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Pharmacy Pre-reg > Law > Flashcards

Law Flashcards

1
Q

What is a legal requirement for a CD requisition

A

Applies to S1/2/3
Purpose of requisition,
Supplier name and address (aka pharmacy),
FP10CDF / WP10CDF form

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2
Q

What can a pharmacist amend on a S2/3 Rx

A

Minor spelling errors
Typographical errors
Omission of either words OR figures NOT both

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3
Q

Maximum supply of S2/3/4 on a single Rx

A

30 days unless justified

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4
Q

Maximum supplies of FP10MDA

A

14 days

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5
Q

Is it a legal requirement to collect the signature of the recipient of a S2/3 Rx

A

Best practice

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6
Q

What drugs are permitted on an FP10MDA

A

All S2 CDs
And
Buprenorphine, Buprenorphine/Naloxone (Suboxone), Diazepam

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7
Q

What is the approved wording for supply of an instalment from an FP10MDA when the normal pharmacy is shut on a bank holiday

A

Please dispense instalments due on pharmacy closed days on a prior suitable day

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8
Q

Within what time frame should all S2/3 be dispensed

A

28 days
Aka the Rx expiry date

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9
Q

Where can zopiclone be prescribed on a FP10MDA

A

NOT England only the stated S2+others
But in Wales and Scotland S2/3/4/5 can all be prescribed on instalment prescriptions

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10
Q

Which CDs must be denatured

A

S2/3/4p1
Into official kits or cat litter

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11
Q

Must an authorised witness be present to destroy a S3 CD

A

No, but best practice to have another staff member witness it

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12
Q

When is an authorised witness required to destroy CDs

A

Pharmacy own S1/2 stock that has gone out of date

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13
Q

What must be recorded in the CD register when pharmacy own out of date stock is destroyed

A

Name, strength, form of drug
Quantity
Destruction date
Signature of authorised witness to destruction

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14
Q

Which CDs must be recorded in the CD register

A

S1/2

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15
Q

What must be recorded in the CD register when receiving CDs into the pharmacy

A

Date of supply
Name and address from whom obtained
Quantity obtained

Update running balance good practice on paper but requirement on electronic

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16
Q

What must be recorded in the CD register when supplying to a person from the pharmacy

A

Date of supply
Name and address of person supplied to
Details of authority to possess (prescriber/license holder details)
Was person the patient/representative
If not patient then collectors name and address
If patient/representative proof of identity asked for and provided

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17
Q

CD prescription requirements

A

Full name, address and if <12 patient age
Drug name
Formulation
Strength if more than one available (if multiple strengths of same medicine split them into separate sections)
Dose specified (not as directed or when required)
Total quantity in words and figures, if liquid in mL
Prescriber signature and address
Date of prescription issue
If instalment specify instalment amount and interval
If dentist for dental treatment only

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18
Q

How long is each schedule prescription valid for

A

S2/3/4 28d
S5 6 months

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19
Q

When must owings be supplied

A

Before 28 day validity expires

20
Q

Can CD prescriptions be repeated

A

S2/3 No
S4/5 repeatable as long as 1st dispensing within expiry date

21
Q

What is the maximum amount of time in between prescription and first dispensing of an FP10MDA

A

28 days

22
Q

When must an identity check take place for a CD supply

A

S2

23
Q

What must a private CD prescription contain to enable a supply that normal CD prescriptions won’t have

A

Private prescriber allocated 6 digit identification number

24
Q

How long are signed orders kept in the pharmacy

A

2 years

25
Q

When supplying a signed order to a school what must be documented

A

Reason
Total quantity
Medicine name, strength
Purpose of supply
Headteacher signature
How to use and safely dispose of adrenaline auto injectors

26
Q

What is required for revalidation

A

4 CPDs (2planned and 2 unplanned)
1 peer discussion
1 reflective account
6 total

27
Q

If a patient normally has capacity but not at the point of a decision who can consent for them

A

No consent required
Medical staff can act in the patients best interest to provide care
This doesn’t apply if there is a pre-agreed ceiling of care

Relatives cannot give consent on patients behalf

28
Q

How does consenting work for children

A

After consultation if they are deemed to have capacity they can consent for themselves
If no capacity the parental consent must happen in front of the child

29
Q

Which CDs can an EEA prescriber issue

A

CD4,5
NOT CD2,3

30
Q

How long must a CD register be kept for

A

2 years after last date of entry

31
Q

How long must veterinary invoices be kept for S3,4,5

A

5 years

32
Q

Which S3 CDs are exempt from safe custody requirements

A

Tramadol
Gabapentin, Pregabalin

33
Q

Which S3 CDs are exempt from safe custody requirements

A

Tramadol
Gabapentin, Pregabalin

34
Q

What does a drug requisition mean

A

When a supply is made for stock purposes NOT for an individual named patient

S2,3 CDs must be on a FP10CDF form

35
Q

CD requisitions have wh

A
36
Q

What makes a veterinary prescription valid, CDs on different card

A
  • Prescriber name, address, phone number, qualifications, signature
  • Owner name and address
  • Animal name and species identifier/ group of animals being treated
  • Premises at which animals kept if different to owners address
  • date
  • drug name, quantity, dose, admin instructions, warnings, withdrawal period
  • prescribed under veterinary cascade
37
Q

What makes a veterinary CD prescription valid

A

In addition to normal requirements:
- Declaration that CD for animal/ herd is prescribed under vet cascade
- animal receiving treatment name
- drug name and formulation even if only one exists, quantity in words and figures, strength if more than one available, dose instructions written out
-RCVS registration number

38
Q

Are electronic signatures valid on a veterinary CD prescription

A

No only indelible ink

39
Q

What can community nurses prescribe (non-IPs)

A

Laxatives
All creams
Lidocaine local topical
Folic acid 400mcg
NRT
Nystatin
Topical Azole anti fungal/antihelminths
Paracetamol
Ibuprofen

40
Q

What can dentists prescribe

A
  • Penicillins, Cefalosporins, Macrolides, Tetracyclines, Metronidazole, Nystatin, Aciclovir
  • Lidocaine local, diazepam, temazepam, paracetamol, dihydrocodeine, carbamazepine, ibuprofen, diclofenac
  • difflam, clenil, hydrocortisone buccal and topical
  • NaCl, NaF
  • artificial salivas and stimulators
  • PPIs
    Promethazine, Cetirizine, Loratadine, Ephedrine
41
Q

What can’t IP nurses and pharmacists prescribe

A

Diamorphine
Dipipanone
Cocaine
For treatment of addiction

If treating organic injury/disease can prescribe them

42
Q

CD requisition requirements

A

Recipient signature, name, address, profession
Total quantity
Purpose of requisition

NOT date

43
Q

How do you dispose of the end of a methadone bottle with remnants

A

Rinse out into denaturing kit. Not out of date and not enough for dose so no authorised witness required

44
Q

What does the GPhC recommend with regards to indemnity cover

A

You as an individual should ensure that you have it

45
Q

What document tells us storage requirements

A

Orange guide

Pharmacy Pre-reg (5 decks)

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