Controlled Drugs Flashcards
Misuse of drugs act 1971; Medicines act 1968; Shipman inquiry; CD regulations; CD restrictions; CD supply; Categories of drugs depending on supply; Classes of CDs; Schedules of CDs; Health act of 2006; Documentation of CDs on ward; CD disposal; CD stock check; CD checklist; Process of CD administration; Ordering CDs; Requirements of a CD prescription; Differences between CD and normal prescription; Requirements of a normal prescription
What act do controlled drugs come under?
1971 Misuse of Drugs Act
What does the 1971 misuse of drugs act control?
The licensing, production, administration and supply of controlled drugs to prevent their misuse recreationally
What event occurred for the management of controlled drugs storage and administration to occur?
The Shipman Inquiry
What is one feature of CD regulations in relation to timing?
CDs must be supplied in a timely manner
What does the medicines act of 1968 control?
what type of product, protect people from what, make sure what
Production and supply of all medical products and devices to protect people from harm and make sure medical products are safe and effective
What 3 actions must be carried out by healthcare professionals due to the restrictions of CDs?
(what type of order, … trail, what info should be provided to pts)
Compilation and collection of information regarding bulk orders of CDs on behalf of pts e.g. GPs
Audit trail on behalf of pts
Educating pts about use and protection of CDs
What 2 things does the Health Act of 2006 require hospitals to do?
To have standard operating procedures and carry out 3 monthly CD checks
True or false, healthcare professionals must have a license to prescribe and dispense CDs?
True
What % of CD stock loss is classed as acceptable?
5%
What may cause acceptable loss of CDs?
Pouring and measuring of CDs
List 3 classes of drugs based on their supply and the letter/acronym that represents them
Prescription Only Medication (POMs)
Pharmacy (P)
General Sales List (GSL)
What 3 groups of drugs are not supplied by general sales list?
Enemas
Eye preparations
Drugs containing asprin
Where are general sales list drugs available from?
Any shop
List 3 restrictions on general sales list medications?
Restrictions on their dose, quantity and form
Are all new medications POMs, yes or no?
Yes, until information of their safety has been collected
3 classes of CDs
A B C
What are class A drugs considered to cause?
The most harm
What are the potential consequences for having a class A drug without a license/prescription?
Imprisonment
List 5 class A CDs
Heroin Exstacy LSD Cocaine Methadone
Methadone is not a class A CD, true or false?
False
List 3 class B CDs
Amphetamine
Codeine
Cannabis
List 2 class B CDs
GHB
Anabolic steroids
How many schedules of CDs are there?
5
Which of the schedules of drugs are under the most control?
Schedule 1
Schedule 1 drugs are for therapeutic use, true or false?
False
What license do you need to receive schedule 1 drugs?
Home office license
List 2 examples of schedule 1 drugs
LSD
Exstacy
Schedule 2 drugs are for therapeutic use, true or false?
True
Which 2 schedules of drugs are illegal to possess without a prescription
Schedule 2 and 3
For schedule 2 drugs there is strict control on what 4 aspects of drug handling?
Prescribing
Dispensing
Administration
Disposal
Schedule 3 drugs are for therapeutic use, true or false?
True
What is the difference between the handling of schedule 2 and 3 drugs?
Less control of prescription, dispense, administration and disposal of schedule 3 than schedule 2 drugs
Where could you get schedule 5 drugs from?
Over the counter
True or false, there are no restrictions on schedule 5 drugs?
True
Codeine is what class and what schedule of CD?
Class B
Schedule 5
What are features allows for a CD to be schedule 5?
risks
Risks of misuse and abuse are low
From a prescription being signed, what is the duration for normal compared to CDs?
Normal = 6 months CD = 28 days
What is the maximum duration for a prescription of a CD compared to that for a normal drug?
CD= 30 days Normal= 12 months
How often must a list of staff authorised to dispense and administer CDs be supplied to pharmacy?
Every 3 months
Which member of staff is able to order a CD?
Nurse/midwife in charge / doctor
True or false, the member of staff authorised to order CDs is able to delegate the task to another team member?
True
What must CD order forms be filled in with and why?
Black ink
To create a carbon copy
How many CDs can be ordered per sheet of the CD order book?
1
What 6 pieces of information have to be included on a CD order form?
(x2 in relation to CD, x2 in relation to dose, x2 in relation to amount, person, when)
Name AND form of CD Dose AND units of CD Quantity AND units of CD Nurse signature AND printed name Date
8 pieces of information that must be on a pts normal prescription chart
Pt name AND ward Drug name, form Route Dose Frequency Start date Prescriber signature Allergy status
When a mistake is made in the CD book how must it be dealt with?
Bracketed as a mistake and signed + dated by another nurse
What is an FP10?
Normal prescription
12 pieces of information that must be on a CD prescription
Name and signature of prescriber Date of signature Age of pt IF <12 years old Address of where prescriber works Formulation of CD CD quantity in words AND numbers Duration that each dose of drug should last for e.g. 28 tablets taken OD for 28 days Stated IF for dental use only Name of pt Address of pt
7 pieces of information that should be included in the documentation when a CD initially arrives on ward
Date + time received Pharmacy supplying Dose of CD with units Page serial number Signature and name of RN completing entry Signature of witness Total balance of new stock
7 pieces of information to be included when disposing of CD
Date and time Name of CD Formulation of CD Dose of CD Quantity of CD Signature of pharmacist and RN New balance of CD stock
Who conducts the 3 monthly CD stock check?
Charge nurse with pharmacist
What 4 things occur at the 3 monthly CD stock check?
Full stock of drugs on ward
Review of stock list
Review of who has access to CDs
Review of record keeping quality
6 checks required to be carried out when CD being prescribed/administered
Prescribed dose is safe
? CD prescribed in another form
Appropriate form of CD for pt
? pt taken CD before
Inform pt of CD name and dose before giving
Inform pt of CD forms and ensure their understanding
