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Pharmacology > Controlled Drugs > Flashcards

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

1
Q

What act do controlled drugs come under?

A

1971 Misuse of Drugs Act

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2
Q

What does the 1971 misuse of drugs act control?

A

The licensing, production, administration and supply of controlled drugs to prevent their misuse recreationally

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3
Q

What event occurred for the management of controlled drugs storage and administration to occur?

A

The Shipman Inquiry

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4
Q

What is one feature of CD regulations in relation to timing?

A

CDs must be supplied in a timely manner

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5
Q

What does the medicines act of 1968 control?

what type of product, protect people from what, make sure what

A

Production and supply of all medical products and devices to protect people from harm and make sure medical products are safe and effective

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6
Q

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)

A

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

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7
Q

What 2 things does the Health Act of 2006 require hospitals to do?

A

To have standard operating procedures and carry out 3 monthly CD checks

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8
Q

True or false, healthcare professionals must have a license to prescribe and dispense CDs?

A

True

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9
Q

What % of CD stock loss is classed as acceptable?

A

5%

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10
Q

What may cause acceptable loss of CDs?

A

Pouring and measuring of CDs

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11
Q

List 3 classes of drugs based on their supply and the letter/acronym that represents them

A

Prescription Only Medication (POMs)
Pharmacy (P)
General Sales List (GSL)

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12
Q

What 3 groups of drugs are not supplied by general sales list?

A

Enemas
Eye preparations
Drugs containing asprin

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13
Q

Where are general sales list drugs available from?

A

Any shop

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14
Q

List 3 restrictions on general sales list medications?

A

Restrictions on their dose, quantity and form

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15
Q

Are all new medications POMs, yes or no?

A

Yes, until information of their safety has been collected

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16
Q

3 classes of CDs

A

A B C

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17
Q

What are class A drugs considered to cause?

A

The most harm

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18
Q

What are the potential consequences for having a class A drug without a license/prescription?

A

Imprisonment

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19
Q

List 5 class A CDs

A 
Heroin 
Exstacy 
LSD 
Cocaine 
Methadone
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20
Q

Methadone is not a class A CD, true or false?

A

False

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21
Q

List 3 class B CDs

A

Amphetamine
Codeine
Cannabis

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22
Q

List 2 class B CDs

A

GHB

Anabolic steroids

23
Q

How many schedules of CDs are there?

A

5

24
Q

Which of the schedules of drugs are under the most control?

A

Schedule 1

25
Q

Schedule 1 drugs are for therapeutic use, true or false?

A

False

26
Q

What license do you need to receive schedule 1 drugs?

A

Home office license

27
Q

List 2 examples of schedule 1 drugs

A

LSD

Exstacy

28
Q

Schedule 2 drugs are for therapeutic use, true or false?

A

True

29
Q

Which 2 schedules of drugs are illegal to possess without a prescription

A

Schedule 2 and 3

30
Q

For schedule 2 drugs there is strict control on what 4 aspects of drug handling?

A

Prescribing
Dispensing
Administration
Disposal

31
Q

Schedule 3 drugs are for therapeutic use, true or false?

A

True

32
Q

What is the difference between the handling of schedule 2 and 3 drugs?

A

Less control of prescription, dispense, administration and disposal of schedule 3 than schedule 2 drugs

33
Q

Where could you get schedule 5 drugs from?

A

Over the counter

34
Q

True or false, there are no restrictions on schedule 5 drugs?

A

True

35
Q

Codeine is what class and what schedule of CD?

A

Class B

Schedule 5

36
Q

What are features allows for a CD to be schedule 5?

risks

A

Risks of misuse and abuse are low

37
Q

From a prescription being signed, what is the duration for normal compared to CDs?

A 
Normal = 6 months 
CD = 28 days
38
Q

What is the maximum duration for a prescription of a CD compared to that for a normal drug?

A 
CD= 30 days 
Normal= 12 months
39
Q

How often must a list of staff authorised to dispense and administer CDs be supplied to pharmacy?

A

Every 3 months

40
Q

Which member of staff is able to order a CD?

A

Nurse/midwife in charge / doctor

41
Q

True or false, the member of staff authorised to order CDs is able to delegate the task to another team member?

A

True

42
Q

What must CD order forms be filled in with and why?

A

Black ink

To create a carbon copy

43
Q

How many CDs can be ordered per sheet of the CD order book?

A

1

44
Q

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)

A 
Name AND form of CD 
Dose AND units of CD 
Quantity AND units of CD 
Nurse signature AND printed name 
Date
45
Q

8 pieces of information that must be on a pts normal prescription chart

A 
Pt name AND ward 
Drug name, form 
Route 
Dose 
Frequency
Start date 
Prescriber signature 
Allergy status
46
Q

When a mistake is made in the CD book how must it be dealt with?

A

Bracketed as a mistake and signed + dated by another nurse

47
Q

What is an FP10?

A

Normal prescription

48
Q

12 pieces of information that must be on a CD prescription

A 
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
49
Q

7 pieces of information that should be included in the documentation when a CD initially arrives on ward

A 
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
50
Q

7 pieces of information to be included when disposing of CD

A 
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
51
Q

Who conducts the 3 monthly CD stock check?

A

Charge nurse with pharmacist

52
Q

What 4 things occur at the 3 monthly CD stock check?

A

Full stock of drugs on ward
Review of stock list
Review of who has access to CDs
Review of record keeping quality

53
Q

6 checks required to be carried out when CD being prescribed/administered

A

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

Pharmacology (10 decks)

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