pharmaceutical assistant’s and technician’s work placements · 2.2. pharmaceutical education...
TRANSCRIPT
This handbook for students has been produced within Leonardo da Vinci-programme as a transfer of innovation project “Learning Materials for Pharmaceutical Assistant’s annd Technician’s Foreign Work Placements”,
acronym PHARLEMA (2011-1-FI1-LEO05-06161) during 01.10.2011– 30.09.2013. The publication has been co-funded by the European Comission. The Commission accepts no responsibility for the contents of the publication.
The Netherlands
Pharmaceutical Assistant’s and Technician’s Work Placements
Kellebeek College
Acknowledgements
This handbook has been produced by Mrs. Angela Deelen and Mrs. Gerda van der Meer, who offer grateful thanks to the following for their guidance, support, donation of appropriate materials and proof reading for accuracy of this package of information.
All materials of the project are downloadable for free from partner colleges’ websites:• www.bmetc.ac.uk/home.aspx• http://hesotenet.edu.hel.fi/english/etm2/pharlema/index.htm • www.kellebeek.nl• www.ssfkz.si• http://www2.stjohnscollege.ie/• www.ttk.ee
Copyright is the property of all partnership colleges represented by Kellebeek College, the Netherlands. Altering of the materials is prohibited without permission from the partnership group represented by Kellebeek College.
• Students of Kellebeek College Mr. Samir Madjidzada, Ms. Fleur Toonders, Ms. Milou Melis, Ms. Indy Stornebrink, Ms. Özge Cekic, Ms. Macy Verhappen, Ms. Sharon Hazelhoff, Ms. Pebbles Geldtmeijer, Ms. Britte Rood, Ms. Jasmijn van Ginkel, Ms. Risha Adolph, Ms. Kristel Elst, Ms. Ghislan El Mokhtari, Ms. Anissa Peemen, Ms. Wies Kleemans, Ms. Eefje Huijtker and Ms. Marieke van Vugt
• ROC Aventus Apeldoorn-Deventer-ZutphenMrs Erica van den BuijsMrs Anneke Bongers
• Da Vinci College DordrechtMrs Arlette BarlochieMr Jeffrey Hogendorp
• PharmasistsMr Frank JochemsMr Klaas Bos
• Birmingham Metropolitan CollegeMr Robert BiggsMrs Deborah CooperMrs Karen Socci
• Helsinki Vocational College, Welfare SectionMr Matti RemsuMrs Asta LehtinenMrs Kirsi Rosenqvist Students of HVC: Ms. Heidi Kontiainen and Suvi Lahtinen
• Srednja šola za farmacijo, kozmetiko in zdravstvoMrs. Ljubica Gabrovsek Mrs. Katarina VrhovnikStudents of SSFKZ: Mr. Marko Koželj and Mr. Rok Žnidaršicv
St. John’s Central CollegeMrs. Sarah MagnerMrs Majella O´DriscollStudents of SJCC: Ms. Julia Schade, Ms. Yvonne O’Brien and Ms. Crystal McCarthy
• Tallinn Tervishoiu KõrgkoolMrs. Merle Kiloman and Mr. Alar SeppStudents of TTK: Ms. Kristi Lemmik, Ms. Liis Märss and Ms. Karolin Nõmm
• Coordination of the project: Mr. Matti Remsu, Helsinki Vocational College• Editing and layout: Rhinoceros Ltd
1
Pharmaceutical Assistant’s and Technician’s Work Placements in the Netherlands
Content
1. Introduction 2
2. EducationalSystem 52.1. DutchEducationSystem2.2. PharmaceuticalEducation2.3. PharmaceuticalAssistantQualification
3. StructureofPharmaceuticalSector intheNetherlands 9
3.1. HealthCareintheNetherlands
4. DefinitionofProfessions 114.1. PublicPharmacy4.2. ThePharmacyasBusiness4.3. HospitalPharmacy
5. Legislation 23
6. References 25
7. Glossary 26
Appendix: 27TrainingandcoursesforpharmacyassistantsintheNetherlands
2
1. Introduction Dear Student
u This information package is designed to give you an overall view of vocational education and work in the pharmaceutical sector in the Netherlands, together with some useful background information related to legislation on and dispensing of pharmaceuticals. We hope that the package will help you in preparing for your period of practical training in our country. On reading this material package you may find both differences and similarities in pharmaceutical work in comparison to your country. However, due to your position as a foreign student at your placement address your duties may be limited to those you would be allowed to carry out in your own country.
From a learning viewpoint it might be beneficial for you to go through both your own country’s material package and that of your destination country and to compare the two.
Chapter 3 gives an overview of the structure of the pharmaceutical sector and how it is organised.
Chapter 4 defines how pharmaceutical professions are defined and their core expectations. This chapter focuses on the services that are available for foreign
students as placement opportunities in our country. The sub-chapters also include descriptions of daily work which are intended to assist you in defining the work you will encounter during your practical training period. These “snap shot” descriptions have been written by students during their practical training periods.
Chapter 5 describes the most relevant legislation governing the pharmaceutical sector in the Netherlands.
Chapter 6 has some links to help you with search for more detailed information.
Chapter 7 describes some specific terms and acronyms.
We hope you will find this information package useful and we wish you every success with your practical training period in our country!
3
u We are delighted you have chosen to come here for your practical training. We sincerely hope you will have a worthwhile and interesting time.
Using this handbook will help you prepare for your international practical training. It will provide useful background information on pharmacies in the Netherlands. Every effort has been made to provide you with up-to-date information. Nevertheless, it is possible you could be made aware of and introduced to new legislation, policies and practices during your practical training, which may have been implemented after the publication of this handbook. If you are unsure about certain aspects regarding your job or job description, the staff at your hosting institute will be happy to support you and help you find relevant information.
In this handbook, you will find a lot of information that will be useful in order to prepare yourself for your stay here. We also hope it will be a useful manual during your practical training. We wish you a pleasant stay in the Netherlands and hope you will have a successful practical training.
The NetherlandsThe Netherlands is a country that’s part of the Kingdom of the Netherlands. The
capital of the Netherlands is Amsterdam; it’s seat of government is The Hague. The Caribbean islands of Bonaire, Sint Eustatius and Saba are special municipalities within the kingdom.
The Netherlands has a population of 16.730.632 which, in combination with its surface area of 41.526 km², results in a very high population density. Over 18% of the surface area is water and a large part of the country lies beneath sea level. The country is protected from the water by a system of dikes and waterworks. On an administrative level the country consists of twelve provinces.
Nowadays, the Netherlands is one of the most developed countries in the world and it’s ranked as the seventh economy in the world. The Dutch economy flourishes mainly by the highly developed agricultural and horticultural sectors, service industry and international trade and the transit of goods to Germany in particular.
The Netherlands has been a parliamentary democracy, a form of government in which the monarch, ministers and parliament share the power, since 1848. The Netherlands was co-founder of the European Union, NATO and World Trade
A very warm welcome to the Netherlands!
4
Organization. The country forms the Benelux with Belgium and Luxembourg.The Netherlands has a moderate climate of mild winters and cool summers. This is due to its geographic position near the North Sea, which causes temperatures to be moderate throughout the year, with slightly higher fluctuations on daily and yearly temperatures in the eastern part of the country.
Education is compulsory from the first day of the month after a child has turned five years old, until the end of the school year in which a child turns sixteen. However, most children start school from the age of four. When a child turns seventeen, there’s still partial compulsory education and the child needs to attend school for at least two days a week. When a school has made educational agreements with certain companies, the child can work there four days a week and attend classes on the fifth.
On average around 10 to 11 million tourists visit the Netherlands on a yearly basis. Among the main attractions are historic cities like Amsterdam, the “Deltawerken” and the polder-like landscape.
The Dutch cities are the main tourist destinations. The capital, Amsterdam, is particularly popular among foreign tourists. The canals with their historic buildings and the big museums are the most important attractions. By welcoming 4,9 million tourists a year, Amsterdam is the fifth most visited tourist destination in Europe and the seventh largest conference city in the world.
The other three large cities have their own specific trademarks. Rotterdam has its impressive skyline and harbor, The Hague has the “Ridderzaal”, “Madurodam” and Scheveningen beach and Utrecht is known for its Dom Tower. Besides these cities there are many more sights worth seeing. Historic cities like Gouda, Delft, Alkmaar, Middelburg, Veere and Maastricht and folkloric towns like Volendam, Marken and Zaanse Schans. Many larger and medium towns, like Eindhoven, Groningen, Breda, ‘s-Hertogenbosch, Leeuwarden, Leiden en Nijmegen, also each have their own characteristics.
And then there are theme parks like Efteling, Duinrell, Walibi Holland and the miniature city of Madurodam and several zoos like Artis and Diergaarde Blijdorp.
5
General education
The Dutch educational system has been organized as follows:
2. Educational System2.1. Dutch Education System
Educationpreparesyouforparticipationinsociety,whichiswhyschoolingiscompulsoryforchildrenfromtheageof5.However,mostchildrenstartattendingschoolatanearlierage.Primaryeducationprepareschildrenforsecondaryeducation.After8yearsofprimaryschool,pupilscanchoosebetweensecondarygeneraleducation,preparatoryvocationaleducationorpre-universityeducation.
Afterhavingobtainedadiplomainsecondaryeducation,youngadultsneedtotakethenextstep.Whatthisstepwillbeisdeterminedbythesubjectstheygraduatedinandthelevelatwhichthey’vegraduated.
Attheageof17or18,adolescentsfacemakingadecisiononwhatdirectiontheywilltakefromthere,whichcanbequitedifficult.Thepossibilitiesarenumerous,varyingfrommanydifferentformsofvocationaleducationatintermediateorhigherlevels,toaneverincreasingnumberofuniversitycourses.
Everyoneaged18orovercanalsoattendadulteducation.Schoolsarefreetoindependentlycompilethecontentoftheircourses,underthesupervisionoftheeducationinspectorate.Theschoolsaretoaccountfortheirpolicybymeansoflong-termplans.
6
2.2. Pharmaceutical Education
Training for pharmacy assistantsTrainingforpharmacyassistantscomesintheformofacourseatIntermediateVocationalEducation,level4.ThismeansthatitwillbepossibleforstudentstomoveontoHigherVocationalEducationafterobtainingtheirdiploma.
IntheNetherlands,youcanbecomeapharmacyassistantin2ways.First,througha3-yeartheoreticalcoursewhichincludesinternshipsatvariouspharmacies?Thesepracticaltrainingsmakeupforabout30%ofthecourse.
Second,there’sthesocalledapprenticeship.Studentsaged18oroverwillworkinapharmacyforatleast24hoursaweek.Theywillalsoattendschool2eveningsaweek,inordertobecomeaprofessionalpharmacyassistant.
Inbrief,thesestudentsearntheirdiplomabycombiningpracticalandtheoreticaleducation.
2.3. Pharmaceutical Assistant Qualification
Core tasksOnaneducationallevelwecandistinguish3professionalcoretasksforpharmacyassistants.Thesetasksconsistofsignatureactivitiesandfrequentduties.
Core task 1: Offer pharmaceutical patient careInvolves:– listening to the needs of the patients
Competences:a) Givingattentionandshowing
understandingb) Actinginanethicalwayand
showingintegrityc) Beingabletohandlepressureand
dealwithsetbacks– monitoring medication Competences:a) Workinginateamandconsulting
colleagues
7
b) Applyingexpertise– preparing medication Competences:a) Applyingexpertiseb) Deliveringqualityproductsc) Followinginstructionsand
procedures– meeting the needs of patients Competences:a) Actinginanethicalwayand
showingintegrityb) Applyingexpertisec) Analysingd) Aimingattheneedsand
expectationsofclients– giving advice and information Competences:a) Workinginateamandconsulting
colleaguesb) Presentinginformationc) Usingmaterialsandmeansd) Aimingattheneedsand
expectationsofclients
Core task 2: Compounding ingredients for medicationInvolves:– compounding medication from raw materials Competences:a) Applyingexpertiseb) Usingmaterialsandmeansc) Planningandorganizingd) Deliveringqualityproductse) Followinginstructionsand
procedures– customizing main medication Competences:a) Workinginateamandconsulting
colleagues
b) Usingmaterialsandmeansc) Deliveringqualityproductsd) Followinginstructionsand
procedures
Core task 3: Carrying out organizational and professional tasksInvolves:– improving your skills and maintaining professionalism Competence:a) Applyingexpertise– improving and monitoring the quality of care Competence:a) Followinginstructionsand
procedures– carrying out stock control Competences:a) Workinginateamandconsulting
colleaguesb) Buildinganetworkc) Usingmaterialsandmeansd) Actinginaprofessionalmanner– carrying out administrational duties Competences:a) Formulatingandreportingb) Followinginstructionsand
procedures
Thecoretasksareintegratedinworkandtraining.Apharmacyassistanthastotakeonmanydifferentrolesandresponsibilitiesthatwillbefurtherexplainedinthenextchapter.
PharmacyassistanttrainingFull-timetrainingtobecomeapharmacyassistantrequiresa3yearcourseof4800studyhours.
8
Layout of practical placementYear 1:Inthethirdperiodofthefirstyear,thestudentwillbeginwith2weeksoffull-timepracticaltraining.Afterthat,therewillbe6weekswith2daysofpracticaltrainingeachandanotherfull-timeweekattheendoftheschoolyear,allofwhichwilltakeplaceatthesamepharmacy.
Year 2:Afterthesummerholidays,thestudentswillkickoffbydoing2weeksoffull-timepracticaltraining,followedbyanother12weekswith2daysofpracticaltrainingeach.Afterthat,studentsmoveontoadifferentlocation
foranother10weeksofpracticaltraining(3daysaweek)ofwhichthefirstandlastweekwillbefull-time.
Year 3:Afterthesummerholidaysstudentsstartbydoing2weeksoffull-timepracticaltraining,followedby12weeksinwhichtheywillbeatthesamepharmacy2daysaweek.Thenextperiodofpracticaltrainingtakes10weeks.Thefirstandlast2weeksofwhicharefull-time,theother6weekstherewillbe2daysofpracticaltraining.
Thetotalnumberhoursforpracticaltraininginthiscourseis1393hours.
9
3. Structure of Pharmaceutical Sector in the Netherlands
u Fewpeoplecanaffordallthemedicalcaretheyneed.Therefore,healthcareusedtobeaprivilegeoftherich.AfterWorldWarII,theNetherlandsbecameawelfarestate.Withsolidarityatitsbasis,asystemwasdevelopedthatmadeitpossibleforeveryonetoclaimcarefromthecradletothegrave.Andmedicalcareplayedanimportantroleinthis.
Foryears,thefundingofthiscarewasbasedonadistinctionbetweenprivateinsurancesandinsurancesprovidedbytheDutchNationalHealthService.Thisdistinctionwasbasedontheheightofincome.Peoplewithhighersalary,paidmoremoneyforcare.Sotheycontribute,incaringforpeoplewithlowerincome.
TheNetherlandshaveanewhealthcaresystemsince2006.Withinthisnewsystem,everyDutchcitizenisrequiredtohaveabasichealthinsurance.There’snolongeradistinctionbetweenprivateinsurancesandinsurancesprovidedbytheDutchNationalHealthService.ThebasichealthinsurancecoversmanybasicthingslikeGPsandhospitalcare.Alotofmedicationisalsocoveredbythebasichealthinsurance.However,theDutchinsurancedoeshaveanownriskpolicyof350Eurosayear.Thismeansthateveryinsuredpersonhastopayanycostsupto350Euroshimself,ontopofthepremium.Pharmaceutical
careisalsoincludedinapatient’sownrisk.Theaveragebasichealthinsurancecostsabout1100Eurosayear.Ifapersonwantsextrainsurancefordentalcare,certainmedicationorphysiotherapyforexample,hecanoptforanadditionalinsurance.
ThedemandforhealthcarewillrisesignificantlyinthenextfewyearsbecauseoftheagingDutchsociety.It’sexpectedthatthecostsforhealthcarewillrisesignificantlyaswell.Thismeansthatthegovernmentwillstarteconomizing.Asaresult,certainmedicationwillnolongerbe(partially)compensated.
PharmacyintheNetherlandscanbedividedin3(large)categories:
•publicpharmacy
•hospitalpharmacy
•pharmaceuticalindustry
Thetwofirstcategoriesarethemostimportantforapharmacyassistant.Therefore,these2categorieswillbeexplainedinmoredetail.
10
Cure and careInhealthcareadistinctionismadebetweencureandcare.Healthprofessionalsandorganizationsthatdealwithrecoveryandcurearepartofthecuresector.Long-termhealthcareandsupporttoimprovethequalityoflifearepartofthecaresector.Nursinghomes,institutionsformentallydeficientpeopleandcertainelementsofhomecarearepartofthecaresector.
3.1. Health Care in the Netherlands
Primary and secondary health carePatientswhoneedcarecanvisitprimaryhealthcare:healthcareclosetotheirhomes.Thisisthefieldinwhichgeneralprofessionalswork:generalpractitioners,dentists,pharmacistsandtheirassistants,midwives,physiotherapistsandsocialworkers.Patientscancontactgeneralpractitioners,physiotherapists,dentists,midwivesandsocialworkerswithoutareferralletterbeingneeded.Apatientwillonlybereferredtosecondaryhealthcarewhenhe’sinneedofspecialistcare.
11
4. Definition of Professions4.1. Public Pharmacy
u PublicpharmaciesareopentoanyonewhoneedsmedicationthatisprescribedbyaGPordoctororforself-medicationforwhichnoprescriptionisrequired.
Thereareabout1980publicpharmaciesintheNetherlandsofwhichabouttwo-thirdsareownedbyindependentpharmacists.Therestispartofanationalchainofpharmacies.
Thecompoundofmedicationusedtobeanimportantpartoftheworkdoneinapublicpharmacy.Today,thiscraftisindeclinebecausemoreandmoreproductscanbeboughtready-madeandthepreparationisdonemorecentralizedinspecializedpharmacies.
Inmostpharmacieswecandistinguishthefollowingjobs:
PharmacistApharmacististhepersonsupervisingthepharmacyandthepersonwhohasthefinalresponsibilityforalltasksexecutedinapharmacy.Themaintasksofapharmacistarecheckingtheincomingprescriptions,supervisingthepreparationofmedication,checkingthemonitoringsignals,executingthefinancialadministration,administeringstocksandcontactingprescribersandhealthcareinsurers.Thepharmacistwillalsohelpcarrying
outdailytaskslikeassistingatthecounter.
Pharmacy assistantApharmacyassistantisresponsibleformostofthedailytasksatapharmacy.
Themaintasksofanassistantare:– processing prescriptionsWhenadoctorprescribescertainmedicationthisprescriptionwillbesendtoapharmacy.Theassistantmakessurethisprescriptionisprocessedintherightway.Itwillbeenteredinthedatabaseofthepharmacyinformationsystemwiththedataofthecorrespondingpatient.It’simportantthattheassistantchoosestherightpatient,therightmedicationandtherightdosage.Anyinteractionswithothermedicationsshouldbechecked.Processingtheprescriptionendsbyprintingthelabels.
– preparing medication for a patientWhentheprescriptionsareprocessedthemedicationneedstobeprepared.Theprescriptionneedstobematchedwiththerightmedication.It’simportanttotakeinaccountthedosageprescribedbythedoctorsothattherightnumberofpackagesaregiventoapatient.Theprintedinformation,themedicationleaflet,needstobechecked.Thelabelthatwasprintedaftertheprocessingneedstobeappliedtothepackageas
12
wellaslabelswithextrainformation;forexample‘notforinternaluse’or‘keeprefrigerated’.Itisalsothemomenttodoublecheckthepreviousstep,theprocessingoftheprescription:isthistherightmedicationfortherightpatientintherightdosage?
– helping and informing patients at the counterWhenapatientvisitsthepharmacyhemightrequireaprescribedmedicineoradviceonself-medication.
Incaseheneedsaprescribedmedicine,thepatientshouldbeinformedaboutthemedicationhe’sabouttouse.Thisincludesinformationaboutthewaythemedicationworksanditssideeffects.Anychangesinmedicationneedtobeexplainedtothepatient.Thedosageof
medicationmightbechangedbytheGPandthisneedstobeexplainedclearlytothepatientbythepharmacyassistant.
Whenapatiententersthepharmacywithaquestionaboutacertainillnessforwhichnoprescriptionisneeded,it’simportantthattheassistantgiveshimtherightadvice.ThisiswhentheWHAM-questionsareused:1.Whoneedsthemedication?2.ForHowlonghasthepatienthad
thesecomplaints?2.HasthepatienttriedAnythingelse?4.Doesthepatientuseother
Medication?
Byaskingthesequestions,theassistantwillbeabletogivetherightadvicetotreattheillnesswithoutoverlookinganything.
13
– processing ordersApharmacyprovidesmanydrugstomanypatientsonadailybasis.Torestockthepharmacycertainitemsneedtobeordered.Theseordersaredeliveredtothepharmacy’swholesaleretaileratnightsotheycanbeprocessedthenextmorning.
Thepharmacyinformationsystemusesparametersfororderingmedication.Assoonasacertaintypeofmedicinereachesacertainminimuminstock,itwillbeorderedautomatically.Wheninstallingtheseparametersthecostsandturnoverofthemedicationaretakenintoaccount.Whenthemedicationisbroughtin,itneedstobecheckedforthebestbeforedate,appearanceandwhetherit’stherightamount.Afteralltheseaspectsarechecked,themedicationisstoredawayattherightlocation.
– compounding medicationSomemedicationiscompoundedatthepharmacy,forexampleointments,creams,potions,capsulesandsuppositories.Whenaprescriptionforacompoundmedicinecomesin,thepharmacistwillfirstputupapreparationprotocol.Thisisadetaileddescriptionofthestepsneededtopreparetheproductandofhowthisprocesscanbemonitored.
Thepreparationwillbedonebytheassistantinaroomdesignatedforthispurpose.Afterthepreparation,theproductwillbecheckedbythe
pharmacistbeforeit’sdeliveredtothepatient.
Assistantsoftenalsohavecertainaspecificspecializationincertaindiseases.Forexample:diabetes,asthma/COPDordiseasesoftheheartorvessels.Ortheyarespecializedinmonitoringbestbeforedates,checkingmedication,supervisingthequalitymanagementsystemoraspecializationindruglegislation.
Pharmaceutical consultantThepharmaceuticalconsultantisresponsibleforcontrollingandsupervisingcertainprojectsinapharmacy,forexample:aprojectthatinformspregnantwomenabouttheuseoffolicacid.Furthermore,apharmacistcanchoosetodelegatesomeofhistaskstoapharmaceuticalconsultant.Likemakingworkschedulesandadministeringholidayentitlements.Beingapharmaceuticalconsultantisarelativelynewfunctionandonlyasmallnumberofpharmacieshaveone.IntheNetherlands,onecanbeeducatedasapharmaceuticalconsultantbyhighervocationaleducation.Thepharmaceuticalconsultantisthepharmacist’sright-handassistant.
DelivererThetaskofadelivererisdeliveringmedication.Allpharmaciesdelivermedicationathomewhenpatientsareunabletocomeandpickitupthemselves.MedicationisalsodeliveredtoGPhealthcenters.The
14
deliveryisafreeserviceofferedbythepharmacy.
Safety of employeesPreparingmedicationinapharmacymeansdealingwith(possibly)dangeroussubstances.Theemployeecarryingoutthepreparationsmightbeexposedtothesesubstancesandputhisorherhealthatrisk.Acombinationofthesetwofactors(toxicityandexposure)determinesthehealthrisk.
Exposuretodangeroussubstancesshouldbeavoidedasmuchaspossible.Inordertodoso,thefollowingmeasurescanbetaken:
•minimizingexposurethroughlocalventilation(safeworkbenches,adequatelaboratoryventilation)
•respiratoryprotection,glovesandsafetyglasses
•replacingcertainsubstances.Cantheprescribedmedicationbereplacedbyaready-madeproduct?
4.2. The Pharmacy as Business
u Apharmacyhas2sourcesofincome:throughtheso-calledprescriptionruleandthediscountonmedication.
Theprescriptionruleisafinancialcontributionapharmacyreceivesfor
executingtheproceedingsofeveryprescription.However,thiscontributionhasalwaysbeentoolowtocoverthecosts.Inthe80’stheStateSecretaryatthattimedecidedthatthisfinancialgapshouldbefilledbythepharmacies
15
themselvesthroughadiscountonmedication.
Thesediscountshavebeenunderpressuresince2008duetotheso-calledpreferencepolicyintroducedbyhealthcareinsurerstolimitcosts.Inshortitmeansthatpharmaciescannolongerindependentlydecideonwhatmedicinetheybuy,becauseofnationalcontractsfordifferentgenericmedicines.Thedrugthat’slowestinpriceispreferredbythehealthcareinsurerwhichcausescompetition.Asaresult,thecostsofmanygenericmedicineshavedroppedvigorously(sometimesevenby80%).Thedownsideofthesecontractsisthatmanypharmaciesgetintofinancialproblemsbecausetheprescriptionrulecannolongerbesupplementedbythediscountonmedication.
Thismeansthatinthefuture,thefocusofmanypharmacieswillmovefrombusinesstocare.Pharmacieswillgetpaidforthehealthcaretheyofferandnolongerfortradinginmedication.Inthenextfewyears,pharmaciesandinsureswillmakearrangementsaboutthis,withpharmacieshavingtomeetcertaingoals.
Amongothermeasures,pharmacieswillbeallowedtodeclareacertainamountofmoneywhentheygivetraveladvice,reviewthemedicationofachronicpatientorgivepatientsextraadvice.
Mostpharmaciesareclosedattheweekends,butpatientscanvisitaso-calledservicepharmacy.Thisistheresultofa,oftenregional,partnershipbetweenpharmaciesthatmakessurethatpatientscangettheirmedicationattheweekendswithoutallpharmacieshavingtoopentheirdoors7daysaweek.
4.3. Hospital pharmacy
u Everyhospitalhasapharmacythatprovidespatientsadmittedtothehospitalwithmedication.Besidesregulartreatmentsahospitalpharmacyoftenalsodealswithmorespecializedmedication.
Theassistantsworkinghereneedtopreparethemedicationforthepatientsinthehospital,processtheprescriptionsandcompoundmedication.
Oneofthemaindifferenceswithapublicpharmacyisthatapharmacyassistantworkingatahospitalhaslittlecontactwiththepatients,whereasassistantsinpublicpharmaciesdealwithalotofpatients.Inmanyhospitalsthisischangingthough,sopharmacyassistantsdohavemorecontactwiththepatients.
Thismainlyhappenswhenapatientisadmittedtoordischargedfrom
16
ahospital.Thepharmacylistsanychangesinmedicationandcommunicatesthistothepublicpharmacy,sothestafftherecancheckifnomistakesweremadeduringtheprocessofdischargingthepatientandwhetherthepharmacyhasafullmedicalreportonthepatient.
Hospitalpharmaciesalsodealwiththecompoundofmedicationmoreoften.Especiallymorespecializedmedicationlikeantineoplasticdrugsorgavage.Inordertobeabletoproperlycompoundthesetypesofmedication,pharmacyassistantsarefurthereducatedwithinthehospital.
CODE OF CONDUCT
1. Principles of profession1.1 AsapharmacyassistantI’mpersonallyresponsibleforthewayIworkinthe
pharmacyandprovidepharmaceuticalcaretopatients.1.2 AsapharmacyassistantIwillmakesuretomaintaintheknowledgeand
skillsbelongingtomyprofession.1.3 AsapharmacyassistantIwillonlyconductpracticesthatarewithinmy
professionalcompetence.1.4 AsapharmacyassistantIwillcontributetosafepharmaceuticalhealthcare.1.5 AsapharmacyassistantIwillsupportandinitiateactivitiesthatimprove
thequalityofpharmaceuticalcareandstimulatetheenhancementofmyprofession.
1.6 AsapharmacyassistantIwillsupportinternsandhelpthemincreasetheirknowledgeandprofessionalismaspharmacyassistants.
1.7 AsapharmacyassistantIwilladaptmyclothing,jewelleryandbodyarttothespecificdemandsofmyprofession.
1.8 AsapharmacyassistantIwillcontributetoaresponsiblewayofdealingwiththeavailablematerialsandmeans.
2. The pharmacy assistant and the consumer 2.1 Asapharmacyassistantmygoalistomakesurethateveryconsumergets
properpharmaceuticalcare.2.2 Asapharmacyassistant,myfocusisonpharmaceuticalcareandthe
interestsoftheconsumer.2.3 AsapharmacyassistantIwillprovidepharmaceuticalcarewhilepayingdue
respecttotheneeds,normsandvalues,culturalandphilosophicalbeliefsoftheconsumer.
2.4 AsapharmacyassistantIwillprovideatrustinghealthcarerelationwiththeconsumer(orhis/herrepresentative).
17
2.5 AsapharmacyassistantIwillacknowledgeandrespectconsumersaspartnersinhealthcare.
2.6 AsapharmacyassistantIwillprovidetheconsumerwiththerequiredinformation.
2.7 AsapharmacyassistantIwilldealwiththeconsumer’sdatainthepharmacyinformationsysteminaresponsibleandconfidentialmanner.
2.8 AsapharmacyassistantI’mawareoftheconsumer’srightsregardinghisdatainthepharmacyinformationsystemandIwilldealwiththemresponsibly.
2.9 AsapharmacyassistantIwilltreatinformationaboutconsumersconfidentially.
2.10 AsapharmacyassistantIwillrespectandprotecttheconsumer’sprivacy.2.11 AsapharmacyassistantIwillrespecttheprofessionalboundariesbetween
theconsumerandmyself.2.12 AsapharmacyassistantIhavetherighttorefusecertainpharmaceutical
activitiesbasedonpersonalconscientiousobjections.
3. The pharmacy assistant and other care-givers3.1 AsapharmacyassistantIwillworkwithothercare-giversinordertogive
theconsumertherequiredpharmaceuticalcare.3.2 AsapharmacyassistantIrespecttheexpertise,experienceandcontributions
ofothercare-givers.3.3 AsapharmacyassistantIwillsuperviseandguardthepharmaceuticalcare
concerningtheconsumer.3.4 AsapharmacyassistantIwillsupervisethequalityofpharmaceuticalcare,
evenafterdelegatingcertaintaskstoothercare-givers.3.5 AsapharmacyassistantIwillrespecttheprofessionalboundariesinmy
relationtoothercare-givers.3.6 AsapharmacyassistantIwillprotecttheconsumeragainstunethical,
incompetent,unsafeorotherwiseinadequatepharmaceuticalcarebyothercare-givers.
3.7 AsapharmacyassistantIwillsupportothercare-giverswhoencounterproblemswhenactingaccordingtothecodeofconduct.
3.8 AsapharmacyassistantIcontributetothedevelopment,implementationandevaluationofthe(quality)policyofthepharmacyororganizationIworkfor.
18
The “BIG” law (B= Beroepen (professions) I= Individueel (individual) G=Gezondheidszorg (health): protection of health and care professions and titles
Theprotectionofhealthcareprofessionsandtitlesmeans:
•Thatcertainprofessionsareregulatedbythegovernment
•Theworkingfieldoftheseprofessionsisregulated
•Thatthestudiesfortheseprofessionshavetomeetcertainlegaldemands
•Thatdiplomasobtainedthroughthesestudiesgivetheownertherighttousethetitleofthatgivenprofessionifheorsheregistersto“BIG”aftergraduation.
The“BIG”lawcontainsrulesandregulationsforexecutinghazardousprocedures.Asconsumers,peoplehavetobeabletorelyonthecare-givertoexecutetheseoperationsinaliablewayandasrequired.Thismeansthatpharmacyassistantsarenotallowedtodecidetoexecutecertainregulatedprocedures.Theyalwaysneedpermissionfromadoctororapharmacistfirst.
There’sadisciplinaryboardtoregulatehighqualityhealthcare.Anassistantcanneverbecalledtothedisciplinaryboardaftermakingamistake,asitisthepharmacistwhowillbeheldresponsible.
Student’s description of the jobA day in the life of a pharmacy assistantAsapharmacyassistantyoucanworkindifferentworkingenvironments:inapublicpharmacy,ahospitalpharmacyorinpharmaceuticalindustry.
Whatdoesapharmacyassistantdoonaworkingday?Thatdependsonthetypeofpharmacyyou’reworkingat.Andalothaschangedinthepharmacies.Thecompoundofmedicationissomethingthatalotofpharmaciesdon’tdoanymore.Andmanythingshavebeenautomated,withthehelpofarobotorcomputer.
Below,youwillfindareportonanaverageworkingday.Iworkina
19
pharmacyfrom8.30AMuntil5.30PM.Thepharmacyisopenfrom8.00AMto6.00PM.
Duringmypracticaltraininginthepharmacy,Iexperiencedthateveryonehasadifferenttaskeveryday.Mydaystartedbylookingupwhatmytaskofthatdaywouldbe.Insomepharmaciesitcanbebusierthaninothers.That’swhythedistributionoftaskscandiffer.Inonepharmacyyouwillanswerthephonewhileyou’reprocessingtheprescriptions.Butinanotherpharmaciesthephonewouldringconstantlysotheyhadanemployeetoanswerphonecallsonly.Otherwisetherewouldbenotimetoprocesstheprescriptions.
8.30AMTodayIstartbycheckingandclearingawayanorder.Icheckwhethereverythingweorderedhasbeenbroughtin,ifanythinghasbeendamagedandthebestbeforedatesontheitems.Onceallthishasbeenchecked,theitemscanbestoredattherightplace.Weusuallydothiswithafewassistants.Itemsweneedforprescriptionsareputwiththatparticularprescription.
Today’sorderwascompleteandtherewasnothingwrongwithit.
9.30AMNextIwillhelpprocessingtheprescriptions.Thistaskinvolvesadministeringtheprescriptionsthathavebeenbroughtininthemorningor
putinthemailboxbypatients.Ichecktheprescriptionstoseeifthedosagesarerightandifcertainmedicationcanbecombinedwithothermedicines.Todoso,Iusethepharmacyinformationsystem.Isearchforaparticularpatientandadministerhisprescription.Incasethere’saninteractionwithothermedication,Iwilldealwiththataswellanddiscussitwiththepharmacistifnecessary.
Asapharmacyassistantyouwillbedoingthismostmorningsandmoveontoanothertaskintheafternoon.
10.00–10.15AMBreak
10.15AM–12.00PMAfterthebreakItakeashiftatthecounter.Mostofthetimes,therewillbe2ormoreassistantshelpingpatientsatthecounter.Thisdependsonhowbusythepharmacyis.
Whenworkingatthecounter,youwillhelppatientswiththeirmedication.Youinformandadvisethemandexplainhowcertainmedicationworks.Workingatthecountermeansyouneedtobefriendly,carefulandprecise.Butthisgoesforprettymucheverythingapharmacyassistantdoes.It’salsoimportantyou’regoodatco-operatingandcommunicatingtopreventmisunderstandings.
AlotofpatientsstopbythepharmacyafteravisittotheGP.Inthatcase,you
20
havetoadministertheprescriptionfirst,beforehandingoverthemedication.
Today,acoupleofpatientscomplimentedmeonmyservicewhichwasreallyniceofcourse.ButIalsohadtodealwithanangrypatient,becausehismedicationwouldnotbefinanciallycompensated.ItriedtoexplainthesituationtohimaswellasIcouldbuthestillwasn’tveryhappyaboutit.Eventually,hedidpayforhismedication.
12.00–13.00PMLunchbreak.
13.00–15.00PMAfterlunch,Istartpreparingpackages.Itakemedicationfromadrawer,counttherightamountandlabelit.Icheckifeverythingisregisteredinthepatientinformationsystem.Icheckthedosageontheprescriptionaswellasonthelabel,andofcourseifit’sfortherightpatientandfromtherightdoctor.
15.00–15.15PMBreak
15.15–17.30PMInthisparticularpharmacy,theyalsoprepareandcompoundmedication.Thistakesalotmorethanjustmixingsomeingredients.Therearecertainrulesandyouneedtofollowastrictprotocoltomakesureyourpreparationwillbeapproved.Youneedtheauthorizationofthepharmacistbeforestartingthecompound.Therearedays
thattherearenoneornotthatmanycompoundmedicinesneeded.Inthatcase,thatparticularassistantwillhelppatientsatthecounterorhelpprocessingorpreparingprescriptions.
Today,Ihadtomakeafewointmentswhichwereallapprovedbythepharmacist.
17.30PMEndofworkingday.
A day in the life of a pharmacy assistantThepharmacywaseasytoreachbybus.Myworkingdaywouldstartat8.45AMandendat17.15PM.
8:45–10:30AMAt8.45Istartedbyclearingawaytheorders.Ihadtotakethemedicinesoutoftrays.FirstItookoutthemedicationforprescriptionsthathadbeenbroughtinearlier.Iscannedthemandcheckedthepaperworkfromthedistributor,afterwhichIbroughtthemedicationtothepharmacy.Imatchedthemedicineswiththerightprescriptions.Anotherpharmacyassistantstartedmakingpackagesfortheprescriptions.
Icontinuedclearingawaytheorders.IusedtoscantheincontinenceproductsfirstsoIcouldclearawaythebigboxes.ThenIcontinuedwiththeregularproductsthatneededtobeputindrawers.AnotherpharmacyassistantandIcheckedtheorders.SometimesIencountermedicationthatwasn’t
21
orderedandfindsomethingthatwasorderedmissing.Inthatcase,Iusedtocontactthedistributorandgivethemthecodeoftheorderandthenameofourpharmacy.Theywouldnormallytellmetherightmedicationwouldarrivethenextday.Afterthat,Icouldclearawaythepaperworkandstartstoringtheproductsthatweredelivered.
WhileIwasclearingawaytheorders,thefirstgroupofpharmacyassistantswasallowedtotakeabreak.Ifnecessary,IwouldputwhatIwasdoingonholdtogoandhelppatientsatthecounter.
10:30–10:45AMBreak.
10:45–13:00IfIhadn’tbeenabletocleartheentireorderawaybeforemybreakIwouldfinishthatfirst.Afterthat,Istartedpackingtheprescriptions.Iscannedthemedicationthatmatchedtheprescriptionsandputlabelsontheboxes.Beforeputtingeverythinginpackages,myworkneedstobecheckedfirst.Oncetheprescriptionsthatwerebroughtinearlierwereready,Istartedworkingonotherprescriptions.Itookmedicinesfromthedrawersandmatchthemwiththerightprescription.Iscannedthemandlabeledthem.Afterawhile,IwasallowedtoentertheprescriptionsinPharmacom,thepharmacyinformationsystem.Themedicationwouldbe
addedtothedataofaparticularpatientandIwouldimmediatelycheckifitthesemedicineswereright.
13:00–13:30PMLunchbreak
13:30–15:30PMAfterthelunchbreakIwasallowedtohelppatientsatthecounter.Somepatientscametocollectaprescriptionthatwasbroughtinearlier,whileothershadaprescriptionfromthedoctorwiththem.Inthatcase,IneededtoenterthedatainPharmacomandpreparetheprescription.Whenapatientreceivedmedicationhe’dneverusedbeforeIwouldexplaintheuseoftheproductanditsmainproperties.Therewereclientswhowantedtobuyproductsfromthepharmacy’sstore.Forexampletherewasaladywhocameintobuynasalspray.IrecommendedXylometazolinetoher.Iexplainedtothisladyhowtousetheproductandsoldittoher.
15:30–15:45PMBreak.
15:45–17:15PMAftermycoffeebreakIcheckedwhatnecessarythingstherewerelefttodointhepharmacy.MeanwhileIcheckedtheproductsinthedrawersfortheirexpirationdate.AfterhavingdonetworowsIhadtogoandprepareprescriptions.Ididthisuntil17.15PMwhenmyworkingdayendedandIwasallowedtogohome.
22
A day at internship09.00AMIstartmyworkingdaybyputtingonpharmacistattire.TheorderhasalreadybeenunpackedbyanassistantandIputeverythinginthedrawers.
09.45AMAftertheorderhasbeenclearedaway,Istartworkingondeliveries.Itaketheboxthatlieswiththeprescriptionortakemedicationfromadrawerandscanitatthecomputer.Whenanopiateneedstobedelivered,Iincludealetterthatneedstobesignedbytherecipient.Icheckthename,addressanddateofbirthandgetabag.Ilabeltheboxandthebag.Thiswilllaterbecheckedbyanassistant.Istartwiththeseprescriptionsastheyneedtobereadybeforenoonsotheycanbedelivered.
10.30AMCoffeebreak
10.45AMAfterthebreakIcontinuepreparingthedeliveries.
11.30AMAfterfinishingthedeliveries,Istartwiththeprescriptionsthathavebeenorderedinadvance.Thisisprettymuchthesameasworkingondeliveriesexceptforthefactthattheydon’tneedaddresslabelsandopiateletters.
13.00PMLunchbreak.
13.30PMAfterlunch,Icontinuepreparingtheorderedprescriptions.AfterthatIstartwiththeprescriptionsthatcameintoday.Theseprescriptionsaren’tputtogetheryetandthemedicationsareputinatray.Thesemedicationshaven’tbeenputinboxesyetsoIneedtogettherightboxesfortheprescriptionsfromadrawer.Therestisthesameaswiththeotherprescriptions.
15.30PMCoffeebreak
15.45PMAfterthelastbreakI’mallowedtoworkatthecounterwithasupervisor.Whenclientscomein,IaskthemhowIcanhelpthem.Someclientshaveprescriptionswiththem;otherscomeinformedicationthatdoesn’trequireaprescription.Somecomeintopickupthemedicationtheyordered.Whentheyonlyneedapre-orderedmedication,Iaskforthenameandaddressofthepatientandpicktheirprescriptionfromatray.Thisprescriptioncomesinabagwithalocationonit.ThislocationtellsmewhereIcanIfindthemedication.Icheckthename,dateofbirthandaddress.Atthecounter,ItellthepatientwhichmedicationI’mgivinghim.Ifthepatienthasnofurtherquestions,hecantakethemedicationhome.
Whenaclientcomesinwithaprescription,Iwillputthatdataintothecomputersystem.Thesystem
23
checksifhehasusedthismedicationbeforeandifitcanbecombinedwithothermedicines.Wheneverythingischecked,Icangoonandpreparetheprescription.ThenIhandthemedicationtothepatientatthecounter.Ifthepatientisusingthemedicationforthefirsttime,Iwillexplainitsuseandpropertiesfirst.Ifthepatienthasuseditbefore,IwillonlyinformhimaboutwhichmedicationI’mgivinghim.
Ifapatientdoesnothaveaprescription,Ilookinthecomputersystemtoseeifhe’susedthismedicationbefore.If
so,Icheckifthemedicationcanbehandedoutagain.Ifso,Iwillpreparetheprescription.Ifnot,thepatientwillhavetogoandgetaprescriptionfromthedoctor.
Allthistimeanassistantwillbecheckingonme.IcanalwaysaskherifIamdoingsomethingwrong.Inthatcaseshewillcorrectme.
17.00PMThisistheendofmyworkingdayandI’mallowedtogohome.
Legislation affecting Pharmacy practice in the NetherlandsTheMedicalTreatmentContractsAct(WetGeneeskundigeBehandelingsovereenkomst-WGBO)wascreatedtogetmoregriponmedicaltreatments.Accordingtothislaw,apatientneedstoagreetoatreatmentfirst.Naturally,thisalsoappliestotreatmentsinvolvingmedication.
Treatment ContractWhenapatientauthorisesatreatmentthisisconsideredasanagreement.Inmostcasesthisagreementstandsforalongerperiodintimeandapatientwillnothavetoauthoriseeverynewprescription.Informationaboutpatientsarefiledinthepatient’sdossier.Inapharmacy,mosttreatmentcontractsare
5. Legislationclosedbypharmacyassistantswhoactonbehalfofthepharmacist.
There’sapossibilitythatthetreatmentcontractisregistered.Patientsthathandinpresciptionsoraskforadviceormedicationatapharmacywillautomaticallyauthoriseanagreement.
Rights and obligationsRights of the patient1.Righttoinformation
•Aboutpossibleside-effects
•Aboutpossiblealternatives
•Onwhenthemedicationwillstartworking
2.Righttoadequatetreatment
•Thepharmacistdoeseverythinghecantochoosetherightmedicationforapatient
24
3.Righttoprivacy4.Righttosecrecy
•Informationaboutapatient,obtainedbythepharmacyassistantorapharmacy,cannotbeshared.Thepatient’sdossierisopentodoctorsandpharmacistsonly,ifauthorisedbythepatient.
5.Righttoviewownmedicalfiles
Obligations of the patientThepatientisobligedtoinformthepharmacistabouteverythingthatcouldbebeneficialtothetreatment.Forexample:–Allergies,useofothermedication,etcetera
Thepatientisalsoobligedtopayforthetreatment.Mostexpensesarecoveredbyhealthinsurancebutinsomecasesthepatientwillhavetopayformedicationthatisnotpaidforbytheinsurancecompany.
Obligations of the pharmacist1.Toprovideinformation
•Aboutpossiblealternatives
•Aboutpossibleside-effects
•Abouthowthemedicationworks
•Onwhentheeffectofthemedicationcanbenoticed
2.Toaskthepatienttoconsenttothetreatment,asnoticedabove
3.Tomaintainthepatient’smedicalfiles(allfileswillbesavedfor15years)
4.Toguardtheprivacyofthepatient
Rights of the pharmacistThepharmacistisallowedtobreakanagreementforcompellingreasons.In
thatcase,thepatientshouldbereferredtoanotherpharmacy.
The BIG law and the pharmacistApharmacistisonlyallowedtocarrythistitleaftergraduatingasapharmacistandbeingregisteredintheBIGregister.ThelawonProfessionsinIndividualHealthcare(BeroepenindeIndividueleGezondheidszorg-BIG)protectspatientsfromimproperandcarelessactionsbypeopleworkinginhealthcare.
Inspection on Healthcare Services (Inspectie voor de GezondheidsZorg – IGZ)TheIGZsupervisesthequalityofmedicationandhealthcareprovidedbypharmacies,GPsofferingpharmacyservicesandhospitalpharmacies.Thissupervisionisaimedatmaintaininglegalprovisions,promotingmedicationsafetyandatthequalityoftreatmentsforillnessesanddiseasesusingmedication.
OHS legislation (Occupational Health and Safety)EmployersareobligedtoabideOHSlegislation,soemployeescanworksafelyandinahealthyenvironment.Potentialrisksinapharmacist’sworkingcultureare:
•Physicalrisks
•Fallhazardsandbumphazards
•Psychologicalandsocialstress
•Preparingmedication
25
Supervising the quality and hazards of medication (pharmacovigilance)Sometimesmedicationcanimposeahealthrisk.It’sthetaskoftheDutchministeryofPublicHealth,WelfareandSports(VWSinDutch)toguaranteethequalityandsafetyofmedication.
Beforeamanufacturercanbringamedicineontothemarket,itwillbetestedonitseffectiveness,qualityandpotentialrisks.TheMedicinesEvaluationBoard(CollegeterBeoordelingvanGeneesmiddelen-CBG)willmonitorwhichmedicinescanbelaunchedontothemarket.Sometimes,medicationdoesn’tshow
itsside-effectsuntilit’sactuallyinuse.Anational,aswellasaEuropeanmonitoringsystemregistersandresearchesunknownandunsuspectedinteractionsbetweenmedicines.IntheNetherlandthisisdonebyLarebPharmacovigilanceCentre.LarebinformsCBGaboutside-effects.CBGwillsuperviseanyfurtherresearch.
Dutch Medicines ActTheDutchMedicinesAct(2007)containsregulationstostimulatethesafeuseofmedication.Doctorsandpharmacistsareobligedtoreportsevereside-effectsandtherearerulesforprescribingmedicationovertheInternet.
www.arbo-apotheek.nl
www.rijksoverheid.nl
www.apotheek.nl
www.knmp.nl
www.igz.nl
www.optimafarma.nl
6. References
26
Primary education(primaryschool):obligatoryforallchildrenfromtheageof5-12.Mostchildrenstartattendingschoolattheageof4
Secondary education(secondaryschool):Differentlevelsofeducationforchildren(12andup)
DNHS:DutchNationalHealthService
WHAM questions:WhoneedsthemedicationForHowlonghasthepatienthadthesecomplaintsHasthepatienttriedAnythingelseDoesthepatientuseotherMedication
COPD:ChronicObstructivePulmonaryDisease
BIG (law):Beroepen(professions)Individueel(individual)Gezondheidszorg(health)=protectionofhealthandcareprofessionalsandtheirtitles
IGZ:InspectievoordeGezondheidszorg=healthcareinspectorate
VWS:MinisterieVolksgezondheidWelzijnenSport=ministryofhealthcare,socialwelfareandsport
CBG:CollegeterBeoordelingvanGeneesmiddelen=evaluationofmedicines
Lareb=TheNetherlandsPharmacovigilanceCentreLarebcollectsandanalysesreportsofadversereactionsofmedicinesandvaccines
7. Glossary
27
Appendix:
Training and courses for pharmacy assistants in the NetherlandsKellebeekCollege Etten-LeurArcusCollege HeerlenROCGildeOpleidingen VenloROCSchoolvoordezorgsector EindhovenKoningWillem1College’s HertogenboschROCZeeland GoesDaVinciCollege DordrechtAlbedaCollege RotterdamROCZadkine RotterdamROCMondriaan Den-HaagIDCollege LeidenROCNOVACollege HaarlemROCvanAmsterdam AmsterdamRegioCollegeZaanstreek ZaandamROCHorizonCollege PurmerendHorizonCollege AlkmaarROCMiddenNederland UtrechtROCASA AmersfoortROCNijmegen NijmegenRijnIJsselCollege ArnhemROCFlevoland LelystadROCAventus DeventerROCvanTwente HengeloROCvanTwente AlmeloDeltionCollege ZwolleAlfaCollege HoogeveenROCFriesePoort LeeuwardenNoordepoortCollege Groning
This handbook for students has been produced within Leonardo da Vinci-programme as a transfer of innovation project “Learning Materials for Pharmaceutical Assistant’s annd Technician’s Foreign Work Placements”,
acronym PHARLEMA (2011-1-FI1-LEO05-06161) during 01.10.2011– 30.09.2013. The publication has been co-funded by the European Comission. The Commission accepts no responsibility for the contents of the publication.
The Netherlands
Pharmaceutical Assistant’s and Technician’s Work Placements
Kellebeek College
Acknowledgements
This handbook has been produced by Mrs. Angela Deelen and Mrs. Gerda van der Meer, who offer grateful thanks to the following for their guidance, support, donation of appropriate materials and proof reading for accuracy of this package of information.
All materials of the project are downloadable for free from partner colleges’ websites:• www.bmetc.ac.uk/home.aspx• http://hesotenet.edu.hel.fi/english/etm2/pharlema/index.htm • www.kellebeek.nl• www.ssfkz.si• http://www2.stjohnscollege.ie/• www.ttk.ee
Copyright is the property of all partnership colleges represented by Kellebeek College, the Netherlands. Altering of the materials is prohibited without permission from the partnership group represented by Kellebeek College.
• Students of Kellebeek College Mr. Samir Madjidzada, Ms. Fleur Toonders, Ms. Milou Melis, Ms. Indy Stornebrink, Ms. Özge Cekic, Ms. Macy Verhappen, Ms. Sharon Hazelhoff, Ms. Pebbles Geldtmeijer, Ms. Britte Rood, Ms. Jasmijn van Ginkel, Ms. Risha Adolph, Ms. Kristel Elst, Ms. Ghislan El Mokhtari, Ms. Anissa Peemen, Ms. Wies Kleemans, Ms. Eefje Huijtker and Ms. Marieke van Vugt
• ROC Aventus Apeldoorn-Deventer-ZutphenMrs Erica van den BuijsMrs Anneke Bongers
• Da Vinci College DordrechtMrs Arlette BarlochieMr Jeffrey Hogendorp
• PharmasistsMr Frank JochemsMr Klaas Bos
• Birmingham Metropolitan CollegeMr Robert BiggsMrs Deborah CooperMrs Karen Socci
• Helsinki Vocational College, Welfare SectionMr Matti RemsuMrs Asta LehtinenMrs Kirsi Rosenqvist Students of HVC: Ms. Heidi Kontiainen and Suvi Lahtinen
• Srednja šola za farmacijo, kozmetiko in zdravstvoMrs. Ljubica Gabrovsek Mrs. Katarina VrhovnikStudents of SSFKZ: Mr. Marko Koželj and Mr. Rok Žnidaršicv
St. John’s Central CollegeMrs. Sarah MagnerMrs Majella O´DriscollStudents of SJCC: Ms. Julia Schade, Ms. Yvonne O’Brien and Ms. Crystal McCarthy
• Tallinn Tervishoiu KõrgkoolMrs. Merle Kiloman and Mr. Alar SeppStudents of TTK: Ms. Kristi Lemmik, Ms. Liis Märss and Ms. Karolin Nõmm
• Coordination of the project: Mr. Matti Remsu, Helsinki Vocational College• Editing and layout: Rhinoceros Ltd