Common Assessment Requests
In-store assessment
The move back to in-store assessments means that you need everything to be current, available and readily accessible. The assessor may ask for any piece of evidence listed in the QCPP Requirements.
These are common requests that we have heard about in recent assessments:
Domain 1
Written business plan
Risk management plan
Signed attestation statement
Business governance agreements – signed by owners and all staff pharmacists
Pharmacist self-assessment and professional indemnity insurances
Business insurances – professional indemnity, public liability, workers compensation
Policy annual review evidence
Incident reports and register
Quality improvement process and register
Domain 2
Privacy and Confidentiality policies signed by all staff – or evidenced in their induction – that they will maintain consumer privacy and confidentiality.
Domain 3
Staff files each contain:
Position description
Contract of employment
Induction checklist
S2S3 training certificate for new staff and Refresher Training records for existing staff
Performance reviews
Training plans and records (inc S2S3 above)
Domain 4
Active monitoring of fridge temperatures – twice daily recordings and loggers with alarms and warning system, if fridge goes out of range
Cytotoxic medicines are labelled as such in the dispensary
Position of S2 and S3 stock is as per State or Territory requirements
Pseudoephedrine products are position so that they are not accessible to consumers, are out of sight of consumers and have single facings
Recalled, damaged and out-of-date stock is quarantined appropriately
Show that at least one staff member has current First Aid and CPR training at all times the pharmacy is open
Domain 5
Records of Dispensary Incidents and evidence/proof that these have been investigated and when necessary actioned to resolve and prevent re-occurrence, as shown in the Quality Improvement Register
Complex compounding risk management plan and mitigation activities.
Complex compounding final products are tested and verified independently
Complex compounding certificate of training by all staff involved, from either PCCA or Medisca
Service recording system and evidence e.g. patient’s leave certificate
Service recording system and evidence of a disease state management service (e.g. BP check) and a screening and risk assessment service (e.g. BP check)
All professional services - training evidence for staff involved in the service
Staged supply and ORT service agreements and signed records for each provision
Details of training by all staff who have access to MHR
MHR security and access policy signed by all staff – could be on the policy itself or evidenced by the staff induction checklist
What to do now
Get up to date (check Recent Updates) and then, using Pharmacy Hive, maintain all required evidence recording and storing as it happens, so that next assessment is stress-free because everything is ready to go, all the time!
