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Pharmacy Act, 1974 (Act No. 53 of 1974)

Board Notices

A Pharmacist who provides Pharmacist-Initiated Management of Antiretroviral Therapy (PIMART) services in South Africa: Scope of Practice, Competency Standards and the Criteria for Accreditation of a Pharmacist Initiated Management of Antiretroviral Therapy (PIMART) Course

Part 2: Competency Standards for a Pharmacist who provides Pharmacist-Initiated Management of Antiretroviral Therapy (PIMART) Services

Domain 6: Handle ART data responsibly and use Disease Management Systems appropriately

 

INTRODUCTION

 

The competencies required in the domain to handle ART data responsibly and use disease management systems appropriately are:

 

6.1 Generate reports to assist with clinical governance, programme management and quality improvement;
6.2 Use a Patient Management System;
6.3 Implement the process of care for PIMART; and
6.4 Apply minimum package of interventions to support linkage to care.

 

DOMAIN 6: HANDLE ART DATA RESPONSIBLY AND USE DISEASE MANAGEMENT SYSTEMS APPROPRIATELY

COMPETENCIES

BEHAVIOURAL STATEMENTS
6.1 Generate reports to assist with clinical governance, programme management and quality improvement
6.1.1 Demonstrating an understanding and description of the content, generation, extraction, and verification of reports—
• Outstanding laboratory results list.
• Data validation list.
• Early missed appointment list.
• Late missed appointment list.
• Unconfirmed lost to follow-up list.
• ART regimen line validations list.
• Viral load cascade list.
6.2 Use a Patient Management System
6.1.2 Describing the functionality and process flow within a patient management system.
6.3 Implement the process of care for PIMART
6.3.1 Demonstrating a detailed knowledge and understanding of the baseline Clinical Evaluation for HIV+ Adults and Adolescents (>15 years) in terms of clinical evaluation component, purpose, and further actions.
6.3.2 Demonstrating a detailed knowledge and understanding of the Baseline Laboratory Evaluation for Adults and Adolescents (>15 years) in terms of laboratory evaluation, purpose, sex, and referral.
6.3.3 Demonstrating a detailed knowledge and understanding of the Serial HIV Testing Algorithm.
6.3.4 Demonstrating a detailed knowledge and understanding of the REFLEX Laboratory ELISA Testing Algorithm.
6.3.5 Demonstrating an understanding of the Baseline Laboratory Evaluation for Adults and Adolescents (>15 years) (GP/HIV Specialist) in terms of laboratory evaluation, purpose, sex, outcomes.
6.3.6 Demonstrating a detailed knowledge and understanding of TPT in terms of client category, specific eligibility requirements, treatment and duration.
6.3.7 Identifying common 1st line regimens.
6.4 Apply minimum package of interventions to support linkage to care
6.4.1 Demonstrating a detailed knowledge and understanding of PIMART referral criteria.
6.4.2 Demonstrating a detailed knowledge and understanding of Fast Track Initiation Counselling.
6.4.3 Describing the procedure to follow before, during and at the end of each session.
6.4.4 Describing the steps in dealing with substance abuse.
6.4.5 Describing the procedure to follow for scheduling appointments for the next visit and tracing patients not seen for ≥ 90 days.
6.4.6 Describing the procedure for re-integrating patients into care.