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Table 2 Example of competency domain, element, and sub-elements

From: Pharmacist provision of primary health care: a modified Delphi validation of pharmacists' competencies

Domain

2. As Care Providers, primary health care pharmacists use their knowledge and skills to provide pharmaceutical care and to facilitate management of patient's medication and overall health needs.

Description

Primary health care pharmacists possess the core knowledge, skills and attitudes required to be able to:

i. manage patients:

who require the pharmacist's participation in their care;

who are willing and able to accept the responsibilities required by this care;

with common and uncommon medication-therapy problems or complex medication-related needs; and identify patients with highly complex medication-related needs.

who require urgent care and provide basic first aid and CPR;

ii. are able to acquire the knowledge and skills required to manage patients with highly complex medication-related needs.

iii. provide care in accordance with accepted frameworks that expand the pharmacist's scope of practice (e.g. medical directives);

iv. recommend appropriate sources of support for patients experiencing common difficulties in daily living;

v. advise patients on common, current health promotion campaigns;

vi. are able to refer patients for the management of medication therapy needs that fall beyond their individual scope of practice;

vii . are able to triage patients to other primary health care providers.

Element

Elicit and complete an assessment of required information to determine the patient's medication-related and relevant health needs.

Sub-element

elicit the reason(s) for the patient's visit or referral to the pharmacist;

Sub-element

obtain and evaluate relevant history from the patient, his/her chart, caregivers and other health care professionals (e.g. medication experience, medication history, current medication record, past and current medical history, allergies, immunizations, social drug use, previous adverse reactions, etc);

Sub-element

order and/or retrieve and assess relevant lab tests and diagnostic tests;

Sub-element

perform and interpret findings of relevant physical assessment;

Sub-element

complete an assessment of the patient's ability to take/use/administer his/her medications.