PHARMACY TOOLKIT
        STANDARD OPERATING PROCEDURES
               FOR 
        PRIMARY HEALTHCARE FACILITIES
                PREPARED BY: SOP TASK TEAM                            ISSUE DATE: date of printing
                RECOMMENDED BY: District Quality Manager              APPROVED BY: District Manager
                NAME:                                                 NAME: 
                SIGNATURE:                                            SIGNATURE:
                DATE:                                                 DATE:
                RECOMMENDED BY: PHC Facility Operational Manager      REVIEW DATE: 3 years from date of printing
                NAME:
                SIGNATURE:
                DATE:
               Table of Contents
               Abbreviations ..........................................................................................................................................................5
               Definitions of Terms ................................................................................................................................................6
               Introduction  ...........................................................................................................................................................7 
               SOP 1      Professional Standards for Dispensaries, Medicine Rooms and/or Consulting Rooms and 
                          Supply Storage Areas ..........................................................................................................................15
               SOP 2      Scope of Practice of Dispensing Personnel .........................................................................................17
               SOP 3      Pest Control in the Dispensary, Medicine Room and Medical Supply Storage Area ...........................19
               SOP 4      Daily Routine and Working Hours ........................................................................................................21
               SOP 5      Stock Take ...........................................................................................................................................23
               SOP 6      Ordering Stock .....................................................................................................................................27
               SOP 7      Receiving Stock ...................................................................................................................................29
               SOP 8      Handling Excess Stock ........................................................................................................................29
               SOP 9      Condemnation and Disposal of Obsolete Stock ..................................................................................33
               SOP 10     Safe Dispensing of Medication ............................................................................................................35
               SOP 11     Referral Prescriptions ..........................................................................................................................39
               SOP 12     Procurement, Control and Issue of Schedule 5 and 6 Medication .......................................................41
               SOP 13     Reporting and Handling Adverse Drug Reactions ...............................................................................43
               SOP 14     Product Recall......................................................................................................................................45
               SOP 15     Effective Stock Rotation .......................................................................................................................47
               SOP 16     Separation and Handling of Medicines Returned from Patients ..........................................................49
               SOP 17     Security of Equipment and Medication ................................................................................................51
               SOP 18     Emergency Trays .................................................................................................................................53
               SOP 19     Cold Chain Management .....................................................................................................................55
               NCS Checklists linked to Standard Operating Procedures ...................................................................................59
               References  ...........................................................................................................................................................77
               Annexures    ...........................................................................................................................................................78
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                List of Annexures
                A1 Cleaning Checklist                                                                                      79
                A2 Tracer Medication                                                                                       80
                A3 Medical supplies list                                                                                   83
                A4 Pest Control Record                                                                                     84
                A5 Key Control Register                                                                                    85
                A6 Discrepancy Report Form                                                                                 86
                A7 Additional Medication as per NCS                                                                        87
                A8 Additional Medical Supplies as per NCS                                                                  88
                A9 Order and Delivery Schedule                                                                             89
                A10 PHC Order Form                                                                                         90
                A11 Pharmaceutical Condemnation and Disposal Form                                                          91
                A12 Schedule 5 and 6 Register                                                                              92
                A13 Adverse Drug Reaction and Product Quality Problem Report                                               93
                A14 Medication for Emergency Tray                                                                          94 
                A15 Emergency Tray Form                                                                                    95
                A 16 Room Temperature Chart                                                                                96
                A17 Vaccine Vial Monitor (VVM)                                                                             97
                A18 Fridge Temperature Chart                                                                               98
                A19 Freezer Tags                                                                                           99
                 
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