Practice Resources

  The College of Pharmacists of Manitoba (formerly known as the “Manitoba Pharmaceutical Association”) continues to adapt the content on www.cphm.ca in order to reflect the December 2006 Pharmaceutical Act, implemented January 1, 2014. The documents on the website with “Manitoba Pharmaceutical Association” or “MPhA” have not been updated and may not be consistent with the current legislation. Questions on this content can be directed to the College office.

General

A Guide to Pharmacy Practice in Manitoba

A Guide to Pharmacy Practice in Manitoba replaces Orientation to the New Practice Framework. The updated Guide outlines the legislation, standards of practice, practice directions and code of ethics which form a framework for daily pharmacy practice in our province.

Understanding Drug Schedules

Health Canada Advisories


Age-Friendly Pharmacy Practice and Community Outreach

The Canadian population is aging and strides in modern medicine mean seniors in Canada are enjoying longer and more mature life expectancies. At the same time, medication use in seniors is increasingly complex because of the physiological changes related to aging combined with increased likelihood of chronic illness and polypharmacy. To support pharmacy professionals in building an “age-friendly” practice, the Institute for Safe Medication Practices Canada (ISMP Canada) developed a suite of resources to build practice skills and promote community outreach for

  • resolving drug-drug interactions in older adults;
  • mitigating potentially inappropriate medication use in older adults;
  • enhancing safe medication use in older adults; and
  • deprescribing in older adults.

To learn more about how you can build an age-friendly practice including practice and community outreach resources, please visit the Age-Friendly Pharmacy Practice page of the College website.


Patient Safety 

Learn to be Safe - Medication Safety: A Guide for Pharmacists
Fall Prevention Pamphlet 
Manitoba has an Apology Act - Learn more about it!
Apology Act
Safety Alert: Risks associated with Ophthalmic Anesthetics


SMART Medication Safety Agenda

The Institute for Safe Medication Practices Canada (ISMP Canada) has introduced the SMART Medication Safety Agenda to share learnings on common medication incidents reported to them from across Canada through the Community Pharmacy Incident Reporting (CPhIR) program. This data forms the foundation for continuous quality improvement (CQI) resources like SMART Medication Safety Agenda to support pharmacy practice enhancements for patient safety. 

The SMART Medication Safety Agenda encourages pharmacy teams to discuss and collaborate on CQI.

The following YouTube video (4:16 Minutes) is a step-by-step guide for pharmacy professionals to learn how to use the SMART Medication Safety Agenda: 

https://youtu.be/zFTwL-mt0Xw

Download the first of 2018’s SMART Medication Safety Agenda about Warfarin.


Medical Assistance in Dying


Opioid Resources

The College of Pharmacists of Manitoba recognizes the need for appropriate tools to be available to pharmacists when managing patients with pain.  It is the responsibility of pharmacists to ensure that opioids are dispensed in a responsible manner, with patient safety taking the highest priority.  Pharmacists may also wish to provide resources to their patients to assist them in contributing to treatment decisions and we have listed some of those references as well.  

Opioid resources for Pharmacists:

Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain – consists of treatment roadmaps for best prescribing practices.

CADTH Pain Evidence Bundle - includes evidence-based resources for pain management. The website also offers a database with peer-reviewed articles in pain management.  

CADTH Opioid Evidence Bundle - provides resources for opioid use, misuse, harms and alternatives. 

ISMP – Opioid Stewardship -  opioid infographic and essential skills info sheet for prescribers

Fentanyl – Government of Manitoba -  information on take-home naloxone distribution program

Government of Canada – Help stop opioid overdoses – opioid information and services

Government of Canada – Action on Opioids – outlines role that Canadian government has taken to manage the opioid crisis in Canada

Methadone for Pain in Palliative Care - This  course was created for physicians wishing to improve their knowledge in methadone prescribing for pain management in palliative care. The course will also be of interest to pharmacists and nurses who are monitoring and assessing patients on methadone. 

Resources to be provided for Patients:

ISMP – Opioid Stewardship – opioid info handout for patients and families

SafeMedicationUse.ca Newsletter – Opioids – Be an Informed Consumer - provides useful information for patients.  It has video series called Question Opioids which is intended to provide information to patients to make decisions regarding their use of opioids.

Addictions Foundation of Manitoba - Contains information for patients who want to get help. Lists services that the organization provides. 

CPhM resources

Methadone Maintenance Treatment: Quick Guide to Keep Your Patients, Staff, and Community Safe

Opioid Replacement Therapy Guidelines for Manitoba Pharmacists

Guidelines for Pharmacists Selling Naloxone as a Schedule II Drug and additional naloxone resources


Questions documents

Frequently Asked Questions: Implementation of the December 2006 Pharmaceutical Act
[Released in the March 28, 2014, Friday Five]
Q & A on the Regulations to the December 2006 Pharmaceutical Act 
FAQ's - Out of Province Prescriptions and Prescribers [Updated and posted February 28, 2014]


WRHA Safe Handling of Hazardous Medication – Reference Documents

Dispensing Chemotherapy for Use in the Home
WRHA & CCMB on Safe Handling Policy
WRHA Hazardous Medication List
Enteral Dosage Forms of Hazardous Medications
Checklist for Clinical Verification of Cancer Drug Prescriptions
Oral Chemotherapy Checklist Feedback Survey 


Newsletter and Friday Five articles

Vaccine Schedules [Originally published in the June 7, 2013, Friday Five]
Prescription and refill expiry [ Originally published in the May 10, 2013, Friday Five]
Disclosure of personal health information [Page 4 of the Spring 2013 Newsletter]
Exercising your professional judgement [ Page 5 of the Spring 2013 Newsletter ]
Proper handling of medication incidents [Page 8 of the Spring 2013 Newsletter]
Forgeries [Page 5 of the Summer 2013 Newsletter]
Preparing for Inspection/Quality Assurance Program [December 2012 Newsletter]