CPCS, NMS + DMS Flashcards

1
Q

What is community pharmacist consultation service?

A
  • Patients referred from NHS 111 + GP
  • Consultations w/ pharmacist to manage minor ailments
  • Urgent supply of regular medicines
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2
Q

What are the CPCS knowledge requirements?

A
  • SOP in place
  • Pharmacist up to date w/ human medicines regulations in relation to emergency supply
  • Asses patients + identify red flags
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3
Q

What are the CPCS premises requirements?

A
  • Patient + pharmacist sit down together
  • Talk at normal volume w/o being overheard
  • Clearly signed as private consultation area
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4
Q

How is an urgent medicine supply interview carried out?

A
  • Face to face or phone
  • Introduction
  • Confirm patient
  • Reason for request + nature of emergency
  • Name of GP
  • Medicine requested
  • Has it been prescribed before
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5
Q

Who determines the quantity of urgent medicines supply?

A

HMR

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6
Q

How many days of supply is for a schedule 4, 5 and phenobarbital for epilepsy?

A

5 days

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7
Q

How many days of supply for other preparations?

A

30 days

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8
Q

For an urgent medicines supply, what must be included in the label?

A

‘Emergency supply’

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9
Q

What should be recorded when supplying an urgent medicine?

A
  • POM register
  • Pharmoutcomes
  • Patient medication record
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10
Q

When should you refer when supplying an urgent medicine?

A
  • Another pharmacy if med is out of stock
  • Clinician if requested sched 1, 2 + 3
  • Another service if pharmacist has concerns for welfare
  • Never asked to call 111 themselves
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11
Q

Which patients can be managed under minor ailment referral scheme?

A
  • Patients referred through NHS 111

- Notification of referral from pharmoutcomes

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12
Q

What happens if a referral is not needed when consulting for a minor ailment?

A
  • Pharmacist provide advice on care for condition
  • Advise on medicines that can be purchased
  • Provide written + verbal advice on managing condition
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13
Q

How much does it cost per completed referral?

A

£14

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14
Q

What does the new medicine service target?

A
  • Asthma/COPD
  • 2 diabetes
  • Antiplatelet/anticoag
  • HP
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15
Q

What are the 3 stages for an NMS?

A
  • 0: patient engagement
  • 7-14: intervention
  • 21: follow up
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16
Q

What happens at day 0 of a NMS?

A
  • Patient referred to pharmacy
  • Give info leaflet
  • Consent + arrange follow up
17
Q

What happens at day 7-14 of a NMS?

A
  • Structured interview
  • Record intervention
  • Arrange follow up
18
Q

What happens at day 21 of a NMS?

A
  • Outcomes: patient adherent/non-adeherent
  • Refer to GP
  • Give advice
19
Q

DMS - first stage

A
  • Clinical check
  • Changes to dose etc
  • Newly prescribed
  • Monitoring requirement
  • Contraindications