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COVID-19 student vaccine clinic - Coggle Diagram
COVID-19 student vaccine clinic
Training
Clinic set-up
-initial training required
-online training required
-software training required
-some form of credential was implemented
Barriers
-difficulty with clinic software
-lack of training for new software
-overtime required after new software implemented
-not much initial training provided from QG
-initial training was limited
Clinic needs
Logistical processes
Structural (non-staff related)
vaccine clinic is a new service
feasibility of setting up the vaccine clinic
-vaccine vials were valuable
-need to ensure aseptic environment
-vaccines require timely preparation
-early preparation required for vaccine clinic
-need to appropriately set up vaccine clinic
-consistency in process was required
-creation of vaccine clinic protocols
Staff-related
-clinic requires senior pharmacist, student and technicians
-clinic requires overlapping shifts
Logistical Barriers
-no clear outline of day-to-day processes
-vaccine stock issues
-change of clinic software
-expiry issues with vaccines
-vaccine preparation process was changing
-physical environment impacted clinic
Service barriers
-vaccine role not full defined or developed
-clinic needs disrupted usual pharmacy processes
-issues with patient expectations of clinic service
-unrealistic expecations on the clinic service
-clinic could have unpredictable service needs
-unpredictability of clinic service hours
-unpredictability of clinic service hours was stressful/impacted ability to prepare
-excessive service requirements were tiring and stressful
-increasing demands on clinic service
-nursing staff had issues with service requirements
Service enablers
-staff support for vaccine clinic was initially good
-able to translate role from PA clinic to convention centre
-staff wanted to operate at full capacity if possible
External factors
-political implications impacted clinics
-impact of media on clinics
-executive impact on clinics
Involvement in Clinic
-humanitarian motivation to be involved with clinic
-sense of community
-vaccine clinic unlikely to advance career
-being part of the clinic felt important and bigger than themselves
Dynamic situation
-continuous need to adapt to changing environment in clinic
-need for continuous learning from past experiences
-dynamic nature of clinic
-clinic service requirements were always changing
-streamlining processes
-learning comes from practical experience and time
-need to be flexible with working times in clinic
-clinic processes and clinic role evolved over time
-upscaling of vaccine clinic
Overall clinic team
Enablers
-students and technicians were able to cover each other
-effective communication within clinic team
-team members were a good fit
-smaller team felt more supportive
-clinics had a positive team environment
Team requirements
-formal application required for role
-need a well-functioning team
-level of trust required in other clinic staff members
-team approach was needed
-need staff with a variety of skills and experience
-improving division of roles and responsibilities
-need for expansion of roles and responsibilities
-need to have flexibility in roles and responsibilities where appropriate
-mentor mentee relationships may help support students
-clinic environment is an intimate team environment
Barriers
-little contact of pharmacy students with nurses
Pharmacist
Enablers
-pharmacists were willing to do the work required
-hp5 organised rosters
-pharmacists supported and leaned on each other
-need pharmacist to lead clinic
-pharmacist involved with logistical processes
-senior hp4 involved with logistical processes
-senior hp4 involved with managing workflow
Student related
-pharmacists felt that students were a valuable resource
-pharmacist felt that students were useful in clinics
Barriers
-absence of aseptic experience was challenging for pharmacist
-pharmacists had less clinical scope in clinic
Experiences
-pharmacist developed leadership skills
-vaccine work is expected in a pharmacists role
-pharmacists involved with checking rather than compounding
-clinic role was new and exciting to pharmacist
-clinic role was different to hospital pharmacist role
Technician
Enablers
-technician had aseptic training prior to clinic work
-technician felt that clinic was a opportunity for new experiences
-technicians wanted to expand their role
-technician was excited to be part of clinic
-technician was comfortable transitioning to clinc
-other technicians wanted to be part of clinic
Student-related
-technicians helped teach students
need for advanced technician scope roles
(also duplicated in 'Future prospects')
Student
Enablers
-students were led by pharmacists
-pharmacists supported students in clinic
undergraduate courses prepare you for compounding
-students felt positive about the clinic team
-practical training was useful for students
-student training helped build student confidence
-student clinic shifts fit well with university schedule
vaccine administration being taught at university
-students were keen to learn
-students had good communication skills
Experiences
-students gained learnings from experienced pharmacists
hp4 pharmacist responsible for students
-clinic role was a new opportunity for students to learn and gain experiences
-clinic role was new and exciting to students
-clinic role was student first exposure to hospital setting
-student training is better in small groups
no exam or hurdle required for student clinic training
-students were reconstituting vaccines
-students learned about aspetic techniques
-students made new connections in clinic
-student vaccine clinic model was new
-not all students that received training worked in clinic
Barriers
-aseptic technique and sterile compounding was new to students
-aseptic technique was initially a challenge to students
-students had limited pharmacy work experience
-students lack of hospital experience
-students felt some pressure to perform in clinics
Future prospects
-need for advanced technician scope roles
-liklihood of vaccine clinics embedded into future pharmacy practice
-vaccination training will be important for future students
-need for expansion of roles and responsibilities
-clinics will be a good opportunity for future students
-students could be placed in other hospital areas
-students could gain practical experience in hospital within their scope
-need to teach aseptic technique and sterile compounding in university
-four year pharmacy student in clinic
-students wanted other tasks during quiet clinic times