controlled drugs 2 Flashcards
when can you possess a CD level 2/3?
never- unless person has a license
what CDs can pharmacists possess?
schedules 2-5
when can a patient supply a CD to a pharmacist?
for purpose of destruction
what are the 10 requirements for prescription of CDS?
1- Must be signed by the person issuing it. 2-must be dated 3- writing must be indelable 4-specifiy the address of the person using it 5- specifiy the dose to be taken 6- specifiy the form 7- strength 8- quantity 9- for dental treatment only 10-name and address of patient whos treatment is issued
when can a schedule 2/3 drug be prescribed
unless prescribers address is in the UK
knows the signature
the appropriate date on the prescription
no longer than 28 days after the appropiate date
although not a legal requirement, what should supply of schedule 2,3 and 4 not exceed?
30 days
what must be marked on a CD prescription
the date of dispensing/ owings
what CDs are you allowed repeat prescription
4 and 5
2 and 3 not allowed
how long after prescribing the first repeat prescriptions can they be given out after?
CD 4- 28 days
CD 5- 6 months
what are the requirements for private CDs?
must be on a standardised form
must contain the prescribers number
must be submitted to NHS bsa at end of month
what technical errors can you still supply a prescription with?
minor typographical error or spelling mistake
what happens when collecting S2 and S3 drugs?
must show photo ID- patient or on behalf
if healthcare prof- ask for name and address of patient and ID
Legal for S2 good practice for S3
what order must CD registers be in?
chronological
how is the CD register divided?
there must be sections for each class and different parts for different strengths and forms
how long must the CD register be kept for?
kept for 2 years from the last date of entry
what form is it a legal requirement to fill when filling the CD register?
Home Office requisition form (FP10CDF in England)
where is the home office requisition form sent to at the end of the month?
NHSBSA
when can you supply a schedule 2/3 drug without a prescription?
in an emergency, and when it has written within 24 hours
how do you destroy out of date CDs?- managment
must be kept in seperate part of CD cabinet until destroyed
must be witnessed by an authorised witness
they will record the destroyed quantities in the CD register
what are the roles of the accountable officer?
audit the management, use and prescribing of CDs
sharing of info regarding CDs
attendance at local intelligence networks
appointment of authorised witness
when and when not can CDs be destroyed by a pharmacist?
when: when being returned by patient
when not: when recieveing waste medicines (from nursing homes/ other healthcare professional)
how are CDs destroyed?
can be put into pharmaceutical waste once denatured
can be done with CD denaturing kit
why is it important to denature a CD
not readily retrievable without the use of specialist equipment
how to denature a solid CD
crush tablets before adding it to a denaturing kit
can add water
if not kit can place in warm soapy water- ensure drug is dissolved or dispersed
what if a CD destroying kit is not available for a liquid?
add it to an appropriate product (cat litter) and add to pharmaceutical waste bin
how are CDs parental destroyed?
opened as must as possible
amoless should be disposed of and the sharps put in the sharps bin but labeled - mixed pharmaceutical wastes and sharps- for incinuration
how are Fentanyl / Buprenorphine patches destroyed?
Just remove backing on the patch and fold the patch over on itself (sticky side inwards) and place in the CD denaturing kit
how are Aerosol formulations destroyed?
expelled into water
the resulting solution can then be disposed of in accordance with the guidance on destruction of liquid formulations
