Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pre-reg 18/19 > MEP 18/19 > Flashcards

MEP 18/19 Flashcards

1
Q

GSL definition

A

Sold in registered pharmacies or retail outlets that can be closed
Can be sold when pharmacist is absent (limited time)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

P medicines

A

Only in registered pharmacies

By pharmacist or under supervision of pharmacist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

POM

A

prescription written by appropriate practitioner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Max quantities of pseudo-ephedrine and ephedrine

A

Pseudo-ephedrine- 720mg without a prescription
ephedrine - 180mg without a prescription
Cannot be sold together at the same time without a prescription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Max quantities of paracetamol and aspirin

A

No more than 100 of tablets or capsules- in practice sold as boxes of 32 (so 96)
Effervescent - no legal limit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

OTC codeine indication

A

Only for acute to moderate pain not relieved by aspirin, ibuprofen or paracetamol alone, max box 32 dose units
no more than 3 days - Can cause headaches and addiction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Emergency hormonal contraception 2 types

A 
Levonogestrel 1500mg (levonelle)- over 16s within 72 hours of unprotected sex
Ulippristal acetate 30mg (ellaone) - can be sold under 16s within 120 hours (5days)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

cough and cold medicines in under 12’s

A

between 6-12years old second line and should not be used for more than 5 days
<6years- most cannot be used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

General prescription requirements

A
  1. signature- indelible ink (written or computer)
  2. address of prescriber and patient
  3. date - 6 months NHS, 28 days CD
  4. Particulars of prescriber
  5. name of patient
  6. Age if under 12
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

installment prescriptions

A

installment prescriptions - CD prescription that can be dispensed in installments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

NHS repeat dispensing service

A
  • Has direction to be repeated, mostly private prescriptions
  • If no number can only be repeated once (dispensed twice) if contraception then repeat 5 times (dispensed 6x)
  • CDs- Only CD 4 and 5
  • first dispensing must be within 6 months of date then no legal time limit
  • CD 4 within 28days then no legal time limit

The name and address of the pharmacy suppying should be endorsed and date supplied.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Owings time limit

A

6 months from date on prescription, if CD 28days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Record keeping private prescriptions

A

Keep prescription and write in POM register and keep for 2 years

CD2 or 3 Private prescriptions should be sent to NHS agency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

POM register requirements

A 
Supply date
Prescription date
Medicine details- Name, form, strength and quantity
Name and address of prescriber 
Name and address of patient

record made on same day or next day
Oral Contraception are exempt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Patient group directions

A

A written direction that allows supply and/or administration of specified medicines to a well defined group of patients treating a specific condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

emergency supply at request of prescriber

A

supply POMS with out a prescription on request

need prescription within 72hours
not CDs (1,2or 3) except phenopbarbital for epilepsy
Entry must be made in POM register
supply directions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

emergency supply at request of patient

A
  1. Interview patient
  2. Satisfied there is an immediate need
  3. Patient must have used medicine before prescribed by a uk, eea or swiss prescriber
  4. know what dose to give
  5. Not CDs except phenobarbital for epilepsy
  6. POM register
  7. Emergency supply on label

Amount
phenobarbital or CD 4 or 5- no more than 5 days
Any other POM- no more than 30days, or smallest pack, contraception full cycle, liquid antibiotic full course

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

optometrist or podiatrist signed orders

A

Must be one that can legally be sold or supplied by optometrist or podiatrist
Prescription requirements not needed
label normally, PIL and POM register

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Supply to schools

A

Salbutamol or Adrenaline auto injectors

  1. written order signed by head master or principal
  2. Name of the school
  3. Purpose of the product
  4. total quantity required
    retain signed order for 2 years, Good practice to put in POM register
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Pregnancy prevention program- validity and quantity

A

prescriptions are only valid for 7 days

maximum quantity is 30days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

dispensing valproate to women of child bearing age

A

Make sure they are aware of risks

if unplanned pregnancy they should NOT stop taking treatment and see prescriber urgently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Veternary medicines

POM-V

A

POM-V - POM only prescribed by vets needs a written prescription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

POM-VPS

A

POM-VPS- POM prescribed by vet, pharmacist, a suitably qualified person on an oral or written prescription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

NFA-VPS

A

NFA-VPS- Non food animals that can be supplied by vets, pharmacist or a suitably qualified person, no written prescription needed

25
Q

AVM-GSL

A

AVM-GSL- vet medicine that is available for general sale

26
Q

Unauthorised veterninary medicine

A

Does not have a marketing authorisation and can only be prescribed by a vet under the cascade

27
Q

prescription requirements for veterinary prescriptions

A
  1. name, telephone number qualification and signature of prescriber
  2. If CD 2 or 3 needs RCVS number
  3. Name and address of owner
  4. Identification and species of animal and address if different
  5. Date- valid for 6 months, repeats must be made within 6 months, CDs 2,3,and 4 is 28 days
  6. Name, quantity, dose and instructions for administration (as directed is not acceptable)
  7. warnings
  8. prescribed under the cascade if needed
  9. CD 2 or 3 needs - the item had been prescribed under an animal or her under care of vet
  10. number of repeats if repeatable
28
Q

how long should vet prescriptions be kept for

A

5 years

29
Q

how long are vet CD prescriptions valid for

A

28 days

30
Q

Max supply in vet CD prescriptions

A

good practice for 28 days whereas in humans its 30 days

31
Q

vet precription labels

A

must include for animal use only

32
Q

CD sch 2

A

Opiates such as morphine and oxycodone

major stimulants such as amfetamine and ketamine

33
Q

CD sch 3 examples

A

No register - minor stimulants such as tramadol temazepam, buprenorphine, phenobarbital

34
Q

CD sch 4

A

2 parts
part 1 CD Benz POM - benzo’s
Part 2 CD Anab POM - anabolic and androgenic steroids

35
Q

CD sch 5

A

Codeine, pholcodeine and morphine

exempt from full control - prescriptions valid for 6months

36
Q

CD prescription requirements

A
  1. signature
  2. date- valid for 28days
  3. prescribers address - must be in uk
  4. Dose
  5. formulation
  6. strength - only if there is more than one strength available
  7. total quantity in words and figures
  8. no more than 30days supply
  9. name and address of patient
  10. if dental- for dental treatment only

date of supply should be endorsed

37
Q

What doses are not acceptable in CD prescriptions

A

eg. PRN, as directed, as per chart, when required etc

must be one as driected, two when required, one PRN

38
Q

Missed doses CD installments (eg methadone)

A

if more than 3 days, contact prescriber as may have lost tolerance

39
Q

Missed doses CD installments (eg methadone)

A

if more than 3 days, contact prescriber as may have lost tolerance

40
Q

what can a pharmacist amend in CD prescriptions?

A
  1. If word or figures of total quantity is missing can add one (not both)
  2. minor spelling mistakes or typo’s
41
Q

Private CD prescriptions

A
  1. Needs standardized form (FP10CDF) unless vet
  2. Prescriber identifiaction number issued by NHS agency
  3. Pharmacies must submit original preacription to NHS agency`
42
Q

Collecting CDs

A

pharmacist legally required to determine the person collecting
if patient or representative - ID
Healthcare professional - Name, address and ID
Unless already known

43
Q

CD requistions

A
  1. signature of the recipient
  2. name of the recipient
  3. address of the recipient
  4. profession or occupation
  5. total quantity of drug
  6. purpose of the requisition
44
Q

midwife supply orders

A

Diamorphine, Morphine, Pethidine

order must contain

  1. name and occupation of midwife
  2. name of person who it will be administered
  3. purpose of CD
  4. total quantity
  5. signature of an appropriate medical officer
45
Q

Collection by a representative of a drug misuse patient

A

must have a letter from the drug misuser that authorises and names representaive.
A new letter each time
Good practice to see patient at least once a week unless not possible
if supervised - confirm with prescriber that it is okay

46
Q

safe custody

A

all CD 1
CD 2 except some liquid and quinalbarbitone
some CD 3 including temazepam and bupernorphine

applies to out of date and patient returned CDs

47
Q

Safe custody exemptions

A

CD 3 - phenobarbital, mazindol, meprobamate, midazolam, tramadol, pentazocine and phentermine

48
Q

CD drug destruction

A

Must denature CD 2,3 and 4 part 1 prior to disposal

Pharmacies can register an exemption without a licence (T28 exemption)

49
Q

Patient returned CD drugs for destruction- witnessing? Denaturing? register?

A

Do need denaturing if CD 2, 3 or 4 part 1
patient returned items do not need to be witnessed
do not need to be put in the register

50
Q

Expires, obsolete or unwanted CD stock - Witnessing? Denaturing? register?

A

Needs denaturing if CD 2, 3, 4 part 1
Do need to be witnessed if CD 2, CD 3 is good practice
Register for CD 2

51
Q

What does it mean if an expiry date says ‘ use by 06/2017’

A

means it should not be used after 31 May 2017

52
Q

what does it mean if the expiry date is 12/2016

A

means that it should not be used after 31st December 2016

53
Q

how many responsible pharmacists can there be at any one time

A

1

can only be in charge of one pharmacy at any one time

54
Q

What details must be kept in the pharmacy record

A

RP name, GPHC number, date and time started as RP and ended, Date and time of any absences (leave and return)
must be kept for 5 years

55
Q

How long can the RP be absent for

A

maximum of 2 hours in 24 hours

if more than one RP total time should not be more than 2 hours

56
Q

What activities need a pharmacist to be physically present

A
  1. clinical and legal check of prescription
  2. sale/ supply of P medicines
  3. sale/ supply of POMs ( handing dispensed items to anyone)
  4. Supply of medicines under PGD
  5. Wholesale of medicines
  6. emergency supply
57
Q

What activities don’t need a pharmacist to be physically present

A
  1. Generating a dispensed label
  2. Taking medicines off shelf
  3. assembling items
  4. labeling
  5. accuracy checking
58
Q

What activities can be done when RP in charge but doesn’t need supervision

A

sale of GSL

Processing waste stock medicines or patient returned medicines

59
Q

What activities can be done without an RP in charge but needs appropriately trained staff

A

ordering, receiving and putting away stock
date checking of medicines
stocking pharmacy with consumables
cleaning of pharmacy
responding to enquiries about medicine issues
accessing the PMR
receiving prescriptions from EPS
receiving patient returned medicines
delivery person conveying medicines to patient
processing prescription forms that have been dispensed

Pre-reg 18/19 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions