Skill V: Patient Screening for Pharmacist Consultation and Services (4 minutes)

HOSA Pharmacy Science

What are the 5 screening scenarios?

1. contraindications to injectable influenza vaccination

2. contraindications to injectable inactivated poliovirus vaccination

3. contraindications to injectable rubella vaccination

4. late refill

5. possible allergic reaction

What should you do BEFORE asking screening questions to the patient?

• greet the patient and introduce yourself

• provide patient privacy by verbalising or moving to a private area

• record patient name and DOB on blank screening form

• [MAY OR MAY NOT HAVE TO DO THIS: RECORD SCENARIO (i.e., injectable influenza vaccination, injectable inactivated poliovirus vaccination, injectable rubella vaccination, late refill, possible allergic reaction) AT “Screening Checklist for: ___”]

What should you NOT do during patient screening?

• lack of eye contact

• inappropriate facial expressions

• closed posture

• usage of medical jargon

• interrupt the patient

What SHOULD you do during patient screening?

• speak with appropriate volume, pitch, inflection, pronunciation, diction

• IMPORTANT (counts for 2 points): question patient as needed to make sure responses are understood

Questions for Contraindications to Injectable Influenza Vaccination

Note/Preface: “If you answer ‘yes’ to any of these questions, it doesn’t mean that you will automatically not get the vaccination. Your pharmacist or I will follow up for more information.”

1. Is this vaccination for you or someone else? If for someone else, are they younger than 6 months?

2. Is/Are [THE PERSON BEING VACCINATED: say “you” or refer to the other person] over the age of 65, meaning that they will receive a higher dose?

3. Is/Are [THE PERSON BEING VACCINATED: say “you” or refer to the other person] showing signs of illness/sickness today?

4. Does/Do [THE PERSON BEING VACCINATED: say “you” or refer to the other person] have allergies to any component of the vaccine?

5. Does/Do [THE PERSON BEING VACCINATED: say “you” or refer to the other person] have a severe allergy to chicken eggs?

Questions for Contraindications to Injectable Inactivated Poliovirus Vaccination

Note/Preface: “If you answer ‘yes’ to any of these questions, it doesn’t mean that you will automatically not get the vaccination. Your pharmacist or I will follow up for more information.”

1. Does the person to be vaccinated have allergies to any component of the vaccine?

2. Is the person to be vaccinated today immune depressed in any way?

3. Does the person to be vaccinated live with anyone who has an immune deficiency disease?

4. Is there a suspected familial immune deficiency?

5. Is there possibility that the person being vaccinated is pregnant?

Questions for Contraindications to Injectable Rubella Vaccination

Note/Preface: “If you answer ‘yes’ to any of these questions, it doesn’t mean that you will automatically not get the vaccination. Your pharmacist or I will follow up for more information.”

1. Does the person to be vaccinated have allergies to any component of the vaccine?

2. Is the person to be vaccinated today immunosuppressed?

3. Is the person being vaccinated receiving corticosteroids?

4. Has the person being vaccinated been diagnosed with tuberculosis?

5. Is there possibility that the person being vaccinated is pregnant or attempting to become pregnant?

Questions for Late Refill

Note: “It’s important for the pharmacy staff to know the reasons behind late refills so we can cater toward your needs better in the future.”

1. How did the prescriber recommend you take this medication?

2. What methods do you use to help remember to take your medication?

3. What side effects have you experienced with the medication?

4. Has this medication helped relieve condition for which it was prescribed?

5. Are there any other reasons you do not take this medication as often as prescribed?

Questions for Possible Allergic Reaction

1. What medication were you taking when you noticed symptoms of concern?

2. Please describe your symptoms.

3. When did your symptoms begin?

4. Were any other medications taken during this time, including over-the-counter drugs?

5. Have you stopped taking the medication?

What should you do AFTER asking screening questions to the patient?

• sign patient screening form

• referred patient to pharmacist (judge) for counseling (THIS IS WORTH FOUR POINTS ?!?!)

• hand the completed patient screening form to the judge