controlled drugs

Question 1

What is the classification of Schedule 4 drugs?

Answer 1

Part 1 (CD Benz POM) Part 2 (CD Anab POM)

Question 2

How long are Schedule 5 drugs valid for?

Answer 2

6 months

Question 3

Which controlled drugs can be emergency supplied?

Answer 3

Schedule 3 (ONLY phenobarbital for epilepsy), 4 (Ppart1 and 2), Schedule 5

Question 4

Which controlled drugs are repeatable?

Answer 4

4 and 5

Question 5

Which controlled drug invoices must be retained for 2 years?

Answer 5

3 and 5

Question 6

Upon what 2 conditions can a pharmacist possess Cannabis in hospital?

Answer 6

1. For destruction 2. To handover to police

Question 7

Can you give a suspected illicit drug back to a patient in hospital?

Answer 7

Under no circumstances

Question 8

Who is exempt from using the approved form for requisitions of controlled drugs ?

Answer 8

Veterinary px, Hospitals and Prisons

Question 9

What are the legal requirements for CD requisitions forms?

Answer 9

1. Signature of recipient
2. Name of recipient
3. Address of recipient
4. Profession
5. Total quantity of drug
6. Purpose of requisition

Question 10

Do requisitions for CDs in hospitals requested by the same entity in the hospital need to be on a approved form?

Answer 10

No, not same entity. But they do if its being requested OUT of the hospital.

Question 11

When can you supply emergency requisition request from a GP without the requisition?

Answer 11

If requisition for CD 2 or 3 is agreed to be supplied after 24 hours. Failure, is an offence on behalf of GP.

Question 12

How do we process CD requisitions?

Answer 12

Submit to NHS agency and retain a copy for 2 years from date of supply

Question 13

What are the prescription requirements for controlled drugs?

Answer 13

1. Signature of prescriber
2. Address of prescriber - SHOULD be in UK for CD2+3
3. Dose ‘as directed’ NOT acceptable
4. Strength - if more than one available
5. Formulation
6. Quantity - total should be in words AND figures
7. Instalment wording where appropriate
8. Dental wording where appropriate
9. Patient address AND name
10. Date - 28 day validity and should only be prescribed amount for 30 days
11. Quantity

Question 14

Private prescription requirements for CD2 and 3?

Answer 14

1. use designated standard forms
2. prescriber IDENTIFICATION number not GMC
3. submit to NHSBSA UNLESS vet rx then retain for 5 years
4. dont prescribe POMs on private aswell as it needs to be retained for 2 years

Question 15

Which schedule 3 drugs are exempt from safe custody?

Answer 15

Gabapentin, Pregabalin, Phenobarbital, Midazolam, Tramadol

Question 16

Do you need a witness for patient returned CDs?

Answer 16

No

Question 17

Which CDs would you record in CD register upon destruction?

Answer 17

Schedule 2, expired, obsolete stock

Question 18

Record keeping for in CD register for CD supplied?

Answer 18

1. Date supplied
2. Name and address of patient
3. Name and address of prescriber
4. Amount supplied
5. Details of person collecting
6. Did you ask for I.D?
7. Was it given?

Question 19

How long would you retain CD register for?

Answer 19

2 years

Question 20

Requirements for instalment rx?

Answer 20

1. amount of medicine per instalment

2. interval between instalments

Question 21

Can you prescribe diamorphine/cocaine/dipipianone for addiction?

Answer 21

Can prescribe ONLY for injury/organic disease but a GP gets a home office license he can prescribe for addiction