Forms Disc 5

F41) Anticoagulant Record

The form where you record the details that are required such as whether the patient has a yellow book, understands it, the last date their INR was checked etc. before you can dispense a prescription for an anticoagulant, particularly warfarin.

F42) Nursing Home Visit Checklist

Designed for those who still deal with nursing homes as an aide memoire of things that need to be checked in preparation for a CQC visit.

F43) Shop Layout Plan

You will need one of this to record your fire exits, fire extinguishers, assembly points, electrical points, etc. You then put this up on the shop floor so you and your clients can familiarise themselves with it.

44) Locum Invoice

A form your locums can use to claim the payments they think are due from you including mileage and parking. Do it on the computer and the calculations are done for you.

F45) Locum Feedback Form.

This is designed for your staff to quickly fill in after a locum has gone so you can consider whether you wish to re-employ them.

F46) Information Sheet for the Locum

This should record where your SOPs, RP log, CD keys are kept, passwords for the computer, any procedures that are performed before they arrive of after they leave for which they may be responsible for, contact numbers etc.

F47) Appraisal Guidance for Employees

This gives details of what your employees should do before their appraisal so get the most out of the exercise.

F48) Appraisal Guidance for the Appraiser

This gives you, the employer, ideas of how to run an effective appraisal which can form the basis of an action plan for you and the employee for the future

F49) Appraisal Form.

A form that is easy to complete for you and the employee with all the information on a single double sided sheet so it is easy to store.

F50) Job Descriptions

Details of the main jobs within a pharmacy – the pharmacy manager, dispenser, counter assistant, driver with clear lists of the areas they will have responsibility for and chains of command


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