Law 5 Flashcards

1
Q

what is the GPhC guidance (7)

A
  1. consent
  2. sexual boundaries
  3. confidentiality
  4. raising concerns
  5. duty of candour
  6. services affected by religious/moral beliefs
  7. responsible pharmacist
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2
Q

what is consent (4)

A
  1. basic right to express willingness/give permission/agree
  2. difference between implied & explicit consent
  3. valid consent = capacity + lack of outside pressure + sufficient information
  4. lack of capacity + inability to make/communicate decisions because of impairment/disturbance
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3
Q

how do you assess capacity (2)

A
  1. specific at time of decision
  2. don’t make assumptions
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4
Q

what to do when patients withhold consent (3)

A
  1. explain consequences & record
  2. respect decision
  3. raise with others if serious risk of harm
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5
Q

what are Gillick’s competency & Fraser’s guidelines (3)

A
  1. used for those who work with children under 16
  2. advice/treatment for contraception & sexual health
  3. used more broadly to assess
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6
Q

how are sexual boundaries breached (7)

A
  1. power imbalance
  2. sexualised behaviour/actions/gestures
  3. breaching boundaries
  4. revealing intimate personal details
  5. giving/accepting social invitations with sexual intent
  6. visiting patients home without consent with sexual intent
  7. meeting patients outside of normal practice with sexual intent
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7
Q

how are sexual boundaries enhanced (5)

A
  1. chaperones
  2. respect cultural differences
  3. consider factors for previous patients
  4. raising concern
  5. records of possible suspect situations
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8
Q

how is confidentiality enhanced (5)

A
  1. protecting information
  2. secure storage
  3. not discussing with others
  4. social media policy
  5. team responisbility
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9
Q

how to disclose information with consent (8)

A
  1. individual understands all aspects
  2. coding/anonymising
  3. only needed information
  4. indicate its confidential
  5. e.g. for research purposes
  6. prepare to justify actions taken
  7. record details
  8. need explicit consent
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10
Q

How to disclose information without consent (4)

A
  1. law required/in public interest
  2. check reason for request if unsure
  3. ask for written request for disclosure
  4. check with indemnity insurance provider/regulator/pharmacy support organisation/independent legal advisor
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11
Q

how to disclose required by law (7)

A
  1. asked under law
  2. police/another enforcement/prosecuting/regulatory authority
  3. Healthcare regulator (GPhC/GMC)
  4. NHS counter fraud investigation officer
  5. coroner/judge or relevant court
  6. check for legitimate reason
  7. check with indemnity insurance provider/regulator/pharmacy support organisation/independent legal advisor
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12
Q

how to disclose in public interest (6)

A
  1. balance patient & public interest
  2. serious crime
  3. serious harm to patient/third party
  4. serious risk to public health
  5. consider harm of not disclosing
  6. check with indemnity insurance provider/regulator/pharmacy support organisation/independent legal advisor
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13
Q

What are the principles of whistleblowing (raising concerns) (9)

A
  1. professional responsibility to take action to protect the well-being of patients & general public
  2. GPhC standards for registered pharmacies
  3. raising concerns about individual people responsible for the care of a patient
  4. concerns about behaviours/competency/working environment/actions
  5. under public interest disclosure act 1998
  6. failure to report could call fitness to practice in question
  7. find out employers policy
  8. report without delay
  9. keep records & maintain confidentiality
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14
Q

What is the duty of candour

A

openness and honesty when things go wrong

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15
Q

how do you display duty of candour (4)

A
  1. tell patient when things go wrong
  2. apologise to patient
  3. offer an appropriate remedy/support
  4. explain fully the short/long-term effects of what happened
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16
Q

what to do if pharmacy services affect pharmacists religious/moral beliefs (5)

A
  1. ensure patient-centred care is not affected
  2. think about the provision of service in the locality
  3. inform employers of if service is required
  4. inform & direct the patient
  5. handle requests sensitively & do not discourage
17
Q

what are the hospital pharmacy services (4)

A
  1. SOPs & pharmacy technicians for dispensing
  2. medicine reconciliation
  3. ward rounds
  4. discharge planning
18
Q

what are community pharmacy services (10)

A
  1. discharge medicine service
  2. dispensing of appliances
  3. dispensing of medicines
  4. disposal of unwanted medicines
  5. health living pharmacies
  6. promotion of healthy lifestyles
  7. repeat dispensing & eRD
  8. signposting
  9. support for self-care
  10. monitoring may result in withholding of payment
19
Q

what are advanced community pharmacy services (9)

A
  1. appliance use review
  2. flu vaccination service
  3. hypertension case finding service
  4. LFD service
  5. new medicine service
  6. pharmacy contraception
  7. pharmacy first service
  8. smoking cessation service
  9. stoma appliance customisation
20
Q

what id drug tariff (7)

A
  1. payment for services - linked to pharmacy contract
  2. what NHS will pay for
  3. How much NHS will pay
  4. how to get their money
  5. circumstances medicines can be supplied/items which can be classified as medicines
  6. updated monthly - rules can change
  7. NHS set total
21
Q

what are misused P & GSL medicines (6)

A
  1. pseudoephedrine
  2. codeine linctus
  3. kaolin & morphine
  4. laxatives
  5. antihistamines
  6. solvents
22
Q

what is the guidance for GSL & P medicine misuse (2)

A
  1. MHRA: distance selling of medicines to the public
  2. help the requestor
23
Q

how to identify POM misuse (5)

A
  1. use PMR (Patient Medication Records)
  2. salbutamol inhaler, dihydrocodeine
  3. emergency supply
  4. prescriber self-medication/close personal relationships
  5. forgery - £70 reward
24
Q

how is CD misuse mitigated (3)

A
  1. supervised self-administration of methadone & buprenorphine
  2. Client/Pharmacist agreement form
  3. Needle exchange: paraphernalia, citric acid & water for injection