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MEP > MEP 6 > Flashcards

MEP 6 Flashcards

1
Q

In community pharmacy, only CD2s are entered into the register. How does this advice differ in prisons?

A

It is recommended to maintain a robust audit trail of Schedule 3 and 4 drugs

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2
Q

True or false:An accountable officer has the power to authorise other persons to witness the destruction of Controlled Drugs.

A

True

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3
Q

Can an accountable officer be an authorised witness ?

A

No

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4
Q

What is the advice regarding capsules and tablets before adding them to a CD denaturing kit?

A

Grind or crush them

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5
Q

1) What is the advice regarding CD liquids, ampoules and vials when denaturing them?
2) If the ampoules contain powder, what should you do?

A

1) Pour into CD denaturing kit

2) Add water to the powder to dissolve it and then pour into CD denaturing kit

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6
Q

What is the advice regarding CD patches when destroying them?

A

1) Remove the backing and fold the patch over on itself.

2) Place into a waste disposal bin or a CD denaturing kit

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7
Q

What is the advice regarding CD aerosols when destroying them?

A

Expel into water and dispose of the resulting liquid into CD denaturing kit

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8
Q

Pharmacists are required to keep a register for CD 2 drugs. What additional drug needs to have a record?(schedule 4 part 1)

A

Sativex

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9
Q

How long should a CD register be kept for?

A

2 years from date of last entry

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10
Q

Can you have an electronic CD register?

A

Yes

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11
Q

How often should CD stock be checked?

A

At least once a week (could be less frequent based on risk assessment)

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12
Q

If a product says “Use by 6/2019” what does this mean?

A

The product should not be used after 31st May 2019

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13
Q

If a product has an expiry date of 6/2019, when should the product be used?

A

Should not be used after 30th June 2019

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14
Q

When would there be exceptions to not dispensing a medicine in child-resistant packaging?

A

1) Patient request e.g. if they have difficulty opening it

2) Original pack is not child resistant and it is not possible to change it

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15
Q

1) Can a child collect a prescription on someone else’s behalf?
2) What about a CD2 drug?

A

1) Yes but need to use professional judgement regarding maturity of child, reason for collection, understanding counselling points
2) Should get identification for CD2 drugs but a child may not have this. Use professional judgement

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16
Q

Children under what age are legally too young to consent to any sexual activity?

A

Under 13 years

17
Q

In terms of driving, when can a statutory medical defence be raised?

A

1) When the driver has been taking a prescribed drug on the list of specified drugs (e.g. morphine, diazepam) but driving is not impaired
2) If driving is impaired, it can lead to an offence

18
Q

What is the Responsible Pharmacy record and what do you record in it?

A

Legal document to show who is the responsible pharmacist at any one time (including GPhC number, date and time) Also includes absence details

19
Q

How long must you keep the Responsible Pharmacy record for ?

A

5 years

20
Q

How long can the responsible pharmacist be absent for?

A

Max of 2 hours in 24 hour period

21
Q

If there is more than one responsible pharmacist in 24 hours, what can the total hours absent be?

A

2 hours

22
Q

What are the required arrangements if the responsible pharmacist is absent?

A

1) They must remain contactable
2) If they cannot, then they must arrange for another pharmacist to be contactable and available for advice
3) Needs to record absence in Pharmacy record

23
Q

Can a pharmacy receive patient returned medicines if there is no RP and what is the exception?

A

Yes - apart from CDs

24
Q

How do you dispose of used methadone bottles?

A

Once a methadone bottle is emptied as far as possible, bottles can be rinsed and the liquid added to a denaturing kit and treated as pharmaceutical waste.

25
Q

How would you destroy ampoules and vials if they contain CDs?i) Liquid containing vialsii) Powder containing vials

A

1) For liquid containing ampoules, open the ampoule and empty the contents into a CD denaturing kit-
Dispose of ampoules into sharps bin
2) For powder containing ampoules, open the ampoule and add water to dissolve the powder inside. The resulting mixture can be poured into the CD denaturing kit and the ampoule disposed of as sharps

26
Q

For MDA (methadone) scripts, what is the maximum number of days you can prescribe on one script?

A

14 days

MEP (8 decks)

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