MEP 8 Flashcards
Can CD4 drugs be repeated on a prescription?
Yes
How long should the following be retained:An invoice for a Schedule 3 CD taking account of tax.
1) law relating to CDs requires the invoices to be retained for 2 years
2) the law relating to tax requires the invoices to be kept for 6 years
What is the first date you could supply the following prescription? An NHS prescription for amoxicillin capsules 250 mg signed 1 May 2019, with the words “supply on 10 May” in the body of the prescription
10th May For an NHS prescription, the appropriate date is the LATER of either the date on which the prescription was signed or a date indicated by the appropriate practitioner as the date before which it should not be dispensed.
What is the first date you could supply the following prescription? A private prescription for amoxicillin capsules 250 mg signed 1 May 2019, with the words “supply on 10 May” in the body of the prescription.
1st May For private prescriptions, the appropriate date will always be the date on which it was signed.
A prescription which is hand written by a German doctor registered in Germany as he stands in your pharmacy for amoxicillin. Can you dispense this?
1) Do NOT dispense the prescription, the prescriber is not allowed to prescribe whilst in the UK
2) EEA and Swiss prescribers can only prescribe whilst in the country they are registered in. They can not prescribe in the UK unless also registered with the GMC.
You receive an NHS prescription for a Schedule 2 controlled drug. The prescription is signed on 6 March 2019. The prescriber has written in the body of the prescription “Supply on 10 April”. What is the last date you can dispense this prescription?
1) 28 days from 10th April
2) The appropriate date of a NHS CD prescription is either the signature date or the date indicated by the prescriber as a date before which the medicine should not be supplied, whichever is the later. The 28 day validity of a CD prescription runs from the appropriate date.
Does midazolam require safe custody?
No
Does temazepam require safe custody requirements?
Yes
Does buprenorphine require safe custody requirements?
Yes
What are the two types of conflict of interest?
Actual and potential
What gender is finasteride contraindicated in?
Women
True or false: A no culture blame is encouraged in Pharmacy
False A “right or just culture” is needed - based on fairness, transparency, learning from mistakes
Who do you report safety incidents to?
NRLS - National reporting and learning system
OTC is a collective term for what categories of medicines?
P and GSL
On prescriptions, if it states “repeat x times”, when must the first dispensing be done?
What about controlled drugs?
1) Within 6 months (following this no time limit)
2) CD2 and 3 are not repeatable CD4 within 28 days (following this no time limit)
Supplementary prescribers can prescribe what?
Items under a clinical management planIn partnership with an independent prescriber - doctor or dentist
Can optometrist independent prescribers prescribe CDs?
No
Can optometrist independent prescribers authorise emergency supplies?
Yes
Can EEA prescriptions have unlicensed meds?
No And can only prescribe medicines that have a MA in the UK
On vet prescriptions, is “as directed” suitable directions?
No
What must it state on CD2 and 3 vet prescriptions?
“The item has been prescribed for an animal or herd under the care of a vet”
Are vet prescriptions repeatable?
Yes
Do CD 2 and 3 vet prescriptions need to be written on a standardised form?
No
Do CD 2 and 3 vet prescriptions need to be submitted to the relevant NHS agency?
No - but prescription should be retained for 5 years
True or false: Pharmacies that supply POM-V and POM-VPS must undertake an annual audit
TRUE
Approved CD requisition forms must be used for CD2 and 3 drugs except if the request is from what two places?
Hospice and Prison
1) Does a controlled drug requisition need to have the patient’s name on?
2) How does this differ from a midwife supply order for CD (morphine, pethidine, diamorphine)?
1) No
2) Midwife supply order needs to have the patient name
On CD scripts, is it recommended that multiple strengths of the same medicine are prescribed separately?
Yes
Do “in house” pharmacy prisons need to be registered with the GPhC?
No
What logo is compulsory if selling medicines online via internet pharmacy?What logo is voluntary?
EU internet logo is compulsory - apply to the MHRA for it GPhC logo is voluntary
Can an emergency supply be made at the request of an EEA patient?
Yes
A Scottish lady asking for a emergency dutasteride for her husband who has taken his last tablet this morning. What should you do?
1) Need to speak to the patient
2) Emergency supply at the request of a patient requires interviewing the patient
