© 2010 delmar, cengage learning. all rights reserved. chapter 2 ethics in pharmacy practice...
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© 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Chapter 2
Ethics in Pharmacy Practice
Jahangir Moini, MD, MPH, CPhT
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© 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Overview
• A code of ethics publicly states the principles forming the fundamental basis of roles and responsibilities in specified field – For pharmacists – established by American
Pharmaceutical Association – For pharmacy technicians – established by
American Association of Pharmacy Technicians
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Ethics, Morals, and Values
• Ethics – sets of principles of good conduct; systems of moral values
• Morals – good principles or rules of conduct; more important socially than values
• Values – desirable standards or qualities, or rules about right and wrong
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The Relationship between Ethics and the Law
• Law is designed to protect society and help it function efficiently
• Ethics are designed to assure adherence to standards, and raise competence levels, and build values
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Professional Ethics
• “The profession’s interpretation of the will of society for the conduct of the members of that profession augmented by the special knowledge that only the members of the profession possess.”
• Professional ethics concerned primarily with moral issues and responsibilities
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Code of Ethics for Pharmacists
• Authored by American Pharmaceutical Association
• Based on moral obligations
• Designed to establish guidelines for professional ethical behavior
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The Patient-Pharmacist Relationship
• Must be based upon honesty and trust
• Patient must be comfortable discussing complete medical history
• Pharmacist must ensure confidentiality of information entrusted to him or her
• Counseling is key to eliminating medication errors and establishing trusting relationship
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Patient Advocacy
• Patient advocates can assist with choice of health care, getting information, discussing treatments, and many other areas
• Patient’s health and well-being must remain the focus of work
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Respect for Patient Autonomy
• Autonomy is ability or tendency to function independently
• Patients must be allowed to decide on medical care without undue influence from health care providers
• Informed consent requires patient to be competent to make health care decisions after receiving accurate information
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Professional Competence
• Achieved over time with continued learning and development
• Involves keeping abreast of new technologies, developments, and latest medical publications
• Measured with specialized testing, (written exams, reviews by peers, self-assessment)
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Respect for Other Colleagues
• Always treat colleagues with respect
• Discrimination results in no positive results
• Challenge colleagues when they behave in less-than-professional ways
• Any unethical behavior shows lack of respect for other colleagues
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Serving the Community
• Pharmacists are trusted to provide safe and appropriate medications to the public
• They serve their community by educating patients and consulting with them to prevent medication errors
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Equitable Treatment
• Pharmacists must always be ethical and moral
• Cannot discriminate against patients for any reason
• Must always follow code of ethics to treat patients equally
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Code of Ethics forPharmacy Technicians
• Authored by American Association of Pharmacy Technicians
• Pharmacy technicians should strive to make the care of every patient their utmost concern, and treat them respectfully, responsibly, and honestly
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• They should use their best professional judgment at all times
• They should encourage patients to speak with the pharmacist about concerns or questions
Code of Ethics forPharmacy Technicians
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Maintain Health and Safety
• When pharmacy technician is physically or mentally unwell, it can interfere with ability to provide good care to patients
• Maintaining good health and safe conditions for themselves and others is essential
• All OSHA requirements must be met and followed
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Honesty and Integrity
• Pharmacy technicians must always be honest and immediately report errors to supervisors
• Patients deserve to know the truth even if it is difficult to hear
• Patient dignity is of utmost importance and can only be preserved by honesty and integrity in communications with them
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Assist and Supportthe Pharmacist
• Pharmacy technician assists pharmacist with all tasks allowed by state law
• A qualified pharmacy technician assists pharmacists in providing accurate, ethical health-care that is as free of errors as possible
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Respect for Other Health Care Professionals
• Pharmacy technicians must be willing to go beyond formal job description to help in other areas of the pharmacy
• They must respect other health care professionals and work as a team for the good of all patients
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Professional Competence
• In most states, pharmacy technicians are under the direct supervision of pharmacists
• Pharmacist is ultimately liable for actions of pharmacy technician
• Technicians must triple-check every drug dispensed, all labeling, and instructions provided by both physician and pharmacist
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Professional Competence
• Pharmacy technicians are increasingly responsible for duties that used to be the sole responsibility of a licensed pharmacist
• Important to alert the pharmacist to any discrepancies in information
• Incompetent actions may result in legal action against both technician and company
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Respect for Patient Autonomy
• Pharmacy technicians must be able to function independently, show courtesy, respect all patients
• Pharmacy staff must respect self-governance, rights of liberty, privacy, and patient choice
• A good attitude should be demonstrated to everyone on a consistent basis
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Maintaining Confidentiality
• Patient information (written, computerized, or verbal) is not to be shared with anyone except approved health care professionals
• Sharing private information with anyone who is not supposed to know it is a breach of ethics and may have legal ramifications
• HIPAA governs the disclosure of confidential information
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Observing Quality andLegal Standards
• Ethical standards are usually more severe and demanding than standards required by law
• Courtesy, compassion, and common sense are vital to success of pharmacy technician
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Maintenance of Professional Standards
• The pharmacy technician who works to improve his or her professional approach in the workplace will be a great asset to their employer
• Helps them to gain promotions to positions of more responsibility
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Loyalty to Employer
• Loyalty – faithfulness or allegiance to a cause, ideal, custom, institution, or product
• Supporting employer and pharmacist with loyalty is important for pharmacy technicians
• Pharmacy should loyally support all employees
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Making Ethical Decisions
• Pharmacy technicians must have a strong knowledge of ethical issues relating to the profession, and balance their own value systems
• Effects their decisions can have on other individuals must be considered
• Long-term and short-term consequences must be taken into account
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Identifying the Problem and Gathering Data
• Pharmacy technicians must focus on individual problem before making an ethical decision
• They should ask questions, review documentation, talk to patients and health care professionals, and search for further data for a complete picture of the situation
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Analyzing the Data and Forming an Action Plan
• After gathering data, the correct ethical approach must be decided upon, considering all involved individuals
• An action plan should be formed to evaluate all the data and ascertain the various tasks necessary to handle the situation
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Evaluating the Results
• After all steps have been taken to handle situation, it is important to evaluate the results
• Positive results that are fair and equitable are always desired
• Proper evaluation of results helps to shape the way future problems will be solved
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Ethical Issues in the Pharmaceutical Industry
• Interests of those in the pharmaceutical industry sometimes conflict with other health care professionals’
• Exchange of gifts or money involves serious ethical issues
• Patient’s welfare must always be placed above any other consideration
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Ethical Issues in the Pharmaceutical Industry
• Legitimate patient care must be the goal of all medication development and manufacture, not monetary gain that leads to ethical breaches
• No gifts or money should be accepted by anyone because they can lead to unethical decisions, potentially harming patients