Law Flashcards
Number of revalidation entries
6 records
How many CPD
4 CPD
How many planned CPD
2
What type of revalidation records
1 peer discussion, 1 reflective account, 4 CPD
Difference between PO and GSL
GSL but only sold in a pharmacy
When can GSL meds be sold in a pharmacy
When there is a pharmacist (but the RP can be physically absent)
Who can sell P medicines
Pharmacist or person working under a pharmacist
Are P medicines able to be picked by the public
Pharmacy medicines must not be accessible to the public by self-selection
What are pseudoephedrine and ephedrine used for
As decongestants
Maximum amount of pseudoephedrine that can be supplied at one time without a prescription
720mg
Maximum amount of ephedrine that can be supplied at one time without a script
180mg
Can you sell or supply pseudoephedrine at the same time as ephedrine
No
Why are large quantities of pseudo/ephedrine supply prohibited
Crystal meth production
What aged women is levonorgestrel licensed for
16
How many hours do you need to use levornorgestrel within
72
Can you supply EHC before unprotected sex
Yes - check competency and clinical appropriateness
Is ulipristal contraindicated under the age of 16
No
When to report EHC sale
Contact social services if 13 and under
Does confidentiality apply under the age of 16
Yes, so decision to share info requires consent
How to supply EHC
Sell, service providers
Max amount of paracetamol
100 non-effervescent tablets to a person at one time
Max amount of aspirin
100 non-effervescent tablets to a person at one time
What is the indication of codeine and dihydrocodeine otc restricted too
Acute moderate pain not relieved by paracetamol, ibuprofen and aspirin it is not for cold, flu, cough, sore throat and minor pain etc
What pack sizes of dihydro/codeine can be sold OTC
32 and less
What is the required dihydro/codeine PIL / label requirement/caution
‘Can cause addiction. For three days use only’
Is it only good practice to restrict dihydro/codeine packs to 32
No, any greater is a POM
How long should OTC/dihydro be for
3 days
What contraceptive can be used under 16
Ulipristal
Levonorgestrel - what brand
Levonelle
Is a signature required on a script
Yes
What part of the script doesn’t have any legal requirements
For non-CDs the ‘box’ concerning the actual drug
Is a date needed on a script
Yes
How long is a normal prescription valid for
6 months
What is the appropriate date the earlier or later
The later (it is the date before which it should not be dispensed)
When is the age of a patient required on a script
If under 12
What is the appropriate date on private scripts
The date it was signed
Can you use carbon copies of scripts
Yes as long as signed in ink
Are a prescribers particulars required on a script
Yes to identify if they are an appropriate prescriber
Can you dispense Welsh scripts
Yes, but need to understand it
Requirements for a script
Signature of prescriber, address of prescriber, particulars of prescriber, date, age, patient name, patient address
Does a number need to be stated for repeating oral contraceptive
No, it can be dispensed 6 times, repeated 5 time
How many times can you dispense something if a number isn’t stated
Twice
What prescriptions aren’t repeatable
Sch 2 and 3
Is there a time limit for remaining repeats
No legal time limit the first dispensing must be within 6 months of the appropriate date
When does the first repeat for a schedule 4 need to be made and is there a limit for the remaining repeats
28 days, no remaining time
How do you have an audit trail for repeats
Mark on the prescription the name and address of the pharmacy where supply is from and the date
How long should private scripts be kept
For a POM 2 years from sale/supply/last repeat
Where should records about private scripts be kept
POM register (written/electronic)
How long should the POM register be kept
2 years from last entry
What should the POM register include
Supply date, prescription date, medicine details, prescriber details, patient details
• Supply date The date on which the medicine was sold or supplied • Prescription date The date on the prescription • Medicine details The name, quantity, formulation and strength of medicine supplied (where not apparent from the name) Prescriber details The name and address of the practitioner • Patient details The name and address of the patient
When should records be made in the POM register
Day supply made or the next day
What prescriptions are exempt from record keeping
Oral contraceptives are exempt from record keeping; as are prescriptions for Schedule 2 CDs where a separate CD register record has been made
Is the name of a medicine a legal requirement on a script
No
Is the form of a drug on a script a legal requirement
No
Is the quantity of a drug on a script a legal requirement
No
Is the dose on a script a legal requirement
No
How long are owings for POM and schedule 5 valid for
6 months from the appropriate date
How long are owings for p and gsl valid for
6 months from the appropriate date
How long are owings for schedule 2,3,4 valid for
28 days from the appropriate date
Can dentists legally write any POM prescription
Yes
When is dentist prescribing limited
When on an NHS dental prescription
Aim of FMD
Reduce the risk of fake medicines entering the medicines supply chain and reaching patients.
Why are faxes not legal
No indelible ink
Are repeat scripts from EEA/switz recignised legally
Yes
Are emergency supplies from EEA/ Swiss recognised legally
Yes
Script requirements for EEA
Patient details, prescriber details, medicine details, prescriber signature,date of issue
What details of a prescriber are required for EEA/Swiss prescribers
Full first name, surname qualification, contact details (email and telephone with international prefix, work address and country
Is date of birth required for EEA scripts
Yes
How long are EEA scripts valid for
6 months (28 for sch4)
What drugs can’t be prescribed on an EEA script
Sch 1,2,3 and drugs without a marketing authorisation in the UK
What do you do if you can’t guarantee/find a doctors qualifications from EEA
Can supply but document decisions
Legal requirements for labels
• Name of the patient • Name and address of the supplying pharmacy • Date of dispensing • Name of the medicine • Directions for use • Precautions relating to the use of the medicine
Is the keep out of reach and sight of children a legal requirement/ use on skin only note
No it is recommended by RPS though
Is it a legal requirement to label the actual container and not box?
No it is good practice according to NPSA
Requirements for partpacks
Name of the medicine • Quantity of the medicine in the container • Quantitative particulars of the medicine (i.e. the ingredients) • Handling and storage requirements where appropriate • Expiry date • Batch reference number (e.g. LOT number or BN)
Key conditions for emergency supply at request of prescriber
Relevant prescriber, an actual emergency, prescription within 72 hours, directions from prescriber, No CD (1,2,3) except phenobarbital, record
Record of emergency for prescriber request
In POM register on day of supply(or next day) - date of POM supply, name of drug +strength/form/quantity, name and address of prescriber requesting, name and address of patient, date on script, date script received
Requirements for patient emergency request
- Interview
- Immediate need (surgery does not need to be shut)
- Previous treatment (consider how long ago last supply was)
- Dose known
- Not sch1 2 3 except phenobarbital
- Maximum amount for sch 4/5 id 5 days but 30 for other poms unless insulin/ointment/cream/asthme inhaler, smallest pack given a full oral contraceptive treatment cycle supplied
Is there a difference in labelling for emergency supply
For prescriber request there isn’t but patient request should be labelled emergency supply
Record keeping for patient requested emergency supply
Make in pom register on the day or following day. Date POM supplied. name, strength, form and quantity of POM supplied. Name and address of patient. Info on the nature of the emergency (why needed and why script can’t be obtained)
How podiatrists and optometrists get drugs for patients
Signed patient order, it is not a prescription so doesn’t have the same requirements but must ensure right advice given and that the patient, must be labelled as normal and in POM register if from pharmacy
How long should signed orders be kept
2 years or enter into POM register (regardless good practice to write in POM register)
POM register for signed order
Date supplied. Name, strength, form, quantity supplied. Name
and address of trade/business/profession. Purpose of selling
How long are oral retinoid scripts valid for
7 days, refer back to prescriber if outside of this, pregnancy status may need to be reconfirmed
Maximum supply of oral retinoid if PPP
30 days
PPP stands for
Pregnancy prevention programme
What to do with women patients on valproate
Talk to those of child bearing age to find out if they spoke to doctor and are aware of risks and are on a PPP
What to do if women on valproate pregnant
Tell them to not stop treatment and arrange appointment with prescriber urgently
How should biologics be prescribed
By brand
What to do when a mistake is spotted
1 Take steps to let the patient know promptly 2 Make things right (this may involve contacting the prescriber) 3 Offer an apology 4 Let colleagues involved in the error know
Does a pharmacist hold a wholsale dealers licence
Yes
Who needs a wholesale dealers licence
Anyone trading medicines
Who can be supplied medicines
• Doctors • Dentists • Registered pharmacies • Hospitals, clinics and independent medical agencies • Midwives • Chiropodists/Podiatrists • Optometrists and Additional Supply Optometrists • Paramedics • Owner or Master of Ship • Orthoptists • First aid organisations • Certified first aiders • Working for National Lifeboat Institution • Occupational health schemes • Drug treatment services • NHS Trusts
When are pharmacies not required to hold a WDA(H) to wholesale deal:
• It takes place on an occasional basis • The quantity of medicines supplied is small • The supply is made on a not for profit basis • The supply is not for onward wholesale distribution.
What to do when a POM is supplied to a HCP/Organisation
Enter in POM register or keep signed order good practice to write in pom register regardless
Details in POM register needed
• Date the POM was supplied • Name, quantity and, where it is not apparent, formulation and strength of the POM supplied • Name and address, trade, business or profession of the person to whom the medicine was supplied • Purpose for which it was sold or supplied
Details needed on signed order?
Not specified in legislation, good to have at least the details for POM register