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MEP > Law > Flashcards

Law Flashcards

1
Q

True or false:

GSL meds can be sold without the responsible pharmacist being signed in

A

FALSE

though they do not have to be physically present for sales to be made once they are signed in

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2
Q

True or false:

Self selection of P medicines by patients/customers is not allowed

A

TRUE

They must not be accessible to the public for self selection I.e. kept behind the counter etc

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3
Q

True or false:

CD prescriptions written by EEA and Swiss doctors are accepted in the U.K.

A

FALSE

Non-CD prescriptions are accepted by EEA and Swiss doctors/dentists/pharmacists/nurses

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4
Q

True or false:

Podiatrists are “appropriate practitioners” and can write prescriptions

A

TRUE

As are doctors, supplementary/IP nurses, dentists, IP pharmacists, physios and IP radiographers

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5
Q

It is unlawful to sell products containing more than _______ pseudoephedrine or _______ ephedrine at any one time without a prescription

A

720 mg

180 mg

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6
Q

Pseudoephedrine and ephedrine can be used in the illicit production of which Class A drug?

A

Methylamphetamine
(Crystal meth)

Hence controls around their sale

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7
Q

True or false:

You can sell an ephedrine product at the same time as a pseudoephedrine product

A

FALSE

They cannot be supplied together without a prescription

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8
Q

Children under what age are legally unable to consent to sexual activity ?

A

Under 13 years old

All cases should be reported to social services

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9
Q

Which formulation(s) of paracetamol and aspirin do not have a restriction on quantity that can be sold OTC?

A

Effervescent formulations and Liquids

Use professional judgement

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10
Q

Any pack of greater than ______ dose units of codeine products are prescription only

A

32 tablets/caps

This includes effervescent formulations too

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11
Q

What is the appropriate date for private prescription signed on 5/6/2021 with the words “please dispense on 10/6/2021”

A

5/6/2021

The appropriate date for private prescriptions is always the date on which it was signed.

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12
Q

How long are private prescriptions valid

A

6 months or 28 days for CDs (same as for NHS Rx)

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13
Q

True or false:

The age of the patient must be stated on the prescription

A

FALSE

This is only true if the patient is under 12. Otherwise this is not a legal requirement

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14
Q

Are CD2 and CD3 drugs prescriptions from the Crown dependencies valid ? (Guernsey, jersey and Isle of Man)

A

No. These islands are not considered to be part of the U.K.

Prescriptions for CD2 and 3s - the prescriber’s address must be in the U.K.

Note: doctors from these islands must still register with the GMC

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15
Q

True or false:

FP10 and WP10 prescriptions can be repeatable, e.g. with the directions repeat x 5 etc

A

FALSE

Only private prescriptions can be used in this way. NHS prescriptions are not repeatable

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16
Q

If a number is not stated on a repeatable private prescription (it only states “repeat”) how many times can it be dispensed

A

Dispensed twice (1st time then one repeat)

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17
Q

True or false:

Private prescriptions for CD 4 and 5 drugs are repeatable

A

TRUE

CD 2 and 3 prescriptions however, are not repeatable

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18
Q

True or false:

All repeats of a repeatable prescription must be made within six months of the appropriate date

A

FALSE

Only the first dispensing needs to be within 6 months. There is no legal time limit for the remaining repeats

Note: if it’s for a CD4 drug, the first dispensing must be within 28 days
CD2 and 3 prescriptions are not repeatable

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19
Q

True or false:

The patient can choose to have repeats dispensed from different pharmacies

A

True

They may also retain the Rx

The pharmacy should mark the name and address of the supplying pharmacy and the date of the supply

20
Q

True or false:

There is no legal time limit for the supply of owings

A

FALSE

owings must also be supplied within the 28 day (CD) or 6 month window from the appropriate date

21
Q

How long must private prescriptions be retained ?

A

For 2 years

22
Q

True or false:

Private prescriptions for CD 2 and 3 drugs must be retained for 2 years

A

FALSE

They must be submitted to the relevant nhs agency

23
Q

Private prescriptions for _________ and __________ are exempt from record keeping (POM register entries)

A

a) oral contraceptives

b) CD2 (as long as they have been entered into the CD register)

24
Q

True or false:

Details of the medicinal product are not a legal prescription requirement

A

TRUE

However, they are still required to identify which medicine to supply

25
Q

True or false:

Emergency supplies of medicines can be made for both animals and humans

A

FALSE

You can only make an emergency supply of a medicine for human use

26
Q

Within how many days/hours must a prescription be received after an emergency supply is made at the request of a prescriber

A

72 hours (3 days)

27
Q

Which CD CAN be given as an emergency supply ?

A

Phenobarbital

Only when it is used for epilepsy

28
Q

What is the length of treatment that can be supplied as an emergency supply at the request of a patient for:

a) POMs
b) schedule 4 and 5 CDs and Phenobarbital

A

A) 30 days (or smallest pack size eg for creams, inhalers etc. One full cycle of contraceptives)

B) 5 days maximum

29
Q

Which CDs are physiotherapist IPs allowed to prescribe?

Hint: need to know drug name and route of administration
7 points

A

Physiotherapist IP can only prescribe the following CDs:

  1. diazepam (po)
  2. dihydrocodeine (po)
  3. lorazepam (po)
  4. oxycodone (po)
  5. temazepam (po)
  6. morphine (po or injection)
  7. fentanyl (transdermal)
30
Q

Which prescribers can authorise an emergency supply for phenobarbital (CD3) for epilepsy

A

U.K. doctors

U.K. dentists

Pharmacist IPs

Nurse IPs

Supplementary prescribers (all professions)

31
Q

True or false:

Optometrist Independent Prescribers can prescribe CDs

A

False

32
Q

True or false:

Supplementary prescribers can prescribe any medicine within their clinical competence

A

FALSE

They can only prescribe medicines included in a clinical management plan agreed with a prescriber and the patient

33
Q

What are the legal requirements for dispensing labels ?

6 points

A

Name of the patient
Name and address of the supplying pharmacy
Date of dispensing
Name of the medicine
Directions for use
Precautions relating to the use of the medicine

34
Q

True or false:

The drug quantity is a legal requirement on dispensing labels

A

FALSE

It is only good practice to include the drug quantity on the dispensing label

35
Q

True or false:

It is a legal requirement to have “Keep out of sight and reach of children” on a dispensing label

A

FALSE

It is only a legal requirement to state “Keep out or REACH of children”
Including to keep out of sight is only good practice

36
Q

Military prescriptions should be treated as private prescriptions except under which circumstances

A

The pharmacy has a dispensing contract with the ministry of defense

37
Q

How often should SOPs be reviewed

A

Every 2 years

38
Q

What are the four principles of medicines optimisation?

A
  1. Aim to UNDERSTAND patient’s experience
  2. EVIDENCE based medicine
  3. Ensure medicines use is as SAFE as possible
  4. Make medicines optimization part of ROUTINE PRACTICE
39
Q

Describe medicines reconcilliation

A

Identifying an accurate list of a person’s current medicine (including OTC products) and comparing these with the current list in use.
Should check against two sources e.g. GP record and asking the patient

40
Q

What needs to be submitted to GPhC yearly for revalidation?

A

Four CPDs (at least two planned)
One peer discussion
One reflective account

41
Q

Which 2 pieces of legislation govern the sale and supply of medicines ?
(hint: 2 for humans. 1 for animals)

A

The Medicines Act 1968
The Human Medicines Regulations 2012

The Veterinary Medicines Regulations 2013

42
Q

True or false:

Customised prescription forms used in prisons are NOT classed as NHS prescriptions

A

FALSE

FP/WP10s are not used in prisons but the customised forms are still classed as NHS prescriptions
MEP 43 page 46

43
Q

What are the legal requirements for a POM register entry?

5 points

A
  1. Date of supply
  2. Date on prescription
  3. Patient details
  4. Prescriber details
  5. Medicine details: Name, strength, form and quantity
44
Q

Can EEA/Swiss prescribers issue repeatable prescriptions?

A

YES
Note: this also includes schedule 4 and 5 CDs which are repeatable
(EEA and Swiss prescribers can only prescribe CD 4 and 5s anyway)

45
Q

True or false:

A CD written on a military prescription (FMed 296) form cannot be dispensed in community pharmacies

A

TRUE

This is the case even if the community pharmacy has a dispensing contract with the Ministry of Defence.

MEP (3 decks)

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