Chapter 4- The RP Flashcards

1
Q

How many RPs can be in charge at any one time?

A

Only 1 can be in charge - at one registered premise at any 1 time.

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2
Q

What 4 things should a RP need to do?

A

Secure safe + effective running of pharmacy

Display notice

Complete pharmacy record

Establish, maintain + review pharmacy procedures.

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3
Q

What should RP do if unsure about anything?

A

Reasonable measures can be taken to clarify with pharmacy owner, SI pharmacist or other delegated person.

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4
Q

What happens if RP thinks pharmacy is NOT safe or if patients are at risk?

A

Steps taken to ensure safe + effective running of pharmacy.

Close pharmacy - if NOT possible to do above.

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5
Q

What 3 things should be included in pharmacy notice?

A

Name of RP

GPHC no

Fact that RP is in charge of pharmacy at that time.

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6
Q

What happens to notice if RP leaves temporarily?

A

Notice should NOT be removed even if 2nd pharmacist there.

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7
Q

What formats can the pharmacy record be?

A

In writing, electronically or BOTH.

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8
Q

What 4 things should the pharmacy record do?

A
  1. Be recorded accurately + reflect the RP at any time.
  2. Made personally by the RP- can be made remotely as long as record complies with professional standard.
  3. alterations made for paper/electronic need to identify when + whom made it.
  4. e-records should b backed up + kept on pharmacy premise in case of audit.
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9
Q

What 5 details must be on pharmacy record?

A

RP name

RP reg number

Date/time when RP was RP

Date/time when they stopped being RP

If absent- date, time left and time arrived to pharmacy

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10
Q

How long should pharmacy record be kept for?

A

5 years

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11
Q

What regulation outlines RP pharmacy procedures?

A

The medicines (pharmacies) (RP) regulations 2008

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12
Q

What are the 9 pharmacy procedures that the RP must ensure are maintained?

A
  1. Arrangements to secure med products are: ordered, stored, prepped + sold via retail
  2. cases where pharmacy staff NOT pharmacist may give out advice about med products.
  3. ID of pharmacy staff, are competent to perform activities.
  4. Record keeping
  5. what to do if RP is absent
  6. Steps to take when RP changes
  7. What steps to do for complaints
  8. What steps to do if incident happens where pharmacy NOT safe
  9. How changes in pharmacy procedures explained to staff.
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13
Q

What format can the pharmacy procedures be kept in pharmacy?

A

Writing, electronically, both forms - need back ups.

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14
Q

Who should the pharmacy procedure be available for? (5)

A

Pharmacy owner

SI pharmacist

RP

Pharmacy staff

GPHC inspector

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15
Q

When are pharmacy procedures usually reviewed?

A

every 2 years OR after incident

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16
Q

What is needed when temporary amendments made to procedure?

A

Need to maintain audit trail to show what procedures in place, what procedures was in place, RP who amended procedure, date amendment made.

17
Q

How long can RP be absent for ?

A

2 hrs during pharmacy business hours - midnight to midnight

18
Q

What 3 arrangements need to be in place if the RP is absent?

A

RP can only be absent if pharmacy can continue to run safely + effectively.

RP should be contactable + should return

If RP is NOT contactable/ can’t return, they need to arrange another pharmacist to come help.

19
Q

What 3 things should an RP record if they are absent?

A
  1. Date of absence
  2. Time they left

3.time they returned

20
Q

What 5 activities need a RP + supervising pharmacist to be present?

A

Professional check of an Rx.

Sale/supply of P + POMS meds

Supply of meds under PGD

Wholesale of meds

Emergency supply

21
Q

What 5 activities only need an RP, not a supervising pharmacist too?

A

Making dispensing label

Taking meds off shelf

Assembly of item (e.g. counting tablets)

Labelling containers with label

Accuracy checking

22
Q

What is assembly + what act is it under?

A

Medicines Act 1968

Under supervision of a pharmacist usually.

23
Q

What 2 activities can take place with an RP in site but does not need supervision of pharmacist?

A

GSL sale

Processing waste stock meds or patient returned meds

24
Q

What 12 activities can take place WITHOUT a RP but requires trained support staff?

A

Ordering stock

Receiving stock into building.

Putting stock onto shelves

Date checking of meds

Stocking front of pharmacy

Cleaning

Responding to enquiries

Accessing the PMR

Receive Rx from EPS system (england only)

Processing Rx already dispensed(e.g. counting items dispensed)

Delivery patient conveying meds to patient

receiving patient returned meds