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Practice tips to reduce risks of polypharmacy

Linda Doherty, Jennifer Cooke & Peter Guthrey FPS - 9 February 2021

Clinical

In a world of information overload, how can pharmacists prevent patients from falling into a medicine-induced downward spiral? Every day Australians swallow millions of...

Travel health: ready for take-off

Wendy Frew and Peter Guthrey FPS - 18 January 2025

Industry

Turning informal advice into a structured consultation service: pharmacy-based travel health services take flight.

Home truths: overcoming barriers to Home Medicines Reviews

Graem Sims - 23 May 2019

Industry

Pharmacists performing Home Medicines Reviews overcome many barriers in daily practice to deliver this vital service. When Dr Lisa Kouladjian O’Donnell MPS first contacted...

Short of breath: respiratory conditions

Louisa Wright and Jennifer Cooke - 14 April 2022

Industry

With better treatments than ever, why don’t patients with respiratory conditions show better outcomes as well?

Practice advice: becoming a general practice pharmacist

AP Staff - 5 July 2019

Industry

I’m interested in becoming a general practice pharmacist. What steps do I need to take to get there? From January 2020, incentives will be provided...

The therapeutic potential of psychedelics

Amber Domberelli - 8 June 2023

CPD

Thom, 37, a regular patient of the pharmacy, presents their venlafaxine repeat for dispensing. You know this has been prescribed for PTSD and ask how they have been going with their treatment. They disclose that their symptoms have been difficult to manage over the last few weeks and that they don’t feel like their medication has been working as well. Thom explains that a friend mentioned MDMA could be used for PTSD, and they’re now considering taking it to help them feel better.

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8.00 am	Set up and check in IVF work fluctuates – some days it’s minimal, other days it’s constant. I check what’s booked/expected, confirm any urgent needs, and make sure there’s space for IVF stock.
9.00 am	Ordering and supply planning Weekly ordering is done on Monday mornings and reviewed again on Wednesday because we can’t reliably order later in the week. This helps to protect continuity.
10:30 am	Dispensary coordination My dispensary manager leads ordering of IVF medicines, support materials and consumables. She also prepares syringe/needle packs for medicines that require separate consumable supply, so patients receive everything together.
12.00 pm	Clinic liaison Phone or email contact with IVF nurses occurs most days to clarify prescriptions, confirm timing and align supply with treatment cycles.
2.00 pm	Prescription collection Our courier collects prescriptions from fertility clinics weekly, as not all clinics use e-scripts. These are processed promptly to avoid delays that could affect treatment timing.
3.30 pm	Patient support IVF supply often includes practical support: ensuring patients have what they need for transport and storage, and that any supporting materials and consumables are ready alongside the medicines.
6.00 pm	Engagement and training Some evenings may include a Fertility Nurses of Australia meeting, or delivering training sessions for fertility clinics for IVF clinicians and nurses.
8.00 pm	Urgent supply Occasionally I’ll get an out-of-hours call from an IVF clinician to arrange emergency medicines supply, requiring rapid coordination to keep treatment on track.

8.00 am	Set up and check in IVF work fluctuates – some days it’s minimal, other days it’s constant. I check what’s booked/expected, confirm any urgent needs, and make sure there’s space for IVF stock.
9.00 am	Ordering and supply planning Weekly ordering is done on Monday mornings and reviewed again on Wednesday because we can’t reliably order later in the week. This helps to protect continuity.
10:30 am	Dispensary coordination My dispensary manager leads ordering of IVF medicines, support materials and consumables. She also prepares syringe/needle packs for medicines that require separate consumable supply, so patients receive everything together.
12.00 pm	Clinic liaison Phone or email contact with IVF nurses occurs most days to clarify prescriptions, confirm timing and align supply with treatment cycles.
2.00 pm	Prescription collection Our courier collects prescriptions from fertility clinics weekly, as not all clinics use e-scripts. These are processed promptly to avoid delays that could affect treatment timing.
3.30 pm	Patient support IVF supply often includes practical support: ensuring patients have what they need for transport and storage, and that any supporting materials and consumables are ready alongside the medicines.
6.00 pm	Engagement and training Some evenings may include a Fertility Nurses of Australia meeting, or delivering training sessions for fertility clinics for IVF clinicians and nurses.
8.00 pm	Urgent supply Occasionally I’ll get an out-of-hours call from an IVF clinician to arrange emergency medicines supply, requiring rapid coordination to keep treatment on track.

8.00 am	Set up and check in IVF work fluctuates – some days it’s minimal, other days it’s constant. I check what’s booked/expected, confirm any urgent needs, and make sure there’s space for IVF stock.
9.00 am	Ordering and supply planning Weekly ordering is done on Monday mornings and reviewed again on Wednesday because we can’t reliably order later in the week. This helps to protect continuity.
10:30 am	Dispensary coordination My dispensary manager leads ordering of IVF medicines, support materials and consumables. She also prepares syringe/needle packs for medicines that require separate consumable supply, so patients receive everything together.
12.00 pm	Clinic liaison Phone or email contact with IVF nurses occurs most days to clarify prescriptions, confirm timing and align supply with treatment cycles.
2.00 pm	Prescription collection Our courier collects prescriptions from fertility clinics weekly, as not all clinics use e-scripts. These are processed promptly to avoid delays that could affect treatment timing.
3.30 pm	Patient support IVF supply often includes practical support: ensuring patients have what they need for transport and storage, and that any supporting materials and consumables are ready alongside the medicines.
6.00 pm	Engagement and training Some evenings may include a Fertility Nurses of Australia meeting, or delivering training sessions for fertility clinics for IVF clinicians and nurses.
8.00 pm	Urgent supply Occasionally I’ll get an out-of-hours call from an IVF clinician to arrange emergency medicines supply, requiring rapid coordination to keep treatment on track.

8.00 am	Set up and check in IVF work fluctuates – some days it’s minimal, other days it’s constant. I check what’s booked/expected, confirm any urgent needs, and make sure there’s space for IVF stock.
9.00 am	Ordering and supply planning Weekly ordering is done on Monday mornings and reviewed again on Wednesday because we can’t reliably order later in the week. This helps to protect continuity.
10:30 am	Dispensary coordination My dispensary manager leads ordering of IVF medicines, support materials and consumables. She also prepares syringe/needle packs for medicines that require separate consumable supply, so patients receive everything together.
12.00 pm	Clinic liaison Phone or email contact with IVF nurses occurs most days to clarify prescriptions, confirm timing and align supply with treatment cycles.
2.00 pm	Prescription collection Our courier collects prescriptions from fertility clinics weekly, as not all clinics use e-scripts. These are processed promptly to avoid delays that could affect treatment timing.
3.30 pm	Patient support IVF supply often includes practical support: ensuring patients have what they need for transport and storage, and that any supporting materials and consumables are ready alongside the medicines.
6.00 pm	Engagement and training Some evenings may include a Fertility Nurses of Australia meeting, or delivering training sessions for fertility clinics for IVF clinicians and nurses.
8.00 pm	Urgent supply Occasionally I’ll get an out-of-hours call from an IVF clinician to arrange emergency medicines supply, requiring rapid coordination to keep treatment on track.

Knocking on doors

A workforce running on goodwill

The cost of saying no

Let pharmacists do what they are trained to do

Reform that matches need with value

How did you specialise in assisted reproductive therapy?

What does the role entail?

How do you help patients navigate their medicines regimen?

How do you manage medicines storage, cold-chain and supply?

How do you collaborate with fertility clinics, prescribers and nurses?

What advice do you have for ECPs keen on specialising in this area?

A Day in the life of Morag Horton, community pharmacy owner, Adelaide, South Australia

Compliance is key

Dispensing psychedelics safely

Managing patient enquiries

How does the nasal spray differ from EpiPen?

Can it be placed in a resuscitation kit?

Who is the nasal spray best suited to?

What should pharmacists know about its use?

Who is most likely to experience adverse effects?

Who might find it hard to use the nasal spray?

Could adrenaline nasal spray (neffy) be downscheduled?

How much does it cost?

Will the nasal spray be PBS listed?

Where can I find more information?

Bridging the gap when CBT is delayed

Checking duration against intention

Monitoring efficacy and tolerability

Knocking on doors

A workforce running on goodwill

The cost of saying no

Let pharmacists do what they are trained to do

Reform that matches need with value

How did you specialise in assisted reproductive therapy?

What does the role entail?

How do you help patients navigate their medicines regimen?

How do you manage medicines storage, cold-chain and supply?

How do you collaborate with fertility clinics, prescribers and nurses?

What advice do you have for ECPs keen on specialising in this area?

A Day in the life of Morag Horton, community pharmacy owner, Adelaide, South Australia

Compliance is key

Dispensing psychedelics safely

Managing patient enquiries

How does the nasal spray differ from EpiPen?

Can it be placed in a resuscitation kit?

Who is the nasal spray best suited to?

What should pharmacists know about its use?

Who is most likely to experience adverse effects?

Who might find it hard to use the nasal spray?

Could adrenaline nasal spray (neffy) be downscheduled?

How much does it cost?

Will the nasal spray be PBS listed?

Where can I find more information?

Bridging the gap when CBT is delayed

Checking duration against intention

Monitoring efficacy and tolerability

Knocking on doors

A workforce running on goodwill

The cost of saying no

Let pharmacists do what they are trained to do

Reform that matches need with value

How did you specialise in assisted reproductive therapy?

What does the role entail?

How do you help patients navigate their medicines regimen?

How do you manage medicines storage, cold-chain and supply?

How do you collaborate with fertility clinics, prescribers and nurses?

What advice do you have for ECPs keen on specialising in this area?

A Day in the life of Morag Horton, community pharmacy owner, Adelaide, South Australia

Compliance is key

Dispensing psychedelics safely

Managing patient enquiries

How does the nasal spray differ from EpiPen?

Can it be placed in a resuscitation kit?

Who is the nasal spray best suited to?

What should pharmacists know about its use?

Who is most likely to experience adverse effects?

Who might find it hard to use the nasal spray?

Could adrenaline nasal spray (neffy) be downscheduled?

How much does it cost?

Will the nasal spray be PBS listed?