PROPRITOR SHEET SAFETY CULTURE

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• To be completed monthly by proprietor/Pharmacist in Charge for regulatory compliance

Pharmacy Proprietor Checklist

• Is the PIC name plaque displayed and Proprietor sign visible from shop exterior?

  Yes

  No

  NA

• Are the DD keys in PIC possession?

  Yes

  No

  NA

• Have you checked that all employed and contractor pharmacists have current AHPRA registration and insurance?

  Yes

  No

  NA

• Are all employed and contractor pharmacists covered by professional indemnity insurance, eg PDL?

  Yes

  No

  NA

• Have all staff members been supplied appropriate uniform + name badge + name plaque (if a pharmacist)?

  Yes

  No

  NA

• Are all dispensary staff aware of current dispensary procedures? (eg opening/closing, compounding, Medical certificate, vaccination, ordering, SRA, receiving stock, TGA recall, owing scripts, My Health Record access, eprescriptions, pricing policy, generics policy, scripts on file +/ reminders, returns policy)

• Have you ensured that procedures and policies for all services provided by the pharmacy, as well as those relating to occupational health and safety (OH&S), are documented and available within the pharmacy for all staff to access and follow?

• Have you read the Pharmacy Board's "Guidelines for proprietor pharmacists"? Handy Link: https://www.pharmacyboard.gov.au/codesguidelines.aspx

  Yes

  No

  NA

• Are you vigilant in fulfilling your proprietor responsibilities, including onsite visits and attendance at staff meetings at a frequency that ensures compliance with the Pharmacy Board's Guidelines?

  Yes

  No

  NA

• Are COVID sanitisation protocols being performed regularly (including consult room)? Please state how often this is done. Handy link: https://www.health.nsw.gov.au/Infectious/covid19/Pages/pharmacy.aspx#dispensinglimit

• Have you and ALL your pharmacists read the Pharmacy Board's Code of Conduct? Signed acknowledgement must be kept in their staff file. Handy link: https://www.pharmacyboard.gov.au/codesguidelines/codeofconduct.aspx

• Have all pharmacists read the Pharmacist Code of Ethics AND Professional Practice Standards. Signed acknowledgement must be kept in their staff file. Handy links:https://www.psa.org.au/practicesupportindustry/ethics/https://www.psa.org.au/practicesupportindustry/professionalpracticestandards/

• Have you and ALL your pharmacists read: Social media: How to meet your obligations under the National Law? Handy link: https://www.pharmacyboard.gov.au/CodesGuidelines/Socialmediaguidance.aspx

• Do you have a key register listing who has keys to the pharmacy? When was the last time you updated this list?

• Do you have a key register listing who has keys to the pharmacy? When was the last time you updated this list?

• How are you maintaining accounts, emails, logins and passwords; especially when terminating staff?

• When was your last fridge temperature recorded? (Strive for 5; cold chain breaches must be recorded using the "Manage cold chain breach" flow chart)

• If using a fridge temperature logger (eg Cleaver logger, or builtin) do you review your results and action where necessary? (Unlike the usual min/max from thermostat, this records constantly and can provide a report on breaches, usually reviewed by a pharmacist weekly)

  Yes

  No

  NA

• Please describe how your staff manage medication/supplement expiry dates, in both the dispensary and shop?

• Are you up to date with DD checks? (Mandatory biannual check, however monthly is best practice)

  Yes - we check monthly

  Yes - we check biannually

  No - we are behind on this

  Other

• What DATE was your last DD check?

  Date

• Do you have any expired DD's ready for destruction? Is your Destruction DD book up to date?

• Is your main DD safe key kept overnight in a separate locked safe, bolted to wall/ground?

  Yes

  No

  NA

• If applicable, are your Opiate Replacement Therapy (ORT) Subsidiary Drug Registers completed daily and entered into main DD book? Are all books up to date?

• If applicable, are your ORT Subsidiary Drug Registers completed daily and entered into main DD book? Are all books up to date?

• Have you or has your pharmacist manager completed a ORT selfaudit?

• Are you keeping documents for appropriate durations on the premises as required by law? (eg 2 years for scripts and 5 years for financials)

• PDL suggest the following practices may reduce incidents with STAGED SUPPLY: Good documentation, Clear communication, Engagement with prescribers and Consistency by all pharmacists involved in staged supply. Do you have systems in place to assure this?

• Are appropriate Staged Supply records maintained and kept for two years?

• Have you ensured that ALL pharmacists have ready access to CURRENT VERSIONS of essential references specified by the Pharmacy Board? (eg AMH, MIMs, APF etc)

• How (and how often) do you notify prescribers of owed scripts for both community and DAA patients?

• Regarding DAAs, are all dispensary staff adhering to a set system for actioning changes? Are all records kept both physically and electronically with evidence of Dr's instructions? (eg, photocopy of script/letter etc)

• Do you dispense S100 Highly Specialised Drugs? Eg, HIV drugs, Hep C drugs. If so are ALL pharmacists using the Liverpool interaction checker on a regular basis in combination with other resources? Link: https://www.hivdruginteractions.org/checker

• Have you and all your pharmacists completed a CPD PLAN yet for THIS CPD year?

• How many of your pharmacists hold a First Aid certificate and are trained in CPR?

• Do you offer a vaccination service?

  Yes

  No

  NA

• If you answered yes above, do you have a COVIDsafe vaccination SOP in place?

• Have you completed the Vaccination Service and Storage Self Audit?

• Do you have a 'Locum Pharmacist Guide' in place? When was this last updated?

• In addition to Board required equipment, have you provided all facilities and equipment required for all professional services delivered at the pharmacy?

• Have you ensured that appropriate risk management procedures are in place for the operation of the pharmacy, including all types of services delivered at that pharmacy?

  Yes

  No

  NA

• Have you ensured that confidential patient information is appropriately stored and accessed? This includes providing training on appropriate 'My Health Record' access and protection of passwords

• Do you have a complete awareness and understanding of the range of goods sold and services provided at the pharmacy, including nontraditional and novel goods and services, and their associated liabilities?

• Have you ensured that the pharmacy is suitably resourced, and that staff members are suitably trained and appropriately supervised to provide services in accordance with their position descriptions?

• Have you ensured that business procedures, policies and protocols are developed, implemented and routinely followed for all services delivered at the pharmacy?

• Have you ensured that the ADVERTISING of products and/or services sold at the pharmacy is carried out in accordance with applicable legislation and guidelines?

• Is ther Schedule 3 Medication section out of reach of the public?

  Yes

  No

  NA

• Have you checked the List of required Equipment for pharmacy approval and compounding and ensured all necessary items are present and functional?

• Confirm if Staff Communication book is present and actively used between store staff

• How often does the Pharmacist in Charge perform audits of S8, S4 including D&B scripts against the NSW Health requirements and check whether they were dispensed correctly

• How often does the PIC Print owing reports and make sure there is no owings have been supplied without either doctor phone approval or facsimile

• Is Current certificate of pharmacy registration displayed

  Yes

  No

  NA