MEP CD Flashcards
PRS: https://www.youtube.com/watch?v=efrCJdhHEeo
Which regulation applies to NHS and Private prescription regarding POM?
Regulation 217 of the Human Medicines Regulations 2012.
What is the legal requirements for a Px.
Regulation 217 of the Human Medicines Regulations 2012.
PADS:
Pt name & address. Prescriber address, signature and particulars.
Age if <12
Date
Signature
Sched 5 CD Px date needs to be within? for validity?
6 months
Sched 2,3,4 CD Px date needs to be within? for validity?
28 days
Can you claim/supply RD without RA?
No. Need both to be sent.
What is NHS RA and RD?
RA - Official Px
RD - Tokens/ Repeat Dispensing can be dispensed in appropriate time frame.
When is age a requirement for a legal Px
If Pt under 12 years
Px date validity?
Px are valid for 6 months. Unless Sched 2,3,4 CD = 28 days.
What particulars are important regarding the prescriber?
Type of prescriber.
Prescriber signature validity in a Px?
Signature must be indelible ink or advanced electronic signature.
CD Px Technical amendment
Can amend only if one is missing.
CD Px needs written?
Needs to be written in figures and words.
How many schedules are thereof CD
5
Regulation 217 of the human medicines regulations 2012 sets out the general Px requirements for supply of Prescription Only Medicines.
Which ONE is NOT a general prescription requirement?
A) Px do NOT need to be written in indelible ink
B) Name and address of the pt
C) Age if <12
D) Signature of the prescriber
E) Carbon copies of NHS Px are acceptable as long as they are signed in ink.
A
Regulation 218 of The human Medicines Regulations sets out prescription requirements from the EEA or Switzerland.
Which ONE of the following is NOT correct?
A) Prescriptions for ALL controlled meds are acceptable as long they are on list of approved health professionals.
B) Emergency supplies for pt of the approved health professionals is permitted.
C) Px must state the pt full first and surname as well as their DOB
D) Px must have direct contact details for the prescriber
E) Prescribers’ qualification must be stated on the prescription.
A - can only prescribe Sched 4,5 CDs
Prescriptions for Sched 2 and 3 CD must meet legal requirements under the misuse of drugs regulations 2001 as amended.
Which one of the following is NOT a legal requirement for sched 2 and 3 CD?
A. Quantity of the medicines in words and figures
B. Age of the patient if under 12
C. Signature of the prescriber
D. The prescription is valid for 30 days after the appropriate date on the prescription
E. If the px is written by a registered dentist “for dental treatment only” must be present.
D. 28 days.
Signature requirements?
- Signed in ink by an appropriate practitioner or EPS tokens - advance electronic signature (england only)
Repeat dispensing requirements?
RA = Official prescription needs to be dispensed 6 months within Px date.
RD = batches/ tokens, dispensed depending on pharmacist
RA/ RD difference in looks
Similar but RD doesn’t have signature.
RA written in black bold writing.
What to do if ONLY one (numbers/words) written on CD script?
Can amend it under technical amendments.
- YOUR Name, Gphc no, signature needs to be included.
What to do if minor typographical errors written on CD script?
Can amend it under technical amendments.
Schedule 2 CD keep invoices?
- Need to do entries into CD reg,
- Don’t need keep invoice but good practice.
Schedule 3 CD keep invoices?
- Don’t need to enter into CD reg,
- DO Need to keep invoices for 2 years. (LAW)
CD brand name needed?
Ideally there, but not required by law.
How many years need to keep invoices for Schedule 3 and 5?
Min 2 years
Name, Strength and Form of CD?
Strength and form compulsory for more than one strength available
Is ‘Take when required’ as a dose legally acceptable in CD Rx?
No
Is ‘Take ONE capsule when required’ as a dose legally acceptable in CD Rx?
Yes
Private Dental CD Rx needs?
Appropriate dental wording “for dental treatment”
CD duration of treatment?
No more than 30 days (good practice)
Installment CD Px ?
- Blue, FP10 MDA
- can get morphine, buprenorphine
Regulation 217 of the Humans Medicines Regulations 2012 sets out the general Px requirements for the supply of POM.
Which ONE is NOT a general prescription requirement?
A. Px do NOT need to be written in indelible ink
B. Name and address of pt
C. Age if under 12
D. Signature of prescriber
E. Carbon copies of NHS prescriptions are acceptable as long as they are signed in ink
A. Px do NOT need to be written in indelible ink
Rx are only valid for a certain time period from the appropriate date of the prescription.
Which ONE of the following is NOT correct?
A. Prescriptions for schedule 2,3 and 4 CD are only valid for 28 days after appropriate date.
B. Owing slips for Pharmacy (P) meds are valid for 28 days.
C. Owing slips for POM (excluding controlled medicines) is valid for 6 months
D. Rx for isotretinoin is only valid for 7 days under pregnancy prevention programme
E. Prescriptions for Schedule 5 CD are valid for 6 months.
B. Owing slips for Pharmacy (P) meds are valid for 28 days.
Sched 2 CD needs to be entered into the CD register once received or supplied in pharmacy
which one of the following is NOT a legal requirement for recording the receipt/ supply of CD meds?
A. Date of supply
B. Running balance of CD
C. Pt name
D. Pt address
E. Whether ID was requested
B. Running balance of CD
34.10! https://www.youtube.com/watch?v=Kpuc5j-3my0
https://www.youtube.com/watch?v=SaHCusB8hBQ
What is an Accountable Officer?
- Responsible for supervising and managing use of CDs in organisation
- Monitoring & Auditing
- System in place-recording concerns
- Submitting reports
- Authorised witness-destroying CDs
Sched 2 CD POM Egs?
- Opiates (eg. dimorphine, morphine, methadone, oxycodone,
Can Instalments be dispensed on P closed days on a prior suitable day?
Yes
What if an instalment collection day has been missed?
Dispense amount due for any remaining day(s) of that instalment
What if four days of an instalment prescription is missed?
Consult prescriber if three or more consecutive days missed.
Instalment prescriptions give in same containers?
Dispense daily doses in separate containers