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Diploma exam 1 > patient services > Flashcards

patient services Flashcards

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1
Q

How long is a prescription valid for?

A

Prescription is valid for up to 6 months - either from the date on which the prescription was signed, or the date indicated by the prescriber as the date before it should not be dispensed

Note: for private prescriptions the appropriate date is always the date it was signed

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2
Q

Is you suspect a fraudulent prescription who should you report your concerns to?

A

May require referral to police

NHS counter fraud services

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3
Q

Can health care professionals self prescribe?

A

It is generally considered poor practice to self-prescribe or to prescribe for persons for whom there is a close personal relationship

NMC advises nurses must no prescribe for themselves but in exceptional circumstances may prescribed for close family/friends.

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4
Q

Can pharmacies refuse patient own medication waste?

A

No - pharmacies are obliged to accept back unwanted medicines from patients. The pharmacy must sort them into solids, liquids, and aerosols

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5
Q

What colour bin should pharmaceutical non-hazardous waste be disposed of in?

A

Blue-lidded waste bin

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6
Q

What colour bin should sharps contaminated with non hazardous waste should be disposed of in?

A

Yellow-lidded sharps bin

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7
Q

What colour bin should cytotoxic medications be disposed of in?

A

Purple lidded waste container

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8
Q

Which schedule controlled drugs must be destroyed?

A

All CDs in schedule 2, 3 and 4 (part 1)

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9
Q

Patient safety incidents should be reported to who?

A

Report to National Reporting and Learning System (NRLS) and CQC

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10
Q

What is a root cause analysis?

A

Pharmacists should carry out a route cause analysis in the event of a patient safety incident. This is a retrospective technique for looking for the underlying cause of a patient safety incident, behind the immediate and obvious cause.

Example RCA tools - ‘the five whys’ or fishbone diagram (useful if there are many factors which contributed to a problem)

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11
Q

Maximum amount of pseudoephedrine and ephedrine that be sold at one time?

A

It is unlawful to supply a product that contains more than 720mg of pseudoephedrine or 180mg of ephedrine at any one time (without a prescription)

It is unlawful to sell or supply any pseudoephedrine product at the same time as an ephedrine product

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12
Q

What emergency hormonal contraception is available to be supplied OTC?

A

Levenorgestrel 1500mcg for women over 16 years within 72 hours of sexual intercourse

Ulipristal acetate 30mg within 120 hours (suitable for any women of child bearing age)

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13
Q

Can an advanced supply of EHC be made?

A

Yes

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14
Q

What is codeine/dihydrocodeine indicated for OTC?

A

Indiated for short term treatment of acute-moderate pain that is not relieved by paracetamol, ibuprofen or aspirin alone

All other previous indications including cold, flu, sore throats and minor pain have been removed

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15
Q

What additional warning must be included on the packaging of codeine?

A

The warning ‘can cause addiction. For three days use only’ must be positioned in a prominent clear position on the front of the pack. In addition both the PIL and packaging must state the indication and that the medicine can cause addiction or headache if used continuously for more than 3 days

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16
Q

Examples of medications recently reclassified from POM to P

A 
Amorlfine nail lacquer
Mometasone nasal spray 
PPIs
Orlistat
Sildenafil 
Tamsulosin
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17
Q

How long must private prescriptions be retained for?

A

Private prescriptions for a POM must be retained for two years from the date of the sale/supply

18
Q

Private prescriptions for what are exempt from record keeping?

A

Oral contraceptives

Schedule 2 CDs - separate CD register record has been made

19
Q

What must be recorded following the supply of a medication against a private prescription?

A

Supply date: the date of which the medication was supplied
Date on the prescription
Medication details: name, quantity, formulation and strength of medicine supplied
Prescriber name and address
Patient name and address

20
Q

Requirements for emergency supply at request of a patient

A

Pharmacist must interview the patient (not always possible - exercise professional judgement)
The POM requested must previously have been used as a treatment and prescribed by a prescriber
Not a CD schedule 1, 2 or 3
Additional labelling requirement - the words ‘emergency supply’ needs to be added to the dispensing label

21
Q

Maximum duration of emergency supply at request of patient

A

If for CD schedule 4 or 5 - max five days of treatment

For any other POM maximum 30 days supply (except if original pack cannot be split)

22
Q

How many responsible pharmacists can there be at one time?

A

There can be only one responsible pharmacist in charge at any one time, and the pharmacist can only be in charge of one registered premises at any one time

23
Q

What should the RP notice include?

A

The RP notice should be clearly visible to patients and the public
It needs to include the name of the RP, GPHC number, the fact that the RP is in charge of the pharmacy at the time

24
Q

In what format should the pharmacy record be kept?

A

In writing or electronically

or both forms

25
Q

What details must be recorded in the pharmacy record?

A

The RP name
The RP registration number
The date and time at which the pharmacist became the RP
The date and time which the RP stopped being the RP
If you are absent from the premises - the time and date which the RP left the premises and when the RP returned

26
Q

Can someone else fill in the pharmacy record on behalf of the RP?

A

No - must be made personally by the RP.

Can be made remotely for electronic records

27
Q

How long should the pharmacy record be kept for?

A

The pharmacy record must be kept for five years

28
Q

How long can the RP be absent for?

A

Can be absent for up to max of 2 hours between midnight and midnight
Can only be absent if the pharmacy can continue to run safety and effectively.
The RP must remain contactable or arrange for another pharmacist to be contactable (this does not need to be another RP)

29
Q

Can GSL medications be sold when the RP is absent?

A

Yes can take place with an RP in charge of the pharmacy (if RP hasn’t arrived yet then can’t be sold)

30
Q

What are the six advanced services within the NHS community pharmacy contract?

A 
Community pharmacist consultation service
Flu vaccination service 
New medicine service
Appliance use reviews
Stoma appliance customisation
Medicine use review
31
Q

What is the community pharmacist consultation service (CPCS)?

A

Replaced NUMSAS service
Takes referrals to community pharmacy from NHS 111
Includes supply of medications
Pharmacists providing the service must have access to SCR, NHS mail and consultation room

32
Q

Who is eligible for the flu vaccine?

A

All people aged over 65 years -Adjuvant-trivalent influenza vaccine

People aged 18-65 with:
long term respiratory condition, heart disease, heart failure, ckd, liver disease, chronic neurological disease (e.g. Parkinsons), learning disability, weakened immune system, morbid obesity (BMI >40), pregnant women, people living in long stay residentialhomes, social care workers, carers over 18, household contacts of immunocompromised individuals

33
Q

What is the NMS?

A

Service provides support for people with long-term conditions newly prescribed a medicine to help improve medicines adherence. It is focused on four patient groups:

  1. Asthma/copd
  2. Type 2 diabetes
  3. Antiplatelets/anticoagulants
  4. hypertension
34
Q

Do schedule 2 CD invoices need to be retained?

A

No - record already kept in CD register

35
Q

Do schedule 3 CD invoices need to be retained?

A

Yes - as no record required in CD register. Retain invoices for two years

36
Q

How long are schedule 4 CD prescriptions valid for?

A

28 days

37
Q

How long are schedule 5 CD prescriptions valid for?

A

6 months

38
Q

Can schedule 2 and 3 CDs be repeated?

A

No

39
Q

Is the strength of the CD a legal requirement for CD prescriptions?

A

Only if available in more than one strength

40
Q

Dental CD prescriptions must include what additional direction?

A

If written by a dentist, the words ‘for dental treatment only’ must be present

41
Q

Can pharmacists amend technical errors on CD prescriptions that do not meet the legal requirements?

A

Yes - where a prescription contains a minor typographical error or spelling mistake, a pharmacist can amend the prescription so that it becomes compliant with legislation. The amendments should be attributable to the pharmacist (name, date, gphc number)

42
Q

Is the name of the medication a legal requirement for CD prescriptions?

A

No - name of the medication is not a legal requirement. But needed in order to dispense the prescription

Diploma exam 1 (3 decks)

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