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Law > Controlled drugs > Flashcards

Controlled drugs Flashcards

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1
Q

MDA3A

A

Classification of drugs

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2
Q

MDA8

A

Exemptions from sections 6 & 7

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3
Q

MDR12A

A

Authority of designated prescriber nurses, designated prescriber pharmacists, midwives, and nurse practitioners to prescriber certain controlled drugs in certain circumstances

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4
Q

MDR12B

A

Permissions relating to controlled drugs prescribed or supplied by designated prescriber nurses

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5
Q

MDR21

A

Restrictions on application of MDA8

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6
Q

MDR24

A

Supply on prescription

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7
Q

MDR25

A

Labelling of containers

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8
Q

MDR28

A

Custody of controlled drugs

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9
Q

MDR29

A

General requirements in relation to prescriptions

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10
Q

MDR31

A

Restrictions on supply on prescription

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11
Q

MDR31A

A

Exceptions to restriction in MDR31

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12
Q

MDR32

A

Verification of prescriptions

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13
Q

MDR33

A

Retention of prescriptions

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14
Q

MDR34

A

Emergencies

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15
Q

MDA3A - Classification of drugs

A

Drugs are classified by how much risk they pose

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16
Q

MDA8 - Exemptions from sections 6 & 7

5 groups who can do CDs?

A

Medical practitioner, dentist, veterinarian, pharmacist, under pharmacist supervision can prepare & supply CDs

17
Q

MDR12A - Authority for designated prescriber nurses, designated prescriber pharmacists, midwives, and nurse practitioners to prescribe certain controlled drugs in certain circumstances

A

These professions can prescribe only from determined lists

Midwives: fentanyl, morphine, pethidine

Nurse practitioners (with more training) can prescribe any CD

18
Q

MDR12B - Permissions relating to controlled drugs prescribed or supplied by designated prescriber nurses

A

CDs are administered by patient themselves or by proxy

19
Q

MDR21 - Restrictions on application of MDA8 etc

length of supply for 5 groups

A

CDs are only prescribed for patients under their care

Dentists, prescriber nurses can only prescribe 7 day supply [dentists subsidised 5 days]
Prescriber pharmacist 3 day supply

Medical practitioner, nurse practitioner:

  • Class A & B: 1 month supply
  • Class C: 3 month supply
20
Q

MDR24 - Supply on prescription

when is delivery not done directly?

A

Delivery done directly to patient/their premises by person or post, UNLESS:

  • Written permission from patient otherwise
  • Person supplying is satisfied that proxy will deliver to patient
21
Q

MDR25 - Labelling of containers

3 points

A

1) “CONTROLLED DRUG” in caps followed by category in (2); medicine name; instructions; manufacturer/seller name & address
2) A, B1-3, C1-5 must be stated on label
4) Must have patient name

22
Q

MDR28 - Custody of controlled drugs

2 points

A

Kept in locked compartment installed/securely fixed in premises

Key to compartment kept in safe place, otherwise combination lock

23
Q

MDR29 - General requirements in relation to prescription [linked to MR41 - Form of prescription]

general, prescriber, patient, medicine

A

Handwritten on triplicate form
Legible, indelible

Prescriber:

  • Physically signed
  • Address

Patient:

  • Surname & first initial
  • Address
  • Under 12yo: age in years & months in words

Medicine:

  • Unusual dose: underlined, prescriber initials
  • “For dental treatment/midwifery use only”
  • No abbreviations unless universally recognised
24
Q

MDR31 - Restrictions on supply on prescription

3 points when CDs cannot be supplied, then what records does dispensing site need to keep?

A

1) CDs cannot be supplied if:
- More than once on same prescription
- Class A & B: 7 days after prescription date
- Class C: 6 months after prescription date

Each dispensing: written/stamped name of dispenser, pharmacy address, date of dispensing

25
Q

MDR31A - Exceptions to restrictions in MDR31

repeats?

A

Class A & B drugs may be supplied twice on same prescription; within 7 days of prescription being written & first dispensing respectively

Class C drugs may be supplied thrice on same prescription in monthly intervals [normal repeat dispensing]

26
Q

MDR32 - Verification of prescriptions

2 points

A

Do not supply unless sure signature is genuine

Only prescriber can edit their prescription, with signature next to change

27
Q

MDR33 - Retention of prescriptions

A

Prescription must be kept on premises for 4 years (from last supply)

28
Q

MDR34 - Emergencies

3 points

A

Emergency supply cannot be dispensed without oral prescription

Dentists cannot give emergency supply for CDs [but they can for Rx only medicines]

Oral prescription: orally/telephone to personally-known pharmacist

  • Prescriber must then prepare written prescription (with date of oral prescription) & endorse stating it is a confirmation of oral prescription
  • Must be sent to pharmacy within 2 business days

Law (12 decks)

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