L 01 & 02 Legal Flashcards
Who is authorized prescribers?x5
5: Nurse practitioners, doctors, dentist, registered midwife,and optometrists,
What are the examples of designated prescribers? x3
- Pharmacist prescribers,
- Registered nurse prescribers and
- Dietician prescribers
Difference between authorized prescribers and designated prescribers in terms of dispensing medicine?
Authorized prescribers: can prescribe any medicine for patients under their care - within their scope of practice.
Designated prescribers: have completed additional training and can only prescribe from a setlist - within their scope of practice.
Where do vets fall under regarding authorized prescribing?
Vets are not an authorized prescribers but they are listed alongside (not under) an authorized prescriber.
A veterinarian may only prescribe a prescription medicine that is for the treatment of an animal under the veterinarian’s care.
What are the Legal Requirements of a written prescription?
- Prescriber signature (unless E-script for non-controlled drug)
- Prescriber full name, address, and phone number
- Patient surname, given name, and address
- DOB if the patient is under 13
- Prescribing date
- Medicine name and strength (if req)
- Method and freq (Ext) or dose and freq (int)
- Total supply amount/period
Period of supply for prescription meds and OC medicine?
Prescription Medicine: 3 months supply (Funded). After 3months (Not Funded) but can dispense up to 6 months.
For OC, 6 months supply (funded),
but can supply up to 9 months (Not-funded),
DGoH can make individual exceptions to this.
Requirements for selling Phone prescription medicine? what is the definition of urgency? + regulation citation work?
- Prescriber knowns personally to the pharmacist
- Written copy required within 7 days
There is no straightforward definition of urgency
Regulation Citation: MR R.40A
COVID-19 waiver for eligibility of prescription for dispensing?
- If it is sent by an electronic system that requires a prescriber to log in.
- Must say on the bottom that it is in compliance with the waiver
- Must be in a format that isn’t easily alterable by others
- Prescription must be sent directly to pharmacy
For e-prescription can a controlled drug be dispensed?
Signature required for class A and B CDs
Emergency supplies legalities for pharmacist?
- If the pharmacist is satisfied that they require one
- Previously prescribed on prescription for a particular condition within the last 6 months
How to judge during Emergency supplies judgment/decision questions?
- Has the medicine been prescribed in the last 6 months?
- Is the request genuine?
- Is it clinically appropriate (e.g how many would they miss?)
- Is a referral required instead?
- Is the patient using the emergency supply as their regular medicine
- It CANNOT be a controlled drug
- Supply is unfunded (Patient pays).
How to record and give the emergency supply medication?
- Sale like a pharmacist-only medicine.
- Notify the prescriber if necessary
- 72 hour supply should be given, or if not appropriate to split products then give 1x OP, like cream or inhaler or OC.
Generic substitution rules?
- Prescriber hasn’t written “no brand substitution permitted”
- Substitute has same active ingredients, no others added, and same dosage form + strength as a prescribed brand
- No clinical reason not to supply substituted brand
Steps to complete a generic substitution?
- ‘Brand substitution allowed’ recorded on the script, signed and dated
- Pharmacist informs patient about the change
Definition of controlled drugs + examples of each class?
Drugs that are considered to hold a risk of harm to an individual or society
e.g: A= heroin, B = morphine, C = codeine
What documents are the rules for controlled drugs set out in?
- Misuse of drugs act 1975
- Misuse of drugs regulations 1977
What classes of control drugs need a triplicate form?
- Class A and B
What is the Limit of Prescribing CDs by medical and nurse practitioners?
and for the dentist?
- For medical practitioners and nurse practitioners:
- Class A and B = 1 month
- Class C = 3 months
Dentists:
- All classes = 7 days
Prescribing CDs (nurse prescribers, prescribing pharmacists, midwives)
Designated nurse prescribers:
- 7 days
Designated prescribing pharmacist
- 3 days
Midwife
- 1 month only
Do class C drugs need a triplicate form?
No
Urgent prescription requirements for controlled drugs + regulation?
- All prescribers can request phone CD medication except dentists
- Original required within 2 business days
- Prescriber must be known to the pharmacist
MDR R.34/8.7.3
Restrictions for controlled drugs - Prescription validity?
Requirements for giving out CDs to customers?
- Prescription is Only valid for 7 days after prescribing date
- only given to a patient, unless they have written authority.
When does a controlled drug register need to be entered by?
How often do you do a controlled drug stocktake?
Do class C drugs need to be entered?
By the end of the next business day.• Do not obliterate/cancel/alter any entry.
2 times a year for stocktake, 30th June and 31st Dec
Class C doesn’t need to be entered.
Nurse practitioners can prescribe which types of medicines?
vs
Designated nurse prescribers can prescribe which types of medicines?
A nurse practitioners can prescribe any prescription medicine
Designated nurse prescribers Only prescribe prescription meds from a schedule
Where would you find the legislation regarding the following? Emergency Supplies
- Medicines regulations 1984
Where would you find the legislation regarding the following?
Who can sell medicines
- Medicines Act 1981
Where would you find the legislation regarding the following?
Urgent controlled drug prescriptions
- Misuse of drugs act 1975
How to preserve CDs in a pharmacy?
Locked cupboard/compartment made of metal/concrete – approved by Medsafe – Must be securely fixed to the premises (eg bolted to ground) – Key must be securely kept or have a combination lock
