OTP Self Audit Weekly/Monthly

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Start Inspection

This is a self audit of your pharmacies OTP program - it may be useful to stockcheck all your OTP items prior to starting .Fill a grid similar to below as you will be asked to photograph it later.
Pharmacy Name

Prescription Validities

You should have your current prescriptions available and your OTP software open. You will view both physical and scanned prescriptions. You should be looking for anything that does not comply with PTGR. One by one you should view the prescriptions and identify any that are non compliant in any way. An example of an invalid prescription is below.
Are there any expired OTP prescriptions or faxes greater than 7 days old?
How many prescriptions/patients are you dosing
Your total patients exceed 65 do you have authorisation
How many prescriptions were identified as being non compliant with S8 requirements (with clear dose instructions and individually authorised takeaway doses if applicable)
Do all files have current photo of patient?
Is the photo near the prescription (in folder or on screen)
Does each agreement sheet include individualised arrangements with doctors on method of communication, arrangements for takeway doses, missed doses and intoxication management
Is there a process to ensure prescriber is aware of any OTC or prescription medicines taken by patient?
Al finalised OTP prescriptions are required to be stamped as cancelled and filed separately. Please locate the filed and cancelled OTP prescriptions. Go through them individually and identify any non compliant prescriptions or prescriptions that hace not been cancelled.
Were all finalised prescriptions cancelled and valid? Please review all prescriptions
How many invalid on non cancelled prescriptions did you identify.

All OTP products are Schedule 8 medicines and accurate counts are very important and discrepancies must be reported to NSW Health. At a minimum, the stock should be checked in March and September. Good practice is to stocktake much more frequently than this.
What date was the last stock check done for Methadone?
What date was the last stock check done for Biodone?
What date was the last stock check done for Subutex?
What date was the last stock check done for Suboxone?
Please conduct a stocktake of all OTP items or if done recently, please take a photo of the screen or a grid to show theoretical and actual quantities

Takeaway doses may be prepared in advance and if done so must be fully labelled and ready for collection. There must be a process in case a client does not attend or if changes are required.
Are doses made in advance? Please explain your process in notes if you do.
Is prescription referred to at every dosing?
As per TG202/1 prescriptions need to be referred to at every dosing. Please identify any staff that are not checking every time and offer remedial training