Documentation establishes accountability and responsibility for performing prescription adaptations. It is an important component in demonstrating how the pharmacist exercised their professional judgement through documentation of their rationale and case-specific details that support the pharmacist’s decision to adapt.
Some tips for documentation include:
- Complete your documentation as soon as possible (preferably immediately) after the activity
- Ensure all required information is documented as per part 3(f) of PPP-58
- Include all relevant information deemed necessary to support the decision to perform an adaptation
- Ensure all documentation is legible and non-erasable
- Do not delete, remove or rewrite any part of the adaptation record. If you make an error, cross out the error with a single line and initial it