Law Flashcards
What is a legal requirement for a CD requisition
Applies to S1/2/3
Purpose of requisition,
Supplier name and address (aka pharmacy),
FP10CDF / WP10CDF form
What can a pharmacist amend on a S2/3 Rx
Minor spelling errors
Typographical errors
Omission of either words OR figures NOT both
Maximum supply of S2/3/4 on a single Rx
30 days unless justified
Maximum supplies of FP10MDA
14 days
Is it a legal requirement to collect the signature of the recipient of a S2/3 Rx
Best practice
What drugs are permitted on an FP10MDA
All S2 CDs
And
Buprenorphine, Buprenorphine/Naloxone (Suboxone), Diazepam
What is the approved wording for supply of an instalment from an FP10MDA when the normal pharmacy is shut on a bank holiday
Please dispense instalments due on pharmacy closed days on a prior suitable day
Within what time frame should all S2/3 be dispensed
28 days
Aka the Rx expiry date
Where can zopiclone be prescribed on a FP10MDA
NOT England only the stated S2+others
But in Wales and Scotland S2/3/4/5 can all be prescribed on instalment prescriptions
Which CDs must be denatured
S2/3/4p1
Into official kits or cat litter
Must an authorised witness be present to destroy a S3 CD
No, but best practice to have another staff member witness it
When is an authorised witness required to destroy CDs
Pharmacy own S1/2 stock that has gone out of date
What must be recorded in the CD register when pharmacy own out of date stock is destroyed
Name, strength, form of drug
Quantity
Destruction date
Signature of authorised witness to destruction
Which CDs must be recorded in the CD register
S1/2
What must be recorded in the CD register when receiving CDs into the pharmacy
Date of supply
Name and address from whom obtained
Quantity obtained
Update running balance good practice on paper but requirement on electronic
What must be recorded in the CD register when supplying to a person from the pharmacy
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
CD prescription requirements
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
How long is each schedule prescription valid for
S2/3/4 28d
S5 6 months
When must owings be supplied
Before 28 day validity expires
Can CD prescriptions be repeated
S2/3 No
S4/5 repeatable as long as 1st dispensing within expiry date
What is the maximum amount of time in between prescription and first dispensing of an FP10MDA
28 days
When must an identity check take place for a CD supply
S2
What must a private CD prescription contain to enable a supply that normal CD prescriptions won’t have
Private prescriber allocated 6 digit identification number
How long are signed orders kept in the pharmacy
2 years
When supplying a signed order to a school what must be documented
Reason
Total quantity
Medicine name, strength
Purpose of supply
Headteacher signature
How to use and safely dispose of adrenaline auto injectors
What is required for revalidation
4 CPDs (2planned and 2 unplanned)
1 peer discussion
1 reflective account
6 total
If a patient normally has capacity but not at the point of a decision who can consent for them
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
How does consenting work for children
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
Which CDs can an EEA prescriber issue
CD4,5
NOT CD2,3
How long must a CD register be kept for
2 years after last date of entry
How long must veterinary invoices be kept for S3,4,5
5 years
Which S3 CDs are exempt from safe custody requirements
Tramadol
Gabapentin, Pregabalin
Which S3 CDs are exempt from safe custody requirements
Tramadol
Gabapentin, Pregabalin
What does a drug requisition mean
When a supply is made for stock purposes NOT for an individual named patient
S2,3 CDs must be on a FP10CDF form
CD requisitions have wh
What makes a veterinary prescription valid, CDs on different card
- 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
What makes a veterinary CD prescription valid
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
Are electronic signatures valid on a veterinary CD prescription
No only indelible ink
What can community nurses prescribe (non-IPs)
Laxatives
All creams
Lidocaine local topical
Folic acid 400mcg
NRT
Nystatin
Topical Azole anti fungal/antihelminths
Paracetamol
Ibuprofen
What can dentists prescribe
- 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
What can’t IP nurses and pharmacists prescribe
Diamorphine
Dipipanone
Cocaine
For treatment of addiction
If treating organic injury/disease can prescribe them
CD requisition requirements
Recipient signature, name, address, profession
Total quantity
Purpose of requisition
NOT date
How do you dispose of the end of a methadone bottle with remnants
Rinse out into denaturing kit. Not out of date and not enough for dose so no authorised witness required
What does the GPhC recommend with regards to indemnity cover
You as an individual should ensure that you have it
What document tells us storage requirements
Orange guide
