| 1.6 |
Required records for high risk medicines are not accurate and transactions are not entered in a timely manner as required by law. |
A recorded conversation with the
superintendent Pharmacist to highlight the
importance of keeping accurate records of
control drugs supplied and received
New Register started from the 3rd of May to
include current balances. High risk
medications received and supplied to patients
are being entered daily and weekly balance
checks carried out by superintendent
Pharmacist and staff.
New Register started from the 3rd of May to
include current balances. High risk
medications received and supplied to patients
are being entered daily and weekly balance
checks carried out by superintendent
Pharmacist and staff.
Historic records to be entered and balances
correlated with current CD book. Any
discrepancies to be reported to the
Accountable officer |
30/06/2022 |
28/06/2022 |
| 1.1 |
The pharmacy manages risks poorly as it does not follow standard operating procedures for all activities. Aspects of record keeping are insufficiently controlled which risks poor accountability of medicines stock. |
Staff training to be carried out to ensure all
qualified staff are aware of the
responsibilities in entering High risk
medications supplied and received in the
control drug book.
A recorded conversation with the
superintendent Pharmacist to highlight the
importance of keeping accurate records of
control drugs supplied and received
Historic records to be entered and balances
correlated with current CD book. Any
discrepancies to be reported to the
Accountable officer.
New Register started from the 3rd of May to
include current balances. High risk
medications received and supplied to patients
are being entered daily and weekly balance
checks carried out by superintendent
Pharmacist and staff.
Staff to be retrained by reading the sop and
team meeting on handling patient return.
Procedure to always record all high risk
medicines required by law especially patient |
30/06/2022 |
28/06/2022 |
| 2.1 |
The pharmacy doesn't have enough suitably trained and skilled team members to manage its workload, and to deliver all its services safely and effectively. |
The superintendent/ manager to engage all
staff in current standards of pharmacy.
Pharmacy is currently staffed with 2 ACT, one
trainee Technician and 2 trained dispensers
and 2 trainee Dispensers. The branch is
adequately staff but poorly managed and
work pattern not befitting to business needs.
Staff work pattern to match business needs.
Trainee staff accelerated through the
dispensing course.
Superintendent to utilise skill mix of staff
more efficiently and use staff to maximise
efficiency and minimise risk to business
Pharmacist to be given more time off work by
employing the services of another pharmacist
one day a week. This will ensure a check on
activities weekly as well as ensure standards
are being monitored weekly |
30/06/2022 |
27/06/2022 |
| 3.1 |
The pharmacy is untidy, cluttered and disorganised and does not present a professional image. It risks internal dispensing errors due to the clutter. |
Staff Cleaning Rota initiated with daily clean
of dispensary and shop floor an essential part
of the daily task.
Superintendent to maintain free flowing
dispensary environment ensuring shelves are
clean, and prescription baskets are filed away
safely |
30/06/2022 |
28/06/2022 |
| 4.3 |
Insufficient attention is paid to the processes for the recording and destruction of high risk drugs. These include out of date stock and high risk medicines such as patient returned medication and sharps. |
Staff training to be carried out to ensure all
qualified staff are aware of the
responsibilities in entering High risk
medications supplied and received in the
control drug book.
A recorded conversation with the
superintendent Pharmacist to highlight the
importance of keeping accurate records of
control drugs supplied and received
Staff to be retrained by reading the sop and
team meeting on handling patient return.
Procedure to always record all high risk
medicines required by law especially patient
return control drugs
Out of date stock to be reported for
destruction by the pharmacist. Patient return
to be destroyed by qualified staff and witness
by pharmacist. |
30/06/2022 |
28/06/2022 |
