Oral Systemic Therapy [pharmacy]
Community pharmacists dispensing prescriptions for oral agents to treat cancer may use the set of tools designed to aid in their practice. In the Systemic Therapy Manual (see toolbar to left), you can select the drug name (remember to click the ‘Search Now>>’ icon to find the drug monograph) and a number of tabs are available for your use.
To help pharmacy staff, click on the ‘Pharmacy Toolkit’ button to download a toolkit especially designed for dispensing pharmacists. This is a quick reference guide to the dispensing procedures specific to each drug, as well as a guide to patient call-backs and adverse effects to anticipate.
For the pharmacist, there are Practice Guides to guide each patient visit or follow-up call, and to simplify documentation of each encounter:
o Initial Assessment and Patient Counseling Visit - For use when the first prescription is filled
o First Follow-Up Call/Visit - For 3 to 5 days after the first prescription is filled
o Continuing Follow-Up Calls/Visits- Short Version - For use when subsequent prescriptions are filled, or for follow up calls between prescription fills
o Continuing Follow-Up Calls/Visits- Long Version - For use every 3 to 6 months in lieu of the Short Version- open-ended probing questions on adherence and adverse effects
For patient education, select the ‘Med Info Sheet’, a patient teaching resource specific for each drug, downloadable as a PDF file for printing on regular letter size paper. Other resources to help with patient education include:
o Oral Chemotherapy; A Guide for Patients and Families | Print Instructions
o Cytotoxic Precautions at Home: A Guide for Patients and Families
If you identify an adverse effect in your patient on the drug you have dispensed, click on ‘ADR Management’ for another guide offering practical advice on what you can do to help the patient, including supportive care products to consider.
There are other Practice Guides to assist pharmacy staff with safe handling, adherence management and dose re-calculation:
o Safe Handling- Cancer Medications in the Community Pharmacy
o Medication Adherence Management
o Dose Verification for Cancer Medications OR Dose Verification for Cancer Medications (with automated calculator) - Must have MS Word and MS Excel on the workstation.
We welcome your feedback on this set of tools. Suggestions for improvement are happily accepted: Please send your message to ccns.nshealth.ca