MEP 7 Flashcards

1
Q

True or false: The duty of confidentiality still applies after the person has died

A

TRUE

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2
Q

There are circumstances when it may be appropriate to disclose confidential information. State when a pharmacist can disclose confidential information (4)

A

1) Has the consent of the person under their care
2) Has to disclose by law
3) Should do so in the public interest, and/or
4) Must do so in the vital interests of a person receiving treatment or care, for example if a patient needs immediate urgent medical attention

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3
Q

When gaining consent from a patient about disclosing confidential information, what 4 things should you ensure the patient understands?

A

1) What information will be disclosed
2) Why information will be disclosed
3) Who it will be disclosed to
4) The likely consequences of disclosing and of not disclosing the information

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4
Q

What organisation can provide advice regarding guidance on data protection legislation?

A

ICO

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5
Q

What are the two types of consent?

A

Explicit and Implied- Pharmacists should use their professional judgement to decide what kind of consent to get

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6
Q

True or false: People with capacity can withdraw their consent at any time

A

True

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7
Q

For a patient to have capacity and to be able to make an informed decision, what 4 things must they be able to do?

A

1) Understand the information provided
2) Remember the information provided
3) Use and weigh up the information provided
4) Communicate their decision to the pharmacy professional (by any means).

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8
Q

True or false:If a person lacks capacity to make a certain decision, it is assumed they do not have capacity to make any decisions

A

False- Pharmacy professionals must not assume that because a person lacks capacity on one occasion, or in relation to one type of service, that they lack capacity to make all decisions

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9
Q

What is the target number of MURs each year in community pharmacy?

A

contractors will be paid for a maximum of 200 MURs from 1st April to 30th September 2019

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10
Q

What do you have to submit each year to revalidate as a pharmacist from end of 2019 onwards?
(in 2018, was 4 CPDs)

A

1) 4 (CPD) records, at least 2 must be planned learning activities
2) one reflective account
3) one peer discussion

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11
Q

What is the recommended number of days to be prescribed for a CD script on a vet prescription vs a human prescription?

A

1) Good practice to prescribe 28 days worth of treatment vet prescriptions for all CDs- unless in situations of long term treatment e.g. epilepsy
2) For human prescriptions- recommended max of 30 days for CD 2,3,4 (over this amount must be justified by the prescriber)

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12
Q

What are the 4 steps of the veterinary cascade when choosing a medicine to dispense?

A

1) Where possible supply a licenced veterinary medicine
2) An existing licensed veterinary medicine for another species or different condition can be considered
3) A licensed human medicine or an EU-licensed veterinary medicine can be considered
4) Extemporaneous or specially manufactured medicine can be considered

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13
Q

What must be present on a midwife supply order for CDs? (6)

A

1) Name of the midwife
2) Occupation of the midwife
3) Name of the person to whom the Controlled Drug is to be administered or supplied
4) Purpose for which the Controlled Drug is required
5) Total quantity of the drug to be obtained
6) Signature of an appropriate medical officer

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14
Q

What are the MHRA checkpoints for accuracy checking a prescription?

A

1) Right medicine
2) Right patient
3) Right dose
4) Right route
5) Right time

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15
Q

How long should the responsible pharmacist record be kept for?

A

5 years

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16
Q

How long should the CD register be kept for?

A

2 years

17
Q

How long should you keep a signed order?

A

2 years

18
Q

How long should you keep private prescriptions?

A

2 years

19
Q

If the responsible pharmacist absence exceeds 2 hours, can the pharmacy still be open?

A

No- after the 2 hours in 24 hours, the pharmacy must close if the pharmacist needs to be absent

20
Q

Is the quantity on a prescription a legal requirement for non CD scripts?

A

No

21
Q

A patient brings in a script (GP is closed) to community pharmacy What should you do if a non-CD script does not have a quantity on it?

A

If cannot contact prescriber, supply enough for 5 days of treatment only and endorse “PNC”

22
Q

What is the maximum interval your responsible pharmacist should leave for reviewing pharmacy procedures?

A

2 years

23
Q

Can CD2 drugs be repeated on a prescription?

A

No

24
Q

which individuals are eligible for a MUR?

A

1) patients taking high risk medicines;
2) patients recently discharged from hospital who had changes made to their medicines (Ideally 4 weeks of discharge but up to 8 weeks)
3) patients with respiratory disease
4) patients at risk of or diagnosed with CV disease and regularly being prescribed at least four medicines#
(At least 70% of MURs must come from the above each year)

25
Q

list the advanced pharmacy services (6)

A

1) Appliance Use Review (AUR)
2) Flu Vaccination Service
3) Medicines Use Review (MUR)
4) New Medicine Service (NMS)
5) NHS Urgent Medicine Supply Advanced Service (NUMSAS)
6) Stoma Appliance Customisation (SAC)

26
Q

list the essential pharmacy services (6)

A

1) Dispensing Appliances
2) Dispensing Medicines
3) Disposal of unwanted medicines
4) Public Health (Promotion of Healthy Lifestyles)
5) Repeat Dispensing/electronic Repeat Dispensing
6) Managed repeats
7) Signposting
8) Support for Self Care