law ppt Flashcards

1
Q

How long should the RP record be kept for?

A

5 years

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2
Q

What must be included in the RP notice?

A

name of rp, reg number, in charge and notice must be conspiculously displayed

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3
Q

Can you sign in as RP off premises

A

yes

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4
Q

How long is the RP allowed to be absent from the premises for in 24 hours?

A

2 hours

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5
Q

What activities cannot be undertaken in the absence of the RP?

A

Professional check, sale and supply of P, POM, PGDS, ES, supply of pre checked rx

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6
Q

What activities can be undertaken in the absence of RP

A

Labelling, dispensing, accuracy checking, taking in rx, gsl sales

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7
Q

How many professional standards is there

A

9

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8
Q

What does clinical governance include

A

– clinical effectiveness
– risk management
– patient experience and involvement
– Audit
– Education & training
– Information and IT
– Staff management

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9
Q

How many CPD entries must a pharmacist complete per year

A

4

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10
Q

What is revalidation

A

Revalidation is a process which will help you to keep
your professional skills and knowledge up to date. It
will help you to show how you provide the safe and
effective care patients and the public expect, as set
out in the standards for pharmacy professionals.

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11
Q

How does revalidation affect CPD

A

Addition of 2 new elements to the CPD framework
for pharmacists & pharmacy technicians

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12
Q

What are the stages of audit

A

identify topic
agree or identify standards of best practice
define methodology
pilot data collection

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13
Q

What are the stages of audit

A

identify topic
agree or identify standards of best practice
define methodology
pilot data collection
analysis
report and make recommendations
implement change
re audit

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14
Q

What is confidential information

A

Electronic and hard copy data
– Personal details
– Any information about a person’s med hx, treatment or care that could
identify them
– Information shared by patients that is not strictly medical in nature

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15
Q

can you disclose confidential information

A

Appropriate situations: when you have the patient’s consent, when
the law says you must, or when it is in the public interest to do so

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16
Q

What is capacity

A

Adults are assumed to have capacity unless there is
evidence to suggest otherwise
* Age does not dictate capacity.
* Young people (16-18yo) are assumed to have capacity
unless there is evidence to suggest otherwise as per
adults – therefore use same criteria to assess capacity.
* Children (under 16) are not assumed to have capacity
and must demonstrate competence (Gillick). You must
be assured that the child has the maturity and ability to
understand what they are consenting to. If a child lacks
capacity any person with parental responsibility can
give consent on their behalf.

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17
Q

What is the 2 types of consent

A

Explicit – specific permission, spoken or written
Implied – consent indicated indirectly

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18
Q

What does capacity mean

A

Capacity means being able to weigh up
information, being able to communication an
answer and understand consequences of a
decision.

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19
Q

What are the steps of whistleblowing

A

– Understand company whistleblowing policy
– Raise concern with member of staff / employer in the first instance
– Many cases can be managed by discussing your concerns with the staff
member implicated – line manager if not.

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20
Q

What is the duty of candour

A

Professional responsibility to be honest with
patients/those close to them when things go wrong
– includes fully informing patients of potential risks before
treatment
– When things go wrong you need to apologise to patient
including what happened, how any harm will be dealt with
and how the risk of others being harmed can be reduced
– This is not the same as admitting legal liability
* Also to be open and honest with your organisation - to
encourage a learning culture by reporting adverse
incidents that lead to harm, as well as near misses

21
Q

What is the limits on paracetamol and aspirin

A

Max effervescent you can sell?
- No legal limit
- Max non-effervescent you can sell?
- 100 but technically 96 paracetamol due to 32 P pack size
- Max GSL pack size?
- 16

22
Q

What is the indication of codeine and dihydrocodeine otc

A

Short term use for acute to moderate pain not relieved by paracetamol/ibuprofen
- Cold/Flu/Sore Throat are no longer indications

23
Q

What is the legal issues around codeine and dihydrocodeine

A

Max pack size?
- 32 including effervescent
- Legal labelling?
- ‘Can cause addiction. For 3 days use only’
- ‘New advice for drivers. See leaflet inside’

24
Q

What can be sold for cough/cold for children under 6

A

– Simple linctus paediatric, Glycerin Honey & Lemon, any demulcent
– No evidence that other medications are effective & ingredients have
been linked to sleep disturbance & hallucinations

25
What can be sold for coughs/colds for 6-12 yo
As above, pholcodeine, guaifenesin – Max 5 days treatment
26
What is the age restriction on codeine linctus
Codeine linctus 18+ years as risks outweigh benefits (MHRA)
27
What are the max pack sizes for pseudoephedrine/ephedrine
720mg/180mg max supply
28
What are the limits on prescriber requests for emergency supply
Rx in 72 hours * CDs Sch 1,2,3 disallowed except phenobarbital
29
What are the restrictions on patient request es
Max supply 30 days or 5 days for Sch 4+5 and phenobarbital (Sch3). No other Sch 1,2 or 3 CD permitted * The words “Emergency Supply” must appear on the label
30
What are the legal limits on fp10cd
valid 6 months patient name and address, age if under 12, prescriber name and address, signature and date
31
What are the legal limits on private rx
1st dispensing within 6 months, after which no limit, any med except 2,3,4. same as fp10, mr and pom reg which is kept for 2 years, coc are exempt from record keeping
32
What are the legal limits on fp10d
6 months, as fp10, pmr
33
What are the legal limits on fp10mda
first dispensing withon 28 days, cd reg sched 2
34
What are the legal limits on fp10cd
valid 28 days, must have prescriber id number and all cd script requirements cd reg for 2 legal requirement pom reg is just good practice
35
What are the legal limits on fp10rd
1st within 6 months and then batches within 12 months of first cd 4 but must be within 28 days signature needed on base pmr and audit trails
36
What are the storage requirements for controlled drugs
Sch 2, 3 only (exceptions include phenobarbital, midazolam, pentazocine, tramadol and gabapentinoids)
37
What are cd rx requirements
Relevant for all Sch 2 + 3 including temazepam * Validity 28 days * Amendments by pharmacist...W or F (not both), minor spelling errors only * Address of prescriber??
38
How are zomorph 10mg destroyed
Patient returns – Denature and enter into destruction register (no authorized witness) * OOD stock – Segregate and denature with authorized witness (entry into CD reg)
39
How are temazepam drugs denatured
Patient returns – Denature (no records needed) * OOD stock – Denature (no records needed)
40
How are clonazepam drugs denatured
Patient returns – Denature (no records needed) * OOD stock – Denature (no records needed
41
How is morphine solution disposed of
patient returns – Medicines waste bin * OOD stock – Medicines waste bin
42
How are fentanyl patches disposed of
Patient returns: Patient has returned 4 complete patches and one patch he has had on for 24 hours – complete patches folded in half and places into general waste. Incomplete patch is folded, cut and placed into doop (no authorized witness). Destruction register. * OOD stock – Folded, cut and placed into doop with authorized witness (CD reg entry)
43
What is the requirement from school signed orders
head teacher, name of school, purpose and quantity
44
What is the pom register requirements from signed orders
1. The DATE the POM was supplied 2. Name, quantity & where it is not apparent formulation & strength of POM supplied 3. Name & address, trade, business or profession of the person to whom the medicine was supplied 4. The purpose for which it was sold or supplied
45
What additional information could you provide for inhalers on a signed order
Explain how to use a salbutamol inhaler & any associated information * Advise schools on the selection of the most appropriate spacer device for the different age groups & how to use them correctly.
46
What is the first step of the cascade
Medicine authorised in the UK for use in a different species or for a different condition in the same specie
47
What are the requirements on a vet script
Name, address and telephone number of the prescribing veterinary surgeon * Name and address of the animal owner * Identification and species of the animal * Date of prescription * Signature of veterinary surgeon * The name/description of the product * Dosage and administration instructions * ‘Prescribed under the cascade’ * ‘Prescribed for an animal under my care’ CD 2+3
48
What must be present on a vet label
Name of the prescribing veterinary surgeon * Name and address of the animal owner * Name and address of the pharmacy * Identification and species of the animal * Date of supply * Expiry date of the product * The name/description of the product * Dosage and administration instructions * If appropriate, special storage instructions * Any necessary warnings for the user including any applicable withdrawal period * ‘For animal treatment only’ * ‘Keep out of reach of children’