Adverse reactions: Learning outcomes
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After completing this tutorial, you will be able to:
- Decide whether a patient's reaction is caused by a drug or not.
- Adopt a practical approach to managing adverse reactions, and advise other professionals about them.
- Talk to patients about the risk of side effects, and give them management strategies should they occur.
You can download a PDF of the whole tutorial (without interactive elements such as the Learning exercises) and a one-page summary of key points.
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Competencies
This tutorial is aimed at hospital trainee pharmacists, and will help you achieve GPhC learning outcomes such as these:- LO 5 Proactively support people to make safe and effective use of their medicines and devices
- LO 12 Take an all-inclusive approach to ensure the most appropriate course of action based on clinical, legal and professional considerations
- LO 16 Apply professional judgement in all circumstances, taking legal and ethical reasoning into account
- LO 27 Take responsibility for the legal, safe and efficient supply and administration of medicines and devices
- LO 29 Apply the principles of clinical therapeutics, pharmacology and genomics to make effective use of medicines for people
- LO 30 Appraise the evidence base and apply clinical reasoning and professional judgement to make safe and logical decisions which minimise risk and optimise outcomes for the person
- LO 34 Apply the principles of effective monitoring and management to improve health outcomes
- LO 35 Anticipate and recognise adverse drug reactions, and recognise the need to apply the principles of pharmacovigilance
- LO 48 Actively take part in the management of risks and consider the impacts on people
If you are a foundation pharmacist, this tutorial may assist with meeting certain competencies from the RPS framework including:
- 1.1 Applies evidence-based clinical knowledge to make suitable recommendations or take appropriate actions
- 1.6 Uses own pharmaceutical knowledge to positively impact the usage and stewardship of medicines at an individual and population level.
- 1.7 Undertakes a holistic clinical review of a person’s medicines to ensure they are appropriate.
- 2.1 Keeps the individual at the centre of their approach to care at all times.
- 3.1 Draws upon own knowledge and up-to-date guidance to effectively make decisions appropriately and with confidence.
- 3.2 Critically appraises appropriate information to make a decision in an efficient and systematic manner; adopts evidence-informed solutions.
- 3.3 Demonstrate awareness of where to seek appropriate information to solve problems and make decisions.
- 3.5 Manages uncertainty and possible risk appropriately, while ensuring high attention to detail is maintained when making decisions regarding the individual receiving care.
- 6.5 Uses effective questioning when working with individuals receiving care or other healthcare professionals.
Continuing professional development
Finally, here are some CPD activities you could consider:
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★ Reflect on the best ways in which you can keep abreast of medicine safety issues. Do you feel that you are up-to-date enough about safety issues when you screen prescriptions on your wards or in the dispensary? Write an account summarising how prepared you feel to meet your professional responsibilities.
★ If you feel that your handling of an ADR or safety issue has not gone entirely to plan, take time to meet with a colleague to discuss it. Write this up as a CPD exercise. What did you learn that might make you tackle the situation differently next time, and do you feel more able to support patients as a result?