Skin Pilot Victoria - Mild Plaque Psoriasis

The purpose of the Skin Pilot - Mild Plaque Psoriasis form is to re-supply adult patients with certain schedule 4 topical corticosteroids for the treatment of acute exacerbations of mild plaque psoriasis (flare-up).

Please follow these steps:

Select Patients in themenu.

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Search for the patient by surname, first name, address, medicare number or date of birth OR select from the Recently dispensed customers list OR select Add patient to manually enter the patients details

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Next to the patient's details, select Record Service

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View the Patient Information, including any patients notes, consultation history, medication list and more. Select the Services drop-down and select SKIN PILOT VICTORIA - MILD PLAQUE PSORIASIS

Complete all compulsory fields in the PATIENT INFORMATION section.

Please note: We recommend to update patient information in your dispense software.

Today's date is prepopulated. Select from the Pharmacist drop down under CONSULTING PHARMACIST DETAILS

Under PHARMACIST SUITABILITY you must select the check box to indicate that you have completed the required training.

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You can also click the link to view the Protocol for Management of Acute Exacerbation of Mild Plaque Psoriasis

Please note: The system will remember this setting for each pharmacist, so you do not need to tick it each time.

PATIENT CONSENT - The patient must provide informed consent to the service and the collection of their personal information. The patient consent recorded in the checkbox, must be taken as informed consent using points 1 and 2 in the Patient consent to treatment and privacy information sheet to support the discussion with the patient. CLICK HERE to access the patient consent to treatment and privacy information factsheet.

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Please also tick all the additional demographics for pilot evaluation that apply to the patient. There is also a requirement to select the patient payment status (e.g concessional or general) from the drop down, for reimbursement for the cost of medicines from the Victorian Government.

Complete the SCREENING QUESTIONS including all mandatory fields.

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Complete the CLINICAL REVIEW including all mandatory fields under Examination

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Click here for the Psoriasis Area Severity Index and Dermatology Life Quality Index calculator

- Select from the options under Result and complete all mandatory fields

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When selecting 'Mild', complete patient review history and answer the following questions:

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Please note: If 'Moderate' OR 'Diagnosis unclear' is selected OR if the patient meets specific conditions for a Mild Result, answer the question 'Are you referring the patient to their GP?' and enter the reasons.

Complete the TREATMENT section including all compulsory fields.

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Please note: If resupply is selected, click the medication which is being supplied to the patient

Select the items completed as part of the NON-PHARMACOLOGICAL & SELF CARE ADVICE section

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Complete REFERRAL and GP LETTER (as required with patient consent). A PDF will be generated.

At the top and the bottom of the form, you can save a draft, delete or complete the form.