Controlled Drugs

Question 1

What was introduced following the thalidomide tragedy?

Answer 1

Medicines Act 1968

Question 2

What are the 3 types of medicines supply classifications?

Answer 2

• General Sale List
• Pharmacy
• Prescription Only

Question 3

The Misuse of Drugs Regulations 2001 was created under the _______. It states 3 classes of drugs: A (e.g. ______), B (e.g. ______) and C (e.g. ______).

Answer 3

Misuse of Drug Act 1971; cocaine, opium, ecstasy; amphetamines, cannabis, codeine; GHB, steroids, tramadol

Question 4

What does the Health Act 2006 stipulate about organisations?

Answer 4

Standardised standard procedure for every aspect of CDs must be in place, especially: Storage, Access, Record Keeping, Vigilance.

Question 5

How many schedules of controlled drugs are there?

Answer 5

5

Question 6

Outline schedule 1 for CDs

Answer 6

No therapeutic use - research only.

Home Office licence needed.

Question 7

Outline schedule 2 for CDs

Answer 7

Used for medicinal use.

Prescribing, dispensing, administration & disposal tightly controlled.

Question 8

Outline schedule 3 for CDs

Answer 8

Medicinal use and liable for abuse.

Controls less rigorous than Sch 2.

Question 9

Outline schedule 4 for CDs

Answer 9

Possession without prescription is an offence.

No restriction or special prescription required for medicinal use.

Question 10

Outline schedule 5 for CDs

Answer 10

Exempt from full control as active drug is low in strength

Question 11

What are 6 important part of processing CDs?

Answer 11

Prescribing.  
Ordering/Transport.
Storage.
Administration. 
Record-keeping.
Destruction.

Question 12

State 11 requirements of CD prescriptions

Answer 12

1. Patient name
2. Patient address
3. Patient age
4. Drug name
5. Strength of medicine
6. Form of medicine
7. Dose and frequency
8. Quantity
9. Prescriber’s signature
10. Prescriber’s address
11. Date (of prescription)

Question 13

Where do full CD prescribing requirements not apply?

Answer 13

In-patient charts

Question 14

In hospital, what additional requirement is needed in the patient’s CD chart?

Answer 14

Allergy status

Question 15

How long must requisition of CDs be kept for as a minimum?

Answer 15

2 years

Question 16

What role(s) does a registrant have for CDs?

Answer 16

• Responsible for requisitioning drug used in that area

- Delegate control of access (e.g. key holding)

Question 17

Who can sign CD record books?

Answer 17

2 registrants OR,

1 registrant and 1 student

Question 18

What 5 bits of information go in CD record books?

Answer 18

• Date
• Name of pharmacist supplying
• Amount
• Form
• Balance in stock

Question 19

How frequently must CD stock checks be done by each department?

Answer 19

At least once every 7 days

Question 20

How often will pharmacists carry out a stock check?

Answer 20

Every 3 months

Question 21

What are the requirements for destroying CDs?

Answer 21

• Must be destroyed in a way that it becomes denatured and unable to be used/reconstituted
• Must be recorded

Question 22

Define PGD

Answer 22

Patient Group Direction:
Specific written statement, by pharmacists/doctors, for supply and administration of medicines by other HCPs in an identified clinical situation