controlled drugs 2

Question 1

when can you possess a CD level 2/3?

Answer 1

never- unless person has a license

Question 2

what CDs can pharmacists possess?

Answer 2

schedules 2-5

Question 3

when can a patient supply a CD to a pharmacist?

Answer 3

for purpose of destruction

Question 4

what are the 10 requirements for prescription of CDS?

Answer 4

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

Question 5

when can a schedule 2/3 drug be prescribed

Answer 5

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

Question 6

although not a legal requirement, what should supply of schedule 2,3 and 4 not exceed?

Answer 6

30 days

Question 7

what must be marked on a CD prescription

Answer 7

the date of dispensing/ owings

Question 8

what CDs are you allowed repeat prescription

Answer 8

4 and 5

2 and 3 not allowed

Question 9

how long after prescribing the first repeat prescriptions can they be given out after?

Answer 9

CD 4- 28 days

CD 5- 6 months

Question 10

what are the requirements for private CDs?

Answer 10

must be on a standardised form
must contain the prescribers number
must be submitted to NHS bsa at end of month

Question 11

what technical errors can you still supply a prescription with?

Answer 11

minor typographical error or spelling mistake

Question 12

what happens when collecting S2 and S3 drugs?

Answer 12

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

Question 13

what order must CD registers be in?

Answer 13

chronological

Question 14

how is the CD register divided?

Answer 14

there must be sections for each class and different parts for different strengths and forms

Question 15

how long must the CD register be kept for?

Answer 15

kept for 2 years from the last date of entry

Question 16

what form is it a legal requirement to fill when filling the CD register?

Answer 16

Home Office requisition form (FP10CDF in England)

Question 17

where is the home office requisition form sent to at the end of the month?

Answer 17

NHSBSA

Question 18

when can you supply a schedule 2/3 drug without a prescription?

Answer 18

in an emergency, and when it has written within 24 hours

Question 19

how do you destroy out of date CDs?- managment

Answer 19

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

Question 20

what are the roles of the accountable officer?

Answer 20

audit the management, use and prescribing of CDs
sharing of info regarding CDs
attendance at local intelligence networks
appointment of authorised witness

Question 21

when and when not can CDs be destroyed by a pharmacist?

Answer 21

when: when being returned by patient

when not: when recieveing waste medicines (from nursing homes/ other healthcare professional)

Question 22

how are CDs destroyed?

Answer 22

can be put into pharmaceutical waste once denatured

can be done with CD denaturing kit

Question 23

why is it important to denature a CD

Answer 23

not readily retrievable without the use of specialist equipment

Question 24

how to denature a solid CD

Answer 24

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

Question 25

what if a CD destroying kit is not available for a liquid?

Answer 25

add it to an appropriate product (cat litter) and add to pharmaceutical waste bin

Question 26

how are CDs parental destroyed?

Answer 26

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

Question 27

how are Fentanyl / Buprenorphine patches destroyed?

Answer 27

Just remove backing on the patch and fold the patch over on itself (sticky side inwards) and place in the CD denaturing kit

Question 28

how are Aerosol formulations destroyed?

Answer 28

expelled into water

the resulting solution can then be disposed of in accordance with the guidance on destruction of liquid formulations