LAW Flashcards
Licensed product+Unlicensed indication?
Off-label use
Sativex- schedule 4 part 1?
CD Record register required
Personal data breaches, report to ICo within?
72 horus
Community pharmacy, occasional transactions, need for wholesale distribution authorisaton?
NOT NEEDED
POM supply from registered pharmacy to healthcare professional/organisation, make entry into POM register?
Not needed every time
PRESCRIPTION LEGAL REQUIREMENTS?
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
PSEUDOEPHEDRINE OTC MAX?
x12 tabs- 720mg
EPHEDRINE OTC MAX?
x12 tabs, 180mg
Pseudoephedrine and ephedrine?
Can’t supply at same time without prescription
VET prescription, NHS charge?
NOT SUBJECT TO IT
VET prescription CDs?
2/3/4- 28 days validity
VET PRESCRIPTION RECORDS TIME?
5 YEARS
VET PRESCRIPTION LEGAL REQUIREMENTS?
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!
WHEN DO YOU USE
‘MEDICINE IS PRESCRIBED UNDER THE VETERINARY CASCADE’?
For unlicensed/human meds, risk-based decision tree
WHEN DO YOU USE ‘ITEM HAS BEEN PRESCRIBED FOR AN ANIMAL/HERD UNDER CARE OF VETERINARIAN’?
SCHEDULE 2/3 CDs
VETERINARY CASCADE RISK-BASED TREE ORDER?
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
EEA PRESCRIPITON LEGAL REQUIREMENTS?
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)
EEA PRESCRPTION EMERGENCY SUPPLY EXCEPTIONS?S
NOT ALLOWED
SCHEDULE 1/2/3/UNLICENSED
Including phenobarbital
RP max. absence in 1 day?
2 hours total
RP notice?
NAME OF RP
GPHC NUMBER
RP IN CHARGE AT THE TIME!
RP ABSENT?
REMOVE THE RP NOTICE TEMPORARILY
PHARMACY RECORD FORMATS?
WRITING
ELECTRONIC
BOTH
PHARMACY RECORD SHOULD..?
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
RP absence recording?
Date of absence
Time RP left and returned to pharmacy
Reason not needed, lol
PHARMACY PROCEDURES SHOULD..
Be available for inspection
Be reviewed every 2 years/after incident
Temporary amendments allowed, audit trail needed
DURING RP ABSENCE..
MAX. 2 HOURS TOTAL
REMAIN CONTACTABLE
RP NOT CONTACTABLE DURING ABSENCE?
RETURN ASAP
ARRRANGE FOR ANOTHER PHARMACIST TO BE CONTACTABLE
ACTIVITIES REQUIRING RP PRESENCE? THEY STILL NEED TO SIGN IN !
CHECKING POM P PGD SUPPLIES WHOLESALE OF MEDS EMERGENCY SUPPLIES
ACTIVITIES NOT REALLY NEEDING RP PRESENCE? STILL NEED TO SIGN IN!
ASSEMBLY ACCURACY CHECKING DISPENSING GSL MEDS? WASTE STOCK PROCESS? ORDERING RECEIVING (excluding CDs)
CONTROLLE DRUGS SCHEDULE 2-5 SUMMARY?
SCHEDULE 1 CDs (CD LIC POM)?
No therapeutic use/license
LSD/ecstasy/raw opium
SCHEDULE 2 (CD POM)?
2001 reg
Opiates, morphine, diamporhine, oxy, pethidine
Stumilants- amfetamine, ketamine
SCHEDULE 3 (CD NO REGISTER POM)?
Minor stimulants- less misuse/harm
Buprenorphine/tramadol/midazolam/phenobarbital
SCHEDULE 4 (CD BENZ POM OR CD ANAB POM)
Part 1- diazepam, zopiclone, sativex
Part 2- androgenic/anabolic steroids, clebunterol, HGH, somatro tings
SCHEDULE 3 CD NO REG POM EMERGENCY SUPPLY?
ONLY PHENOBARTBITAL ALLOWED FOR EPILEPSY BY UK PRESCRIBER, MAX. 5 DAYS SUPPLY
GABAPENTIN+PREGABAILIN?
SCHEDULE 3 CDs
CANNABIS/CANNABIS-BASED PRODUCTS?
DENTIST EPILEPSY, PHENOBARTBITAL PRESCRIPTION?
YEAH CALM, NOT COMMUNITY PRACTITIONER/SWEDE/VET/
REPEATABLE CD PRESCRIPTIONS?A
SCHEDULE 4 PART 1/PART 2/5
NHS & PRIVATE CD PRESCRIPTIONS?
Same requirements, both need FP10PCD form
SCHEDULE 5 CD VALIDITIY?
6 MONTHS
CD RECEIVED RECORD REQUIREMENTS?
DATE SUPPLY RECEIVED
NAME+ADDY FROM WHOM RECEIVED
QUANTITY RECEIVED
CD SUPPLIED RECORD REQUIREMENTS?
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?
PRESCRIBER TYPES
PAGES ON MEP, AFTER 86
SUPPLY OF SALBUTAMOL/ADRENAILINE AUTO-INJECTORS (AAIs)?
On a signed order to schools
Signed order records duration?
2 years
Signed order records duration?
2 years
POM register records- good practice, audit purposes
SIGNED ORDER REQUIREMENTS?
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
SCHOOLS signed order quantity?
small quantity
occasional basis
not for profit
single brand ideal, different instructions, avoid confusion
PARACETAMOL OTC MAX. SUPPLY?
MAXIMUM 100 NON-EFFERVESCENT TABLETS (technically 96)
NO MAX. ON EFFERVESCENT TABSLETS, USE PROFESSIONAL JUDGEMENT
ASPIRIN AGE+OTC MAX. SUPPLY?
16years+
MAXIMUM 100 NON-EFFERVESCENT TABLETS (technically 96)
NO MAX. ON EFFERVESCENT TABSLETS, USE PROFESSIONAL JUDGEMENT
OTC CODEINE & DIHYDROCODEINE
INDICATION?
MAX. QUANTITY?
WARNING?
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.’
advanced supply of oral ehc?
Prior, yeah calm
Optom independent prescriber CDs?
Can’t soz
+
Eye conditions only
Paramedic independent prescriber CDs?
No at the moment :/
Physiotherapist/Podiatrist other lot CDs?
Limited
OG Independent Prescriber CD
excepions?
Diamorphine, dipipanone and cocaine for addiction
CD REQUISITON REQUIREMENTS?
Recipients signature Name of recipient Address of recipient Profession/occupation Total quantity of drug Purpose of requisition
No. of times dispensed
A private prescription for a combined hormonal contraceptive with the word “repeat” stated on the prescription?
6 times
ALENDRONIC ACID DOSING
postmenopausal osteoporosis?
70 mg once a week
Tamoxifen dosing?
breast cancer
20 mg once daily
Mycophenolate
females contraception?
Use two types
NHS PRESCRIPTIONS REPEATS?
NOT REPEATABLE, PRIVATE ONLY!
SIGNED ORDER REQUIREMENT?
PURPOSE!!!
headed paper not needed
date not needed
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?
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
MORPHINE 6 MONTHS
SCHEDULE 5OFC