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PHA221 > CD: Supply > Flashcards

CD: Supply Flashcards

1
Q

What are the prescription requirements for a schedule 2 or 3 CD?

A
  • Signed by person issuing it w/ usual signature
  • Dated
  • Writing is indelible
  • Address of person issuing
  • Specify dose taken (take one as directed)
  • Specify form
  • Specify strength
  • Total quantity/dose in words + figures
  • If by dentists: ‘For dental treatment only’
  • Specify name + address of patient
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2
Q

Schedule 2 or 3 CDs must not be supplied on a prescription…

A
  • Unless it complies w/ requirements
  • Unless prescriber address is w/in UK
  • Before date on prescription
  • Later than 28 days from date
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3
Q

Although it is not a legal requirement, how many days supply of schedule 2, 3 and 4 CDs are considered good practice?

A

30 days supply

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4
Q

When dispensing, what must be marked on a CD prescription?

A

Date of dispensing at the time of supply

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5
Q

Are repeat prescriptions for schedule 2 and 3 CDs allowed?

A

No

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6
Q

Are repeat prescriptions for schedule 4 and 5 CDs allowed?

A

Yes

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7
Q

For a repeat prescription, when should the first dispensing of a schedule 4 occur?

A

W/in 28 days of date

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8
Q

For a repeat prescription, when should the first dispensing of a schedule 5 occur?

A

W/in 6 months of date

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9
Q

For a private repeat prescription, is there a time limit when dispensing remaining repeats?

A

No

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10
Q

Outline the requirements for a schedule 2 and 3 private prescription

A
  • On standardised form - FP10PCD (pink)

- Contains private prescriber’s identification no.

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11
Q

What happens to schedule 2 and 3 private prescription after dispensing?

A
  • Original private prescription submitted to NHSBSA

- Copy kept for 2 years

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12
Q

Which technical errors on CD prescriptions allow for a supply?

A
  • Contains minor typographical error or spelling mistake

- Total quantity of preparation or no. dosage unit not specified in words AND figures, but not both

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13
Q

If a technical error on a CD prescription occurs, what must a pharmacists do in order to supply the drug?

A
  • Exercised due diligence + believes on reasonable grounds that the Rx is genuine
  • Believes that they are acting in accordance w/ directions of practitioner
  • Amends Rx in indelible ink
  • Show they have amended (name, date, signature, GPhC no.)
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14
Q

What must occur when a patient is collecting a schedule 2 and 3 CDs?

A

Identify the person collecting:

  • Pt/representative: ask for evidence of identity
  • Healthcare prof: Ask for name, address + evidence of identity
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15
Q

Is it a legal requirement to ask for evidence of identity when supplying a schedule 2 CDs?

A

Yes

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16
Q

Is it a legal requirement to ask for evidence of identity when supplying a schedule 3 CDs?

A

No but good practice

17
Q

What must be included in the CD register?

A
  • Entries in chronological order
  • Separate sections for each class, strength + form
  • Drug class, strength + form must be specified
  • Entries made on day of transaction
  • No cancellation
  • Kept for 2 years from last date of entry
18
Q

What do you do if there is a mistake in the CD register?

A

Corrected by foot/margin note + date and signed

19
Q

Which form is used for a requisition of a schedule 2 or 3 CD?

A

FP10CDF (Home office requisition form)

20
Q

Outline the requirements of a requisition for CDs

A
  • Signed by purchaser
  • Name, address + occupation of purchaser
  • Specify total quantity of CD required
  • Specify purpose of CD required
  • Pharmacy name + address
21
Q

What happens to a requisition for a CD after it has been supplied?

A
  • Sent to NHSBSA at end of month (except vet)

- Copy kept for 2 years

22
Q

In an emergency, are you able to supply a doctor/dentist a schedule 2 or 3 CD without a requisition?

A

Yes but requisition must be supplied w/in the next 24 hours

23
Q

What is the requirement for the destruction of a schedule 2 CD?

A
  • Must be witnessed by authorised witness (authorised by Secretary of State)
  • Authorised witness will record destroyed quantities in CD register
24
Q

What are the roles of an accountable officer?

A
  • Audit management, prescribing + use of CDs
  • Sharing info regarding CDs
  • Attendance at Local Intelligence Networks
  • Appointment of authorised witnesses
25
Q

Are pharmacies able to accept waste medicines from care homes that provide nursing care or CDs from healthcare professionals?

A

No

26
Q

Destruction of a CD must be witnessed by another member of staff - legal requirement or good practice?

A

Good practice

27
Q

Record of a schedule 2 CD that has been returned by a patient - legal requirement or good practice?

A

Legal requirement

28
Q

What must be recorded when a patient returns a CD for destruction?

A
  • Date received
  • Received by (name + signature)
  • Patients name + address
  • Name of CD
  • Form + strength
  • Quantity
  • Role of person returning CD
  • Date destroyed
  • By pharmacist
  • Witnessed by
29
Q

When can CDs in sched 2, 3 + 4 part I be placed into waste containers with other pharmaceutical waste?

A

After CD has been rendered irretrievable

30
Q

Why are CDs denatured when destroyed?

A
  • Prevents drug being retrieved + misused
  • Prevents harm to env
  • Ensures waste is transported safely w/ less risk
31
Q

How are solid dose CDs destroyed?

A
  • Grind/crush before adding to CD denaturing kit
  • Small amount of water minimise risk of particles in the air
  • If no kit: stir grinded tablet into warm soapy water, ensure drug is dissolved + poured onto appropriate product (cat litter)
32
Q

How are liquid dose CDs destroyed?

A
  • Mix CD liquid to CD denaturing kit

- If no kit: use appropriate product + add to general pharmaceutical waste bin

33
Q

How are parenteral CDs destroyed?

A
  • Ampoules containing liquid opened + emptied into CD denaturing kit. Ampoule disposed in sharps bin labelled ‘contains mixed pharmaceutical waste + sharps - for incineration’
  • Ampoules containing powder, opened + dissolved in water, poured into CD denaturing kit
34
Q

How are fentanyl/buprenorphine patches destroyed?

A
  • Easy to dispose
  • Remove backing of patch + fold w/ sticky side inside
  • Place in CD denaturing kit
35
Q

How are CD aerosols destroyed?

A
  • Expelled into water

- Solution disposed as a liquid CD

36
Q

Which CDs are registered midwives able to administer and posses?

A
  • Diamorphine
  • Morphine
  • Pethidine
37
Q

What are the requirements needed when supplying CDs to midwives?

A
  • Midwife’s supply order signed by appropriate medical officer
  • Name of midwife
  • Occupation of midwife
  • Name of person whom CD is to be administered
  • Purpose of CD
  • Total quantity

PHA221 (22 decks)

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