LAW Flashcards

1
Q

Licensed product+Unlicensed indication?

A

Off-label use

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2
Q

Sativex- schedule 4 part 1?

A

CD Record register required

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3
Q

Personal data breaches, report to ICo within?

A

72 horus

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4
Q

Community pharmacy, occasional transactions, need for wholesale distribution authorisaton?

A

NOT NEEDED

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5
Q

POM supply from registered pharmacy to healthcare professional/organisation, make entry into POM register?

A

Not needed every time

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6
Q

PRESCRIPTION LEGAL REQUIREMENTS?

A
NAME+ADDRESS OF PATIENT
NAME+ADDRESS OF PRESCRIBER
SIGNATURE
VALID DATE ( UP T0 6 MONTHS, 28 DAYS FOR CDs?)
AGE IF UNDER 12 YEARS

everything surrounding prescription

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7
Q

PSEUDOEPHEDRINE OTC MAX?

A

x12 tabs- 720mg

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8
Q

EPHEDRINE OTC MAX?

A

x12 tabs, 180mg

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9
Q

Pseudoephedrine and ephedrine?

A

Can’t supply at same time without prescription

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10
Q

VET prescription, NHS charge?

A

NOT SUBJECT TO IT

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11
Q

VET prescription CDs?

A

2/3/4- 28 days validity

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12
Q

VET PRESCRIPTION RECORDS TIME?

A

5 YEARS

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13
Q

VET PRESCRIPTION LEGAL REQUIREMENTS?

A

NAME/ADDY/TELEPHONE NUMBER/QUALI/SIG OF PRESCRIBER (schedule 2/3, need RCVS registration number as well)
NAME+ADDRESS OF OWNER
ID/SPECIES/ADDY OF ANIMAL
DATE- 6 MONTHS VALIDITY | SCH 2/3/4- 28 DAYS
NAME/QUANTITIY/DOSE/ADMINISTRATION- ‘as directed’ is poor
ANY WARNINGS/WITHDRAWAL PERIODS?

REPEATS WITHIN 6 MONTHS AS WELL!

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14
Q

WHEN DO YOU USE

‘MEDICINE IS PRESCRIBED UNDER THE VETERINARY CASCADE’?

A

For unlicensed/human meds, risk-based decision tree

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15
Q

WHEN DO YOU USE ‘ITEM HAS BEEN PRESCRIBED FOR AN ANIMAL/HERD UNDER CARE OF VETERINARIAN’?

A

SCHEDULE 2/3 CDs

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16
Q

VETERINARY CASCADE RISK-BASED TREE ORDER?

A

1) Vet med with MA in UK for right animal
2) Vet med with MA in NI for right animal
3) Vet med in UK/GB/NI for different animal
4) Human med with MA in UK/GB/NI OR vet-med outside UK (special import from VMD needed)
5) Extemp Prep by vet/pharmacist/person with MA, in UK
6) Human med from outside UK, same as above

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17
Q

EEA PRESCRIPITON LEGAL REQUIREMENTS?

A

FULL NAME & DOB OF PATIENT
PRESCRIBER FULL NAME/QUALIICATION/SIGNATURE/E-MAIL/TELEPHONE/WORK ADDRESS/COUNTRY
MEDICINE/FORM/QUANTITY/STRENGTH/DOSE
DATE- 6 months validity, SCH 4- 28 DAYS (5 days max)

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18
Q

EEA PRESCRPTION EMERGENCY SUPPLY EXCEPTIONS?S

A

NOT ALLOWED
SCHEDULE 1/2/3/UNLICENSED
Including phenobarbital

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19
Q

RP max. absence in 1 day?

A

2 hours total

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20
Q

RP notice?

A

NAME OF RP
GPHC NUMBER
RP IN CHARGE AT THE TIME!

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21
Q

RP ABSENT?

A

REMOVE THE RP NOTICE TEMPORARILY

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22
Q

PHARMACY RECORD FORMATS?

A

WRITING
ELECTRONIC
BOTH

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23
Q

PHARMACY RECORD SHOULD..?

A

Be completed by RP (remotely calm)
Any amendments- easily identify when & by whom
Date+time- pharmacist started+stopped as RP
BE KEPT FOR 5 YEARS

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24
Q

RP absence recording?

A

Date of absence
Time RP left and returned to pharmacy
Reason not needed, lol

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25
Q

PHARMACY PROCEDURES SHOULD..

A

Be available for inspection
Be reviewed every 2 years/after incident
Temporary amendments allowed, audit trail needed

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26
Q

DURING RP ABSENCE..

A

MAX. 2 HOURS TOTAL

REMAIN CONTACTABLE

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27
Q

RP NOT CONTACTABLE DURING ABSENCE?

A

RETURN ASAP

ARRRANGE FOR ANOTHER PHARMACIST TO BE CONTACTABLE

28
Q

ACTIVITIES REQUIRING RP PRESENCE? THEY STILL NEED TO SIGN IN !

A
CHECKING
POM
P
PGD SUPPLIES
WHOLESALE OF MEDS
EMERGENCY SUPPLIES
29
Q

ACTIVITIES NOT REALLY NEEDING RP PRESENCE? STILL NEED TO SIGN IN!

A
ASSEMBLY
ACCURACY CHECKING
DISPENSING
GSL MEDS?
WASTE STOCK PROCESS?
ORDERING
RECEIVING (excluding CDs)
30
Q

CONTROLLE DRUGS SCHEDULE 2-5 SUMMARY?

A
31
Q

SCHEDULE 1 CDs (CD LIC POM)?

A

No therapeutic use/license

LSD/ecstasy/raw opium

32
Q

SCHEDULE 2 (CD POM)?

A

2001 reg
Opiates, morphine, diamporhine, oxy, pethidine
Stumilants- amfetamine, ketamine

33
Q

SCHEDULE 3 (CD NO REGISTER POM)?

A

Minor stimulants- less misuse/harm

Buprenorphine/tramadol/midazolam/phenobarbital

34
Q

SCHEDULE 4 (CD BENZ POM OR CD ANAB POM)

A

Part 1- diazepam, zopiclone, sativex

Part 2- androgenic/anabolic steroids, clebunterol, HGH, somatro tings

35
Q

SCHEDULE 3 CD NO REG POM EMERGENCY SUPPLY?

A

ONLY PHENOBARTBITAL ALLOWED FOR EPILEPSY BY UK PRESCRIBER, MAX. 5 DAYS SUPPLY

36
Q

GABAPENTIN+PREGABAILIN?

A

SCHEDULE 3 CDs

37
Q

CANNABIS/CANNABIS-BASED PRODUCTS?

A
38
Q

DENTIST EPILEPSY, PHENOBARTBITAL PRESCRIPTION?

A

YEAH CALM, NOT COMMUNITY PRACTITIONER/SWEDE/VET/

39
Q

REPEATABLE CD PRESCRIPTIONS?A

A

SCHEDULE 4 PART 1/PART 2/5

40
Q

NHS & PRIVATE CD PRESCRIPTIONS?

A

Same requirements, both need FP10PCD form

41
Q

SCHEDULE 5 CD VALIDITIY?

A

6 MONTHS

42
Q

CD RECEIVED RECORD REQUIREMENTS?

A

DATE SUPPLY RECEIVED
NAME+ADDY FROM WHOM RECEIVED
QUANTITY RECEIVED

43
Q

CD SUPPLIED RECORD REQUIREMENTS?

A
DATE SUPPLIED
NAME+ADDY OF PATIENT
DETAILS OF AUTHORITY TO POSSESS- prescriber/license holder details
QUANTITY SUPPLIED
DETAILS OF PEEP COLLECTING SCHEDULE 2 CD
WAS PROOF OF IDENTITIY REQUESTED?
WAS PROOF OF IDENTITY PROVIDED?
44
Q

PRESCRIBER TYPES

PAGES ON MEP, AFTER 86

A
45
Q

SUPPLY OF SALBUTAMOL/ADRENAILINE AUTO-INJECTORS (AAIs)?

A

On a signed order to schools

46
Q

Signed order records duration?

A

2 years

47
Q

Signed order records duration?

A

2 years

POM register records- good practice, audit purposes

48
Q

SIGNED ORDER REQUIREMENTS?

A
NAME OF SCHOOL
PRODUCT DETAILS (+ spacer)
STRENGTH  (if relevant)
PURPOSE OF PRODUCT
TOTAL QUANTITY
SIGNATURE OF PRINCIPAL/HEAD TEACHER
headed paper not a legal requirement
49
Q

SCHOOLS signed order quantity?

A

small quantity
occasional basis
not for profit
single brand ideal, different instructions, avoid confusion

50
Q

PARACETAMOL OTC MAX. SUPPLY?

A

MAXIMUM 100 NON-EFFERVESCENT TABLETS (technically 96)

NO MAX. ON EFFERVESCENT TABSLETS, USE PROFESSIONAL JUDGEMENT

51
Q

ASPIRIN AGE+OTC MAX. SUPPLY?

A

16years+
MAXIMUM 100 NON-EFFERVESCENT TABLETS (technically 96)
NO MAX. ON EFFERVESCENT TABSLETS, USE PROFESSIONAL JUDGEMENT

52
Q

OTC CODEINE & DIHYDROCODEINE

INDICATION?
MAX. QUANTITY?
WARNING?

A

INDICATION? shot-term treatment, acute/moderate pain, not relieved by paracetamol/ibuprofen/aspirin alone
MAX. QUANTITY? 32 dose units, any more= POM
WARNING? ‘Can cause addiction. For three days use only.’

53
Q

advanced supply of oral ehc?

A

Prior, yeah calm

54
Q

Optom independent prescriber CDs?

A

Can’t soz
+
Eye conditions only

55
Q

Paramedic independent prescriber CDs?

A

No at the moment :/

56
Q

Physiotherapist/Podiatrist other lot CDs?

A

Limited

57
Q

OG Independent Prescriber CD

excepions?

A

Diamorphine, dipipanone and cocaine for addiction

58
Q

CD REQUISITON REQUIREMENTS?

A
Recipients signature
Name of recipient
Address of recipient
Profession/occupation
Total quantity of drug
Purpose of requisition
59
Q

No. of times dispensed

A private prescription for a combined hormonal contraceptive with the word “repeat” stated on the prescription?

A

6 times

60
Q

ALENDRONIC ACID DOSING

postmenopausal osteoporosis?

A

70 mg once a week

61
Q

Tamoxifen dosing?

breast cancer

A

20 mg once daily

62
Q

Mycophenolate

females contraception?

A

Use two types

63
Q

NHS PRESCRIPTIONS REPEATS?

A

NOT REPEATABLE, PRIVATE ONLY!

64
Q

SIGNED ORDER REQUIREMENT?

A

PURPOSE!!!

headed paper not needed

date not needed

65
Q

A woman brings a bag of unused medication to your community pharmacy for disposal
and informs you that her husband has recently died. You notice fentanyl 25microgram
patches amongst the medication.
Best action?

A

DESTROY WITH TECH

An Accountable Officer is only required to witness the destruction of out-of-date
controlled drugs. Patient-returned controlled drugs should be stored in the controlled
drug cabinet whilst awaiting destruction, clearly segregated from other stock. The
patient-returned controlled drugs received and destroyed should be recorded in a
separate register kept for this purpose

66
Q

MORPHINE 6 MONTHS

A

SCHEDULE 5OFC