Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

2021 Pre-registration > MEP Chapter 3 > Flashcards

MEP Chapter 3 Flashcards

1
Q

Give three general classes of medication that can be supplied?

A

1) General sale list medicines (GSL)
2) Pharmacy (P) medicines
3) Prescription only medicines (POM)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The sale or supply of medicinal products for humans comes under which regulation?

A

HMR - Human medicines regulations 2012

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The sale or supply of medicinal products for animals comes under which regulation?

A

Veterinary medicines regulations 2013

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Can you sell a GSL medication if the responsible pharmacist has not yet arrived for their shift?

A

No - RP must have signed in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Can a P med be supplied without RP being present?

A

No, pharmacist may need to intervene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Indications for pseudoephedrine and ephedrine?

A

Decongestants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Risk of over-selling pseudoephedrine and ephedrine?

A

Crystal meth formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Max dose of pseudoephedrine OTC?

A

720mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Max dose of ephedrine OTC?

A

180mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Can you sell one pack of pseudoephedrine and one pack of ephedrine together?

A

No. One or the other.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which brand of levonorgestrel is unlicensed to sell (as P med) as emergency contraception?

A

levonelle one step.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the two available forms of EHC available to buy at the pharmacy as a P med?

A

Levonorgestrel 1.5mg/1500micrograms

Ulipristal acetate 30mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which EHC available at the pharmacy has an age limit and what is the age limit?

A

Levonorgestel 1500microgams, >16yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Within how many hours of unprotected sex is levonorgestrel suitable?

A

72hours (3days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Within how many hours of unprotected sex is ulipristal suitable?

A

120 hours (5days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A 24-year old female is going on holiday with her friends. She says that she is open to having relationships abroad and would like an EHC ‘just incase’. What do you do?

A

Pharmacists are able to provide an advanced supply provided that the patient is competent and it is clinically suitable.
Safer for the patient to get the supply here than abroad.
Supply Ulipristal as longer timeframe to take and no age limit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

For pharmacists that hold strong religious/moral beliefs, what are the options for patients requesting EHC?

A

Pharmacists have a professional responsibility to provide patient-centred care. If they are unable to provide the service, they should signpost and ENSURE they are able to recieve the service elsewhere e.g. call up other pharmacies ensure there is a sufficient supply and a pharmacist that is willing to supply.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Sexual activity with anyone under what age is an offence?

A

<16 - but if consensual then the law does not intend to prosecute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Under what age and what professional judgement regarding EHC would you need to contact social services?

A

Suspecting abuse/exploitation/trafficking

<13yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Apart from the pharmacy what other settings could provide EHC?

A

GUM clinics
Family planning clinics
GP clinics
EHC provided through PGD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Maximum amount of paracetamol/aspirin you can sell legally?

A

Legally max 100 non-effervescent tabs/caps

In practice: boxes of 32 so max 96.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Maximum amount of effervescent paracetamol/aspirin you can sell legally?

A

e.g. liquids/suspensions/granules/eff. tablets

No limit, use professional judgment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Risks associated with codeine and dihydrocodeine?

A

Risk of overuse and addiction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the only indications OTC codeine/dihydrocodeine are licensed for?

A

Acute, moderate pain not relieved by para/ibu/asp alone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Max pack size of codeine/dihydrocodeine OTC?

A

32 pack. >32 = POM therefore, can only sell one box (recommended).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

PILs and labels on codeine/dihydrocodeine?

A

Max 3 days use only

Can cause addiction/headache (on PIL and box)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Name some reclassified meds from POM to P.

A
  • Amorolfine nail lacquer
  • Teething products (lidocaine containing)
  • Tamsulosin (suitable OTC for 45-75 for BPH max 6 weeks)
  • EHC
  • PPI (recently omeprazole GSL)
  • Mometasone nasal spray 0.05%
  • orlistat
  • sildenafil
  • sumatriptan
  • tranexamic acid
  • antimalarials
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What recent drug as been reclassified from POM to GSL

A

Fexofenadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The legal prescription requirements fall under HMR 2012, which regulations specifically?

A

regulation 217 and 218.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are the 7 prescription requirements for private and NHS scripts?

A

1) Name of pt
2) Address of pt
3) Age if <12
4) Date of prescription
5) Signature of prescriber (indelible ink)
6) Particulars of prescriber - name or qualification e.g. GMC
7) Address of prescriber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

is it acceptable to authorise carbon copies of NHS prescriptions? What must it particularly contain?

A

Yes but must be signed with indelible ink

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Which CDs can be prescribed on EPS and which cannot?

A

CD 2 and CD 3, not methadone or any installment prescriptions as hard to claim payment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

If you receieve a prescription from crown dependancies e.g. jersey/isle of man and guernsey, what are the requirements it must fulfill?

A
  • all 7 prescription requirements

- if schedule 2 or 3 CD: prescriber address must be within the UK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Green coloured scripts can have three paper forms, what are they?

A

FP10SS - GP/Community prac nurse/nurse independant/supplementary/independant/hospital unit
FP10NC - GP
FP10HNC - Hospital unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Methadone scripts are what colour and what paper forms do they present in?

A

Blue
FP10MDA - SS: all indep/supp/gp/hospital unit
FP10MDA - S - gp
FP10MDA - SP - independant/supplemnetary prescribers
FP10HMDA - hospital unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What colour and form do dentists prescribe on?

A

Yellow FP10D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Lilac prescriptions are used by…

A

1) Practitioner nurse - FP10PN
2) nurse independant/suppplementary - FP10SP
3) Out of hours centre - FP10P-REC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What form do cd requistions need to be put on?

A

White

FP10CDF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Private CD prescriptions can be prescribed on..

A

Pink forms
FP10PCDSS
FP10PCDNC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

A patient presents in your pharmacy with a repeat prescription. The prescriber has not stated how mnay repeats, how many can you dispense legally? What is the exception?

A

If no indication of how many, we assume ‘repeat x1’ so can dispense two times.

If oral contraception: then one cycle so we assume ‘repeat x5’ so dispense six times.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What CD schedules are repeatable and which are not?

A

CD 2 AND 3 - NOT

CD 4 AND 5 - ARE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

How long can you keep repeat rxs for until they can no longer be dispensed?

A

No legal limit. The 1st dispensing must be conducted within 6 months though.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

How long can you keep CD4 repeat rxs for until they can no longer be dispensed?

A

No legal limit. The 1st dispensing must be conducted within 28 days.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

A patient requests for their repeat prescription back once you have dispensed it as they use various stores to redeem it. Do you need to carry out any additional documentation?

A 
Yes - for audit trail purposes.
On the prescription state: 
- date of supply
- name and address of pharmacy that has made supply 
and number of repeat (not essential)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Owings must be redeemed within an appropriate time frame. State validity of owings for poms and CD5, P+GSL, Schedul 2,3,4 CDS

A
  • POMS and CD5: 6months from rx date
  • P+GSL: 6 months from rx date
  • Sch 2,3,4 CDs: 28 days from rx date
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Prisoners are not allowed what type of prescriptions? what is the exception?

A

FP10 - they have a specific electronically made rx
Exception: unless discharged and to ensure continuity of supply they can have FP10/FP10MDA as take away to redeem at a pharmacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Do prisoners with FP10 rx have to pay for their prescription?

A

No, HMP is their address. Therefore they are exempt due to this.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Are faxed prescriptions legal?

A

Do not fulfill ‘legally valid rx’ as not in indelible ink and not signed in ink by appropriate practitioner.

(option: use in emergencies and request original rx within 72 hrs)

  • document decision making process
  • do not supply cd 2+3 cds as without a laful rx = criminal offence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Can dentists prescribe anything on an NHS script?

A

No - only limited to dental practitioners formulary but privately, they can

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Steps to take when suspecting a forged rx?

A

Scrutinise signature - compare to other signs from same prescriber

Contact prescriber and confirm/check gmc

Patient behaviour - agitated/restless

Drug on rx: prone to misuse?

Refer to police/NHS counter fraud services - for NHS rx only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Can you fulfill an emergency prescription from EEA/switzerland?

A

Yes both emergency supplies and repeatable rx.

Prescribers must be registered in EEA/switzerland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Prescription requirements from EEA/Switzerland?

A

1) Patient: full name and DOB
2) Prescriber: full name, professional qualification e.g. DR/GMC, contact details (email + phone/fax), work address and country they work in, signature
3) Medicine: Name of drug (+ brand), strength, form, qty, dose
4) Date of issue (valid 6 months, sched 4 cds- 28 days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What medicines are not available via an EEA/Switz prescription in the UK?

A

Sched 1,2 and 3 CDs

Products without a UK marketing authorisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

What can and cannot be supplied as emergency supply for EEA/Switz prescribers?

A

1) POMs and Schedule 4 + 5 CDs can be supplied
2) Schedule 1, 2 and 3 (including phenobarbitol) cannot be supplied

If prescriber request: recieve rx within 72hrs
If pt request: pt interview and determine need

If professional judgement deems unsuitable to dispense rx/emergency supple –> refer to UK prescriber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Military prescriptions are written on what form type?

A

FMED 296 (electronically made usually)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Military prescriptions are usually dispensed in a pharmacy that has a contract with them. In the case that a military prescription is handed to a community pharmacy without a contract how would you claim it?

A

Claim as a private prescription and charge the patient (who can reclaim costs with military personnel) - if NHS rx, there is an exemption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

What are the legal labelling requirements?

A

1) Name of pt
2) Date of dispensing
3) Name of medicine
4) Dosage instructions
5) CALS
6) Name and address of pharmacy

NOT QUANTITY - GOOD PRACTICE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What are the good practice recommendations for labelling?

A

Keep out of the reach and sight of children

For topical use only

Contact number of pharmacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

A pharmacist does not deemthe dosing instructions suitable on a prescription, can they amend this without prescriber involvement?

A

Yes as long as it is not changing the dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

If dispensing medication from a bulk container, what is required on the bottle (excluding the general labelling req)

A 
Name of medicine
Qty
Storage requirements
Expiry 
Batch no 
ingredients
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Covert medication can only be administered under two conditions. What are they?

A

If pt actively refuses and if they lack mental capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

What is patient specific directions?

A

Written instructions from a prescriber e.g. dr/dentist/independant prescriber for a medicine to be supplied or administered to a patient after the prescriber has assessed them on an individual basis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Give an example of a patient specific directions

A

EDN, medication instructions are written on inpatient charts and then transcribed onto EDN (order form) for pharmacy to prepare and suplly after checking. Pharmacist is not prescribing but is supplying under the authority of original written direction

Can form part of a discharge letter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

State some exemptions to supply POMs without a prescription?

A

1) PSD
2) PGD
3) Salbutamol and adrenaline to schools via signed order
4) Emergency supply at req of patient
5) Pandemic
6) optometrist or podiatrist signed order
7) naloxone for drug treatment services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

What is a PGD?

A

Written direction from authorised prescribers e,g. doctors to allow authorised healthcare professionals e.g. pharmacists to supply/administer medication to a certain group of people with a certain criteria for specific condition e.g. EHC

66
Q

What does an emergency supply allow a pharmacist to do?

A

Provide medication to a patient (human only NOT ANIMAL) without a prescription (pt request) or awaiting a prescription (RELEVANT prescriber request)

67
Q

What prescribers are not considered relevant in the UK to authorise an emergency supply?

A

Prescribers outside EEA and Switzerland

68
Q

What are the conditions for an emergency supply at the request of a prescriber?

A

1) Relevant prescriber
2) immediate/urgent need - unable to get rx, urgent medication
3) NO CD 1, 2 or 3 except phenobarbitol for epilepsy
4) RX within 72 hours
5) Directions in accordance to prescriber
6) Record on day of or following day (within 48 hrs)

69
Q

What records are required for an emergency supply at req of prescriber in POM register?

A

1) Name+ Add of patient
2) Name + Add of prescriber
3) Name, strength, form, qty of medication
4) Date of POM supplied
5) Date that we expect to receive x
6) Date rx received
7) Standard labelling requiremements

70
Q

Conditions for an emergency supply at the request of a patient?

A

1) Reg 225 - interview the patient and use professional judgement
2) immediate need of the medication
3) Previous treatment - must be prescribed be an EEA, UK, Swiss prescriber + evaluate time interval
4) Dose - satisfied by PMR, SCR, labelled box, GP slip
5) NO CDs except phenobarbitol - only 5 days
6) If sched 4/5 CD or phenobarbitol: only supply max 5 days, any other POM max 30 days
7) If POM is insulin/inhaler/cream/ointment - smallest pack size
8) If POM contrraception - one cycle (1 strip)
9) Record in register within 48hrs
10) Labelling req + state ‘EMERGENCY SUPPLY*

71
Q

Records for emergency supply at the request of a patient?

A

1) Name + Add of patient
2) Date supplied
3) Name, strength, form, qty of medicine
4) Nature of emergency

72
Q

In the case that community and hospital pharmacies need to supply small qty of medicine to other pharmacies to meet the need of the patient, do they need a wholesale dealers license (WDA (H))?

A

No - provided that:

  • occassional basis
  • small qty supplied
  • supply not made for profit
  • supply not for onward wholesale distribution
73
Q

WDA (H) is required for commercial trading of medication, what does WDA (H) stand for?

A

Wholesale distribution authorisation for human use

74
Q

What license is also needed if there is wholesale dealing of CDs?

A

Home office CD license

75
Q

If a POM is supplied to other HCP or pharmacies, what entries need to be made?

A

Either an entry in the POM register
OR
KEEP SIGNED order/invoice for 2 years

76
Q

How long does a signed order/invoice need to be kept for?

A

2 years (good practice to ALSO make a entry in POM register)

77
Q

If making a POM entry for a signed order what are the minimum requirements?

A

1) date supplied
2) Qty, Name, strength, form of POM supplied
3) Purpose for which it was sold / supplied

78
Q

There are different categories in prescribing for veterinary medicine. What are POM-V meds?

A

POMS that can only be prescribed by a vet surgeon and supplied by a vet surgeon or pharmacist WITH WRITTEN RX

79
Q

What are POM-VPS meds?

A

Can be prescribes and supplied by: vet surgeon, pharmacist or a suitably qualified person. Can be oral/written. Must be written if supplier is NOT prescriber.

80
Q

What are NFA-VPS meds?

A

For non food animals. Supplied by vet surgeon/pharmacist or suitably qualified person.

No written rx required.

81
Q

What are AVM-GSL meds?

A

Authorised vet medicine that is available on general sale

82
Q

What are exempt meds under schedule 6?

A

Unlicensed, does not need a marketing authorisation but is suitable for supply under sched 6 of vet regs for small pet animals.

83
Q

What are unauthorised vet meds?

A

Unlicensed, does not have a marketing authorisation, is not suitable for supply under sched 6 SAES. Can only be prescribed uncer a vet surgeon e.g. human meds for animal use. These need to prescribed under the CASCADE.

84
Q

What are the vet rx prescription requirements?

A

1) Name, add, telephone number, qualifications of prescriber + signature of prescriber
2) Name and address of owner
3) Identification and species of animal
4) Drug name, qty, dose and administration
5) Date - 6 months validity
6) Any necessary warnings e.g. with food
7) Statement of ‘prescribed under the vet cascade’ (if human med used for animal)
8) If CDS: need vet reg number and ‘this item has been prescribed for an animal/herd under the care of a veterinarian’, qty in words and figures
9) If repeats state how many

85
Q

How long should vet rx be retained for?

A

5 years whereas human rx is 2 years

86
Q

What additional information has to be on the prescription if schedule 2/3 CDs are prescribed for animals?

A

need vet reg number and ‘this item has been prescribed for an animal/herd under the care of a veterinarian’, qty in words and figures

87
Q

What are the differences in the supplying quantity of CDs between human CD rx and vet CD rx

A

Human CD rx: max 30 day supply and justify if longer

Vet CD rx: 28 days only good practice, can supply more

88
Q

Does the pharmacist need to be present physically for any POM-V, POM-VPS and NFA-VPS medicines supply?

A

Yes unless supply authorised in advance or person handing out is competent

89
Q

Labelling requirements for medicines supplied under the cascade for animals?

A
  • name of vet surgeon
  • n + a of owner
  • n + a of pharmacy
  • species identification
  • date of supply
  • name of ingredient
  • dose
  • necessary warnings /storage
  • withdrawal period if used for food
  • ‘for animal treatment only’
90
Q

Record keeping requirements for POMV/POMVPS products?

A 
Name of medicine
date of receipt/supply
batch no
qty
n+a of supplier/recipient
if written rx: n+a of prescriber and copy of rx

Either keep records or make an entry in private prescription book

91
Q

How long do POMV/POMVPS records have to be kept for? What other records have to be kept for the same amount of time?

A

5 years, RP records

92
Q

Pharmacists, that supply POM-V/POM-VPS meds must do audits how often?

A

annually

93
Q

How many schedules of controlled drugs are there?

A 
5. 
Sched 1: CD Lic POM
Sched 2: CD Reg POM
Sched 3: CD Non reg POM
Sched 4: CD Benz/Anab POM
Sched 5: CD INV P/POM
94
Q

Give examples of schedule 1 CDs.

A

No therapeutic effect and requires a home office license to keep.
E.g. ecstasy, LSD, cannabis, raw opium (never return to patient)

95
Q

Give examples of schedule 2 CDs.

A

Mainly Opiates.
Morphine, diamorphine, oxycodone, pethidine, methadone

Stimulants: amfetamines, quinalbarbitones and ketamine

96
Q

Give examples of schedule 3 CDs.

A 
Buprenorphine and tramadol
Benzos: midazolam and temazapam
Phenobarbitol
Pregabalin 
Gabapentin
97
Q

Difference between schedule 2 and schedule 3

A

less likely to get misused and less harmful than sched 2

98
Q

Give examples of schedule 4 CDs.

A

Part 1: benzodiazepines - diazepam, z drugs - zopiclone, sativex (cannabis oral spray)

Part 2: steroids - growth hormones and clenbuterol

99
Q

Give examples of schedule 5 CDs.

A

Codeine/pholcodine/morphine sol <13mg/5ml/kaolin and morphine

100
Q

How long are CD rx valid for?

A

28 days except schedule 5 (six months)

101
Q

What is the maximum recommended quantity for prescribed CDs?

A

30days

102
Q

Which CDs need to follow the rx requirements/require a requisition form and are NOT repeatable?

A

CD sched 2 and 3

103
Q

Can EEA/swizz prescribers prescribe sched 2/3cds?

A

No.(can do 3,4,5)

104
Q

Are emergency supplies allowed for CD 2 and 3?

A

No except sched 3 phenobarbitol for epilepsy

105
Q

Which CDs can be repeated on rx?

A

3, 4, 5

106
Q

Can phenobarbitol (sched 3) be appropriate for emergency supply?

A

Yes only if it is for epilepsy

107
Q

Invoices for which CDs have to be kept and for how long?

A

Schedule 3 and 5: 2 years

108
Q

Licenses are required to import or export for which CDs?

A

sched 2, 3 and 4

109
Q

What does NICE advise regarding the duration to keep CD invoices?

A

Keep for 6 years

110
Q

What would you do if a patient on your ward has a schedule 1 CD in possession?

A

Need to get consent for goods tobe removed/destroyed.
2 exceptions in which pharmacists can take possession of CDs: for destruction or to contact police. If no authority given by patient - may have to contact police but do not disclose confidential trackable information

111
Q

Can pharmacist/independant/supplementary prescribers prescribe diamorphine/dipipanone/cocaine ?

A

For other indications except addiction

112
Q

Which CD schedules require a CD requisition form?

A

CD 2 and CD 3

113
Q

What are the legal requirements for a CD requisition?

A

Name, address, signature of recipient
Profession/occupation of recipient
Total drug qty
Purpose of requisition

114
Q

Can a CD requisition form be photocopied/faxed?

A

No - legislation states it must be in writing

115
Q

in urgent cases where a doctor/dentist required a CD for use what would you do?

A

Can supply on the condition that they send a requisition within the next 24hrs (otherwise breach on dr/dentist part)

116
Q

How would you process a CD requisition form?

A

Endorse with the name and address of pharmacy and send original requisition to the relevant NHS agency

117
Q

How long do CD requisition forms need to be kept for?

A

2 years is good practice but NOT a legal requirement

118
Q

Midwives can use a midwife supply order to obtain: diamorphine, morphine and pethidine. what requirments are needed on this order?

A 
Name of midwife
Occupation of midwife
Name of person whom CD is supplied
Purpose for which CD required
Totaly qty of CD
Signature of medical officer
119
Q

What is the form code for a cd requistion?

A

FP10CDF

120
Q

Prescription requirements for schedule 2 and 3 CDs?

A

1) Name +Address of patient
2) Address and signature of prescriber
3) Date (28day valid except schedule 5 which is 6 months - this includes owings)
4) Dose
5) Strength
6) form
7) total qty (words and figures) - for volume it will be millilitres

121
Q

What is the RECOMMENDED maximum quantity of schedule 2, 3 or 4 CDs?

A

30 days but this is not a legal requirement

122
Q

If an rx is written for CD2/3 by a dentist what addition requirement is there for the prescription?

A

‘for dental treatment only’

123
Q

Is the name of the medicine a legal requirement on an rx for CD2/3

A

No. Good practice but you cannot identify the drug.

124
Q

A CD rx states: MST continus 5mg tablets as directed, is this legal?

A

No. must state a minimum e.g. one as directed

125
Q

On CD instalment prescriptions e.g. methadone. What is the time frame in which you have to supply the drug?

A

1st installment must be within 28days and then rest based on regimen

126
Q

The pharmacy is closed on christmas day which is when a methadone pt is to collect his dose. What do you do?

A

Dispense on a prior suitable day

Each day in separate containers

127
Q

A patient has missed one dose of methadone what do you do?

A

Remaining doses must be dispensed and supplied.

128
Q

For those that have missed 3 or more consecutive doses of methadone what do you do?

A

Contact prescriber as their tolerance may have been reduced and the current dose may cause overdose

129
Q

What technical errors can pharmacists amend on a cd rx to make it compliant?

A

Minor typos/spelling mistakes

quantity: words OR figures (not both)

130
Q

What technical errors can pharmacists NOT amend on a cd rx?

A

Date

change in dose, form or strength

131
Q

What form do private cds need to be prescribed on?

A

Standardised form - FP10 PCD

132
Q

What additional information eeds to be on the FP10PCD?

A

Prescriber identification number - this is NOT their GMC number, they need to obtain this number from their trust/primary care organisation (relevant NHS agency)

133
Q

How do pharmacies claim back the money for FP10 PCDs?

A

Submit ORIGINAL to NHSBSA

134
Q

Do vet prescriptions for CDs need to be on a standardised form?

A

No. But retain for 5 years

135
Q

A prescriber writes a patient’s regular medication and CD meds on the FP10PCD what do you do?

A

Tell them to write it on another prescription as original is sent to NHS BSA and we are unable to keep the private POM record for 2 years

136
Q

A drug misuser is unable to collect their CDs. What can they do?

A

Representative needs a letter from patientwhich authorises and names the rep - separate letter each time. At pharmacist discretion

137
Q

If a HCP is collecting a CD for a patient what should be asked for?

A

Name and address of HCP

ID evidence

138
Q

does the box behind NHS rx need to be signed by CD rx collector?

A

Good practice not legal

139
Q

What CDs generally require safe custody?

A

CD 2 and CD 3

140
Q

What CD schedule drugs all have to be in safe custody?

A

Schedule 1

if cocaine prescribed for addiction by drs in UK they need a home office license

141
Q

Which schedule 2 drugs are exempt from safe custody?

A

liquid and quinalbarbitone

142
Q

All schedule 3 drugs except _______ have to be kept in safe custody

A

temazepam and buprenorphine

143
Q

Sugegst a way of keeping an audit trail on who has had access to the CDs

A

Key log

144
Q

How would you separate patient returned/out of date CDs to normal stock?

A

Put in a bag and clearly mark “patient returns/out of date waiting to be destroyed”

145
Q

Which exemption allows pharmacies to denature CDs prior to disposal?

A

T28 exemption (cd 2,3,4.1)

146
Q

What are the disposal/denaturing requirements for CD2 out of date stock?

A

CD 2, 3, 4.1: need denaturing
CD2: authorised witness + record in register
CD3: good practice for witness (another staff member)

147
Q

What are the disposal/denaturing requirements for patient returned CDs?

A

CD 2, 3, 4.1: denaturing required

  • to have a witness is good practice and preferably for this witness to be a healthcare professional
  • no records but record in separate register
148
Q

PPE for denaturing?

A

Face mask, gloves and goggles

149
Q

How to denature solid forms?

A

crush or grind before using the kit and add a small amount of water to assist

150
Q

How to denature liquid forms?

A

pour into an appropriately sized denaturing kit

151
Q

How to denature ampoules forms?

A

open ampoules and empty contents into kit

152
Q

How to denature patch forms?

A

remove backing and fold patch over itself

153
Q

What CD records have to be recorded in the CD register?

A

CD 1 and CD 2

CD 4.1: Sativex (keep records) - home office strongly suggests these records should be in CD register

154
Q

CD receiving records for register:

A

Date received
Qty received
Name and Add of supplier

155
Q

CD supplying records for register:

A
  • Date supplied
  • Name + Add of recipient
  • Details of authority: prescribed/licence holder
  • Qty supplied
  • Details of collector pt, rep or HCP (if hcp then name and address)
  • whether ID requested
  • whether ID provided
156
Q

CD register requirements and technicalities?

A
  • Header of each page: drug name strength and form
  • bound book
  • different classes in different parts of the register
  • keep records for 2 years
157
Q

nature of CD entries?

A
  • chronological
  • made within 48hrs
  • made in indelible ink
  • corrections: footnotes and endorse with name, initials, gphc number
158
Q

Are running balances good practice or legal requ?

A

good practice and ideally do once a week

159
Q

How to dispose methadone bottles?

A

Rinse bottle and add liquid to a denaturing kit - treat as pharmaceutical waste

Remove labels and identifiers of rinsed bottle and once liquid discarded then put bottle in recycling bin/general waste

If spillage: clear up and get together and put in a bag in the CD cupboard for the liquid to denature

160
Q

Cannabis-based products for medicinal use in humans are what schedule cds?

A

CD2 and unlicensed

161
Q

Which cannabis based products for medicinal use in humans currently on the market is licensed?

A

Sativex - CD4.1 and cd records required - used for spasticity in multple sclerosis (not cost effective based on nice use alternatives such as baclofen)

162
Q

Private prescriptions for CBPM must meet legal requirements. What form should prescribers write on?

A

FP10PCD

2021 Pre-registration (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions