Pharmacy Checklist - Short version SA Pharmacy Group

• This audit works in conjunction with forms P 14.3 and P 14.7. Please action those prior to starting this audit

• Name of Pharmacy

• Conducted on

  Date

• Prepared by

• Location
  Address

This is a general monthly inspection of Pharmacy by Proprietor/Partner or Manager

S3 – Pharmacist Only Medicine

• Are all S3 medicines stored behind the counter?

  Yes

  No

  N/A

• Are all S3 medicines that contain pseudoephedrine and Rikodeine out of public sight?

  Yes

  No

  N/A

• Are all S3 medicines affixed with the pharmacy address label and Label #1 (where necessary)?

  Yes

  No

  N/A

• per; PTGR clause 18 Schedule 3 substances to be supplied personally by pharmacists
  (1) A pharmacist must not supply a Schedule 3 substance to any person unless the pharmacist—
  (a) personally hands the substance to the person, and

• Are pharmacists (not dispensary assistants/technicians) on duty personally handing over pharmacist-only medicines (S3) to patients? (when supplied without a prescription)

  Yes

  No

  N/A

Dispensary

• Is the PIC's name and other pharmacists names clearly displayed?

  Yes

  No

  N/A

• Are pharmacy references and publications available and up to date in accordance with Pharmacy Council regulations? (AMH, AMH Children Dosing Companion, MIMS, MIMS - Don’t Rush to Crush, eTG, APF)

  Yes

  No

  N/A

• Is dispensary scan compliance above threshold (95%)?

  Yes

  No

  N/A

• Is dispensary protocol affixed to wall in dispensary?

  Yes

  No

  N/A

Cold Chain

• Does the pharmacy have a Strive for 5 temperature refrigerator log sheet affixed to each cold medication (including vaccine) fridge(s)? Comment if they also have a data logger.

  Yes

  No

  N/A

• Have the daily am/pm logs been recorded?

  Yes

  No

  N/A

• Is the pharmacy reviewing and saving the weekly data logger readings for fridges? Comment on their procedure

  Yes

  No

  N/A

• There should not any food in the medication (including vaccination) fridge. Is fridge clear of food?

  Yes

  No

  N/A

Dispensary - S8

• During March and September, has the pharmacist carried out a full stock-check and review of all S8 drugs of addiction?

  Yes

  No

  N/A

• Does the pharmacy conduct more regular S8 checks? If so, when was the most recent check? Comment on the checking process

  Yes

  No

  N/A

• For all controlled drugs that need to be destroyed, are they separately stored in the safe and clearly labelled for destruction?

  Yes

  No

  N/A

• Does the pharmacy have a procedure for dispensed S8 medicines and webster packed S8 medicines?

  Yes

  No

  N/A

S8 monitoring

• Please conduct appropriate checks as per Proprietor action sheet for S8 Medicines as per schedule. P14.3
  On completion, take a photo of the form and any photos of reports and screens
  

• Schedule 8 Action Sheet : Please take photo of document after actioning required checks and reports.

  Media

• Are S8 and S4B duplicates kept seperately?

  Yes

  No

  N/A

• Is the DD Safe key stored in a safe, legal manner by the pharmacy? Comment on it's storage.

  Yes

  No

  N/A

• Script validity - Check duplicates to ensure validity. If all valid, answer yes

  Yes

  No

  N/A

• Are all S8s Cancelled/Dated/Signed

  Yes

  No

  N/A

• Are all Psychostimulants endorsements with CNS/S28c/AU# + Appropriate Authority

  Yes

  No

  N/A

AHPRA specific self audits

• SA Pharmacy has specific monitoring requirements as per AHPRA conditions.
  No compounding allowed for:(i) Somatropin(ii) Testosterone(iii) Mesterolone(iv) Anastrozole.
  An outside Auditor is to conduct audits into the supply, dispensing or compounding of Schedule 4B drugs, somatropin and anastrozole. We also self audit the supply of these medications
  Please use the self audit form and take a photo when finished

• Please take photo of S4D and S4B self audit sheet and any other reports.

  Yes

  No

  N/A

• Please comment on the S4D S4B audit and note any witness pharmacists

Owing Scripts

• Please conduct appropriate checks as per Proprietor action sheet for owing scripts as per schedule and take a photo of filled form

  Media

Medicines Subject to Abuse plus S4B and S4Ds

• Please conduct appropriate checks as per Proprietor action sheet for Medicines Subject to Abuse as per schedule and take a photo of filled form - P14.3. Has this been done satisfactorily?

  Yes

  No

  N/A

Claims

• Has last month's the pharma programs been submitted?

  Yes

  No

  N/A

• How many MedsCheck/Diabetes MedsCheck have been submitted?

  Yes

  No

  N/A

• Please check for PBS Rejections (Note <PBS payment for high cost drugs). Is all OK in this area?

  Yes

  No

  N/A

Regulatory

• Discuss the pharmacy approach to Safescript including process of documetation eg noting that SS was check every time or at least regularly.

• Is the Safescript process satisfactory

  Yes

  No

  N/A