Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PHA221 > Controlled Drugs: Supply > Flashcards

Controlled Drugs: Supply Flashcards

1
Q

What are the legal requirements for schedule 2 and 3 CDs on a prescription?

A
  1. Written in ink (if not electronic)
  2. Signed by person issuing it with signature
  3. If issued by dentist, must say ‘For dental treatment only’
  4. Name and address of patient
  5. Specify dose (must contain number)
  6. Specify form of medicine
  7. Specify strength
  8. Quantity MUST be written in both words and figures
  9. Must be dated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the validity of CDs and which CD schedules does this apply to?

A

28 days for schedule 2, 3 and 4.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

On a prescription, does the 28 day validity begin on the start date or when the prescription was signed?

A

On the start date.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens when there is an owing for the patient?

A

Supply what we have and create an owing for the remainder. However, the patient must come back within the validity of the prescription to collect the remainder. After that date, supply is illegal and they will require a new prescription.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Is it good practice or a legal requirement that a prescription for schedule 2, 3 and 4 should not exceed a 30 days supply?

A

Good practice.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which type of form is used for a private prescription for CDs?

A

FP10PCD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A private prescription for CDs is only used for which schedule drugs?

A

Schedule 2 and 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What information of the prescribers is required for a private prescription of CDs?

A

CD identification number.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is a private prescription for a CD sent to?

A

Sent to the NHS BSA. A copy is kept for 2 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which Schedule CDs are not allowed on a repeat prescription?

A

Schedule 2 and 3.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which Schedule CDs are allowed on a repeat prescription?

A

Schedule 4 and 5.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

For repeat prescriptions, when must the first dispensing for Schedule 4 drugs be within from the appropriate date?

A

28 days.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

For repeat prescriptions, when must the first dispensing for Schedule 5 drugs be within from the appropriate date?

A

6 months.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

On a repeat prescription, when must the remaining repeats be dispensed by after the first one has been dispensed?

A

There is no time limit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What errors may a pharmacist amend on a Schedule 2 and 3 prescription?

A
  • Minor typos
  • Minor spelling mistakes
  • If the quantity is missing in words or figures (not both)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What must a pharmacist do if they need to make an amendment on a Schedule 2 or 3 prescription?

A
  • It must be written in ink to correct mistake or add quantity in words or figures.
  • The change must be marked with the pharmacists name, date, signature, and GPhC number.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Is ID required when a patient or representative comes to collect a Schedule 2 drug?

A
  • Yes unless the identity of the patient/representative is known.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Is ID required if a healthcare professional comes to collect a Schedule 2 drug?

A
  • Yes unless the identity of the healthcare professional is known.
    -> will also require the healthcare professionals name and address
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What happens if a person coming to collect a Schedule 2 drug doesn’t have any identity?

A

You have to use your own professional judgement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

True or False: When collecting a Schedule 2 drug, collection information must be recorded in the CD register.

A

True.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Is it a legal requirement to sign the back of a NHS prescription/FP10PCD when collecting Schedule 2 and 3 drugs?

A

It is a legal requirement for Schedule 2 drugs but good practice for Schedule 3.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Who should sign the collection part of a prescription for a Schedule 2 drug if the medication is being delivered?

A

The delivery driver, however, there must be another process to confirm that the patient has received the CD.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When must a controlled drug register be filled?

A

When receiving and supplying drugs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When might you have different CD registers?

A

For different drugs, strengths and forms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What must be filled out on a CD register when a drug is received?
- Date received - Name and address of person or firm from whom received - Quantity received
26
What must be filled out on a CD register when CDs are supplied?
- Date of supply - Name and address of person or firm supplied - Name and address of prescriber - Name of person collecting drug -> if healthcare professional, name and address - Proof of identity of patient (yes) - Proof of identity of person collecting (yes)
27
What must be written when making an amendment on a CD register by the footnote?
Name, signature, GPhC number and date.
28
How long should a CD register be kept for?
2 years.
29
How long should a CD register be kept for which include records of CD destruction?
7 years.
30
Is it a legal requirement or good practice to keep a CD running balance?
Good practice.
31
How often should a CD running balance be checked?
Weekly. -> RPS recommended
32
If a discrepancy can be resolved in a CD register, what should done?
A footnote should be made and it should be signed and dated by the person making the amendment.
33
Why may a running balance for a liquid CD be affected?
Overage, residues, spillages.
34
Should running balance checks be recorded?
Yes, it should be signed and dated by the person carrying out the checks.
35
What should you make sure about for electronic CD registers?
- Backups must be made - Viewed without disrupting dispensing process. - Entries cannot be altered
36
What is a requisition form also known as?
Signed order.
37
Which form is used for a requisition form?
FP10PCD.
38
What are the legal requirements for a requisition form?
- Signed by recipient - Recipient's name and address, profession/occupation - Total quantity required - Why quantity is required
39
A requisition form is only for which Schedule CDs?
Schedule 2 and 3.
40
How should a pharmacy mark a requisition form?
With the pharmacy stamp including the name and address.
41
Where is the requisition form sent to?
NHS BSA
42
How long is a copy of a requisition form kept for?
2 years
43
Can Schedule 2 and 3 CDs be supplied without a requisition form?
In an emergency if a form is supplied within the next 24 hour.
44
Do you need to use a requisition form between pharmacies if CDs 2 and 3 are needed?
No, but the Home Office recommends this.
45
Who must collect the medication on a requisition form?
The person who requested for the medication -> who signed the form.
46
Can anyone other than the person who has requested the medication on a requisition form collect the medication?
A 'messenger' can, but it must be a statement from the purchaser for that they authorize them to collect the CD. - should be signed and dated by purchaser - include details of messenger
47
True or False: The letter which authorizes a messenger to collect medication on a requisition form must be kept for 2 years.
True.
48
Why is denaturing CDs important?
- To prevent the drug from being retrieved or misused - Prevent harm to the environment - Ensure waste is transported safely with less risk
49
True or False: A license is not required to denature a CD.
False. You need a license to denature a CD. -> T28 exemption
50
Which CD drugs need to be denatured prior to disposal.
Schedule 2, 3 and 4 (part 1)
51
What are the 2 different CD destruction scenarios?
- Out of sate stock - CDs returned by patient/representative
52
For out of date stock, who must destroy a Schedule 2 drug?
An authorized person -> registered by Home Office.
53
True or False: For out of date stock, a CD Accountable Officer is an authorized person to destroy Schedule 2 CDs.
False.
54
True or False: A CD register must be filled out once an out of date CD has been destroyed.
False: This applies only to Schedule 2 drugs. The person destroying the drug fills this out. Not a legal requirement for other schedule drugs.
55
Who can destroy CDs returned by patients or their representatives?
The pharmacist.
56
Where should CDs returned by patients be stored prior to destruction?
If the CD is usually stored in a CD cabinet, it should be stored in there separately and marked so it is known that it is for destruction. If it doesn't belong in the CD cabinet, it can be stored elsewhere.
57
Is an entry in the CD register required for Schedule 2 CDs which is brought back by a patient/their representative? Is this a legal requirement or good practice?
No. A separate record is made in a book which must be kept for 7 years. This is good practice.
58
When CDs are brought back to the pharmacy for destruction, from who can the waste not be accepted?
- From nursing homes - From other healthcare professionals
59
When making a record of a Schedule 2 CD which has been brought back for destruction, what information must be included?
- Date received - Received by (name and signature) - Patient's name - Patient's address - Name of CD - Strength and Form of CD - Quantity of CD - Role of person returning CD - Date destroyed - By pharmacist (name and signature) - Witnessed by (name and signature)
60
How are CDs destroyed?
Using a CD denaturing kit. Box contains powder. Add drugs to fill line, add water to water fill line. Close lid and shake. Solidifies and placed in the pharmaceutical waste bin.
61
What must be done to tablets and capsules before being placed into the CD denaturing kit?
Grind/crush using a pestle and mortar, and add a bit of water.
62
How can a CD be destroyed if a CD denaturing kit is not available?
Grind/crush tablets/capsules using pestle and mortar. Place in warm soapy water till dissolved. Pour into appropriate product, like cat litter (absorbs water). Add the pharmaceutical waste bin.
63
What should you do if you are disposing of a CD liquid? e.g. methadone bottles
Pour it into a CD denaturing kit to fill line and shake. If not available, use appropriate product, like cat litter, and dispose of in the pharmaceutical waste bin. Rinse empty bottles into the kit and dispose of the empty bottles in the general waste.
64
How should you dispose of CD parenteral formulations?
Pour liquid in ampoules into the CD denaturing kit. If powder, add a bit of water to dissolve and pour into the kit. Dispose of the ampoule in the sharps bin.
65
How do you dispose of CD patches?
Fold it in on itself and add to the CD denaturing kit, where water will be added.
66
How do you dispose of CD aerosol formulations?
Expel droplets into water and add to CD denaturing kit.
67
Which CD drugs is a midwife allowed to administer and possess?
Diamorphine, Morphine and pethidine.
68
Who should a midwifes supply order be signed by?
An appropriate medical officer.
69
What should a midwifes supply order contain?
- Name of midwife - Occupation of midwife - Name of person CD is administered/supplied to - Total quantity - Signature of appropriate medical officer
70
Should a midwife keep a record of supplies ?
Yes.
71
Can midwife's destroy stock?
No. She must give it back to the appropriate medical officer or to whom she obtained the CD from.
72
How long should a pharmacist keep a midwife's supply order?
For 2 years but it doesn't need to be sent to the NHS BSA.
73
Does a register need to be filled out for a midwife's supply order?
It is a legal requirement for Schedule 2 CDs to fill out the CD register. It is good practice for Schedule 3 CDs to fill out the POM register.

PHA221 (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions