For an already under-served, vulnerable population, there is currently an inadequate supply of the health workforce in moderately accessible, remote or very remote areas to provide necessary services. 
Ellen Jones MPS, ACCHO pharmacist, Mt Isa, Queensland. (Photo credit: Joanna Giemza-Meehan)[/caption]
Photo credit: Joanna Giemza-Meehan[/caption]
Hospital pharmacist 
Joshua Clements
He was recognised for his significant and ongoing contribution to the profession over many years and across all walks of practice – from community pharmacy to hospital, academia, professional development, policy, advocacy and professional indemnity. 
Jarrod McMaugh MPS[/caption]
Nicolette Ellis MPS (right) with Beyond Pain founder Anjelo Ratnachandra[/caption]
IFN = interferon, IL = interleukin, FasL = Fas ligand, GMCSF = granulocyte-macrophage colony-stimulating factor, MPR = maculopapular rash, DRESS = drug reaction eosinophilia and systemic symptoms syndrome, FDE = fixed drug eruption, SJS = Stevens-Johnson syndrome, TEN = toxic epidermal necrolysis, AGEP = acute generalised exanthematous pustulosis References: Demonly et al,1 Blumenthal et al,2 Castells et al6[/caption]
My customers regularly travel up to 4 hours to Toowoomba for health services that we took for granted in Bundaberg and Brisbane. I’ve also had to become accustomed to different healthcare conditions, such as Q fever. In this big cattle-producing region, a few patients have presented with it, so I had to learn more about symptomatology and effects. 
Case scenario
Mr Chin, a 65-year-old male, returns to your pharmacy with a repeat for cefaclor 375 mg MR tablets; the original prescription was dispensed 3 months ago. Mr Chin looks unwell. He has a cough, is having trouble breathing and he tells you he has a fever and chills. He is a smoker (10–15 cigarettes/day) and his past medical history includes chronic obstructive pulmonary disease (COPD), hypertension, hyperlipidaemia and gastro-oesophageal reflux disease. His current medicines are perindopril, atorvastatin, Trelegy Ellipta and pantoprazole. He has no known allergies. He tried to see his GP today but wasn’t able to make an appointment.
You feel it is inappropriate to dispense the cefaclor prescription from 3 months ago and call Mr Chin’s doctor to advise him of your concerns. The doctor tells you he can see Mr Chin today.
Learning objectivesAfter reading this article, pharmacists should be able to:
Competency standards (2016) addressed: 1.1, 1.3, 1.5, 2.3, 2.4, 3.2 |
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Introduction
Pneumonia is the second leading cause of morbidity and mortality worldwide.1 In 2018, pneumonia was the 12th leading cause of death in Australia.2 The introduction of Haemophilus influenzae B and multivalent pneumococcal vaccines has significantly reduced the overall b
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