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MEP Flashcards

1
Q

Who to declare conflict of interest

A
  • Your employer through a line manager, governance or conflict lead
  • Someone commissioning your services
  • A chairperson at the meetings which you attend.
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2
Q

Confidentiality

A

duty of confidentiality does not only apply at work, and also applies to people who may not be ‘officially’ your patients e.g. provide pharmacy service/advice outside of work environment

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3
Q

Professional indemnity

A

It is a requirement if you are registered with the GPhC that you have professional indemnity insurance in place before you start working in your role

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4
Q

Yearly revalidation

A
  • Four continuing professional development (CPD) records (at least two planned)
  • A peer discussion
  • A reflective account.
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5
Q

ERROR REPORTING STANDARDS

A

Open and honest; reporting, learning, sharing, taking action to change practice or improve systems of care and review of incidents.

Healthcare organisations in England should report patient safety incidents to the NRLS. reporting is anonymous for the reporter, staff and patients.

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6
Q

Handle dispensing error ()

A

report, learn, share, act and review instances when dispensing errors or near misses.

1 Take steps to let pt know promptly (open. honest)
2 Make things right (e.g. contacting prescriber)
3 Offer an apology
4 Let colleagues involved in the error know.

The legal defence against criminal prosecution can be used when the error has been:
1 Dispensed in a registered pharmacy +
2 Dispensed by/under the supervision of a
registered pharmacist, +
3 Supplied against a prescription, PGD or
direction from a prescriber +
4 Promptly notified pt once pharmacy team are aware of the error

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7
Q

Safeguarding protecting children and vulnerable adult

A

suspect child abuse follow local child protection procedure or take advice whether to refer to SS
if emergency, contact police.

Make appropriate records of concerns and suspicions, decisions taken, and reasons whether or not further action

DO NOT investigate suspicions or allegations of abuse directly.

If you are unsure of someone’s mental capacity to provide consent seek additional advice, e.g. from their GP.
A vulnerable adult’s wishes should be taken into account at all times. Obtain consent from the patient before disclosing confidential information about them. Unless need emergency circumstance ??

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8
Q

Signs of children (or vulnerable adult) abuse or neglect

A

Physical abuse = Unusual/unexplained injuries, injuries in inaccessible places, bite marks, scalds, fingertip bruising, fractures, repeated injuries, age of injuries inconsistent with account given by adult, injuries blamed on siblings

Neglect = Poor growth and weight. Poor hygiene, dirty and messy. Inappropriate food or drink

Emotional abuse = Evidence of self-harm/self mutilation, behavioural problems, inappropriate verbal abuse, fear of adults or a certain adult

Sexual abuse = Indication of STI, evidence of sexual activity or relationship that is inappropriate to the child’s age/competence

(Financial abuse = Sudden changes to their finances, e.g. getting into debt. Inappropriate, exploitative or excessive control over the finances of the vulnerable adult)

Additional signs: Parent/carer delays seeking medical treatment or advice and/or reluctant to allow treatment, detachment from the child, lacks concern at the severity or extent of injury, reluctant to give information, aggressive towards child or children

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9
Q

SEXUAL ACTIVITY IN CHILDREN

A

<13 are legally too young to consent to any sexual activity. REPORT to SS

<16 Sexual activity is an offence but may be consensual. may be okay if similar age unless it involves abuse or exploitation

The general duty of pt confidentiality still applies, so consent should be sought whenever possible prior to disclosing pt information. Duty not absolute, can share case-by-case if sharing is in child’s best interest. Try seek advice from experts without disclosing identifiable details of a child and breaking patient confidentiality.

Can provide contraception (e.g. on rx or under PGD) or sexual health advice to a child or <16 if FRASER criteria are met
* sufficient maturity and intelligence to understand the nature and implications of the proposed treatment
* They cannot be persuaded to tell her parents or to allow the practitioner to tell them
* They are very likely to begin or continue having sexual intercourse with or without contraceptive treatment
* Their physical or mental health is likely to suffer unless they receive the advice or treatment
* The advice or treatment is in the young person’s best interests

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10
Q

FOUR PRINCIPLES OF MEDICINES OPTIMISATION

A

1: AIM TO UNDERSTAND THE PATIENT’S EXPERIENCE
= ongoing, open dialogue with pt about the patient’s choice and experience of using medicines, overtime

2: EVIDENCE-BASED CHOICE OF MEDICINES

3: ENSURE MEDICINES USE IS AS SAFE AS POSSIBLE
Consider aspect of: medicines usage, including unwanted effects, interactions, safe processes and systems, and effective communication between professionals.

4: MAKE MEDICINES OPTIMISATION PART OF ROUTINE PRACTICE
discuss with HCP and pt how to get the best outcomes from medicines throughout the patient’s care.

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11
Q

MEDICINES RECONCILIATION

A

Identifying an accurate list of a patient’s current medicines (OTC, complementary medicines), recognising any discrepancies, and documenting any changes. Inform HCP and pt.

any time pt transferred care setting (hospitals, wards, discharge)

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12
Q

Clinical check

A

considering patient characteristics (age, P/BF, ethnic), disease states, medication regimen and, where possible, laboratory results.

Additionally consider:
* Antimicrobial stewardship.
* Appropriate opioid prescribing.
* Review and deprescribing of medicines which are no longer appropriate or required.
* Participation in local medicines safety initiatives.

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13
Q

MEDICATION REVIEW principles

A
  • Seeking the person’s (and/or their carer’s) perspective of their medicines and how they will take them
  • Identification of the aims of the drug therapy (from a clinical perspective and from the person’s perspective)
  • Assessment of whether medicines are essential or not
  • Assessment of person’s level of adherence
  • Assessment of the effectiveness (both clinical and cost effectiveness) of the medicines
  • Assessment of the safety of the medicines, and
  • Decision and actions regarding stopping or continuing the medicines.
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14
Q

laws

A

The Human Medicines Regulations 2012 consolidated most of the legislation regulating the authorisation, sale and supply of medicinal products for human use, made under the Medicines Act 1968.
- 3 classes of medicinal products for humans
- Pharmacists can refuse to sell/supply ANY medicines, if contrary to the pharmacist’s clinical judgement.
- The sale, supply and administration of prescription- only medicines (POMs) are restricted by the Human Medicines Regulations 2012.

The Medicines Act 1968 has not been replaced fully and that certain parts are still active.

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15
Q

GENERAL SALE MEDICINES

A
  • self-selection’ items in P or retail outlets (can close to exclude public)
  • in P can only be sold, Ph assumed responsible Ph role. ≠ can be physically absent for limited period
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16
Q

PHARMACY (P) MEDICINES

A
  • Can be sold from a registered pharmacy premises by a pharmacist or under the supervision of a pharmacist.
  • NOT accessible to public by self-selection.
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17
Q

Appropriate prescriber

A
  • doctors
  • dentists
  • supplementary prescribers
  • nurse independent prescribers
  • pharmacist independent prescribers
  • EEA and Swiss approved health professionals
  • community practitioner nurse prescribers
  • optometrist independent prescribers (not for
    Controlled Drugs, or parenteral medicines)
  • paramedic independent prescribers
  • physiotherapist independent prescribers
  • podiatrist independent prescribers
  • therapeutic radiographer independent prescribers (for certain medicines )
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18
Q

LOOK at the reclassification POM to P (incomplete)

A

Amorolfine nail lacquer
Anti-malarials
Chloramphenicol eye drops and eye ointment
Desogestrel
Emergency contraceptives
Mometasone 0.05% nasal spray
Oral lidocaine-containing products for teething in children
Orlistat
Proton pump inhibitors Sildenafil
Sumatriptan Tamsulosin Tranexamic acid

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19
Q

Pseudoephedrine

A

Legal restriction
- CAN’T supply product/combo containing >720mg pseudoephedrine OR 180mg ephedrine at any one time, without Rx
- CAN’T sell/supply any pseudoephedrine product at the same time as an ephedrine product without

  • even in lawful quantities, can be refused if reasonable grounds for misuse. signs: lack symptoms, rehearsed, impatient, other abuse product, quantity, freq request.
    Suspicions can be reported to local GPhC inspector, local Controlled Drugs liaison police officer or accountable officer.

NB: Sudafed contain 6.1-30-60mg per tablet

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20
Q

3 methods of emergency contraception

A
  • copper intrauterine device (Cu-IUD)
  • oral ulipristal acetate
  • oral levonorgestrel

Levonorgestrel 1500 microgram tablet and ulipristal acetate 30mg tablet are licensed as pharmacy medicines for emergency hormonal contraception

NB: <13y too young to consent,

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21
Q

ORAL EMERGENCY CONTRACEPTIVES - pharmacy medicine

A

Levonorgestrel is licensed >16 years within 72h of UPSI or failure of a contraceptive method.
Ulipristal acetate is licensed within 120h (5d) of UPSI or failure of a contraceptive method.

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22
Q

ADVANCE SUPPLY OF ORAL EMERGENCY CONTRACEPTION

A

Indication: prior to UPSI or in case of failure of a contraceptive method

ASSESS: competent, appropriate intended use, clinically appropriate

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23
Q

RELIGIOUS OR MORAL BELIEFS against EHC

A

inform your employer, your locum agency and colleagues working with ASAP

Referral is an option but may not always be possible.

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24
Q

Paracetamol and aspirin

A

Paracetamol and aspirin: Max 100 non-effervescent tab/caps can be sold to a person at any one time.

*No legal limits on the quantity of OTC effervescent tablets, powders, granules or liquids.

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25
Q

CODEINE AND DIHYDROCODEINE

A

Indication: short-term tx of acute, moderate pain not relieved by paracetamol, ibuprofen or aspirin alone.

Pack size >32 dose units (inc effervescent) is a POM.
Recommend that only 1 pack of OTC containing codeine or dihydrocodeine should be sold.
Can cause addiction. For three days use only.

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26
Q

General Rx requirements (Regulation 217 and 218 Human Medicines Regulations 2012).

A

Pt age (if <12), name, address
Date
Prescriber signature, particulars, address

nb: Some homecare service providers may also require additional info e.g. GMC number of prescribing doctor.

NB: A copy of a prescription in an online account, does not constitute a legitimate electronic prescription even if it is emailed to the pharmacist.

NB: Faxed prescription is not a legally valid prescription. Consider risks (ingenue, duplicates). ame principles apply to copies of an emailed private prescription printed out or presented on a patient’s mobile.
Fax: note supply of Schedule 2 and 3 CDs without possession of a lawful prescription could be prosecuted as a criminal offence.

Details of the medicinal product, such as name strength, form, quantity and dose are not legal requirements for POM prescriptions

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27
Q

EEA General Rx requirements

A
  • Patient details: full first name(s), surname, DOB
  • Prescriber details: full first name(s), surname, professional qualifications, direct contact details including email address and telephone or fax number (with international prefix), work address (including the country they work in)
    check GMC, GDC or European Commission website
  • Prescribed medicine details: Name of the medicine (brand name where appropriate), pharmaceutical form, quantity, strength and dosage details
  • Prescriber signature
  • Date of issue: Prescriptions are valid for up to six months from the appropriate date (prescriptions for Schedule 4 CDs 28 days). For prescriptions from these countries the appropriate date is the date on which the prescription was signed.

Prescriptions and repeatable prescriptions issued by an approved health professional in an approved country are legally recognised in the UK.

Schedule 1, 2 and 3 CDs and medicinal products without a marketing authorisation valid in the
UK are not permitted.

emergency supply - usual process and if the request originates from an approved health professional then a prescription needs to be received from them within 72 hours. excluding CD 1,2,3

28
Q

Repeatable prescription

A

= private prescriptions with direction that states it can be dispensed more than once.

  • first dispensing for a POM/CD 5 must be made within 6m of appropriate date & 28d for CD 4. then no legal time limit for remaining repeats.
  • if number not stated, can only repeat once (dispense twice) unless PO contraceptive (dispense 6x times)
  • CD 2, 3 not repeatable. CD 4-5 are repeatable.
29
Q

Validity of owing

A

POM*, CD 5, P, GSL: 6 months from appropriate date

CD 2, 3, 4: 28d after appropriate date

  • Supply of owing can exceed 7d from when Rx is written only if the pharmacist follows the PPP checklist to ensure there is no risk of pregnancy.
30
Q

Record keeping

A

Record in POM register (supply date, rx date, medicine details, prescriber details, pt details) retain for 2y
(excl oral contraceptives)

Private rx for POM: 2y after date of supply/last supply for repeatable

Private rx for CD2/3: MUST submit to NHS

31
Q

Payment exception

A

FP10 forms have the name and address of the prison printed on them and the patient is exempt from payment by virtue of having HMP in the address.

32
Q

Dental prescriptions

A
  • on NHS dental rx, can only prescribe medicines listed in the Dental Prescribers’ Formulary.
  • legally write prescriptions for any POM.
  • advised to restrict their prescribing to areas in which they are competent and generally only prescribe medicines that have uses in dentistry.
33
Q

Military prescription

A

Military prescriptions are written on a military form FMed 296

A Schedule 2 or 3 CD written on an MOD FMed296 form cannot be legally dispensed by community pharmacies.
Prescriptions for Schedule 2 and 3 CDs should be written on pink FP10PCD forms

34
Q

Legal requirement for dispensed medicinal products:

A
  • 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: “(e.g. For external use only)”.

lawful to label outer container ≠ actual container (e.g. inhaler or tube of cream) should be labelled

35
Q

ASSEMBLY MEDICINE ???NO IDEA

A

The assembly or pre-packing of medicines
by the pharmacy to be supplied to a separate legal entity (e.g. for a NHS Trust to supply a different NHS Trust or an out of hours medical practice) requires the appropriate licence from the MHRA (i.e. Manufacturer’s/importer’s licence (MIA)
or Manufacturer ‘specials’ licence (MS)).

36
Q

Covert administration

A

Medicines are administered covertly only to people who actively refuse their medication and who are considered to lack mental capacity in accordance with an agreed management plan

37
Q

ADRENALINE IN AN EMERGENCY

A

Adrenaline (POM) in emergency allowed by Regulation 238 of the Human Medicines Regulations 2012

ensure call ambulance and reporting that there is a case
of suspected anaphylaxis.

The anaphylaxis pack will include ampoules of adrenaline and syringes and needles or prefilled syringes which should be used in preference to auto injectors.

38
Q

Patient specific directions

A

= written instruction from a doctor, dentist or non-medical prescriber for a medicine to be supplied or administered to a named patient after the prescriber has assessed that patient on an individual basis. e.g. inpatient chart
PSD do not need to comply with the requirements specified for a prescription. e.

39
Q

Patient group directions

A

= written direction that allows the supply/administration of a specified medicine by named authorised HCP, to a well-defined group of patients requiring treatment for a specific condition.

Pharmacists can supply, offer to supply and administer diamorphine or morphine under a PGD for the immediate, necessary treatment of sick
or injured persons.

LABELLING OF PGDS exact same way as if supplied against prescription

40
Q

Sale/supply of POM without prescriptions

A
  • Patient group directions (PGDs)
  • Patient specific directions (PSDs)
  • Emergency supplies
  • Optometrist or podiatrist signed patient orders
  • Supply of salbutamol inhalers & adrenaline autoinjecto to schools on signed order
  • Supply of naloxone by individuals providing recognised drug treatment services
41
Q

Emergency supply

A
  • Can supply POMs to a patient (humans not animals) without a prescription on the request of a ‘relevant prescriber’ (not outside EEA HCP) or a patient
  • NOT CD except phenobarbital
  • can be for EEA, Swiss pt if medication don’t have marketing authorisation valid in UK
  • If refuse, inform px how to get rx e.g. 111. Record why request refused for audit purpose
  • at request of prescriber conditions
    1. from a relevant prescriber (not from outside EEA)
    2. Rx can’t be provided immediately due to emergency
    3. Prescriber within 72 hours
    4. Medicine supplied according to prescribers direction
    5. Records kept (Date medication supplied, on future rx, rx received, name & quantity of medication, name and address of requesting prescriber and pt )
    6. Usual labelling requirements apply
  • at request of patient conditions
    1. P must interview pt, if can’t consider pt best interest
    2. there’s an immediate need (can’t practically get a rx)
    3. Previous treatment prescribed by UK, EEA, Swiss HCP list (consider last time prescribed)
    4. P must know dose (PMR, repeat slip, labelled box)
    5. LENGTH: If CD 4, 5 only 5d. if POM, no more than 30d (smallest 1OP inhaler, cream, full tx cycle of oral contraceptives, antibiotic full course or until obtain further supply)
    6. Records kept (Date medication supplied, name & quantity of medication, name and address of requesting pt && info on nature of emergency)
    7. LABELLING ‘Emergency supply’
42
Q

Signed order for school

A
  • Name of the school
  • Product details (including spacer if relevant)
  • Strength (if relevant)
  • Purpose for which the product is required
  • Total quantity required (no list, use judgement)
  • Signature of the principal or head teacher
  • signed order kept for 2 year, from the date of supply or an entry made into the POM register.
43
Q

Pregnancy prevention programme

A

E.g. oral retinoids, valproate, thalidomide, lenalidomide and pomalidomide.

Isotretinoin
1. Prescription Validity for 7 days
2. quantity is for a maximum of 30 days’ supply

P should not accept repeat prescriptions, free sample distribution, or faxed prescriptions for oral retinoids.

Valproate PPP
- If there is an unplanned pregnancy whilst a patient is taking valproate medicines advise the patient NOT to stop their treatment and to arrange to see their prescriber urgently to review treatment
- rovide a patient card every time valproate is dispensed
* Dispense valproate preparations in original packs whenever possible.
* Ensure the dispensing label does not cover the warning label/sticker
* Report any suspected side effects to valproate medicines via the Yellow Card Scheme

44
Q

Biosimilar

A

MHRA: all biologics should be prescribed by brand to avoid automatic substitution.

report ADR of bisimilar include brand name and batch number.

45
Q

Biosimilar

A

MHRA: all biologics should be prescribed by brand to avoid automatic substitution.

report ADR of bisimilar include brand name and batch number.

46
Q

PRESCRIBER TYPES AND PRESCRIBING RESTRICTIONS

A
  • When prescribing Schedule 2 and 3 Controlled Drugs (CD) the prescriber’s address must be within the UK
  • Schedule 1 CDs can only be prescribed under Home Office licence

pg 85- 89

47
Q

Wholesaling

A

Anyone trading medicines, other than to a patient, is required to:
* Hold a wholesaler licence ( wholesale distribution authorisation (WDA)
* Comply with the Good Distribution Practice (GDP) standards, and pass regular GDP inspections
* Have a suitable experienced ‘Responsible Person’ named on the licence to ensure that medicines are procured, stored and distributed appropriately.

  • entry in POM register or the signed order/invoice needs to be retained for two years from the date of supply.
  • if a WDA(H) is required, this also means that,
    if supplies include CDs in Schedules 2 to 5 in the Misuse of Drugs Regulations 2001, then it is likely that a corresponding Home Office CD licence
    is also needed by the pharmacy.

EXEMPTIONS:
- Pharmacies supplying stock to another pharmacy within the same legal entity are not required to have a WDA.
- registered pharmacies and hospitals supplying small quantities of medicines to meet pt need provided: occasional, small quantity, not for profit, supply is not for onward wholesale distribution.

48
Q

Veterinary medicines

A

Pharmacists cannot diagnose conditions in animals and should refer to a veterinary surgeon (prescriber)

rx requirement:
1 Name, address, telephone number, qualification and signature of the prescriber. (RCVS n.o of prescriber if CD2-5)
2 Name and address of the owner.
3 Identification and species of the animal and its address (if different from the owner’s address).
4 Date. (rx valid for 6m)
prescriptions are valid for six months (in repeatable, all supplies within 6m). CD2-5 valid for 28 days.
5 Name, quantity, dose and administration instructions of the required medicine
6 Any necessary warnings and if relevant the withdrawal period
7 Where appropriate, ‘prescribed under the Cascade’
8 If repeatable, the number of times it can be repeated.

It is unlawful to sell or supply unauthorised veterinary medicines (medicines not licensed as veterinary medicines), including human medicines such as GSL and P medicines, for an animal unless this takes place under the veterinary Cascade. This applies even if a veterinary surgeon asks the animal owner verbally to purchase an over-the- counter human product from a pharmacy.

legal requirement for P who supply NFA-VPS or prescribe POM-VPS medicines to:
- Advise on how to use the product safely
- Advise on any applicable warnings and contraindications on the packaging or label
- Be satisfied that the recipient intends to use the medicine correctly and is competent to do so
- Prescribe or supply the min quantity required for tx

Unless a transaction has been individually authorised in advance by a pharmacist and the person handing out the medicine is judged to be competent, the physical presence of the pharmacist is required for POM-V, POM-VPS and NFA-VPS medicines to be supplied.

If the medicine is not prescribed under the Cascade, the Veterinary Medicines Regulations do not specify that a dispensing label is required if the medicines are dispensed in their original packaging.

keep records of receipt and supply of POM-V and POM-VPS for at least five years

49
Q

Controlled drug laws pg 102-125**

A

The 1971 Act imposes prohibitions on the possession, supply, manufacture, import and export of CDs

Health Act 2006 introduced the concept
of an ‘accountable officer’ and have SOP for using and managing CDs.

50
Q

Accountable officer

A

responsible for supervising and managing the use of CDs in their organisation
* Oversight of the monitoring and auditing of the management, prescribing and use of CDs
* Ensuring that systems are in place for recording concerns and incidents involving CDs and the operation of these systems
* Attendance at Local Intelligence Network meetings
* Submission of occurrence reports which describe the details of any concerns
the organisation has had regarding the management of CDs in a required time frame
* The appointment of authorised witnesses for the destruction of CDs

51
Q

Expiry date

A

Use by’ or ‘Use before’ = used before the end of the previous month.
expiry date = the product should not be used after the end of the month stated.

52
Q

Waste medicine

A

environment agency

  • Waste medicines must be kept in secure waste containers in a designated area
  • Ensure that any patient identifiable information is destroyed or totally obscured.
  • Blister strips can be removed from their inert outer packaging but tablets and capsules should not be de-blistered. except CD
  • The whole bottle (including empty bottles that may contain residue) should be placed into waste bin
53
Q

DELIVERY AND POSTING OF MEDICINES TO PATIENTS

A

pg 128

54
Q

homeopathy ADVICE FOR PATIENTS

A

advise on the lack of evidence on the efficacy of homeopathic products, discuss the formulation and composition of the product, and provide advice relevant to the patient’s condition. You should also ensure that patients do not stop taking their prescribed medication

homeopathic license require demonstrate quality and safety.

Herbal remedies must either have a full marketing authorisation based upon safety, quality and efficacy or a traditional herbal registration

55
Q

DRUGS AND DRIVING

A

offence of driving whilst impaired through drugs, even if taking them as prescribed or as recommended in the product information, they may still be prosecuted.

The statutory medical defence may be raised at any point providing that the drug was:
- Lawfully prescribed, supplied or purchased over- the-counter, for medical or dental purposes; and
- Taken in accordance with advice given by
the prescriber or supplier, and in accordance with any accompanying written instructions
- providing driving is not impaired

advice: Keep some suitable evidence with you when driving to show that you are taking your medicine as prescribed or supplied by a HCP

56
Q

RESPONSIBLE PHARMACIST

A
  • one responsible pharmacist in charge at any one time, and the pharmacist can only be in charge of one registered premises at any one time.

Role: safe and effective running, display notice (name, GPhC number, ‘in charge’), complete P record (including any absences, identify any amendment by who and when, KEEP FOR 5y), Establish, maintain and review pharmacy procedures (writing, electrically and backups; be available and reviewed regularly; can make amendments using professional judgment, e.g. staff off sick ≠ maintain audit trail)

57
Q

RP absence

A
  • maximum period of two hours during the pharmacy’s business hours between midnight and midnight.
    even if 2 responsible pharmacist, total period of absence for all RPs must not exceed two hours.

can be absence, only if:
- pharmacy can continue to run safely and effectively
- Remain contactable and be able to return with reasonable promptness & if can’t she/he must arrange for another pharmacist to be contactable and available to provide advice

MUST:
- record date, time left and returned

tasks RP MUST be present:
- Professional check (clinical and legal check) of a prescription
- Sale/supply of P medicines and POM (handing to pt/delivery)
- wholesale of medicine
- emergency supply

Task RP does NOT need to be present for:
* Generating a dispensing label
* Taking medicines off the dispensary shelves
* Assembly of the item (e.g. counting tablets)
* Labelling of containers with the dispensing label
* Accuracy checking

57
Q

RP absence

A
  • maximum period of two hours during the pharmacy’s business hours between midnight and midnight.
    even if 2 responsible pharmacist, total period of absence for all RPs must not exceed two hours.

can be absence, only if:
- pharmacy can continue to run safely and effectively
- Remain contactable and be able to return with reasonable promptness & if can’t she/he must arrange for another pharmacist to be contactable and available to provide advice

MUST:
- record date, time left and returned

tasks RP MUST be present:
- Professional check (clinical and legal check) of a prescription
- Sale/supply of P medicines and POM (handing to pt/delivery)
- wholesale of medicine
- emergency supply

Task RP does NOT need to be present for:
* Generating a dispensing label
* Taking medicines off the dispensary shelves
* Assembly of the item (e.g. counting tablets)
* Labelling of containers with the dispensing label
* Accuracy checking

58
Q

RP absence

A
  • maximum period of two hours during the pharmacy’s business hours between midnight and midnight.
    even if 2 responsible pharmacist, total period of absence for all RPs must not exceed two hours.

can be absence, only if:
- pharmacy can continue to run safely and effectively
- Remain contactable and be able to return with reasonable promptness & if can’t she/he must arrange for another pharmacist to be contactable and available to provide advice

MUST:
- record date, time left and returned

tasks RP MUST be present:
- Professional check (clinical and legal check) of a prescription
- Sale/supply of P medicines and POM (handing to pt/delivery)
- wholesale of medicine
- emergency supply

Task RP does NOT need to be present for:
* Generating a dispensing label
* Taking medicines off the dispensary shelves
* Assembly of the item (e.g. counting tablets)
* Labelling of containers with the dispensing label
* Accuracy checking

59
Q

RP absence

A
  • maximum period of two hours during the pharmacy’s business hours between midnight and midnight.
    even if 2 responsible pharmacist, total period of absence for all RPs must not exceed two hours.

can be absence, only if:
- pharmacy can continue to run safely and effectively
- Remain contactable and be able to return with reasonable promptness & if can’t she/he must arrange for another pharmacist to be contactable and available to provide advice

MUST:
- record date, time left and returned

tasks RP MUST be present:
- Professional check (clinical and legal check) of a prescription
- Sale/supply of P medicines and POM (handing to pt/delivery)
- wholesale of medicine
- emergency supply

Task RP does NOT need to be present for:
* Generating a dispensing label
* Taking medicines off the dispensary shelves
* Assembly of the item (e.g. counting tablets)
* Labelling of containers with the dispensing label
* Accuracy checking

60
Q

RP absence

A
  • maximum period of two hours during the pharmacy’s business hours between midnight and midnight.
    even if 2 responsible pharmacist, total period of absence for all RPs must not exceed two hours.

can be absence, only if:
- pharmacy can continue to run safely and effectively
- Remain contactable and be able to return with reasonable promptness & if can’t she/he must arrange for another pharmacist to be contactable and available to provide advice

MUST:
- record date, time left and returned

tasks RP MUST be present:
- Professional check (clinical and legal check) of a prescription
- Sale/supply of P medicines and POM (handing to pt/delivery)
- wholesale of medicine
- emergency supply

Task RP does NOT need to be present for:
* Generating a dispensing label
* Taking medicines off the dispensary shelves
* Assembly of the item (e.g. counting tablets)
* Labelling of containers with the dispensing label
* Accuracy checking

Activities that can take place with a responsible pharmacist in charge of the pharmacy (but does not require supervision of a pharmacist)
- Sale of general sale medicines
- Processing waste stock medicines or patient returned medicines

Activities that can take place without a responsible pharmacist to be in charge of the pharmacy but requires the support staff undertaking the activity to be appropiately trained
- Ordering stock from pharmaceutical wholesalers
- Receiving stock from pharmaceutical wholesalers into the building
- Putting medicinal stock received from the wholesaler away onto the pharmacy shelves
- stock P with consumables
- cleaning
- date checking
- response to enquires about medicine issues
- access PMR
- Receiving prescription directly from EPS systems (England only) patients or collecting from a surgery
- Processing of prescription forms that have been dispensed (eg. Counting number of items dispensed, sorting prior submission for reimbursement)
- Delivery person conveying medicines to patient
- Receiving patient returned medicines

61
Q

RPS code of conduct complaints

A

If a member generally becomes aware of, or has reasonable grounds for believing, that another member is engaged in or has engaged in conduct which is in breach of the Regulations and/or
Code of Conduct of the Society, they shall inform the Society in writing of that belief, but shall not maliciously or recklessly injure or attempt to injure, directly or indirectly, the reputation, practice, employment or livelihood of another member.

Complaints about the professional practice, performance or conduct of a member should be referred to the General Pharmaceutical Council

62
Q

STANDARDS FOR PHARMACY PROFESSIONALS

A

pg 159
Provide person-centred care
Work in partnership with others
Communicate effectively
Maintain, develop and use their professional knowledge and skills
Use professional judgement Behave in a professional manner
Respect and maintain the person’s confidentiality and privacy
Speak up when they have concerns or when things go wrong
Demonstrate leadership

63
Q

GPhC standards for registered pharmacies

A

pg 163 onwards

64
Q

Obtain consent

A

to make an informed decision the person should be able to:
* Understand the information provided
* Remember the information provided
* Use and weigh up the information provided, and
* Communicate their decision to the pharmacy professional (by any means).

capacity to consent may be temporarily affected by other factors: fatigue, panic, or the effects of drugs or alcohol.

65
Q

CHILDREN (<16) WITH CAPACITY

A

Children are not presumed to have the capacity to consent. They must demonstrate their competence.

P must be satisfied that the treatment
is in their best interests, and that they have the maturity and ability to fully understand the information given and what they are consenting to.

if competent children <18 refuse to give consent Pharmacy professionals should get legal advice on this issue if needed.

pt advice (4 decks)

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