CHAPTER 3- CDS Flashcards
What procedures in place to cover the management of CDs?
Security, including access to CDs
Ordering + receipt
Record-keeping, including audit requirements
Prescribing + clinical monitoring
Administration
Supply, access to ensure care not compromused
Denaturing + disposing including withness
Use + storing patients’ own CDs
Transport
report concerns
What do accountable officers do?
Manage use of CDs
- monitor + audit
Ensure systems in place for recording concerns + incidents involving CDS
attend local intelligence network meetings
submit occurence reports
Appoint authorised witnesses for CD destruction
What 3 organisations do not need an accountable officer?
GP
Dental clinic
community
What are 5 drug schedules?
Sch 1 CD lic POM
Schedule 2 (CD POM)
Schedule 3 (CD No Register POM)
Schedule 4 (CD Benz POM + CD Anab POM)
Schedule 5 (CD INV P + CD INV POM)
Schedule 2 , 3 ,4 validity?
28 days after appropriate date
What schedule drugs need address of prescriber to be within UK?
sch 2 + 3
What schedule drugs can EEA/swiss prescribers give?
Sch 4
Is schedule 2 + 3 rx repeatable?
No
Is requisition needed for schedule 2 + 3 for human and vet use?
Yes
Who can possess, supply and procure sch 2,3,4 +5 CDs?
Pharmacist, doctor, dentist
Who else can possess CDs?
Home office license, Home office group authority, legistlation, patients given drug
Can pharmacist take sch 1 CD for destruction or hand to police?
yes
Who can prescribe cocaine, diamorphine or dipapanone for addiction?
Medical prescriber with special license from Home secretary.
Can pharmacist prescribers prescribe ocaine, diamorphine or dipapanone for addiction?
No only for organic disease
What is needed to import/export sch 1,2,3 +4 part 1 CDs?
License
When is a license not needed to import/export schedule 4 part 2 CD?
If for self administation
When is a personal import license not needed by Home office is patient carrying CD?
When travelling they carry less than 3 months supply.
What is recommended for travellers carrying CDs?
Bring cover letter signed by RXer with patient and drug details
Which 2 areas do not need requisition form for CD 2 + 3?
Hospice
Prison
What are 6 legal requirements for CD requisition?
1 Signature of the recipient
2 Name of the recipient
3 Address of the recipient
4 Profession or occupation
5 Total quantity of drug
6 Purpose of the requisition
What happens if request not by same legal entity for requisition of CD 2 +3?
Need to fill out approved requisition form.
What 3CD drugs can registered midwife use supply order to gain?
Diamorphine
morphine
pethidine
What 5 things should order of midwife supply order have?
Name of the midwife
Occupation of the midwife
Name of the person to whom the CD is to be administered or supplied
Purpose for which the CD is required
Total quantity of the drug to be obtained
Sign of an appropriate medical officer – a DOC authorised (in writing) by the local supervising authority or the person appointed by the supervising authority to exercise supervision over midwives within the area.
How to process requisition forms?
Mark indelibly with supplier name + address
Send form to NHS agency
Keep copy for 2 years good practice