Law Flashcards
Which members does the Pharmacy Council consist of?
The Council shall consist of—
-a chairman appointed by the Minister;
-one member, who shall be a representative of the Association (BPA Rep) appointed
by the Minister;
- one member, who shall be a practitioner, appointed by the Minister; and
- four members elected by registered pharmacists from among themselves.
The Council may co-opt a representative of the Bermuda Pharmacy Owners
Association to any of their meetings but such a representative shall NOT have a vote.
Can only hold office for 1 YEAR!
What are the functions of the Pharmacy Profession Complaints Committee?
(A) to receive and investigate, or cause to be investigated, complaints against
any registered pharmacist including any allegation that—
- the pharmacist’s registration was improperly obtained;
- the pharmacist is guilty of professional misconduct;
-the pharmacist is unfit to practise by reason of conviction of an
indictable offence or adverse physical or mental health; or
-the pharmacist is otherwise unfit to practise or to be registered; and
(B)to perform such other functions as may be prescribed.
The Committee may investigate any complaint based on..
-inside or outside Bermuda; or
-at any time, whether or not at a time when the person complained against
was registered as a pharmacist.
Who can make a complaint to the committee and what is the process to make a complaint?
It shall be made by the complainant.
or if the complainant is a child or is physically or mentally unable to make
the complaint, by the parent or guardian, friend or a person acting on
behalf of the complainant; and
if the conduct complained of relates to a person who is dead, by the
person’s executor or personal representative;
The complaint should be in writing and addressed to the Committee;
should set out the matters alleged to constitute grounds for disciplinary
action to be taken against the pharmacist who is the subject of the
complaint;
it may be required by the Committee to be in a form approved by the
Committee.
What is the investigation process of a complaint by the committee?
If complaint is not resolved,
The committee should investigate and see if it is frivolous or vexatious, is made in bad faith, is an abuse of process, or for
any other reason, ought not to be referred to the Council; or
ought to be referred to the Council for decision
Which countries can drugs be imported from?
Australia Brazil Canada EU Israel India Russia Switzerland USA
A doctor may phone in a Rx for a maximum of..
10 days
No CD or refills
Emergency supply can only be given for a maximum of..
5 days
Schedule 3 only
A cruise ship doctor can write a Rx for a passenger for a maximum of…
5 day supply
Longer than 5 days - hospital stock stores and needs to be signed order by doctor/ nurse and delivered with ID
Signed orders must be on official stationary
Any CD Rx must be sent to hospital by the doctor in person and no longer than 5 days supply.
How long can Bermuda Pharmaceutical Association (BPA) president hold office for?
No more than 3 consecutive years
List the members of the BPA executive committee
President
Secretary
Treasurer
2 members at large
List the members from the complaints committee
1 member from 3 pharmacist nom by BPA
1 member from 3 pharmacist nom by council
1 professionally qualified person (non-pharmacist)
Chairman appointed by minister
*the term is for 3 years
Which profession can manufacture or compound and CD whilst acting on their capacity?
Practitioner or pharmacist
List the professions who may supply any drug to any person who may lawfully have that drug in their possession
Doctor Pharmacist Matron (acting in hospital) Sister (in charge of ward) Lab worker researching Analyst
What class of drug can a dentist/vet NOT supply?
Amphetamines
What drug can a vet NOT supply?
Barbituric acid
If NO DOCTOR on board, master of ship can supply any CD…
- to ANY MEMBER of crew
- to any person who may lawfully supply drug
- to a POLICE OFFICER for the purpose of destruction
Who can POSSESS & ADMINISTER any Schedule 1 & 2 CDs?
Domicillary Nurses - but the CDs should be obtained by domicillary nurse supply orders and signed by CMO
In order for the CMO to sign the Dom Nurse signed order for Sch 1+ 2 CDs, they must contain..
- the exact quantity specified on order
- enter drug name, date, name + address of supplier, form and quantity
- keep drugs locked away and the dom nurse is the only key holder
- she must state she’s a dom nurse and the purpose for use is required.
What are the requirements on giving CD to someone other than recipient? (When supplying other than on Rx)
Can only give to someone sent on BEHALF of recipient if the recipient states in WRITING that they are allowed
The Requisition in writing must state: SIGNATURE of recipient Name, address, occupation of rec PURPOSE of drug being supplied TOTAL QUANTITY
T/F
If a practitioner urgently requires CD for their profession, and supplier is happy to, can be supplied w/o a requisition
True
As long as the practitioner can give a requisition within 24 HOURS
List who are able to make a requisition.
Practitioner
Matron
Sister
Lab worker
Owner of ship w/ no doctor
Master of foreign ship in port in BDA -
-requisition must contain statement signed by CMO with Quantity supplied being necessary for the shipT/F
The registration of a pharmacist is kept in the registrars office and is available for public inspection at no charge
True
Re-registration of pharmacist occurs…
Every 2 years
Must apply in the form required, pay fee, continue to meet the qualifications and conduct, meet the minimum amount of CPD + practice hours
To register as a pharmacist in Bermuda, one must..
pharmacist must be fit and possess qualifications + experience
Must pass Bermuda exam
Must have had 6 months practical experience (one month in Bermuda)
What schedule am I?
clotrimazole
Topical - 4 part 1
External/ vaginal use - 4 part 2
Fexofenadine (both strengths)
4 part 1
Miconazole (topical)
4 part 1
Vaginal use- 4 part 2
Naproxen
220mg - 4 part 1
500mg - 3
Ranitidine
75mg - 4 part 1
150mg - 4 part 2
Minoxidil
Topical - 2% (4 part 1)
5% (4 part 2)
Oral - 3
Terbinafine
Topical - 4 part 1
Oral - 3
Folic acid
MS 1mg - 4 part 1
5mg - 3
Vitamin D
1,000 to 49,999 IU - 4 part 1
50,000 - 3
Chloramphenicol
Eye Drops and ointment - 4 part 2
Codeine
MS 8mg - 4 part 2
Fluconazole
MS/ MDD 150mg - 4 part 2
Esomeprazole
20 mg - 4 part 2
40mg - 3
Lansoprazole
15mg - 4 part 2
30mg - 3
GTN
Tablets/ spray - 4 part 2
Hyoscine butylbromide
Buscopan
10mg - 4 part 2
Nystatin
Topical - 4 part 2
Liquid - 3
Omeprazole
10mg - 4 part 2
20mg - 3
Levonorgestrel
MS 1.5mg EHC - 4 part 2
Equipment needed in a pharmacy
- a balance accurate to 1mg
- a scale to 1kg for large quantities
- measuring facilities
- fridge
- mortar + pestle
- tablet counter
- typewriter
- advice + warning labels
- childproof containers
- liquid bottles
- martindale
Proof of registration certificate must be signed by..
Permanent secretary to the minister
If a pharmacist is struck off or suspended, they can re-apply to go back on..
After 12 months of due date of removal or within 12 months of previous application
Appeal period
28 days to appeal a decision
Pharmacy council member can hold office for..
1 year
Members can be re-elected / re-appointed
What happens when a pharmacy council member vacates office before expiry?
Appointed person holds office until they would have
Unless they vacate 3 months or less before expiry of term (thus vacancy need not be filled)
What is the minimum working space required in a pharmacy?
400 cubic feet per person
If a visitor comes to Bermuda with CD medication of a 28 day supply, what is allowed?
Max of 7 days to have on hand
Visitor must have made Full declaration at customs
Visitor must give customs officer CD quantity in excess of 7 days which won’t be returned before departure from Bermuda except with written authority from a doctor
Can schedule 1 be injected?
No.
Needs to be compounded with at least one other active ingredient (NMT 100mg per unit dose or NMT 2.5% in undivided prep)
Cocaine, NMT?
0.1%
Morphine, NMT?
0.2%
Ipecac, NMT?
10%
Diphenoxylate, NMT?
2.5mg
Atropine, NLT?
25mcg
Opium powder, NMT?
10%
