Intro To Pharmacy Law And Good Practice Flashcards
Describe the five legal classes of medicine And know where to find medicines classification
GSL: Can be sold in any retail outlet
P: Sold only with pharmacist supervision
PO: GSL But sold under responsible pharmacist rules
POM : Must be supplied with a prescription with pharmacist supervision
CD: Medicine is regulated by the misuse of drugs act
Describe the legal requirements for a prescription
A
Describe the legal requirements for labels
A
Be able to find cautionary advisory labels
A
Describe the principles of dispensing good practice
A
Describe the principles and benefits of standard operating procedures
A
Describe the different types of errors how to handle them and their consequences
A
Describe members the pharmacy team and there was
A
Describe the 5 legal classes of medicine and know where to find a medicines classification
GSL:Can be sold in any retail outlet
P: sold only with pharmacist supervision
PO: GSL but sold under responsible pharmacist rules
POM: must be supplied with a prescription with pharmacist supervision
CD: medicines regulated by the misuse of drugs act
MEP: alphabetical list of medicines for human use -
Pack size, eg aspirin
GSL: ≤ 16 tabs/caps
P: 17-32tabs/caps
POM: 7-32tabs/caps
Strength eg Ibuprofen
GSL: if 200mg tabs/caps
P: 400mg tabs/caps
POM: > 400mg tabs/caps
Describe the legal requirements for a prescription
- Human medicine regulations 2012
- patients name & address
- age if under 12
- Prescriber’s name, address and particulars (type of prescriber)
- signature of the prescriber
- appropriate date from (prescription is valid for 6 months)
Describe the legal requirements for labels
HMR 2012
- name of patient
- name and address of supplier
- date of dispensing
- name of medicine (as appears on prescription)
- direction for use
- The words keep out of reach and sight of children
- “use medicine only on skin” if cream etc
ONE OFF(extemporaneously dispensed)
- Expiry date of product
- Batch number
Prof judgement to add more labels:
- Shake well before use
- store in a cool place
- Discard 28 days after opening - eye drop prep
- not to be take orally - suppositories or pessaries
- Do not swallow-mouthwash prep
Be able to find cautionary advisory labels
BNF app/More /About/About the BNF)/How to use the BNF ‘ publications online/ Content types/Medicinal forms section/Guidance for cautionary and advisory hyperlink
Or medicinal form section of drug monograph,
Describe the principles of dispensing good practice
- Always ensure the equipment you use is clean
- Never leave unlabelled medicines lying about
- Always provide PIL so patient can refer to it
- Click-Clock bottles for children or screw tops for poor manual dexterity
- Always check expiry dates
- Some medicines in orignalcontainer due to desiccant — usually fixed in lid to protect drug frommoisture in the environment
Describe the principles and benefits of standard operating procedures
Principles:
(Sop) - a requirement the the GPhC dispensing process broken into task: and clearly indicate
- who can do each step
-How to carry out the step
-When to carry out the step
- incorporate an audit trail.
Benefits:
-reduces risk, patient harm and errors
- assure quality and consistency of the service provided
-ensure application of good practice at each stage of process
-utilise expertise of pharmacy team in a smart way
- delegate roles to appropriate staff and focus on more clinical roles
-avoid confusion of who does what
-audit trail
Describe the different types of errors, how to handle them and their consequences
2 types:
Near miss-identified in dispensing process and rectified
Actual-reaches the patient
Dispensory error -direction -drug Form Strength Quantity Label Directions Patient
Clinical errors (only pharmacist can check): Overdose Under dose Interaction Inappropriate medicine
-Patient realises before taking it confidence maybe lost
Near miss - logged and review to address safety issues
Actual errors-need route cause analysis
Serious errors-reported to the national patient safety agency NPSA
Legal action can be taken within 2 years of the error
