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PHAM01 > CDs - supply > Flashcards

CDs - supply Flashcards

1
Q

exemptions for possesion of a CD

A
  1. unless regulations allow it
  2. licence from Home Office
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2
Q

Possession of Sch 4 Part 2 or Sch 5 drugs

A

not controlled

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3
Q

How can patients posses CDs?

A

if the CD has been prescribed by prescriber

** only when they are acting in their professional capacity

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4
Q

CDs Dr/dentist can prescribe

A
  • any Sch 2-5
  • Drs - cocaine, dipipanone, diamorphine for treating addiction only if a licence has been obtained from the Home office
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5
Q

Who can prohibit possession/Rx/admin/manuf/supplying of CDs?

A

Home Secretary

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6
Q

Prescription Requirements for Sch 2 & 3 CDs for human use

A

1) Be written so as to be indelible
2) Signed by person issuing it with usual signature or ‘advanced electronic signature’
3) Prescriber’s address (except for a health Rx)
4) If issued by a dentist, must state the words ‘for dental Tx only’
5) Name and address of patient
6) Specify the dose
7) Form of the medicine (if CD is a preparation)
8) Strength of the medicine if 1+ available
9) Total quantity/number of dosage units in words and figures
10) Date

** name of med not legal

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7
Q

Prescription Requirements for FP10MDAs (instalment directions)

A
  • same legal requirements for a CD Rx
  • max 14 days Tx Rx
  • must include an INSTALMENT DIRECTION:
    1. amount of medicine per instalment
    2. interval between each instalment
  • marked with each date of dispensing
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8
Q

instalment direction and the dose on FP10MDA

A

** LEGAL requirement that the instalment direction and the dose are specified separately on Rx

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9
Q

start date on FP10MDA

A
  • does not have to specify a start date
  • if it doesn’t, 1st dispensing must be within 28 days of the date and then instalments run as specified even if this is beyond the 28 day validity
  • if start date specified, must be complied with and the instalments run from that date
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10
Q

records of FP10MDA Rx

A

must be made as per CD requirements

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11
Q

CDs that may be prescribed on a FP10MDA

A
  • any Schedule 2 CD
  • buprenorphine
  • buprenorphine/suboxone
  • diazepam
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12
Q

prescriber outside UK and CD

A

cannot be supplied

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13
Q

validity of CD Rx

A

28 days after the appropriate date

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14
Q

max quantity of CD Sch 2, 3, 4 that can be supplied

A

no legal requirement

good practice that the quantity should not exceed 30 days supply

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15
Q

expiry of CD Sch 2, 3, 4 Rx

A

28 days

cannot be dispensed 28 days after the appropriate date

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16
Q

full quantity and period of validity of the prescription for Schedule 2, 3 and 4

A

full quantity on the Rx must be supplied within the period of validity of the prescription

  • unless it is an instalment prescription
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17
Q

Home Office approved wording on FP10MDA

A
  • doesn’t have to be included
  • if wording is different from the approved wording from Home Office, doesn’t provide pharmacist security
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18
Q

repeat Rx for CDs

A

Sch 2 & 3 = NOT allowed

can have repeats for Sch 4

  • applies to private and NHS Rxs
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19
Q

validity of repeat Rx in Sch 4 and 5

A

Sch 4 - 1st dispensing must be within 28 days of the appropriate date

Sch 5 - 1st dispensing within 6 months

  • no time limit to subsequent dispensing of the repeats on a private prescription
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20
Q

what errors can pharmacist amend on Sch 2 & 3 Rx

A
  • minor typographical errors
  • minor spelling mistakes
  • if the quantity is missing in words or figures (but not both)
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21
Q

Dispensing may only take place if technical error if…

A
  • pharmacist as exercised all due diligence and believes on reasonable grounds the Rx is genuine
  • pharmacist exercised all due diligence and believes they are supplying the drug in accordance with the intention of prescriber
  • pharmacist amends the Rx in ink/otherwise indelibly to correct the mistakes and adds either total quantity in words or figures as necessary
  • pharmacist marks Rx to show they have made amendment (e.g. name, date, signature, GPhC no.)
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22
Q

private CD Rx colour and type

A

FP10 PCD (looks like NHS Rx but private)

pink

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23
Q

drugs that can be on FP10 PCD

A

Sch 2 & 3 CDs

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24
Q

what form MUST (legal) private Sch 2 and 3 CDs be on

A

FP10 PCD (pink)

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25
Q

requirements for private CD Rx (Sch 2 and 3) - FP10PCD

A

must have prescriber’s private CD ID number

26
Q

What to do with FP10PCD?

A
  • Original form is sent to NHSBSA
  • Keep a copy of the Rx in the pharmacy for 2 years
27
Q

FP10PCD vs hospital private Rx/veterinary Rx

A

submission to NHSBSA does not apply to hospital private Rx or veterinary Rx

28
Q

signature on FP10PCD

A

signature MUST match name of prescriber and prescriber’s private CD identification number

29
Q

records for FP10PCD

A

LEGALLY record in POM register except if record in CD register

then POM good practice

30
Q

requisitions/signed orders/wholesale dealing Sch 2 & 3

A

MUST get written requisition before supplying

31
Q

what must be on requisitions for Sch 2 & 3

A
  • signed by recipient
  • name, address, profession/occupation of recipient
  • total quantity of drug
  • purpose CD is required
32
Q

diff in the quantity for requisitions and Rx for Sch 2 & 3

A

quantity doesn’t have to be in words and figures

33
Q

LEGAL form for requisition for Sch 2 & 3

A

FP10CDF

34
Q

exemption of FP10CDF form for requisition for Sch 2 & 3

A

hospitals are exempt if the supply is within the same organisation

35
Q

use of the requisition form FP10CDF

A

applies to CDs for human and veterinary use

36
Q

What to do with requisition forms FP10CDF (Sch 2 and 3) after

A
  • sent to NHSBSA (but not if a veterinary requisition)
  • copy kept in the pharmacy for 2 yrs (good practice)
37
Q

what to do with veterinary requisitions for Sch 2 and 3 (FP10CDF)

A
  • NOT sent to the NHSBSA
  • original requisition retained at the pharmacy for 5 years (legal)
38
Q

faxed/photocopied requisitions for schedules 2 and 3

A

not acceptable

39
Q

wholesale dealer and requisition for supplying a CD to a pharmacy

A

wholesale dealer does NOT require a requisition for supplying a CD to a pharmacy

40
Q

urgency to the supply and practitioner can’t furnish a written requisition for Schedules 2 and 3

A

supplier may supply a CD without requisition

on the basis the practitioner will supply requisition within 24 hours

41
Q

when should requisition for Sch 2 and 3 be supplied if CD supplied in emergency with no requisition

A

within 24 hours

42
Q

signature for requisition given by the person in charge of a hospital or care home

A

must also be signed by a doctor or dentist employed there

43
Q

records for requisitions of Sch 2 CDs

A

good practice to make a record in POM register

44
Q

Does a requisition have to be used between pharmacies for Sch 2 & 3?

A

no legal requirement for a requisition to be used

but Home Office advice is to use the standard form

45
Q

sending someone else to collect requisition of Sch 2 and 3 CD

A
  • purchaser (person who has signed requisition) can send another person/messenger to collect CD on their behalf
  • can only supply messenger with CD if they show written statement from purchaser allowing them to receive the CD on their behalf
  • no legal requirements for what should be on letter, at least signed/dated by purchaser, info on messenger saying they authorise them to collect
  • satisfied that letter is genuine
  • must keep letter for 2yrs
46
Q

hospital requisitions for Sch 2 and 3 CDs

A
  • if separete legal entity, must use FP10CDF form
  • use this if hospital requesting CDs from a community pharmacy
  • supply of CDs from hospital pharmacies which are same legal entity, don’t have to use the FP10CDF (but good practice, audit trail)
47
Q

CDs midwives can admin and possess

A

diamorphine
morphine
pethidine

48
Q

How can midwife get supplies of diamorphine, morphine and pethidine?

A

using a midwife’s supply order

signed by the ‘appropriate medical officer’

in writing

49
Q

What info must midwife’s supply order contain?

A
  • name of midwife
  • occupation
  • name of the person to whom the CD is to be administered/supplied
  • purpose CD is required
  • total quantity
  • signature of the ‘appropriate medical officer’
50
Q

Who is ‘appropriate medical officer’ that can sign midwife’s supply order?

A

doctor or a person who is authorised to exercise supervision over midwives within the area

51
Q

record midwife has to keep

A

required to keep a record of supplies of diamorphine, morphine and pethidine received and administered in a book solely for that purpose

52
Q

surplus stock midwife has

A

cannot destroy surplus stock but can surrender it to the ‘appropriate medical officer’ or to the person who she got the CD from

53
Q

How long should pharmacy retain the midwives supply order for?

A

2 years

54
Q

What to do with midwives supply order?

A

no need to send this to the NHSBSA

keep for 2 years

55
Q

records for midwife supply order

A

same as requisitions

56
Q

T/F FP10MDA: Only controlled drugs in schedules 2 and 3 can be prescribed on this prescription form

A

FALSE

diazepam also

57
Q

T/F FP10MDA: If a prescription includes two dates which are different, the ‘appropriate date’ is the earlier of the two

A

FALSE

later date is app date

58
Q

T/F FP10MDA: It is a good practice to write the date when each instalment was dispensed on the grid on the right-hand side of the prescription

A

FALSE

legal to write date

59
Q

T/F FP10MDA: If a patient misses three or more instalments the remaining instalments may still be legally dispensed

A

TRUE

legally yes

clinically shouldn’t, methadone cumulative effect, miss dose need to titrate up again

60
Q

T/F FP10MDA: Cocaine may be prescribed for the treatment of addiction if the doctor has a special authorisation from the Department of Health and Social Care

A

FALSE

from Home Office

61
Q

T/F FP10MDA: If a pharmacy closes on a Sunday, instalment prescriptions must include the relevant Home Office approved wording for pharmacy closures

A

FALSE

doesn’t have to include it, can be clear from dose to give 2 days on Saturday

62
Q

T/F FP10MDA: These prescriptions must legally include an amount of medicine per instalment which is additional to the requirement to include a dose

A

TRUE

always separate

PHAM01 (22 decks)

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