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
PHARMACY PROCEDURES SHOULD..
Be available for inspection Be reviewed every 2 years/after incident Temporary amendments allowed, audit trail needed
26
DURING RP ABSENCE..
MAX. 2 HOURS TOTAL | REMAIN CONTACTABLE
27
RP NOT CONTACTABLE DURING ABSENCE?
RETURN ASAP | ARRRANGE FOR ANOTHER PHARMACIST TO BE CONTACTABLE
28
ACTIVITIES REQUIRING RP PRESENCE? THEY STILL NEED TO SIGN IN !
``` CHECKING POM P PGD SUPPLIES WHOLESALE OF MEDS EMERGENCY SUPPLIES ```
29
ACTIVITIES NOT REALLY NEEDING RP PRESENCE? STILL NEED TO SIGN IN!
``` ASSEMBLY ACCURACY CHECKING DISPENSING GSL MEDS? WASTE STOCK PROCESS? ORDERING RECEIVING (excluding CDs) ```
30
CONTROLLE DRUGS SCHEDULE 2-5 SUMMARY?
31
SCHEDULE 1 CDs (CD LIC POM)?
No therapeutic use/license | LSD/ecstasy/raw opium
32
SCHEDULE 2 (CD POM)?
2001 reg Opiates, morphine, diamporhine, oxy, pethidine Stumilants- amfetamine, ketamine
33
SCHEDULE 3 (CD NO REGISTER POM)?
Minor stimulants- less misuse/harm | Buprenorphine/tramadol/midazolam/phenobarbital
34
SCHEDULE 4 (CD BENZ POM OR CD ANAB POM)
Part 1- diazepam, zopiclone, sativex | Part 2- androgenic/anabolic steroids, clebunterol, HGH, somatro tings
35
SCHEDULE 3 CD NO REG POM EMERGENCY SUPPLY?
ONLY PHENOBARTBITAL ALLOWED FOR EPILEPSY BY UK PRESCRIBER, MAX. 5 DAYS SUPPLY
36
GABAPENTIN+PREGABAILIN?
SCHEDULE 3 CDs
37
CANNABIS/CANNABIS-BASED PRODUCTS?
38
DENTIST EPILEPSY, PHENOBARTBITAL PRESCRIPTION?
YEAH CALM, NOT COMMUNITY PRACTITIONER/SWEDE/VET/
39
REPEATABLE CD PRESCRIPTIONS?A
SCHEDULE 4 PART 1/PART 2/5
40
NHS & PRIVATE CD PRESCRIPTIONS?
Same requirements, both need FP10PCD form
41
SCHEDULE 5 CD VALIDITIY?
6 MONTHS
42
CD RECEIVED RECORD REQUIREMENTS?
DATE SUPPLY RECEIVED NAME+ADDY FROM WHOM RECEIVED QUANTITY RECEIVED
43
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? ```
44
PRESCRIBER TYPES | PAGES ON MEP, AFTER 86
45
SUPPLY OF SALBUTAMOL/ADRENAILINE AUTO-INJECTORS (AAIs)?
On a signed order to schools
46
Signed order records duration?
2 years
47
Signed order records duration?
2 years | POM register records- good practice, audit purposes
48
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 ```
49
SCHOOLS signed order quantity?
small quantity occasional basis not for profit single brand ideal, different instructions, avoid confusion
50
PARACETAMOL OTC MAX. SUPPLY?
MAXIMUM 100 NON-EFFERVESCENT TABLETS (technically 96) | NO MAX. ON EFFERVESCENT TABSLETS, USE PROFESSIONAL JUDGEMENT
51
ASPIRIN AGE+OTC MAX. SUPPLY?
16years+ MAXIMUM 100 NON-EFFERVESCENT TABLETS (technically 96) NO MAX. ON EFFERVESCENT TABSLETS, USE PROFESSIONAL JUDGEMENT
52
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.'
53
advanced supply of oral ehc?
Prior, yeah calm
54
Optom independent prescriber CDs?
Can't soz + Eye conditions only
55
Paramedic independent prescriber CDs?
No at the moment :/
56
Physiotherapist/Podiatrist other lot CDs?
Limited
57
OG Independent Prescriber CD | excepions?
Diamorphine, dipipanone and cocaine for addiction
58
CD REQUISITON REQUIREMENTS?
``` Recipients signature Name of recipient Address of recipient Profession/occupation Total quantity of drug Purpose of requisition ```
59
No. of times dispensed | A private prescription for a combined hormonal contraceptive with the word "repeat" stated on the prescription?
6 times
60
ALENDRONIC ACID DOSING | postmenopausal osteoporosis?
70 mg once a week
61
Tamoxifen dosing? | breast cancer
20 mg once daily
62
Mycophenolate | females contraception?
Use two types
63
NHS PRESCRIPTIONS REPEATS?
NOT REPEATABLE, PRIVATE ONLY!
64
SIGNED ORDER REQUIREMENT?
PURPOSE!!! headed paper not needed date not needed
65
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
66
MORPHINE 6 MONTHS
SCHEDULE 5OFC