Pharmacy First Scenarios | CliniLink Academy

CliniLink Pharmacy First Scenarios

Build confidence in Pharmacy First consultations with 100 interactive patient scenarios across 13 sections, explained decisions, evidence links and CPD reflection. Includes provisional learning for the five new pathways.

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Course curriculum

1. Welcome to Pharmacy First Scenarios
1. Acute sinusitis: symptoms of five days and a request for antibiotics
2. Acute sinusitis: symptoms beyond ten days without improvement
3. Acute sinusitis: swelling around the eye in a teenager
4. Acute sinusitis: antibiotic choice in documented penicillin allergy
5. Acute sinusitis: a patient below the pathway age range
6. Sinusitis: symptoms lasting more than twelve weeks
7. Acute sinusitis: symptoms in an immunosuppressed patient
8. Nasal congestion: persistent blockage after weeks of a decongestant spray
1. Acute sore throat: a low FeverPAIN score and a request for antibiotics
2. Acute sore throat: a high FeverPAIN score in an eligible patient
3. Acute sore throat: penicillin allergy in pregnancy
4. Acute sore throat: the medication that turns a minor illness into an emergency
5. Acute sore throat: unilateral symptoms and a muffled voice
6. Acute sore throat: prolonged symptoms with fatigue in a teenager
7. Acute sore throat: scoring a five year old
8. Acute sore throat: the seventh episode this year
1. Acute otitis media: discharge from the ear in a young child
2. Acute otitis media: bilateral infection in a child under two
3. Acute otitis media: swelling behind the ear
4. Acute otitis media: an infant below the pathway age range
5. Acute otitis media: the intervention that matters more than the antibiotic
6. Acute otitis media: discharge in a child with grommets
7. Ear pain in a child with a normal looking eardrum
8. Acute otitis media: unilateral infection in a well toddler
1. Infected insect bite: an infant below the pathway age range
2. Infected insect bite: antibiotic choice in a patient on warfarin
3. Infected insect bite: swelling around the eye in an adult
4. Insect bite: telling a local inflammatory reaction from infection
5. Infected insect bite: antibiotic choice in a well adult
6. Infected insect bite: rapid spread with systemic features
7. Tick bite: an expanding rash that is not an infected bite
8. Insect sting: a patient with a previous severe reaction
1. Impetigo: a fourth episode in six months
2. Worsening eczema with clustered lesions: not impetigo
3. Impetigo: school exclusion and hygiene questions from a parent
4. Impetigo: first line treatment for localised non-bullous disease
5. Impetigo: widespread lesions requiring oral treatment
6. Impetigo: blistering disease in an infant
7. Impetigo: oral treatment when penicillin cannot be used
1. Shingles: advice for a patient whose daughter is pregnant
2. Shingles: severe pain alongside antiviral treatment
3. Shingles: ear pain with facial weakness
4. Shingles: antiviral treatment within the treatment window
5. Shingles: rash affecting the tip of the nose
6. Shingles: rash in a patient taking immunosuppressive treatment
7. Shingles: presentation in pregnancy
8. Shingles: presentation beyond 72 hours with new vesicles
1. Urinary symptoms: a woman above the pathway age range with new confusion
2. Urinary tract infection: nitrofurantoin near the upper age limit
3. Urinary symptoms with visible blood in the urine
4. Urinary tract infection: a straightforward supply and the renal question behind it
5. Urinary tract infection: urinary symptoms with vaginal discharge
6. Urinary tract infection: a third episode in six months
7. Urinary tract infection: fever and loin pain
8. Urinary tract infection: a request on behalf of a male partner
1. Acute otitis externa: first line treatment in an uncomplicated adult
2. Acute otitis externa: drop selection when the drum cannot be seen
3. Acute otitis externa: severe pain in a patient with diabetes
4. Acute otitis externa: a patient below the pathway age range
5. Acute otitis externa: the fourth episode in a competitive swimmer
6. Acute otitis externa: failure to improve after two courses of drops
7. Acute otitis externa: mild disease in a patient with well controlled diabetes
1. Seasonal allergic rhinitis: next step when an antihistamine is not enough
2. Seasonal allergic rhinitis: a child below the pathway age range
3. Nasal symptoms in a child: when it is not hay fever
4. Seasonal allergic rhinitis: a child above the pathway age range
5. Seasonal allergic rhinitis: nosebleeds on a nasal corticosteroid
6. Seasonal allergic rhinitis: worsening asthma during the pollen season
7. Hay fever in a child: a request for a sedating antihistamine
1. Acne: a sudden eruption in a patient on new medication
2. Acne: post inflammatory hyperpigmentation as the main concern
3. Acne: an over the counter request that should become a consultation
4. Mild to moderate acne: first line topical treatment
5. Acne: topical retinoid in a young woman who may become pregnant
6. Acne: nodular disease with early scarring
7. Acne: a request to continue a topical antibiotic alone
8. Acne: features suggesting an underlying hormonal cause
1. Migraine: aura discovered in a woman on the combined pill
2. Migraine: acute treatment in pregnancy
3. New headache in an older patient: outside the pathway for two reasons
4. Migraine: attacks tied to the menstrual cycle
5. Episodic migraine: acute treatment in an eligible adult
6. Headache: sudden onset reaching maximum intensity within seconds
7. Migraine: cardiovascular contraindications to a triptan
8. Migraine: headache on most days of the month
1. Scabies: apparent treatment failure after permethrin
2. Crusted scabies: thickened plaques in a care home resident
3. Skin and soft tissue infection: deciding what is mild
4. Scabies: treating a pregnant woman and her young baby
5. Scabies: persistent itch two weeks after correct treatment
6. Infected eczema: deciding whether it fits a mild infection pathway
7. Skin infection: pain out of proportion to appearance
8. Scabies: treating the patient and the household
1. Consultation records: what must be captured and shared
2. Patient group directions: a locum on their first shift
3. Pressure to supply: a patient who does not meet the criteria
4. Safeguarding: a child attending alone with repeated presentations
5. Referrals in: handling a patient sent by NHS 111
6. Supply problems: the pathway medicine is out of stock
7. Service outcomes: a consultation that ends without a supply

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CliniLink Pharmacy First Scenarios

Course curriculum

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Acute Sinusitis (12 years and over)

Acute Sore Throat (5 years and over)

Acute Otitis Media (1 to 17 years)

Infected Insect Bites (1 year and over)

Impetigo (1 year and over)

Shingles (18 years and over)

Urinary Tract Infection in Women (16 to 64 years)

Acute Otitis Externa (18 years and over) — Provisional

Seasonal Allergic Rhinitis (children 4 to 11 years) — Provisional

Mild to Moderate Acne (young people) — Provisional

Migraine (episodic, adults 18 to 64 years) — Provisional

Mild Skin and Soft Tissue Infections and Scabies — Provisional

Service Delivery and Governance

About this course

Discover your potential, starting today