Exam Flashcards

1
Q

What did the Misuse of Drugs Act 1971 impose?

A

A ban on possession, supply, manufacture, import And export of CDs

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2
Q

What did the Misuse of Drugs Regulations (2001) impose?

A

Permit possession, supply, manufacture, import and export of some CDs by some people in certain conditions

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3
Q

How does the Home Office enforce the rules?

A

Via the police

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4
Q

When did the law about medicinal Cannabis change?

A

November 2018 under Misuse of Drugs Regulations 2018 - introduced a definition of ‘cannabis based product for medicinal use in humans’ only products meeting this definition have been rescheduled to schedule 2. Any product which is outside of this definition is schedule 1 only available under the Home Office License

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5
Q

What do schedule 1 require to possess?

A

Normally require a Home Office License to possess

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6
Q

What are the two specific exemptions for pharmacists to take possession of schedule 1 drugs?

A

When possession is for the purpose of destruction
When possession is for the purpose of handling to the police

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7
Q

Who can administer schedule 2,3,4 to patients ?

A

Doctor, dentist, pharmacist independent prescriber, nurse independent prescriber

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8
Q

Is a license required when importing or exporting schedule 1,2,3,4 CDs?

A

Yes

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9
Q

Are schedule 5s restricted on import or export?

A

No

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10
Q

Is a license required for schedule 4 CDs when a patient goes aboard or brings then into the UK?

A

No

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11
Q

What are patients required to do when they travel abroad with CDs?

A

Patients travelling abroad carrying less than 3 months supply of CDs the do not currently need a license
Advised to carry a letter from their prescriber stating their name, travel plans, name of prescribed CD total quantity carried and dose taken
Important to check that the rules apply in countries travelling to
Patients travelling abroad with more than three months supply of CDs they need to register with a HP in the country they are in to access the ongoing care or may apply for a license to take the quantities needed

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12
Q

What are you required to apply for if you use a non regulation storage such as a old bank safe for CDs?

A

Exemption Certificate

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13
Q

Name the CDs that need to be kept in safe custody

A

Schedule 1 and 2

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14
Q

What happens if CDs cannot be stored in safe custody?

A

They need to be under direct supervision of a pharmacist

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15
Q

What do safe custody requirements apply to?

A

Patient returns
Out of date and obsolete CDs

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16
Q

What schedule CDs are required to be denatured prior to disposal?

A

Scheduled 2,3,4

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17
Q

What does destruction of pharmacy stock schedule 2 CDs require?

A

Needs to be witnessed

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18
Q

Do patient returns destruction need to be witnessed?

A

No

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19
Q

Is an authorised witness required for expired/obsolete/unwanted stock?

A

Yes if schedule 2 and 3
Needs to be entered into CD register

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20
Q

In prisons do schedule 3 require witnessed destruction?

A

Yes and also require registers

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21
Q

Are faxed or photocopied requisitions legal?

A

No

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22
Q

How long do you heel veterinary requisitions for?

A

Keep original in the pharmacy for 5 years

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23
Q

When is a strength required on a prescription?

A

If there is more than one strength that exists

24
Q

What is the max quantity suggested by the government to prescribe for schedule 2 and 3 CDs?

A

30 days
But no legal restriction

25
Q

When must a controlled drugs register be used?

A

In schedule 1 and 2
Also need to keep records for Sativex (schedule 4 part I)

26
Q

How long do you keep the register for?

A

For two years from date of the last entry

27
Q

What does the law require for electronic CD registers?

A

Author of each entry
Capable for being audited
Compliant with best practice

28
Q

When should CD entries be entered within?

A

24 hours

29
Q

How often is the CD balance checked?

A

Weekly

30
Q

How long should invoices be kept for?

A

2 years for schedule 3 and 5
NICE advises you keep them for 6 years

31
Q

What drugs are kept in the cupboard?

A

Schedule 2 and 3

32
Q

What type of prescription is used for instalment prescribing on the NHS? And what is the maximum supply on them

A

FP10MDA 14 days supply

33
Q

What is the role of the Accountable Officer?

A

Safe management and use of CDs they must be sighted on incidents and concerns and must investigate these and act when appropriate
Authorises prescribing of private schedule 2 and 3 CDs
Authorises witnesses to the destruction of schedule 2 controlled drugs
Reviews safe management and use of controlled drugs from organisations that do not have their own Accountable Officer
Monitors prescribing of controlled drugs

34
Q

What can veterinary medicines never be used to treat?

A

Humans

35
Q

What is the role of the Veterinary Medicines Directorate (VMD)?

A

Ensure the responsible, safe and effective use of vMPs

36
Q

What are the responsibilities for VMD?

A

Authorise veterinary medicines
Monitor safety and efficacy following authorisation
Develop, update and enforce legislation controlling veterinary medicines
Monitor food stuffs derived from animals

37
Q

Define POM V

A

Must be prescribed by a vet after clinical assessment of the animals and the animal must be ‘under their care’

38
Q

What is require if a veterinary medicine is not supplied by the prescribing vet?

A

A written prescription

39
Q

How long are receipt of supply kept for for a POM V?

A

5 years

40
Q

When is a product classified as POM-V?

A

Contains narcotic or psychotropic substances
Diagnosis and clinical assessment required by a vet before use
Has a narrow safety margins requires above average care

41
Q

Define POM-VPS

A

May be prescribed by an Registered Qualified Person. - vet, pharmacist or appropriately qualified SQP
Clinical assessment not required
Record of supply kept for 5 yrs

42
Q

Examples of products used in the POM-VPS category

A

Used to prevent routine disease in herds

43
Q

Define NFA-VPS

A

May be supplied without a prescription
Indicated in use only in non food-producing animals
Used routinely to prevent disease in NFA
Supplied from a vet, pharmacist, suitably qualified person (SQP) from an approved/registered premises

44
Q

Define AVM-GSL

A

Authorised veterinary medicine
No restrictions apply
He’s a wide margin for safety
Special advice not required
Used to alleviate signs of disease or treatment of disease

45
Q

Define schedule 6 veterinary products

A

Permits certain medications to be marketed without a MA
Applies to vet medicines labelled exclusively for use in specified animals not intended for human consumption

46
Q

What are schedule 2,3,4 CDs under MDR 2001 classified under?

A

POM-V under VMR

47
Q

When can human medication be supplied for animals?

A

If no veterinary medicinal product available under the VMR only a vet can authorise the supply of medicines licensed for human use for use in an animal
Pharmacist can only supply human medicines for animal use against a written prescription from a vet

48
Q

How long is a vet prescription valid for?

A

6 months

49
Q

Are repeats allowed for schedule 2 and 3
CDs

A

No

50
Q

Are repeats allowed for schedule 4?

A

Yes but all repeats must be supplied within. 28 days

51
Q

Define ethics

A

The science of morals

52
Q

Define professionalism

A

Is the relationship of trust which exists between the practitioner and the trust which exists between the practitioner and the person who receives his/her advice or services

53
Q

Name the three groups that professional falls into

A

Absolute requirements
Major characteristics
Desirable characteristics

54
Q

What is the Professional Standards Authority for Health and Social Care responsible for.

A

Regulating the regulators

55
Q

Explain the GPhC fitness to practice process

A

GPhC registrar, investigating committee and fitness to practice committee

56
Q

How long is a interim order imposed for?

A

18 months

57
Q

Define morality

A

The right moral conduct of a moral system