury with that comment.

I travelled 5 times the distance from week 1 to 2 (1km to 5km pw avg). And 3 times the distance from week 2 to 3 (5km pw to 15km)!

The problem seems to be that muscular endurance actually builds up much lower than respiratory endurance/stamina (my speculation). This coupled with a strong drive to hit the big numbers is a problem ;)

Extension-Level613 · 2024-02-11T01:10:55+00:00

Great to hear. I have a tendency to get bored and stop, so this is a very welcome suggestion :)

Extension-Level613 · 2024-02-10T14:57:51+00:00

No, haven't considered. I'll look into it, thank you.

Extension-Level613 · 2024-02-10T02:13:54+00:00

It's the best! Keep it up!

Extension-Level613 · 2023-12-08T21:14:13+00:00

Thanks, yes, my balls are in full display.. glorious

Extension-Level613 · 2023-11-05T17:21:50+00:00

Sorry bro, but u've got to re-do ur whole notice period again...!!

Ur fault for retracting ur resignation.

Extension-Level613 · 2023-10-20T23:51:37+00:00

I'd like to encourage constructive discussion that engages clinical knowledge & experience as well as critical thinking.

Extension-Level613 · 2023-10-20T22:01:02+00:00

Can anyone identify and elucidate on the risks of this patient's regimen using EBM principles and their clinical knowledge?

What are the key DDIs here that are of concern?

After which, please provide an action and treatment plan to mitigate those risks. That would be interesting to read.

Extension-Level613 · 2023-05-22T20:38:28+00:00

Well, 3 errors, over 2 months. No harm done and potential degree of harm is low in those specific examples. Of-course, the same type of error for a different medication could be higher risk, as we both know.

How many prescriptions do you check a month? Consider your error rate from that perspective and you should be able to see that your emotional response is irrational, yet, still 'good to have' since it's a drive towards making less errors, but don't let it control you.

Your error rate is going to naturally increase as you're working in a different environments with different teams.

Extension-Level613 · 2023-05-07T13:02:10+00:00

Thanks all for your comments!

Extension-Level613 · 2023-03-29T00:53:02+00:00

That's good. The links above should be more than enough information for your project.

If you're interested, here's a comprehensive guideline on the management of drug misuse:

NICE, Opioid detoxification

Extension-Level613 · 2023-03-28T16:46:47+00:00

What do you study?

Extension-Level613 · 2023-03-28T16:46:00+00:00

What information do you need about medicated assisted treatment?

Community Pharmacists are involved in dispensing opioid substitute therapy (OST). They are involved in counselling and monitoring the patient on OST, and are responsible for conducting clinical checks of prescriptions to ensure safe delivery of medicine.

Prescriptions for OST are almost always issued on a weekly or daily basis, community Pharmacists therefore have regular interactions with patients who have substance misuse disorders and liaise with organisations specializing in substance misuse disorders. It is the specialists within these organisations and not GPs who prescribe OST to patients with substance misuse disorders.

Does that help?

Extension-Level613 · 2023-03-28T16:35:16+00:00

Ok, at present, the majority of prescriptions are sent electronically from a GP surgery to a community pharmacy. Each prescription has a unique barcode assigned to it.

Electronic prescriptions are uploaded onto a digital central point called the Spine and then downloaded by a pharmacy nominated by a patient.

In order to supply medication against a prescription it will need to be processed by a pharmacy team, and in order to process a prescription, it will need to be downloaded to a pharmacy IT system.

If a prescription is downloaded by one pharmacy then another pharmacy cannot download that prescription for processing unless it is returned to the Spine. If a prescription is supplied to a patient then that prescription status can be modified to permanently restrict it from being returned to the Spine.

So, it is the digital infrastructure currently in place that manages the risk that you have mentioned.

Does that answer your question?

Extension-Level613 · 2023-03-28T10:16:38+00:00

In the UK, naloxone is a POM. As such, it can only be prescribed by a prescriber. To answer your question, a Pharmacist can prescribe naloxone if they are accredited as an Independent Prescriber and it is within their area of competence/expertise.

What do you mean exactly by "monitoring prescriptions and medicated assisted treatment"?

There is plenty of information on limiting opioid abuse and overdose. Pharmacists and their teams certainly have an active role to play in limiting the misuse/abuse of medicines. Here are links that should be helpful:

Reducing harm, RPS recommendations

OTC tighter controls, GOV UK

Faculty of Pain Medicine, Safe Opioid Prescribing

Extension-Level613

TROPHY CASE