Law Flashcards
True or false:
GSL meds can be sold without the responsible pharmacist being signed in
FALSE
though they do not have to be physically present for sales to be made once they are signed in
True or false:
Self selection of P medicines by patients/customers is not allowed
TRUE
They must not be accessible to the public for self selection I.e. kept behind the counter etc
True or false:
CD prescriptions written by EEA and Swiss doctors are accepted in the U.K.
FALSE
Non-CD prescriptions are accepted by EEA and Swiss doctors/dentists/pharmacists/nurses
True or false:
Podiatrists are “appropriate practitioners” and can write prescriptions
TRUE
As are doctors, supplementary/IP nurses, dentists, IP pharmacists, physios and IP radiographers
It is unlawful to sell products containing more than _______ pseudoephedrine or _______ ephedrine at any one time without a prescription
720 mg
180 mg
Pseudoephedrine and ephedrine can be used in the illicit production of which Class A drug?
Methylamphetamine
(Crystal meth)
Hence controls around their sale
True or false:
You can sell an ephedrine product at the same time as a pseudoephedrine product
FALSE
They cannot be supplied together without a prescription
Children under what age are legally unable to consent to sexual activity ?
Under 13 years old
All cases should be reported to social services
Which formulation(s) of paracetamol and aspirin do not have a restriction on quantity that can be sold OTC?
Effervescent formulations and Liquids
Use professional judgement
Any pack of greater than ______ dose units of codeine products are prescription only
32 tablets/caps
This includes effervescent formulations too
What is the appropriate date for private prescription signed on 5/6/2021 with the words “please dispense on 10/6/2021”
5/6/2021
The appropriate date for private prescriptions is always the date on which it was signed.
How long are private prescriptions valid
6 months or 28 days for CDs (same as for NHS Rx)
True or false:
The age of the patient must be stated on the prescription
FALSE
This is only true if the patient is under 12. Otherwise this is not a legal requirement
Are CD2 and CD3 drugs prescriptions from the Crown dependencies valid ? (Guernsey, jersey and Isle of Man)
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
True or false:
FP10 and WP10 prescriptions can be repeatable, e.g. with the directions repeat x 5 etc
FALSE
Only private prescriptions can be used in this way. NHS prescriptions are not repeatable
If a number is not stated on a repeatable private prescription (it only states “repeat”) how many times can it be dispensed
Dispensed twice (1st time then one repeat)
True or false:
Private prescriptions for CD 4 and 5 drugs are repeatable
TRUE
CD 2 and 3 prescriptions however, are not repeatable
True or false:
All repeats of a repeatable prescription must be made within six months of the appropriate date
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
True or false:
The patient can choose to have repeats dispensed from different pharmacies
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
True or false:
There is no legal time limit for the supply of owings
FALSE
owings must also be supplied within the 28 day (CD) or 6 month window from the appropriate date
How long must private prescriptions be retained ?
For 2 years
True or false:
Private prescriptions for CD 2 and 3 drugs must be retained for 2 years
FALSE
They must be submitted to the relevant nhs agency
Private prescriptions for _________ and __________ are exempt from record keeping (POM register entries)
a) oral contraceptives
b) CD2 (as long as they have been entered into the CD register)
True or false:
Details of the medicinal product are not a legal prescription requirement
TRUE
However, they are still required to identify which medicine to supply
True or false:
Emergency supplies of medicines can be made for both animals and humans
FALSE
You can only make an emergency supply of a medicine for human use
Within how many days/hours must a prescription be received after an emergency supply is made at the request of a prescriber
72 hours (3 days)
Which CD CAN be given as an emergency supply ?
Phenobarbital
Only when it is used for epilepsy
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) 30 days (or smallest pack size eg for creams, inhalers etc. One full cycle of contraceptives)
B) 5 days maximum
Which CDs are physiotherapist IPs allowed to prescribe?
Hint: need to know drug name and route of administration
7 points
Physiotherapist IP can only prescribe the following CDs:
- diazepam (po)
- dihydrocodeine (po)
- lorazepam (po)
- oxycodone (po)
- temazepam (po)
- morphine (po or injection)
- fentanyl (transdermal)
Which prescribers can authorise an emergency supply for phenobarbital (CD3) for epilepsy
U.K. doctors
U.K. dentists
Pharmacist IPs
Nurse IPs
Supplementary prescribers (all professions)
True or false:
Optometrist Independent Prescribers can prescribe CDs
False
True or false:
Supplementary prescribers can prescribe any medicine within their clinical competence
FALSE
They can only prescribe medicines included in a clinical management plan agreed with a prescriber and the patient
What are the legal requirements for dispensing labels ?
6 points
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
True or false:
The drug quantity is a legal requirement on dispensing labels
FALSE
It is only good practice to include the drug quantity on the dispensing label
True or false:
It is a legal requirement to have “Keep out of sight and reach of children” on a dispensing label
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
Military prescriptions should be treated as private prescriptions except under which circumstances
The pharmacy has a dispensing contract with the ministry of defense
How often should SOPs be reviewed
Every 2 years
What are the four principles of medicines optimisation?
- Aim to UNDERSTAND patient’s experience
- EVIDENCE based medicine
- Ensure medicines use is as SAFE as possible
- Make medicines optimization part of ROUTINE PRACTICE
Describe medicines reconcilliation
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
What needs to be submitted to GPhC yearly for revalidation?
Four CPDs (at least two planned)
One peer discussion
One reflective account
Which 2 pieces of legislation govern the sale and supply of medicines ?
(hint: 2 for humans. 1 for animals)
The Medicines Act 1968
The Human Medicines Regulations 2012
The Veterinary Medicines Regulations 2013
True or false:
Customised prescription forms used in prisons are NOT classed as NHS prescriptions
FALSE
FP/WP10s are not used in prisons but the customised forms are still classed as NHS prescriptions
MEP 43 page 46
What are the legal requirements for a POM register entry?
5 points
- Date of supply
- Date on prescription
- Patient details
- Prescriber details
- Medicine details: Name, strength, form and quantity
Can EEA/Swiss prescribers issue repeatable prescriptions?
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)
True or false:
A CD written on a military prescription (FMed 296) form cannot be dispensed in community pharmacies
TRUE
This is the case even if the community pharmacy has a dispensing contract with the Ministry of Defence.
