SERVICES TO RESIDENTIAL CARE FACILITIES CHECKLIST / T3G

Actions marked with an asterisk are mandatory and will be assessed. Any modified template must include those actions marked with an asterisk.

Program requirement / Action to meet the program requirement / Evidence required at an assessment / Procedures/
templates available

Personnel

  1. Resources
/ No additional requirements.
  1. Training and qualifications
/ * / 2.1Maintain appropriate accreditation for the conduct of Residential Medication Management Review (RMMR) (ifprovided). / Proof of appropriate accreditation of pharmacists conducting RMMRs. / T15BTraining Record

Reference material

  1. Reference material
/ * / 3.1Ensure the pharmacy has access to current informationresources. / Proof the pharmacy has access to current informationresources. / Nil

Premises and equipment

  1. Equipment to support theprogram
/ No additional requirements.
  1. Equipment calibration andmaintenance
/ No additional requirements.
  1. Facilities to support
    the program
/ No additional requirements.

Procedures and templates

  1. Procedures required
/ * / 7.1Maintain and follow a procedure for services to residential care facilities. / The procedure for services to residential care facilities. Proof the procedure is followed and includes or makes reference to:
  1. Actions taken when a resident is admitted or re-admitted to the facility (including pharmacy notification, review of the patient’s medicines and reconciliation of the patient’s medicines with their medication chart).
/ T2EInterprofessional Collaboration Checklist
Program requirement / Action to meet the program requirement / Evidence required at an assessment / Procedures/
templates available
  1. How residents are selected for review based on contractual obligations or professional judgement.
  2. Supply of stock medicines.
  3. The provision of CMI.
  4. Monitor ADRs, ADEs and, where requested, TDM.
  5. Delivery schedule to the facility including emergency deliveries and persons authorised to receive the delivery.
  6. An appropriate stock control system at the facility.
  7. System to notify the pharmacy of all changes in medication regimens in a timely manner.
  1. Liaison with the Director of Nursing or relevant committees to identify information and educationneeds.

Records

  1. Recording system
/ * / 8.1Maintain an accurate, complete and comprehensive record of medicines for each resident. / The records of medicines for residents. / Nil
* / 8.2Maintain and follow a system for recording and reporting medication related incidents. / The system for recording and reporting medication relatedincidents. / P7DIncident Reporting
T7CIncident Register
T7DIncident Report
* / 8.3Maintain a contract with each facility serviced. / Proof there are contracts for each facility serviced that include or make appropriate reference to:
  1. Roles and responsibilities of the facility and pharmacy.
  1. Provision of education, storage, stock control andservices.
  2. Requirements for improving medication related services within the facility.
  1. Arrangements for change of contract to another serviceprovider.
/ Nil
QCPP Version 2.0 ©2011 Pharmacy Guild of Australia / Page 1 of 2