MEP Flashcards
What are the four principles of medicines optimisation?
- Aim to understand the patient’s experience.
- Evidence-based choice of medicines.
- Ensure medicines use is as safe as possible.
- Make medicines optimisation part of routine practice
What are the 9 standards for pharmacy professionals?
- 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 there are concerns or when things go wrong.
- Demonstrate leadership.
What is the problem with a punitive culture?
Stifles learning and reporting.
Reduction in patient saety and quality of care.
What is the problem with a no-blame culture?
Lack of accountability.
Not acceptable to society: unfair.
What term describes medicines that are GSL but can only be sold or supplied via a pharmacy?
PO
Which of the following is correct?
It is unlawful to supply a product or combination of products that contain more than 720mg of pseudoephedrine AND 180mg of ephedrine at any one time without prescription.
It is unlawful to supply a product or combination of products that contain more than 180mg of pseudoephedrine OR 720mg of ephedrine at any one time without prescription.
It is unlawful to supply a product or combination of products that contain more than 720mg of pseudoephedrine OR 180mg of ephedrine at any one time without prescription.
It is lawful to supply a product or combination of products that contain more than 720mg of pseudoephedrine OR 180mg of ephedrine at any one time without prescription.
It is unlawful to supply a product or combination of products that contain more than 720mg of pseudoephedrine OR 180mg of ephedrine at any one time without prescription.
The supply of which EHC to under 16s is not contraindicated by the manufacturer?
EllaOne, levongest 16+
How many NHS prescription charges do warfarin 1 mg tablets and warfarin 5 mg tablets levy (assuming the patient is not exempt for NHS charges) for an NHS prescription written in England?
0 1 2 3 4
1 charge:
Same drug with the same formulation but different strengths is classed as one prescription charge.
To be a valid prescription for a Schedule 2 CD from a doctor who has seen a patient privately, how must the prescription be presented?
Be computer generated Be hand written Be prescribed on the NHS only Be on an approved form Be on letter-headed paper
Private prescriptions for Sch2 and 3 CDs must be on an approved form.
Normally, when a requisition form for Sch 2 or 3 CDs is recieved by a community pharmacy, and the request is from a hospital, community health provider (e.g. GP) or a veterinary surgeon, an approved form must be used.
What are the exceptions to this?
If the request is from a hospice or a prison an approved form does not need to be used.
Which of the following is not a legal requirement for a CD requisition?
Signature of recipient Name of recipient Address of the recipient Profession or occupation Purpose of the requistion Details of patients to recieve requested CDs
The details needed are: Signature of recipient Name of recipient Address of the recipient Profession or occupation Purpose of the requistion Total quantity of CD
No information regarding patients is needed.
In which of the following circumstances is an approved form not needed? (regarding CDs)
GP requisition received by a community pharmacy
Veterinary requisition received by a community pharmacy.
Requisition from a ward in the same hospital received by a hospital pharmacy
Requisition from a ward or department in a different legal entity recieved by a hospital pharmacy
An approved form is not required if the request for CD is from a ward or department in the same legal entity.
In which of the following circumstances is an approved form not needed? (regarding CDs)
GP requisition received by a community pharmacy
Veterinary requisition received by a community pharmacy.
Requisition from a ward or department in a different legal entity recieved by a hospital pharmacy
Requisition from a hospice recieved by a community pharmacy
If the request is from a hospice or a prison an approved form does not need to be used.
In an emergency, a doctor or dentist can be supplied with a Sch2 or Sch3 CD on the undertaking that a requistion will be supplied within the next 24 hours. Failure to do so would be an offense on the part of who?
The doctor or dentist
Where CD stock is collected by a messenger on behalf of a purchaser, a written authorisation must be provided to the supplying pharmacist that empowers the messenger to recieve the medicines on behalf of the purchaser.
How long must this authorisation be retained by the pharmacist/pharmacy?
2 years
Which of the following does not legally require the use of an approved form (regarding CD requisitions)?
GP requisition received by a community pharmacy
Veterinary requisition received by a community pharmacy.
A request received from another GPhC registered pharmacy premises by a community pharmacy
Legislation does not provide that requests between GPhC registered pharmacies use an approved form BUT the Home Office advises that supplies from one registered pharmacy to another registered pharmacy only be made after recieving a written requistion on an approved form.
Growth hormones are contained in what sch?
Sch 4 part II
Legally, invoices of which of the following DO and DO NOT need to be retained for 2 years:
Sch 2 Sch 3 Sch 4 (part I) Sch 4 (part II) Sch 5
Sch 2: NO Sch 3: YES Sch 4 (part I): NO Sch 4 (part II): NO Sch 5: YES
NICE advise that organisations should consider retaining all CD invoices for 6 years for the purpose of HM Revenue and Customs.
NICE recommends keeping records of the destruction of a patient’s own returned controlled drugs for a minimum of what?
7 years
Invoices for CDs 6 years
