Exploring the role of hospital pharmacy technicians ... Implementation of technology in the pharmacy

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  • The Society of Hospital Pharmacists of Australia PO Box 1774 Collingwood Victoria 3066 Australia – 03 9486 0177

    http://shpa.org.au - shpa@shpa.org.au – ABN: 54 004 553 806

    Exploring the role of hospital pharmacy technicians and assistants to enhance the

    delivery of patient centred care

    A White Paper on the findings and outcomes of the ‘Pharmacy Technician and Assistant Role Redesign

    within Australian Hospitals (Redesign) Project’ November 2016

    http://shpa.org.au/ mailto:shpa@shpa.org.au

  • The Society of Hospital Pharmacists of Australia 2

    © The Society of Hospital Pharmacists of Australia 2016 The material in this publication has been provided by The Society of Hospital Pharmacists of Australia (SHPA). SHPA retains copyright in the publication as a whole and in all material in the publication that is authored by or on behalf of the SHPA. Apart from any use permitted under the Copyright Act 1968, you must not make any other use of this material unless you have written permission to do so. Requests and enquiries regarding permission to use SHPA material should be addressed to: Publications Coordinator The Society of Hospital Pharmacists of Australia PO Box 1774 Collingwood Vic. 3066.

  • The Society of Hospital Pharmacists of Australia 3

    Contents Contents ......................................................................................................................................... 3 Acknowledgements ....................................................................................................................... 5 1 Executive Summary ................................................................................................................ 6 1.1 SHPA vision for Australian hospital pharmacy technicians and assistants for 2026 ......................... 11

    2 Introduction ........................................................................................................................... 12 2.1 Australian context ............................................................................................................................ 12 2.2 SHPA vision ..................................................................................................................................... 13 2.3 Aim of this paper .............................................................................................................................. 13

    3 Methodology .......................................................................................................................... 14 3.1 Literature review .............................................................................................................................. 14 3.2 Review of supporting frameworks .................................................................................................... 14 3.3 Primary research .............................................................................................................................. 15

    3.3.1 National Survey ........................................................................................................................ 15 3.3.2 Focus Groups ........................................................................................................................... 16 3.3.3 Structured Interviews ................................................................................................................ 17 3.3.4 Mini Case Studies ..................................................................................................................... 17 3.3.5 Data analysis ............................................................................................................................ 17

    4 Overview of current hospital pharmacy technician and assistant roles performed in Australia and overseas – Literature review ............................................................................... 18 4.1 Overview .......................................................................................................................................... 18 4.2 International Context ........................................................................................................................ 19

    4.2.1 Example international role supports for hospital pharmacy technicians ..................................... 20 4.3 Australian context ............................................................................................................................ 20

    4.3.1 Australian role supports for hospital pharmacy technicians ....................................................... 25 4.4 Discussion ....................................................................................................................................... 25

    5 Overview of State and Territory variation ........................................................................... 28 5.1 The role of the Pharmacy Board of Australia (PBA) ......................................................................... 28 5.2 Director of pharmacy as a nationally consistent management approach .......................................... 29

    6 Themes underpinned by evidence ....................................................................................... 30 6.1 Roles and responsibilities of hospital pharmacy technicians and assistants ..................................... 30

    6.1.1 Clinical activities........................................................................................................................ 30 6.1.2 Technical activities .................................................................................................................... 34 6.1.3 Career structure ........................................................................................................................ 36

    6.2 Education and training ..................................................................................................................... 37 6.3 Other themes from focus groups and structured interviews .............................................................. 39 6.4 Practice specific examples – mini case studies ................................................................................ 40

    6.4.1 Major City - Principal Referral Hospital [Royal Brisbane & Women’s Hospital QLD] .................. 41 6.4.2 Outer Regional – Public Acute Group B Hospital [Port Augusta Hospital South Aust.] .............. 43 6.4.3 Major City – Public Acute Group A Hospital [Calvary Public Hospital ACT] ............................... 44 6.4.4 Major cities – Private Acute Group A hospital [Norwest Private Hospital NSW] ......................... 48

    7 Future ..................................................................................................................................... 50 7.1.1 How can pharmacy technicians and assistants support pharmacists to increase their clinical role? …………………………………………………………………………………………………………….50 7.1.2 Barriers/limitations .................................................................................................................... 52 7.1.3 Legal considerations ................................................................................................................. 53 7.1.4 What do hospitals need to move forward? ................................................................................ 54

  • The Society of Hospital Pharmacists of Australia 4

    8 The role of SHPA ................................................................................................................... 55 8.1 The case for change ........................................................................................................................ 55 8.2 Prioritised interventions for SHPA to consider .................................................................................. 56

    8.2.1 SHPA vision for Australian hospital pharmacy technicians and assistants for 2026 .................. 56 8.2.2 Intervention 1: Update current SHPA Standards and workforce definitions available in the SHPA Standards of Practice for Clinical Pharmacy Services ............................................................................. 58 8.2.3 Intervention 2: Develop an Australian pharmacy technician/assistant competency standards framework and explore SHPA’s role in credentialing individuals for defined competency areas from entry level to advanced level ............................................................................................................................ 59 8.2.4 Intervention 3: Explore SHPA’s role in improving accreditation and delivery of national qualifications ........................................................................................................................................... 60 8.2.5 Intervention 4: Document current innovative and advanced practice in each jurisdiction and consider SHPA support required to broaden this level of practice Australia-wide. ................................... 61 8.2.6 Intervention 5: Hospital pharmacy technician/assistant leadership development ....................... 63

    9 Appendices ............................................................................................................................ 64 9.1 Appendix 1: Terms of Reference ........................................................................