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PHA221 > CD Supply > Flashcards

CD Supply Flashcards

1
Q

When can pharmacist be in possession of CD schedule 1?

A

If possessing for purpose of destruction or handing in to police

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2
Q

What is the validity of a CD Rx?

A

28 days and full quantity must be supplied within time frame

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3
Q

What is the good practice - MAX supply of CDs?

A

30 days

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4
Q

What address must an appropriate prescriber have when prescribing CDs?

A

UK address

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5
Q

State the type of prescription that a CD 2 and 3 must be written on for a private Rx

A

FP10PCD

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6
Q

What must be included on a FP10PCD that is not usually required on a normal FP10?

A

Prescriber’s ID number

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7
Q

What happens to an FP10PCD after dispensing, and how long should you keep any copies?

A

Send to NHSBSA at the end of the month, keep copy of Rx for 2 years

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8
Q

What schedule CDs can be prescribed on repeat Rx

A

CD 4 and 5

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9
Q

When should the 1st dispensing be for a CD 4 and 5?

A

CD 4 within 28 days
CD 5 within 6 months

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10
Q

List the legal requirement for CD 2 and 3 Rx

A
  • Patient full name and address
  • Age/ DOB if under 12
  • Prescribers’ signature
  • Prescribers’ name and address
  • Drug name, strength, form and dose
  • Total quantity written in words and figures
  • If issued by a dentist ‘for dental treatment only’
  • Instalment wording where appropriate
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11
Q

List the 3 conditions which allow a pharmacist to supply a CD 2/3 if the Rx has a minor technical error e.g. spelling

A
  • Rx is genuine
  • Amendments made in permanent ink
  • Name, date and sign Rx when amendments are made
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12
Q

List the requirements that should be included in CD reg for CDs received

A
  • Date of supply
  • Name and address of supplier
  • Quantity
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13
Q

List the requirements that should be included in CD reg for CDs being given out

A
  • Date of supply
  • Patient name and address
  • Prescriber name and details e.g. ID
  • Person collecting
  • ID requested Y/N
  • Quantity
  • Drug class
  • Drug Brand
  • Strength
  • Form
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14
Q

What form must legally be used for CD requisition?

A

HO requisition form - FP10CDF

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15
Q

List the CD requisition requirements

A
  • Signed by recipient
  • Recipient name, address, profession
  • Total quantity
  • Purpose of request
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16
Q

What happens to the CD requisition form after dispensing?

A

Send to NHSBSA at the end of the month
Good practice to keep a copy in the pharmacy for 2 years

17
Q

Can CD2/3s be supplied to a doctor/dentist in an emergency without a requisition?

A

Yes if the requisition form is supplied in the next 24 hours

18
Q

If the supply is collected by a messenger what must be supplied and how long should it be kept for?

A

Letter of authority and keep for 2 years

19
Q

List 3 drugs that registered midwives can supply and what form must be signed by who?

A

Morphine, diamorphine, pethidine
signed order by appropriate medical officer e.g. Dr

20
Q

List the requirements of the signed order

A
  • Name of midwife
  • Occupation of midwife
  • Name of patient
  • Purpose of CD request
  • Total quantity
  • Signature of appropriate medical officer
21
Q

How long should the pharmacist retain the supply order for?

A

2 years - don’t send to NHSBSA

22
Q

What other records should be made for CD 2?

A

CD reg - legal

23
Q

Why is it important to denature CDs prior to disposal?

A
  • To prevent environmental harm
  • Retrieval or misuse
  • Reduce risk when transporting waste
24
Q

What are the legal requirements for the destruction schedule 2 drugs?

A
  • Destruction must be observed by an authorised person or accountable officer
  • Authorised person records quantities destroyed in CD reg and signs the entry
25
Q

What are the good practice requirements when destroying CDs for patient return?

A
  • Record (not in the CD reg) returned CD and keep for 7 years
  • No authorised person required
26
Q

List the requirements for records of destroyed CDs

A
  • Date received
  • Name and signature of recipient
  • Patient name and address
  • Name, strength, form, quantity
  • Date destroyed
  • Name and signature of pharmacist
  • Name and signature of witness
27
Q

How are CDs destroyed?

A

CD 2-4-1 placed in waste containers with other pharmaceutical waste after denaturing. Denaturing kits inactivate CDs

28
Q

Describe the destruction of solid dosage forms

A

Crush tablets/caps and add small amount of water to reduce release into air before adding to denaturing kit

29
Q

Describe the destruction of liquid dosage forms

A

Pour into denaturing kit and mix. Rinse empty bottle with water and empty into kit, so bottle can be thrown into bin

30
Q

Describe the destruction of parenteral forms

A

Ampoules are opened and contents poured into denaturing kit, and put empty ampoules in sharps bin. Powder ampoule - add water and pour into denaturing kit

31
Q

Describe the destruction of fentanyl/buprenorphine patches

A

Remove backing on patch and fold over onto itself and put into kit

32
Q

Describe the destruction of aerosol formulations

A

Expel into water and dispose in denaturing kit

33
Q

What errors may the pharmacist amend on a CD Rx?

A
  • Minor typographical errors
  • Minor spelling mistakes
  • If the quantity is missing in words OR figures
34
Q

In an emergency can a doctor or a dentist be supplied with a CD 2/3 without requisition?

A

Yes, must be supplied within the next 24 hours

PHA221 (23 decks)

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