NI GP Pharmacist Sanctioned for Deficient Clinical Practice and Unsafe Anticoagulant Monitoring

Date of Decision: June 23, 2022

Registrant's Role: Pharmacist

Allegations:

• Lack of essential clinical knowledge
• Frequent errors calling professional competence into question
• Failure to demonstrate general skills and competencies
• Inability to perform tasks expected in the role
• Inadequate recording and coding of medical notes
• Mismanagement of patients on anticoagulants
• Incomplete medication reviews and failure to intervene
• Lack of insight into performance deficits
• Failure to respond adequately to concerns
• Breach of professional standards and potential risk to patients

Outcome: Conditions imposed for 12 months with mandatory supervised practice and portfolio submission

GPhC Standards Breached:

• Standard 2.1 – Provide safe, effective and quality care
• Standard 2.1.1 – Promote and ensure the safe, effective and rational use of medicines
• Standard 2.1.2 – Effectively control and manage medicinal products with abuse potential
• Standard 2.1.6 – Avoid creating risk to patient care or public safety
• Standard 2.2.3 – Act promptly to minimize and resolve risks
• Standard 2.3.3 – Ensure accurate, legible and attributable records
• Standard 3.1.1 – Maintain personal and professional conduct
• Standard 3.1.3 – Communicate information clearly and unambiguously
• Standard 3.1.4 – Honour professional commitments
• Standard 4.3.2 – Work effectively within multidisciplinary teams
• Standard 4.4.1 – Take responsibility for work and supervision
• Standard 4.4.3 – Ensure proper professional service delivery
• Standard 5.1.1 – Practice only when competent and fit
• Standard 5.1.4 – Apply knowledge appropriately within scope

Case Summary

Original Case Document