community start-up and application kit - webstercare · community start-up and application kit ......

PA R T A F L O W C H A R T

PA R T B C H E C K L I S T

PA R T C FA Q ’ S F O R C O M M U N I T Y C L I E N T S

PA R T D D O C T O R ’ S FA Q ’ S

PA R T E C A R E R ’ S FA Q ’ S

PA R T F PAT I E N T P R O F I L E A LT E R N AT I V E S

PA R T G A P P L I C AT I O N / C O N S E N T F O R M

17-19 Moore Street, Leichhardt NSW 2040

Phone: (02) 9563 4900 or Free Call: 1800 244 358

Fax: (02) 9563 4955 or Free Fax: 1800 MANREX (1800 626 739)

Email: [email protected]

Web: www.webstercare.com.au

© Manrex Pty Ltd (ABN 29 974 510 173) t/as Webstercare-2006.

Webstercare, Webster-pak and Pil-Bob are Registered Trade Marks of Manrex

Pty Ltd Webstercare. Flexi-pak is a Trade Mark of Manrex Pty Ltd Webstercare. The Best Practice in Medication Management

Doc No WC-CRP-8.3.1

Community Start-upand Application KitVERS ION 1

© MANREX PTY LTD - WEBSTERCARE 2006

I N T R O D U C T I O N T O T H I S B O O K L E T

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A flow chart has been included to provide an overview of the medication management process whenusing Webster-pak as well as detailing many important steps in the process. This could be importantin explaining to Clients, Doctors and Carers how the process works and the importance ofcommunication.

Throughout this booklet you will find the tools and information that relate to the flowchart.

The purpose of this section is to outline some key issues you should consider when clients are startingWebster-pak.

It will help you to discuss patient profile information, frequency of supply, the right pack, delivery andreturn, prescription management, how to use the pack (and more) with your client and/or their carer.

This checklist can be kept as objective evidence that a comprehensive consultation has taken place.You can record key details and sign off when complete.

This section has been designed to answer any possible questions your clients may have aboutWebster-pak. This section can be copied for your clients’ information.

By providing clients with full information you can help overcome any fears or possible unknowns. Thisdocument is designed to answer all their questions and make them comfortable with using Webster-pak and the medication management process.

This booklet has been designed to give you all the resources you need to start newWebster-pak clients. The booklet provides an overview of the medication managementprocess, a checklist to guide you through the important questions to ask and usageinformation.

Also included are:

■ Frequently asked questions for clients, doctors and carers which can be used ifyou feel people need more information

■ Sample patient profiles showing the options for recording patient profileinformation

■ A patient consent form you can use before you get started

If you wish to share some of this information, you can either photocopy from yourbooklet, print relevant sections from your cd or from the Webstercare website.

Once a new client is started, keep a copy of your checklist in a plastic sleeve, alongwith their profile data for further reference. Store the primary documentation of eachchange the doctor makes as it will help you to have a complete audit trail.

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PA R T A F L O W C H A R T

PA R T B C H E C K L I S T

PA R T C FA Q ’ S F O R C O M M U N I T Y C L I E N T S

BACK TOCONTENTS


3

This section outlines the importance of working with doctors and includes some of their frequentlyasked questions. You may wish to forward this section for their information if there are any uncertaintiesand then follow up with a phone call.

This section outlines the important role carers play in medication management and includes some oftheir frequently asked questions and answers. You may wish to forward this section for their informationif there are any uncertainties.

This section presents some of the patient profile forms you can use to record / present patientmedication details. Ultimately you will be able to provide a hardcopy record of the patients profile sothey can have their doctor update it with changes for you.

Lastly, this section gives you the ability to record key contact details and includes a statement ofconsent whereby the patient can sign if they wish for you to contact their doctor to ensure accurateinformation for Webster-pak.

You can record key details and sign off when complete.

PA R T D D O C T O R ’ S FA Q ’ S

PA R T E C A R E R ’ S FA Q ’ S

PA R T F PAT I E N T P R O F I L E A LT E R N AT I V E S

PA R T G A P P L I C AT I O N / C O N S E N T F O R M

We hope you find the Community Start-up and Application Kit a helpful tool for your community clients in introducing

them to medication management and Webster-pak.

If you need a sample Webster-pak to aid in your demonstration to clients please do not hesitate to contact us.

We welcome you to submit feedback and any questions we have not included in our frequently asked questions. We

will incorporate your feedback where possible in future editions.

For further information regarding Dose Administration Aids Service refer to the Pharmaceutical Society of Australia,

Professional Practice Standards.

The Best Practice in Medication Management

17-19 Moore Street, Leichhardt NSW 2040Phone: (02) 9563 4900 or Free Call: 1800 244 358Fax: (02) 9563 4955 or Free Fax: 1800 MANREX (1800 626 739)Email: [email protected]: www.webstercare.com.au

© Manrex Pty Ltd (ABN 29 974 510 173) t/as Webstercare-2006.

Webstercare, Webster-pak and Pil-Bob are Registered Trade Marks of Manrex

Pty Ltd Webstercare. Flexi-pak is a Trade Mark of Manrex Pty Ltd Webstercare.

I N T R O D U C T I O N T O T H I S B O O K L E T

BACK TOCONTENTS

CD AND WEBSITE VIEWING INSTRUCTIONS

To return back to contents page: It is easy to return to the contents page if you wish to view anothersection. Look for this ‘BACK TO CONTENTS’ button in the TOP-RIGHT CORNER of each page.

To view enlarged forms: When you see this ‘CLICK HERE’ button, it indicates you can see an enlargedversion of the image. Click on the BACK button to return to the previous page.

CLICKHERE

BACK TOCONTENTS

Webster-pak is one part of an integrated management process. This process is to ensure people take their medicationscorrectly. Taking medication, even the most complicated and confusing dosages, can be managed better when aWebster-pak is used. Webster-pak is recognised for its distinctive visual cues, clients can see at a glance if they have/haven’t taken a medication, and their carer can see if they are taking their medication correctly.

In addition to taking medication correctly it is equally important to manage the flow of medication information betweenall parties involved.

This flow chart presents an overview of the process involved to ensure safe and accurate use of medicines.

Adapted from “Community patient implementation model” Best Practice Model for the Provision and use of DoseAdministration Aids in the community. University of Queensland & Pharmacy Guild of Australia DAA Study.


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PART A F L O W C H A R T

Pat

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Is it 6months

since lastformalcheck?

Create Profile for Medication Packing

Shows medication regimen & preferred time ofday for each dose.

Incorporate:

■ Patient habits/preferences; GP preferences

■ Current medication & optimal schedule

■ Type of pack & packing interval

■ Check medications suitable for packing

■ Other constraints e.g. vision impaired

S TA R T H E R E

Profileapproved

by allparties

PROFILE COPY TO GP

Pre

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isp

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PATIENT-HELD PROFILE/MEDICATION RECORD

PHARMACISTCHECKS

WEBSTER-PAK

WEBSTER-PAKSENT TOPATIENT

YES

NO

Patient approved for Webster-pak

DAA Implementation Flow Chart for Community Patient

For potential new Webster-pak user■ Assess patient’s ability to meet Webster-pak criteria

■ Assess baseline medication management ability,knowledge

■ Communication between patient/carer, GP, pharmacyand/or community nurses involved

■ Possible use of other related services e.g. HMR?

Agreement between Patient, Doctor, PharmacistFormalise service to be delivered, expectations &obligations of all relevant parties eg:

Patient/carer, GP, specialists

Pharmacy, community nurses

Full review/renewal of profile

■ Patient, GP & pharmacy

PHARMACISTCHECK/UPDATE

PROFILEBEFORE NEXT

PACKING

WEBSTER-PAKPACKED

BY STAFFUSING PROFILE

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PART B C H E C K L I S T

5

Purpose:The purpose of this document is to outline some keyissues you should consider when clients are starting upon Webster-pak.

At this point we assume you have reached agreementwith the client and doctor re prescription managementand communicating medication changes. Some of thesethings are reiterated through this checklist.

This checklist can be kept as objective evidence that acomprehensive consultation has taken place.

Arrangements re Communication:■ Has an arrangement been made with doctor, client and

carer with regards to communication for Webster-pak?

Recording Profile information:■ Check the client is aware of the importance of you

having complete and accurate information when youare packing medications.

■ Have you obtained a complete hardcopy profile fromthe client?

■ Have you obtained medications and prescriptionsfrom the client?

■ Have you faxed or emailed the doctor for verification?

■ Discuss how information from other sources would bebest communicated eg. Hospital pharmacy?

Frequency of supply: ■ Will the client need their pack supplied regularly?

■ Is the pack for a specific purpose eg. Respite care orschool camp?

Comments: _____________________________________

_______________________________________________

Based on the client profile, how frequently will the clientneed their packs supplied?

■ Weekly

■ Fortnightly

■ Monthly

■ Other

Comments: _____________________________________

________________________________________________

■ Inform clients that, for safety when checking packs, nomore than 8 medications are allowed per compartment.

■ Check if a second pack will be necessary

■ A second pack will incur an additional cost

Collection of Pack: Discuss with the client if they would prefer to pick-uptheir pack or have it delivered?

■ Pick up from Pharmacy

■ Delivery (Delivery Fee of ___________applies)

Collection/ Delivery Time

Day ___________________Time ___________________

In the event that the client/carer is not at home (at timeof delivery), where should the pack be left?

_______________________________________________

In the event that the pack is not collected at thepharmacy by the agreed time what will you do? Eg.organise for medication to be delivered next morning?

_______________________________________________

Other: __________________________________________

_______________________________________________

Choosing the right pack:Which type of Webster-pak is better suited to the client?

■ Regular Webster-pak,

■ Webster-pak Flexi-pak (perforated),

■ Cold Seal Webster-pak (disposable).

Non-prescription medications:■ Discuss that it is possible for complimentary medications

and supplements to be included in the Webster-pak.

■ Does the client wish for non-prescription medicationssuch as vitamins and complementary medicines packed?

■ If so, record on client profile.

Comments: _____________________________________

_______________________________________________

Non-Packed Medication:■ Explain some medications can not be packed into

Webster-pak, however, these can be recorded on thefront label.

Pharmacist Checklist for Community patients.

BACK TOCONTENTS

■ Advise the importance of taking other (non-packed)medications as well as the medications in the pack.

Comments: _____________________________________

_______________________________________________

Are there any S8 or Authority drugspatients have already had dispensed?■ Check if the client has medication already dispensed

in their home that you would be prepared to pack?

■ Ask if it is possible for them to bring in their medicationsfrom home?

Comments: _____________________________________

Original Medication packs and prescriptions:■ Will the original packs be stored in the pharmacy?

■ Will prescription repeats be stored in the pharmacy?

Other: __________________________________________

Prescription Management:■ Advise clients that you need medication prescriptions

to ensure medications can be supplied in a pack.

■ ‘Does the Client have any scripts now for you tocollect?

■ ‘Explain the Importance of the client continuing to visittheir local GP for regular consultation.

Discuss the most appropriate method for new prescrip-tions to be obtained?

■ By client / Carer (visiting Doctor)

■ By Pharmacy (notifying Doctor)

Other: __________________________________________

If preferred method is by client or carer:

■ Advise if you provide a summary of the scripts youhave and when new scripts will be required?

Comments: _____________________________________

_______________________________________________

Discuss who is responsible for following up prescriptionsto ensure they are at the pharmacy in time for packing?

■ Client / Carer

■ Pharmacy

■ Other: _______________________________________

In the event that there is no script available

■ Explain what the pharmacy will do if there is noprescription.

Comments: _____________________________________

_______________________________________________

■ Explain what the client needs to do if they have aprescription filled at another pharmacy eg. Hospitalpharmacy.

Comments: _____________________________________

_______________________________________________

Ensuring correct use of the pack:■ Explain how the pack is set-up with breakfast on the

left and bedtime on the right. Demonstrate the days.

■ Has a sample Webster-pak been demonstrated?

■ Are there any non-standard dose times that need tobe considered? Demonstrate how this can beaccommodated by printing the dosage times on theheader cards.

■ Ask the client and/or carer to remove a dose from theWebster-pak in front of you.

Comments: _____________________________________

_______________________________________________

■ Is it necessary to present the Pil-Bob as an option foreffectively removing the medication?

■ Demonstrate Brand Substitution reference on packs.The brand ordered by the doctor as well as the brandsupplied by the pharmacy can be listed.

■ Demonstrate how a list of non-packed medicationscan be included on the front label as a reminder.

■ Advise how the pharmacy will provide counselling remedication use and information. Refer to Indicationsinformation if necessary.

■ Advise what the client should do if they drop or losetablets.

■ Advise what the client should do they do if they missa dose?

■ In the event that the client needs to identify orseparate a medication Eg Diuretic when going on anouting, what should they do? Explain how this canmost easily be done.

■ Does the client consent to be reassessed re how wellthey are managing with their pack in 6 months?

Approximate Date for review

_______________________________________________

Comments: _____________________________________

_______________________________________________


6© MANREX PTY LTD - WEBSTERCARE 2006

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7

Pricing and Payment:■ Advise clients that there is a cost for providing this

comprehensive medication management service.Today’s discussion is one example of the detail thepharmacy has to cover to ensure everything is right.

■ The cost is __________________ per week.

■ Advise if there are other fees eg. For 2nd packs orchanges.

Discuss with the client how this will need to be paid?

■ Weekly

■ Monthly

■ On account

■ Other

Return of Packs:■ Advise clients it is important that unused medication

in the Webster-pak be returned and monitored. Theblue folder needs to be returned for the followingweeks pack.

■ Discuss what is the best way for the client to returntheir pack?

■ Return to pharmacy when collecting new pack.

■ Give to delivery driver when accepting your new pack?

■ Other ________________________________________

■ Advise the Client that the Pharmacist will consult theclient /carer if medications appear to not be takencorrectly.

Comments: _____________________________________

_______________________________________________

Medication Changes:Discuss how the pharmacy should be informed ofmedication changes?

■ By Client (via updated profile form from doctor)

■ By Doctor (via fax, phone or email)

■ Other_________________________________________

Comments: _____________________________________

_______________________________________________

■ Explain the impact of changes on pharmacy staff.

■ Outline the ideal time for medication changes to benotified to the pharmacy.

■ Preferred Day _____________Time _____________

Brand Substitution:■ Does the client wish to take advantage of Generic

Substitution where available?

Comments: _____________________________________

_______________________________________________

Client Information re Storing theWebster-pak at home.Check the client is aware of the correct storage procedurefor their pack.

■ Advise, it is important that all medicines are storedsafely away from children and are not exposed to hightemperatures or sunlight.

■ Advise clients packs can be placed on a hook on thefront of a fridge or cupboard. A loop on the top of thepack allows this.

What to do in the event of a Public Holidayor if your client is going away?■ Advise the client what to do in the event that the day

their medication is due to be collected /delivered fallson/close to a public holiday.

■ Advise the client how much notice you require if theclient is going away for a period longer than one week.i.e. If multiple packs should be made up together?

Recording Profile information:■ Have you entered the drug and dosage information into

the computer to generate a hard copy client profileform?

Final Details:■ When will the first pack start?_____________________

■ Hence it will need to be collected/delivered on_____________________________________________

■ From then on the packs will need to be collected/delivered on ___________________________for you tocommence the pack on ____________________

■ Does the client have any further questions?

■ Does the client know the best number to contact yourpharmacy is?

■ Is client consent completed and signed?

Pharmacist /Pharmacy Assistant:

Name: _________________________________________

Signature:_______________________________________

Date: ___________________________________________


BACK TOCONTENTS

Q. Why should I use it?A. Webster-pak makes taking medication safer.It helps to ensure you take your medicine asprescribed by the doctor and to maintain yourindependence. It’s easy to forget or double upeven with just one medication and as you getolder the effects can be much greater and youcould end up in hospital or even in a nursinghome. Webster-pak provides a visual cue soyou always know where you are up to.

Q. Will I still need to see my Doctor?A. Absolutely, Webster-pak is designed toensure you take the medication correctly thatyour doctor prescribes. If you take yourmedication correctly it helps the doctor tomake better clinical decisions. Visiting yourdoctor regularly gives them an opportunity toreview your medication and make decisions asappropriate based on your medical needs.

Q. What makes Webster-pak different fromanything else?

A. Webster-pak is recognised for its distinctivevisual cues. You can see at a glance if youhave/ haven’t taken a medication plus it is easyfor a carer or family member to see that you aretaking your medication correctly.

Webster-pak is tamper-evident. It can’t bespilled accidentally and nothing can bechanged without it being obvious. There is nochance of doubling up or missing doses andnot being able to tell.

The integrity and responsibility for the accuracyof the pack is guaranteed by the pharmacist.

Q. What if I go to Hospital?A. Webster-pak also provides life savinginformation if you are admitted to hospital. Itshows what medication you are taking. Thiscan be critical in an emergency.

Q. What if I need a new prescription?A. This can be discussed with your doctor todecide the best way to handle prescriptions.The doctor may wish to see you or may behappy for the pharmacy to request aprescription direct. The pharmacy can send areminder for a new prescription to you or thedoctor when the last repeat has beendispensed to ensure there is plenty of noticebefore your prescriptions run out. It is importantthat prescriptions are supplied by the doctorbefore your medicine runs out; otherwise thepharmacy cannot legally supply it.

Q. Where are the rest of the tablets andcapsules kept?

A. Only enough tablets/capsules to last oneweek are sealed inside the blister pack. Therewill always be some left over in the original(manufacturer’s) packaging which will be usedfor the following week. The “left over” tabletsare kept at the pharmacy in sealed plasticbags. These are dispensed as normal, eachlabelled with the person’s name. They arestored separately from other peoples’medication. If you wish you can always requestthese medications from the pharmacy.

Q. What if the doctor changes something?A. The doctor must tell the pharmacy directand we can then make the changes as soon asthe doctor thinks it is necessary.

PART C FA Q ’ S F O R C O M M U N I T Y C L I E N T S


Frequently Asked Questions aboutWebster-pak for Community Clients.

BACK TOCONTENTS


Q. How do I inform my pharmacy ofchanges from my doctor?

A. Each time you pick up your pack yourpharmacist can provide an updated medicationlist. Your Doctor or specialist can write anymedication changes on your list and send it tothe pharmacy (depending on the agreedprocedure for Doctors to communicate withthe pharmacy).

The pharmacy will then update this list and re-issue with your next pack. This Medicationprofile should be kept in a secure place.

Q. What about the medicines that can’t bepacked in a Webster-pak?

A. These will be dispensed by the pharmacy asnormal with directions on the labels. Thepharmacy can list these on the front of theWebster-pak as a reminder for you and also incase someone else needs to know themedicines you are taking. For example; if youwere admitted to hospital. These may also beincluded on your medication profile sheet.

Q. How do I know what the medicinesare for?

A. The pharmacy can list indications on theback of the pack so you can see what eachone is for. We can also help you identify eachpill in case you don’t need to take one. Forexample; you may not want to take your fluidtablet if you are going out for the day.

Q. What do I do if I don’t want to take aparticular medication or the doctorhas told me not to take one for oneor two doses?

A. If you are uncertain about which medicationit is, check with your pharmacist first. Alwayscheck with your doctor as well to make sure itis alright not to take a particular medicationfrom time to time. Also there is a description ofeach medication on the back of the pack. Thiswill help you know which medication is which.You may also wish to go through this with yourpharmacist before starting the pack. It isimportant that you know as much as possibleabout your medications including how toidentify them if needed.

Q. What do I do if I miss a dose?A. Contact the Pharmacy or your doctor andyou will be advised. In most cases you wouldjust continue with the next dose, but this needsto be discussed.

Q. Are there any special storagerequirements for the Webster-pak?

A. It is important that all medicines are storedsafely away from children and are not exposedto high temperatures or sunlight. Yourpharmacist will advise if any special storage isneeded.

Q. What if I am going away or going outfor the day. Can I take the Webster-pakwith me?

A. Yes you can. Otherwise you might like to usethe Flexi-pak. This allows you to tear off individualdoses or a day or more of your medicines.


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BACK TOCONTENTS

Q. What if I am going on holidays for a fewweeks?

A. Some people prefer the convenience of adisposable pack when travelling. This meansyou don’t have to worry about keeping thefolders together and bringing them into thepharmacy on your return.

There is a disposable Webster-pak to help inthis situation.

Q. How easy is Webster-pak to open?A. Select the right time and the right day andthen you simply push the pills through the foilbacking into a cup. There is also a simpledevice called the Pil-Bob that helps to breakthe foil from the back and allows the pills to fallinto it. This can be demonstrated if you wouldlike. It makes it easier if you have arthritis oryour eyesight is not so good.

Q. Most people have a weekly pack. Whatif I need something different?

A. Not everyone needs medications 4 times aday, every day. Your Webster-pak can beprepared to meet your needs so if you only havemedications 2 times a day your pharmacist mightsuggest a 2 weekly pack. The Pharmacist canlabel your pack to identify your specific dosagetimes, so it should always be as clear as possible.

Q. Can more than one pack be suppliedat a time?

A. The pharmacist simply prepares as manypacks as required. Normally each folder holdsone week’s supply. Four folders can be sent fora month’s supply.

Q. What about Safety?A. You have total information on the pack. Bothpacked and non-packed medicines. This isinvaluable in the case of emergency for theambulance or doctor if a you are admitted tohospital. There are descriptions to help withidentification of medication.

The Webster-pak and patient profile are both agreat reference point in this type of emergencythis is why we encourage you to keep themwith you.



BACK TOCONTENTS


PART D D O C T O R ’ S FA Q ’ S

11

Pharmacist Instructionsfor Doctors

Many pharmacists have a great relationship with their local doctors and good

communication makes managing Webster-pak easier.

From the onset it is important to get an agreement with the doctors you will be working

with in regards to Prescription Management and medication changes in particular.

The following page contains some frequently asked questions from doctors. You may

wish to forward this information to your doctor if they are unfamiliar with Webster-pak.

If your Doctors ask any questions not included here please let us know so we can

consider including them in future versions.

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BACK TOCONTENTS

Half the battle in providing good medicine is ensuringyour patients take their medication as you haveprescribed. Webster-pak can help give you thisassurance. So you can be more confident whenassessing your prescribed treatment.


A. Webster-pak is recognised for its distinctive visualcues. Patients can see at a glance if they have or haven’ttaken a medication, plus it is easy for a carer or familymember to see if they are taking their medicationcorrectly. General Practitioners also find this featuremost valuable. If a patient does not take their medicationthe correct way, it is obvious and steps can be taken toassist them.

Webster-pak is tamper-evident. It can’t be spilledaccidentally and medication can not be changed withoutit being obvious.

There is no chance of doubling up or missing doses andnot being able to tell.

The integrity and responsibility for the accuracy of thepack is guaranteed by the pharmacist.

Q. Is it possible patients will visit me less often ifthey are using a Webster-pak?

A. Use of the Webster-pak makes no change to theneed for regular visits. Some doctors may find it moreconvenient to send prescriptions direct to the pharmacywhen new prescriptions are required rather than havethe patient visit just for a prescription. This is up to thedoctor.

Q. What if my patient needs a new prescription?A. You and the pharmacist can decide the best way tohandle prescriptions. It may be more appropriate foryour patient to visit you or you may be happy for thepharmacy to request a prescription direct. Thepharmacy can send a reminder for a new prescription toyou or the patient when the last repeat has beendispensed to ensure there is plenty of notice before theirprescriptions run out.

Packs are often prepared 1-2 weeks in advance in line

with the needs of individual patients. From time to time itmay seem like scripts are being requested early,however, the pharmacy needs to ensure they alwayshave sufficient medication/ scripts for the followingweek’s packs. This will always balance out over time.

Q. What if you need to make a change?A. It depends on the procedure you and your pharmacyagree to communicate changes.

There are a few ways we can co-ordinate this:

1) You tell the pharmacy direct and the pharmacy canthen make the changes as soon as you think it isnecessary.

2) Record changes on the patient’s hardcopy profileand the patient takes it to the pharmacy after theirvisit to you.

Each time your patient collects their pack the pharmacycan provide an updated medication list (Patient profile).That way you can write any medication changes ontothat list and send it to the pharmacy.

The pharmacy will then update this list and re- issue withthe next pack. This Medication profile should be kept ina secure place.

Q. What if I need the change made immediately?A. The pharmacy can implement the change when youneed it done. It helps if you specify the degree ofurgency. Is the change required “next dose” “next day”or with the “Next Pack” this helps to ensure thepharmacy allocate resources appropriately.

Q. What If my patient wishes not to take aparticular medication in certain circumstances?

A. If you advise your patients it is ok to not take aparticular medication under certain circumstances thiscan be achieved. If they are not sure how to identify thetablet they can talk to the pharmacy however, there is adescription of each medication on the back of the pack.This will help your patient to know which medication iswhich.

Alternatively this medication can be packed in a separatepack.

PART D D O C T O R ’ S FA Q ’ S


Webster-pak Information for Doctors

BACK TOCONTENTS


13

Pharmacist Instructionsfor Carers

Many carers are family members or friends who look after someone with a disability,

mental illness, chronic condition or who is frail. Most don’t recognise themselves as

carers. Webster-pak can be a very important tool for carers to use in monitoring if

medication is being taken correctly.

Good communication makes managing Webster-pak easier.

It is important to include carers in any arrangements relating to the Webster-pak. Their

role may be important in Prescription Management and communicating medication

changes.

The following page contains some frequently asked questions from carers. You may

wish to forward this information to your carer if they are unfamiliar with Webster-pak.

If your carers ask any questions not included here please let us know so we consider

including them in future versions.

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BACK TOCONTENTS

PART E C A R E R ’ S FA Q ’ S

One of the tasks you may be responsible for whenlooking after someone is medication management.This can cover everything from picking up aWebster-pak for the person for whom you are caring,to monitoring how they use the pack. You might bethe one who takes them to the doctor or picks upmedication from the pharmacy.

Our Webster-pak service is designed to help makelife easier for all involved.


A. Webster-pak is recognised for its distinctive visualcues. Patients can see at a glance if they have or haven’ttaken a medication plus it is easy for you to see if theyare taking their medication correctly. One thing GeneralPractitioners find valuable is that if a patient does nottake medication in the correct order (according topackage labelling) you can tell. This is a good indicatorthat the person needs more assistance to manage theirmedication.

Webster-pak is tamper-evident. It can’t be spilledaccidentally and medications can not be changedwithout it being obvious.

There is no chance of doubling up or missing doses andnot being able to tell.

The integrity and responsibility for the accuracy of thepack is guaranteed by the pharmacist.

Q. Will the person still need to see the Doctor?A. Absolutely, Webster-pak is designed to ensure peopletake the medication that the doctor prescribes, correctly.If people take medication correctly it helps the doctor tomake better clinical decisions. Visiting the doctorregularly gives an opportunity to review medication andmake decisions as appropriate based on particularmedical needs.

Q. What if they need a new prescription?A. This can be discussed with the doctor to decide thebest way to handle prescriptions. The doctor may wishto see you or the patient, or may be happy for thepharmacy to request a prescription direct. Thepharmacy can send a reminder for a new prescription toyou or the doctor when the last repeat has beendispensed to ensure that there is plenty of notice beforeprescriptions run out. It is important that prescriptionsare supplied by the doctor before medicine runs out;otherwise the pharmacy cannot legally supply it.

Q. What if the doctor changes something?A. The doctor must tell the pharmacy direct and thepharmacy can then make the changes as soon as thedoctor thinks it is necessary.

Alternatively, each time someone picks up the pack thepharmacist can provide an updated medication list. TheDoctor or specialist can write any medication changeson the list and send to the pharmacy (depending on theagreed procedure for Doctors to communicate with thepharmacy).

The pharmacy will then update this list and re-issue itwith the next pack. This Medication profile should bekept in a secure place.

Q. Are there any special storage requirements forthe Webster-pak?

A. It is important that all medicines are stored safelyaway from children and are not exposed to hightemperatures or sunlight. Place on the front of a fridge orcupboard (using a suction hook) so that the pack isalways obvious. A loop on the top of the pack allowsthis.

PART E C A R E R ’ S FA Q ’ S


Webster-pak Information for Carers

BACK TOCONTENTS


The Patient profile can also be referred to as a medications list. It is a current record of all medications your client istaking and other key details.

Each time your client collects their pack you can provide an updated medication list. This enables the Doctor orspecialist to write any medication changes on the list and forward it to you for your records (depending on the agreedprocedure established between you and the Doctors).

After receiving the list you can update your records and the Clients patient profile and re- issue with the next pack. ThisMedication profile should be kept in a secure place.

There are different patient profiles provided by Webstercare which can be handwritten or printed from Webstercare’sMedication Management Software. See below for examples. For more information on the Patient Profiles available andthe software capabilities contact Webstercare.

PART F PAT I E N T P R O F I L E A LT E R N AT I V E S

15

1.Patientprofile

3Dr PatientProfileSheet

2.PatientProfileby Pack

BACK TOCONTENTS

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Webster-pak Application form

PART G A P P L I C AT I O N / C O N S E N T F O R M


CLIENT NAME

ADDRESS

Phone number 1 ( )

Phone number 2 ( )

YES NO

Are Medicare, Safety Net and Entitlement numbers accurately recorded in Pharmacy system?

Is the listed address where your Webster-paks will be delivered (if applicable)?

CARER 1

Name

Relationship

Phone number ( )

CARER 2

Name

Relationship

Phone number ( )

DOCTOR

Surgery

Phone Number ( )

Fax number ( )

CLIENT CONSENT

1. Client consents to sharing of medication-related information between doctor/s and pharmacy (and hospital andcommunity nurses) if required.

2. The Webster-pak medication management process has been explained.

Print Name

Signature Date / /

PHARMACIST

I have explained the Webster-pak medication management process to Mr./ Mrs./Ms/Miss _________________________

Signature

Date / / Date for next review / /

BACK TOCONTENTS

PAT I E N T P R O F I L E BACK

PAT I E N T P R O F I L E B Y PA C K BACK

D R PAT I E N T P R O F I L E S H E E T BACK

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