indispensable in this issue CHAIRPERSON’S REPORT chairperson’s report 1 upcoming CE 1 SHPA WA branch committee 2015 1 from the editor 2 federally speaking... 2 Updates from Federal Office SHPA WA AGM 2014 2 debugging the bush 3 the full 360 on antipsychotics 3 Celebrating success, inspiring excellence and reaping the rewards of resilience How rural pharmacists are helping the crusade against antibiotic resistance A recap of our highly successful half day seminar The Society of Hospital Pharmacists Western Australia Branch GPO Box K814, Perth WA 6842 [email protected] 2015 Committee Matthew Foster: Chairperson Deirdre Criddle: Vice Chairperson Kerry Fitzsimons: Secretary Brock Delfante: Treasurer Helen Lovitt: Federal Councillor Shannon Mullen: Lead CE Coordinator Ashleigh Lawrence: CE Coordinator Meeghan Clay: CE Coordinator Sarah Mackenzie: CE Coordinator Daniel Rocco: Communications Manager Vanessa Hollingsworth: Technician Representative Morlee Vekaria: Intern Representative december 2014 Matthew Foster - Chairperson YAY, it’s the end of the year and most people are winding down, taking extra leave and getting some rest. There are others who are working overtime, working to deadlines and planning for events in the New Year. With the election of a new SHPA WA Branch committee, this time of year is one of planning and preparation for SHPA. The reality is that, even though we may be looking forward to a rest over the festive season, there are CE events to organise and special events to consider. Many people will be feeling the stress of being over-worked, pressured and maybe even depressed over the year’s events. I urge any pharmacist who needs support at this time to call the Pharmacists Support Network on 1300 244 910. This is an amazing service that allows pharmacists to support each other. Most professions are not as fortunate as we are to have this service. If you’re not in requirement of their services, maybe you could consider volunteering to assist others in need? From now, I’d like to ask all pharmacists in WA to start preparing for the SHPA Federal Conference in 2016. No, I’m not getting a year ahead of myself, and yes, I seem to mention it ALL the time. What I’d love to see is preliminary research results presented at the 2015 Federal Conference in Melbourne, then final results presented at the 2016 Perth Federal Conference. We should have a showcase of research which is over and above the quality seen anywhere. Each year we hear from the Conference Organisers that “this year was the best ever”. I want it to be just that, not just lip service. From paediatrics to geriatrics, trauma and surgery, to oncology and palliative care and everything in between, there is research going on everywhere! And pharmacy should be the front-line drivers of the projects. As long as all Chief Pharmacists in WA realise the benefit they can provide by giving support to a pharmacist who wants to be involved in research, then we’re well on the way to achieving our goal. I hope that all of you take the opportunity to get some rest and spend time relaxing, rejuvenating and with loved ones over the Festive Season. May your revitalisation be manifested with enthusiasm into the new year. UPCOMING CONTINUING EDUCATION Our continuing education plans for 2015 are yet to be finalised, however our plans are sure to excite, with sessions based on feedback from our members. An overwhelmingly positive response to this year’s half day seminar has us looking to offer more CE focussed on psychiatry, along with calendar staples such as the Oncology Nurses and Pharmacist Interest Group night. The annual SHPA Infectious Diseases Seminar is also to be held here in Perth this year. 2015 is looking to be a wonderful year for continuing education, and the SHPA WA Branch Committee encourages you to keep your eyes and ears peeled for further information as it becomes available. The committee also welcomes any ideas from its members about future CE topics. SHPA WA BRANCH COMMITTEE 2015 Four new committee members were elected to the SHPA WA Branch Committee at the 2014 AGM: Meeghan Clay (Albany Regional Hospital), Sarah Mackenzie (Sir Charles Gairdner Hospital), Ashleigh Lawrence (St. John of God Hospital, Subiaco) and Daniel Rocco (Royal Perth Hospital). The Committee also retains current members Matthew Foster, Deirdre Criddle, Kerry Fitzsimons, Brock Delfante, Shannon Mullen, Helen Lovitt, Vanessa Hollignsworth and Morlee Vekaria. The SHPA WA Branch Committee would like to thank outgoing committee members Aisling Lim, Michelle Luca, Yang Liu and Zeyad Ibrahim for their continued hard work and service over the course of their terms. Indispensable, the newsletter of the Society of Hospital Pharmacists, WA Branch indispensable FROM THE EDITOR Daniel Rocco - Communications Manager december 2014 SHPA WA AGM 2014 Deirdre Criddle - Vice Chairperson Welcome to the final issue of Indispensable for 2014! As we bid the year farewell, we can all look forward to the Christmas holidays and the exciting prospects of 2015. The year looks to be one full of new and exciting developments in hospital pharmacy, with Fiona Stanley Hospital beginning to offer a full service, the restructure of the Royal Perth Hospital Group and the new children’s hospital slated to open late in the year. SHPA is here to be the voice for hospital pharmacists, and so we are always looking for feedback from our members on what it is you feel we can be offering you, whether it be support or what kind of continuing education. The Committee for 2015 is pumped and ready to go, so please, voice your thoughts with us! For myself in particular as communications manager, I’m looking to increase SHPA’s presence in your workplace. On 3rd December, SHPA WA branch members were treated to a night of fine food, good wine and a celebration of excellence, resilience and inspiration at the Annual General Meeting held at the UWA Club. There was a wonderful mix of experience and youthful enthusiasm, with many sporting the new Fiona Stanley uniform proudly, a symbol of the recent and welcome addition to the healthcare landscape for 2014. I wish you all a merry Christmas and a relaxing break over this holiday season. Barry Jenkins, the Chief Pharmacist of the Fiona Stanley Hospital was awarded the SHPA WA Branch Achievement Award for 2014. Barry was honoured for his significant contribution to the profession over many years, particularly recently where he was instrumental in the planning, building and opening of a new state-of-the-art hospital pharmacy. This took a herculean effort, and despite the many barriers and extreme pressures, Barry’s vision and optimism for hospital pharmacy have prevailed. Barry has been a collaborative leader throughout his career, aptly demonstrated in his role in establishing the Chief Pharmacists Forum and more recently the WA Hospital Pharmacy Research Alliance. This innovative venture captured the imagination of the Nation’s best and brightest at the recent national SHPA Future Summit. In accepting this honour, Barry paid tribute to his mentors, Peter Tenni, Mal Roberts and the late Jennifer Benzie, his former staff at Royal Perth Hospital where he was Chief Pharmacist for many years, as well as his newly formed team at Fiona Stanley. FEDERALLY SPEAKING... Helen Lovitt - Federal Councillor It’s been a year of change at a Federal level in 2014. As 2013 drew to a close, Council were debating the benefits of giving our journal an online presence. Twelve months later and this has happened. Your December 2014 edition of JPPR is out online now. What this means is improved and speedier access to the journal’s informative articles and research, as well as easier searching for you. It is likely that this will result in more submissions to the journal with its position in the Wiley Publishing stable. Furthermore, your CPD offerings are now often offered as webinars meaning that more people can attend without travelling to the actual site of the presentations. While this is still in its infancy, it offers another string to your bow for keeping current, informed and connected. It is always nicer to attend in person and do the all-important networking with other attendees however; don’t discount this! Please give the Branch feedback as to how this service can be improved as well. Feedback means improvements for you and a better experience for all. All of this means, of course, that other things must come to an end. Your CE on CD will be finishing in the New Year and the funding previously used for these disks will now be utilised to supplement and strengthen the webinars, and expand the numbers who can attend. Council are also looking at their own functionality, and our quarterly board meetings have been pared back so that we can spend time on the things that will best benefit the Society’s future direction. 2015 will see the second in the Future Summit series so keep your eyes open for nominations to attend this. I extend Season’s Greetings to all our members. I hope that the holiday period is a safe and happy one for all and I look forward to a productive and happy 2015. The Pharmacy Intern of the Year for 2014 was awarded to Alex Dare. Alex was described as a stand out example of a dedicated, humble, dependable, highly professional young man. Alex has approached this year with enthusiasm and a refreshing, proactive outlook which has engaged both patients and colleagues alike. He appears to have a bright future ahead of him. The evening was capped off by an inspirational address by Lyn Foreman - a four time Australian 400 metres Hurdles National Champion who represented Australia at the World Championships, two World Cups, Commonwealth Games and the Pacific Conference Games. Lyn is the only person to win Women’s Sports West’s, Sports Woman of the Year and Coach of the Year Awards, winning this honour not once, but twice. Lyn delighted the audience with her humour and humility, anecdotes and wisdom. She challenged pharmacists to “trust and believe in yourself and your work ethic.” Her message was easily translatable to life, career and health – “Stick to you plan, stay ahead of the game, research and always continue to learn.” As an athletics coach concerned with the lack of physical movement in our children, she implored pharmacists to become more involved in selling the health message – Make exercise a habit not a hobby. Schedule it in your diary today. Sounds like a great New Year’s resolution! Indispensable, the newsletter of the Society of Hospital Pharmacists, WA Branch indispensable DEBUGGING THE BUSH Meeghan Clay - CE Coordinator december 2014 THE FULL 360 ON ANTIPSYCHOTICS Deirdre Criddle -Vice Chairperson “Refreshingly different!”, “Great mix of speakers”, “Wow, great to have the consumer perspective on mental health!” These were just a few of the reactions from the half day seminar, “Antipsychotics: Swings and Round-a-bouts” held at Technology Park, Bentley on Saturday 8th November, 2014. Country hospital pharmacists work in a physically and professionally isolated environment. Despite this, the challenges faced are the same as the ones faced by all hospital pharmacists, perhaps with some extra logistical challenges of getting medicines and pharmacy services delivered across many kilometres. Rural pharmacists are often generalist, unable to have the luxury of specialising in a particular field. One the most recent challenges for country health services is the delivery of an antimicrobial stewardship program. Rural hospitals are an environment in which many practitioners are visiting medical officers, meaning there is no capacity for a dedicated multidisciplinary antimicrobial stewardship team, and often lack infectious disease consultants completely. There is a reliance on phone consultations with microbiologists and infectious disease consultants to provide a limited degree of support. Additionally, the antimicrobial biograms across WA are as diverse as the landscape. Despite these challenges, antimicrobial stewardship programs and the promotion of prudent use of antibiotics is gaining traction in the bush. One of the main drivers of this change across the regional hospitals has been the pharmacy teams. Simple provisions such as enforcing antibiotic stop orders and promotion of therapeutic guidelines is a starting point. Many sites have participated this year in the NAPS audit and are starting to develop local guidelines based on the resistance data. Antibiotic awareness week was well promoted in the country sites. The week coincided with a meeting of regional medical directors and directors of nursing so the groups arranged a joint Grand Round which was broadcast via the SCOPIA network to all regional sites. This allowed attendance by pharmacist, nurses and medical practitioners across the state. Albany and Kalgoorlie hospitals also dressed their pharmacists in antibiotic awareness shirts and the nursing and medical teams in Bunbury wrote messages of support on cards like, “I am a Nanna and I pledge to use antibiotics better for my grandchildren”. Other activities in the region included an online version of the antibiotic quiz and promotion of the 7 steps to better antibiotic use in the café of Albany Health Campus. Overall the week was a useful promotion activity for country sites. The challenge is making the changes in practice in the country sites where many doctors have been working a very independent practitioners. They don’t always welcome the support of others but they are starting to see the benefits. The seminar was opened with an inspiring address by Dr Gordon Shymko, Consultant Psychiatrist from Rockingham Kwinana who challenged our group to think differently about mental health. He emphasised the importance of communication and relationships to effective prescribing and encouraged the embracing of care coordination to mental health recovery. Darren Schwartz, clinical pharmacist from Graylands, provided a very informative presentation, stretching us to understand the pharmacology of antipsychotics, comparing and contrasting the typical and atypical antipsychotics. He provided us with receptor based comparisons explaining the action and side effects and flagged his interest in future research regarding treatment resistance. Assistant Professor Deena Ashoorian, a PhD student from UWA, presented her innovative research focussed on raising awareness of consumer’s perspectives of side effects of antipsychotic medication. She challenged pharmacists to use their wisdom, experience and empathy when “telling the truth” about side effects antipsychotic medications. This sparked great interest in the group, and clearly challenged us all to reconsider how we counsel on these medications and why pharmacists have such an important role in each patient’s healthcare journey. In a natural segue, Amanda Waegeli captivated the audience with her open and honest account of her journey from “treatment resistant” to recovery and consumer advocate. Her story left us all with a greater understanding of the people behind the medicines, and she emphasised the importance of communication from our profession too. The panel discussion brought the morning to an end, allowing the consumer advocate, the clinician and the academic to share the stage, and their views on how we can improve the journey and outcomes for mental health patients. It effectively closed the loop on Dr Shymko’s opening address where he encouraged pharmacists to work more closely with patients, and think beyond the medicines to improve the pathway to recovery for more patients in mental health. We were not left wondering about the importance of our role. As we approach a New Year, we look to our members to keep the agenda fresh and inviting for CE. Our thanks to the hard working CE Committee who put in considerable time and effort into making education available and enjoyable on a regular basis to the SHPA community. In particular, Shannon Mullen, who has ensured webinar recording for each event, especially for our country membership – and became a first time father! If you have a passion which you would like to tell us about, or know of an inspirational speaker who you consider our profession would benefit from hearing from – don’t hesitate to give us a call! Indispensable, the newsletter of the Society of Hospital Pharmacists, WA Branch
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