Law 5 Flashcards
1
Q
what is the GPhC guidance (7)
A
- consent
- sexual boundaries
- confidentiality
- raising concerns
- duty of candour
- services affected by religious/moral beliefs
- responsible pharmacist
2
Q
what is consent (4)
A
- basic right to express willingness/give permission/agree
- difference between implied & explicit consent
- valid consent = capacity + lack of outside pressure + sufficient information
- lack of capacity + inability to make/communicate decisions because of impairment/disturbance
3
Q
how do you assess capacity (2)
A
- specific at time of decision
- don’t make assumptions
4
Q
what to do when patients withhold consent (3)
A
- explain consequences & record
- respect decision
- raise with others if serious risk of harm
5
Q
what are Gillick’s competency & Fraser’s guidelines (3)
A
- used for those who work with children under 16
- advice/treatment for contraception & sexual health
- used more broadly to assess
6
Q
how are sexual boundaries breached (7)
A
- power imbalance
- sexualised behaviour/actions/gestures
- breaching boundaries
- revealing intimate personal details
- giving/accepting social invitations with sexual intent
- visiting patients home without consent with sexual intent
- meeting patients outside of normal practice with sexual intent
7
Q
how are sexual boundaries enhanced (5)
A
- chaperones
- respect cultural differences
- consider factors for previous patients
- raising concern
- records of possible suspect situations
8
Q
how is confidentiality enhanced (5)
A
- protecting information
- secure storage
- not discussing with others
- social media policy
- team responisbility
9
Q
how to disclose information with consent (8)
A
- individual understands all aspects
- coding/anonymising
- only needed information
- indicate its confidential
- e.g. for research purposes
- prepare to justify actions taken
- record details
- need explicit consent
10
Q
How to disclose information without consent (4)
A
- law required/in public interest
- check reason for request if unsure
- ask for written request for disclosure
- check with indemnity insurance provider/regulator/pharmacy support organisation/independent legal advisor
11
Q
how to disclose required by law (7)
A
- asked under law
- police/another enforcement/prosecuting/regulatory authority
- Healthcare regulator (GPhC/GMC)
- NHS counter fraud investigation officer
- coroner/judge or relevant court
- check for legitimate reason
- check with indemnity insurance provider/regulator/pharmacy support organisation/independent legal advisor
12
Q
how to disclose in public interest (6)
A
- balance patient & public interest
- serious crime
- serious harm to patient/third party
- serious risk to public health
- consider harm of not disclosing
- check with indemnity insurance provider/regulator/pharmacy support organisation/independent legal advisor
13
Q
What are the principles of whistleblowing (raising concerns) (9)
A
- professional responsibility to take action to protect the well-being of patients & general public
- GPhC standards for registered pharmacies
- raising concerns about individual people responsible for the care of a patient
- concerns about behaviours/competency/working environment/actions
- under public interest disclosure act 1998
- failure to report could call fitness to practice in question
- find out employers policy
- report without delay
- keep records & maintain confidentiality
14
Q
What is the duty of candour
A
openness and honesty when things go wrong
15
Q
how do you display duty of candour (4)
A
- tell patient when things go wrong
- apologise to patient
- offer an appropriate remedy/support
- explain fully the short/long-term effects of what happened
16
Q
what to do if pharmacy services affect pharmacists religious/moral beliefs (5)
A
- ensure patient-centred care is not affected
- think about the provision of service in the locality
- inform employers of if service is required
- inform & direct the patient
- handle requests sensitively & do not discourage
17
Q
what are the hospital pharmacy services (4)
A
- SOPs & pharmacy technicians for dispensing
- medicine reconciliation
- ward rounds
- discharge planning
18
Q
what are community pharmacy services (10)
A
- discharge medicine service
- dispensing of appliances
- dispensing of medicines
- disposal of unwanted medicines
- health living pharmacies
- promotion of healthy lifestyles
- repeat dispensing & eRD
- signposting
- support for self-care
- monitoring may result in withholding of payment
19
Q
what are advanced community pharmacy services (9)
A
- appliance use review
- flu vaccination service
- hypertension case finding service
- LFD service
- new medicine service
- pharmacy contraception
- pharmacy first service
- smoking cessation service
- stoma appliance customisation
20
Q
what id drug tariff (7)
A
- payment for services - linked to pharmacy contract
- what NHS will pay for
- How much NHS will pay
- how to get their money
- circumstances medicines can be supplied/items which can be classified as medicines
- updated monthly - rules can change
- NHS set total
21
Q
what are misused P & GSL medicines (6)
A
- pseudoephedrine
- codeine linctus
- kaolin & morphine
- laxatives
- antihistamines
- solvents
22
Q
what is the guidance for GSL & P medicine misuse (2)
A
- MHRA: distance selling of medicines to the public
- help the requestor
23
Q
how to identify POM misuse (5)
A
- use PMR (Patient Medication Records)
- salbutamol inhaler, dihydrocodeine
- emergency supply
- prescriber self-medication/close personal relationships
- forgery - £70 reward
24
Q
how is CD misuse mitigated (3)
A
- supervised self-administration of methadone & buprenorphine
- Client/Pharmacist agreement form
- Needle exchange: paraphernalia, citric acid & water for injection
