Professional Documents
Culture Documents
Edition 2021
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Health Science Academy©
This courseware was developed by Health Science Academy (HSA) and co-authors for use
by learners.
No part of this publication may be reproduced, stored in retrieval system, or transmitted, in
any form or by any means, electronical, mechanical, photocopying, recording or otherwise,
without the prior permission of the copyright owner.
Every effort has been made to ensure complete and accurate information concerning the
material presented in this course. HSA cannot be held legally responsible for any mistakes
in printing or for faulty instructions contained within this course. HSA appreciates receiving
notice of any errors or misprints.
Information in this manual is subject to change without notice. Companies, names and data
used in examples herein are fictitious unless otherwise noted.
The copyright in the documents supplied herewith, including but not restricted to the manuals
and programs in hard copy and in machine readable form, vests in Health Science Academy
(Proprietary) Limited in terms of the Copyright Act No. 98 of 1978, and the Berne Convention.
The client undertakes not to reproduce or permit the reproduction thereof without the prior
written consent of Health Science Academy (Proprietary) Limited, Knowledge Park, 173 Mary
Road, The Willows, Pretoria 0184.
Tel: 087 821 1109 Fax: 081 680 0671
References available on request
Edition 2020
Authors: Tessa Mcwilliam
Laetitia Crause
Edition 2021
Review: Laetitia Crause; Avril Lewis; Tessa Mcwilliam
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DISPlc2021_Dispensing Learner Guide
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Contents
Introduction ............................................................................................................... 4
ID document .............................................................................................................. 8
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Introduction
To qualify for the course competency certificate, an assessment result of Competent,
(according to SAQA principles), is required for
• the portfolio of evidence
• the summative assessment which includes
o a written (multiple choice questions) and
o the practical component (dispensing practical demonstration).
Your portfolio will be sent to an assessor and moderator for marking.
If you are deemed Not Yet Competent in any of these assessments by the assessor, you
will need to pay a re-assessment fee in order to submit a re-write.
Should you wish to appeal any of the results, this has to be done within one week from the
results being communicated to you. An appeal form is available from HSA.
Participants who fail to complete the course within 6 months from registration, will have to
re-register for the course. A fee is payable on re-registration.
If the course is not completed after 2 years, a full course fee will be due
Your course certificate will be forwarded to you by post approximately one month after the
Successful completion of the summative assessments and all financial obligations have been
met.
Should you have any questions or experience any unforeseen delays, please contact Health
Science Academy on 087 821 1109.
All personal information and results will be collected and used according
to the rules of the POPI Act
The learning activities in the Learner Guide must be completed and included in a portfolio.
This portfolio must be submitted to Health Science Academy. All portfolios must be completed
in pen and not pencil. Use the spaces in your Learner Guide to answer the questions.
The learning activities are a set of specific circumstances that are presented and must be
answered in the light of the knowledge that you have acquired. Include any evidence or proof
that may be needed to convince the assessor that you have insight and understanding of the
topic.
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Please note that we are not assessing your facility or current procedures, but rather your
understanding of dispensing. It is therefore acceptable for you to create evidence to prove
your understanding of the learning activity, e.g. patient information may be made up to show
understanding of good record-keeping.
Completion of the learning activities serve as a further learning process beyond the
knowledge that you have gathered form the Resource Guide and will help you to answer the
multiple-choice questions better.
The portfolio will be evaluated by pharmacists registered as assessors and moderators with
the South African Pharmacy Council (SAPC).
In order to complete the course in Dispensing of medicines by healthcare professionals,
please follow the following steps:
Step 1
Study the study material found in the Resource Guide.
Step 2
Using the knowledge from the Resource Guide, compile a portfolio of evidence in the
Learner Guide by completing the learning activities.
Step 3
Submit the portfolio, on the day of the practical exam or when indicated by the course co-
ordinator.
Dispensing license
Being in possession of a Dispensing Licence means that:
• Doctors may write and dispense their own prescriptions.
• Nurses with the required specialisations (Primary healthcare/occupational health/other)
may write and dispense their own prescriptions for specific medicines and conditions
under the authority of a medical practitioner:
Refer section 56(6) of the Nursing Act, 2005 (Act 33 of 2005)
• An application form for a licence to dispense in terms of Section 22(A) of Act 101 of
1965 (authorised prescribers) is available in the Resource Guide (Annexure A).
Complete this and submit it to the Department of Health.
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All of the specific outcomes addressed below are a result of the combined
learning from the Resource Guide, the Learner Guide (Portfolio), the multiple-
choice questions and the dispensing practical demonstration.
Specific outcome 1
Identify and apply ethical, legal and therapeutic considerations in all facets of dispensing
Assessment criteria
• Prescription is authenticated, interpreted, validated in terms of its date, prepared for
dispensing and advice given to patients as per legislative requirements.
• Prescription is dispensed taking into account socio-economic, ethical, equity and
professional practice considerations.
Specific outcome 2
Evaluate prescription and access/ create patient profile
Assessment criteria
• A patient profile detailing personal, clinical and medication information is
compiled/reviewed.
• Prescription contents are interpreted and validated in terms of appropriateness for the
individual.
• The patient/caregiver is informed of the benefits of the substitution for a branded
medicine by an interchangeable multi-source medicine (when applicable).
• Prescription modifications and anomalies are addressed through communication with
patient/caregiver and/or prescriber.
Specific outcome 3
Dispense the prescription
Assessment criteria
• Prescriptions are prepared as per good dispensing practice and techniques.
• Professional records are maintained as per legislative requirements and according to
Good Pharmacy Practice guidelines.
• Medicine is handed to the patient/caregiver in a professional and ethical manner.
Specific outcome 4
Manage the procurement and storage of medicines
Assessment criteria
• Items and quantities of medicines are procured according to legislative requirements,
procurement policy and patient needs.
• The integrity and quality of the medicines received is according to legislative and
documentation requirements (scheduled products etc.).
• Stock shortages and breakages are identified and managed according to standard
operating procedures.
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Assessment methods
The learner will be deemed competent when the following assessments have been
completed successfully:
• Multiple-choice questionnaire
• Portfolio of evidence
• Practical evaluation.
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ID document
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Name
Signature
Date
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2. Record your findings in the spaces provided under the guiding sub-headings.
3. For each of your findings, indicate how you would rectify any discrepancies you found.
4.1 rewrite the prescription as though you are the prescriber and dispenser, to meet
the requirements for legality, authenticity, validity, and appropriateness.
4.2 indicate at the bottom of the rewritten prescription that you have dispensed the
medicines on this prescription to declare full responsibility that, as a licensed
dispenser, you have dispensed your prescription in terms of Act 101.
Please refer to Study Unit 4 of the Resource Guide for the points which need to be checked
under:
• Legality
• Authenticity
• Validity
• Appropriateness.
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Prescription 1 (91)
Modudu Ngobeni
Dr L Tsahbalala
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Legality
Is it legal?
• Prescription date:
• Prescriber’s details
- Name:
- Qualifications:
- Address:
- Signature:
• Patient details
- Name:
- Age:
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- ID number:
- Address:
• Medicine
- Name:
- Strength:
- Dosage form:
- Quantity:
• Instructions:
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• Repeats:
Authenticity
Is it authentic?
• Suspicious components (e.g., changes made, quantities prescribed, high risk medications)
Validity
Is it valid?
• Repeats:
Appropriateness
Is it appropriate?
• Dosage
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Cepodem®:
1. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
2. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
Probiflora®:
1. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
2. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
• Special precautions (e.g., chronic conditions such as diabetes, renal failure, etc).
Research any 2 special precautions for each medicine using any reference material (e.g. MIMS,
SAMF, Drugs.com) and name the reference you used in the provided space.
Cepodem®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
Probiflora®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
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Cepodem®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
Probiflora®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
Cepodem®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
Probiflora®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ……………………………………………………………………………………...
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2. ………………………………………………………………………………………………………….
3. ………………………………………………………………………………………………………….
Probiflora®:
1. ………………………………………………………………………………………………………….
2. ………………………………………………………………………………………………………….
3. ………………………………………………………………………………………………………….
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Prescription 2 (59)
Dr L Tsahbalala
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Legality
Is it legal?
• Prescription date:
• Prescriber’s details
- Name:
- Qualifications:
- Address:
- Signature:
• Patient details
- Name:
- Age:
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- ID number:
- Address:
• Medicine
- Name:
- Strength:
- Dosage form:
- Quantity:
• Instructions:
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• Repeats:
Authenticity
Is it authentic?
• Suspicious components (e.g., changes made, quantities prescribed, high risk medications)
Validity
Is it valid?
• Repeats:
Appropriateness
Is it appropriate?
• Dosage
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Spersadex®:
1. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
2. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
DF118®:
1. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
2. ……………………………………………………………………………………………………
Reference: ……………………………………………………………………………………..
• Special precautions (e.g., chronic conditions such as diabetes, renal failure, etc).
Research any 2 special precautions for each medicine using any reference material (e.g. MIMS,
SAMF, Drugs.com) and name the reference you used in the provided space.
Spersadex®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
DF118®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
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Spersadex®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
DF118®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
Spersadex®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
DF118®:
1. …………………………………………………………………………………………………….
Reference: ………………………………………………………………………………………
2. …………………………………………………………………………………………………….
Reference: ……………………………………………………………………………………...
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2. ………………………………………………………………………………………………………….
3. ………………………………………………………………………………………………………….
DF118®:
1. ………………………………………………………………………………………………………….
2. ………………………………………………………………………………………………………….
3. ………………………………………………………………………………………………………….
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Re-write the prescription for Ms Llang Molisa as though you are an authorised prescriber and
licensed dispenser, using your current practice address or home address as though it is a
practice address.
In the bottom block, indicate that you have dispensed this prescription to declare full
responsibility that, as a licensed dispenser, you have dispensed your prescription in terms of
Act 101.
Dispensing “label”
Date Dispensed: ………………………………………………………………………………..
Signature: ………………………………………………………………………………………..
Reference number: ……………………………………………………………………………..
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Please note
Please refer to the Resource Guide for the legal requirements for labelling.
Remember the specific warning statements which need to be included on the
labels of the various types of dosage forms.
Please note that the product’s packaging is not deemed to be a label. You
must create your own labels in accordance with legislative requirements,
including reference numbers, warnings and guidelines to ensure patient
compliance.
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Please note
Please note that supplying a patient record or file will not be deemed
competent as this does not constitute the required record of the sale of the
medicine. Do not just give theory.
You must be able to critique your current record system or create your own
record system in accordance with legal requirements as specified in the
Resource Guide. The record must have all the required patient details and
signatures.
Note that prescription records require reference numbers.
For this exercise use only those tables that apply to the medicines on
Prescription 1
Name and ID of Name of medicine Name (and Date and reference no.
patient and quantity supplied signature) of if applicable
dispenser
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Facility name:
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Tip
• If one spray supplies 50 ug (micrograms), how many sprays will supply 100
micrograms?
• To supply this twice a day, how many sprays are required per day?
• Sixty days are called for, therefore how many sprays are required?
• Will one container meet this requirement?
• Can you supply a part container?
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Calculation 2 (6)
The following regimen for oral prednisolone tablets is prescribed for a patient:
50 mg/day x 10 days; 25 mg/day x 10 days; 12.5 mg/day x 10 days; 5 mg/day for 10 weeks.
How many scored 25 mg tablets and how many 5 mg tablets should be dispensed to meet
the dosing requirements? A tablet is scored if it has a groove(s) to indicate that it may be
broken and to aid in breaking it.
Note: In the government / public sector only 5 mg tablets of prednisolone are available.
However, in the private sector 25 mg tablets are available. Scored means that the tablets
have a line across them, on one side, so that you can break them in half evenly.
Calculate how many tablets of each strength are required. Good Dispensing Practice requires
that the smallest number of tablets should be dispensed. You must combine the two strengths
of tablets you dispense.
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For this learning activity, the PIL provided is written in one language. The PIL should always
be written in a patient-friendly manner and should be aimed at a reader who has Grade 10
education.
INSTRUCTIONS FOR LEARNING ACTIVITY 5 (6)
You have been provided with a PI and PIL for a beclomethasone inhaler. Answer the
following:
• In your opinion which of the two documents (PI or PIL) would promote patient
adherence?
2.
3.
4.
5.
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Package insert
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On the picture, indicate the discard point where the vaccine cannot be used any longer.
Question 2 (5)
You have a fridge with a freezer compartment. Indicate where you will place the following
products by placing the corresponding number in the table
1. Door shelf in the fridge
2. Bottom shelf in the fridge
3. Middle shelf in the fridge
4. Top shelf in the fridge
5. Freezer compartment of the fridge
6. Not in the fridge
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Food
Ice packs
Question 3 (11)
Taking into consideration the checklist for supply management available in the Resource
Guide, indicate how you will manage:
Returned goods
Security of stock
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TOTAL: 271
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