Misuse of Drugs Act 3

Question 0

Register has a separate page for each: ____

Answer 0

Class
Strength
Form
Name/brand (distinguish salt form!)

Question 1

MDA requires use of a controlled drug register to record any schedule _______ received or supplied by pharmacy.

Answer 1

1&2 except Sativex

Question 2

Entries must be in ink/computer recorded on what day…

Answer 2

The day of the transaction or next day if unable

Question 3

Keep CD register for how long….

Answer 3

2 years (after last entry)

Question 4

In what order so we lost entries in the CD reg?

Answer 4

Chronological.

That’s a law.

Question 5

How often should balances be checked in cd reg?

Answer 5

Normally weekly, sometimes more frequent if the volume of controlled drugs dispensed is high

Question 6

How is responsible for maintaining the CD balance?

Answer 6

Pharmacist. Although can delegate.

Question 7

What to do with discrepancies?

Answer 7

There will be an SOP.
You can amend with a marginal footnote if for example you drop something.
At what amount of discrepancy do you alert someone to the problem?

Question 8

What do you need to record when receiving cd stock? (4)

Answer 8

Date
Name and address (of person or company from which stock is received)
Amount

NB. Still on separate pages for every form etc.

Question 9

When supplying a cd what must you record?

Answer 9

Date
Name (not ‘brother’) and address of supplied
Prescriber name, ID no and authorising document (FP10)
Amount supplied
Collecting person (& address if healthcare professional)
Was ID requested (can write ‘patient known’)
Was ID shown (if not why not, if yes what?)

You can record addict all info if you wish.

Question 10

Why do we not enter CDs in the POM book

Answer 10

CD reg already keeps legal record.

However good practice MEP says also use POM book and cross reference no. With CD reg.

Question 11

In summary you must have SOPs covering what in reference to controlled drugs?

Answer 11

Who has access (i.e. method of achieving an auditable trail)
Where stored
Security in relation to storage and transport
Disposal & destruction
Who to alert if problem arises e.g. stock balance wrong
Record keeping re. register maintenance and Sch 2 returns by patients e.g. no longer needed

Question 12

You may have your records inspected by the GPhC, police etc if…

Answer 12

They make a formal request. Not just a random police officer walking in off the street.

Question 13

What drugs should be denatured before disposal?

Answer 13

Schedule 2,3 and 4 part I

Usually need a licence to do this but pharmacies are exempt.

Question 14

Do you enter patient returns in the CD reg?

Answer 14

No - cannot reuse.
But you must record receipt in separate book or folder.
Record destruction in this folder with a witness.

Question 15

If destroying your own stock you require

Answer 15

Eg. Out of date.

Need a witness, record in CD register.

Question 16

Who can get a licence to destroy CDs?

Answer 16

Pharmacies do not require one.
GPs might apply for one.
Ships, rigs cannot destroy CDs but return them to pharmacy for destruction.

Question 17

Can you reuse medicines?

Answer 17

It is legal according to the home office but the RPS and MHRA do not permit it - bad practice.
SO DON’T DO IT.

You don’t know where it has been stored for example, right temperature/humidity?

Question 18

Do you need to keep a CD reg for Sativex?

Answer 18

No. But you can anyway to maintain an audit trail.

Question 19

Who can prescribe Sativex?

Answer 19

Only a doctor. No non-medical prescribers.