Practicals Y3 Flashcards
Private prescriptions
When must the first dispensing of this private
prescription be made by?
o 28 days
o 3 months
o 6 months
o There is no legal limit
6 months
After the first dispensing, when must the
remaining repeats be dispensed by?
o Each repeat needs to be within 28 days of when the item
was last dispensed
o All repeats must be within 6 months of prescription date
o All repeats must be within 12 months of prescription
date
o There is no legal time limit but professional judgement
should be used
There is no legal time limit but professional judgement
should be used
After dispensing the medicine on the private prescription, what would you do with the prescription?
Private prescriptions are retained in the pharmacy for 2 years (After last repeat)
Stamp and keep in assigned place.
Add reference number too
Px can go to any pharmacy for repeats. May want prescription back
NHS prescriptions and private prescriptions for CD Schedules 2 & 3 (FP10 PCD) are sent to
NHS BSA at the end of each month.
T/F
private prescription legality check is same as NHS FP10?
true
Prescriber name, address, and signature
Date: in date
Patient name, address, DOB present
Can a private prescription be repeated?
yes, as indicated by the prescriber.
note: NHS scripts cannot be
repeated.
what CD schedule prescriptions are repeatable?
only for CD2 and 3 controlled drugs
If a contraceptive could dispense total of 6 times , within what timeframe would you dispense?
6 months
For private prescriptions, when must the FIRST dispensing be made by?
CD4: 28 days
CD5, others: 6 months
T/F when charging for private Rx, you dont add VAT?
true.
just BNF price and then % mark up (usually 30-50%)
up to pharmacist to decide
Where would you record a supply made against a private prescription?
PoM register
Written or electronic
And keep for 2 years
What information must the record include for private Rx?
SUPPLY DATE – the date on which the medicine was sold or supplied
PRESCRIPTION DATE – the date on the prescription
MEDICINE DETAILS – the name, quantity, formulation and strength of medicine supplied
(where not apparent from the name)
PRESCRIBER DETAILS – the name and address of the practitioner
PATIENT DETAILS – the name and address of the patient.
what groups of medicines that are exempt from record keeping requirements?
Prescriptions for oral contraceptives
CD2 where a separate Controlled Drug register record has been
made.
duration of onset and action for salbutamol?
onset:
Almost straight away (5 minutes)
action:
Carries on working for 3-6 hours
what 3 things should be on request signed by the principal or head teacher requesting supply of medication with a signed order?
- name of school for which the product is required;
- purpose for which product is required,
- total quantity required.
If you did decide to supply the inhalers, how long would you keep the signed order for and where would you make a record of the supply?
Keep the signed order for 2 years or make an entry in the POM register (good practice to do both)
advice about spacers to headteacher of school, requesting inhalers?
- It is important that the spacer device is compatible with the metered-dose inhaler.
- The BNF lists different spacers and their compatibility.
- Larger volume spacers are more effective but will take up space.
- Volumatic (large volume) is compatible with Ventolin Evohaler.
- Cleaning and replacement advice should also be given.
how long are Vet Rx kept for and what to remember about reimbursement?
5 yrs
not sent off to NHS BSA. no reimbursement, so will need to charge
If you decide to make the supply of CD2 and 3 drugs on vet Rx, what records do you need to complete?
CD register!
Not legal req but..
- POM register too as good practise.
- Section A of the requisition form too
What 2 legal categories of veterinary medicines can pharmacies sell to the general public?
AVM-GSL.
NFA-VPS
What advice would you offer a pet owner asking to buy Advantage 40 Spot-on from your pharmacy?
- administration
Check weight of animal
topical use only
Apply onto base of neck where pet cannot lick.
Wash hands after use.
Do not allow recently treated animals to groom each other.
Any collar should be removed prior
remains effective if the animal becomes wet
all cats and dogs in the household should be treated
What advice would you offer a pet owner asking to buy Advantage 40 Spot-on from your pharmacy?
- general
- Re-infestation from emergence of new fleas in the environment may continue to occur for
six weeks or longer after treatment is initiated. More than one treatment may therefore be
required, depending on the level of fleas in the environment. - Fleas often infest the animal’s basket, bedding and regular resting areas such as carpets and
soft furnishings – if there is a large infestation treat with a suitable insecticide and vacuum
regularly - The solvent in this product may stain certain materials including leather, fabrics, plastics and
finished surfaces. Allow the application site to dry before permitting contact with such
materials.
What other products might you suggest the pharmacy chain owner stocks to complement Advantage 40 Spot-on?
Headline combs
Insecticide sprays and powders for bedding areas
Worming medication
Zoonoses:
how is ringworm trasmitted?
from person to person by touching a person who has the infection
or clothes
symptoms of ringworm?
1/ multiple rounded, red, inflamed patch of skin. The outer edge is more inflamed and scaly than the paler centre.
rash may be mildly irritating, but sometimes it is very itchy and inflamed
may look similar to eg psoriasis
how is ringworm treated?
any antifungal cream
terbinafine, clotrimazole, econazole, ketoconazole and miconazole
human scabies treatment?
- Use permethrin 5% dermal cream (insecticide) as a first-line treatment.
- Use Malathion 0.5% aqueous liquid if permethrin is inappropriate
Drug Tariff//
What do the following prescription endorsements mean:
ND
OP
BB
ED
SP
PD
MF
Not dispensed
Original pack
Broken bulk
Extemporaneously dispensed
Unlicensed specials
Packed doses (for oral liquid methadone)
Measured and fitted
Answers can be found on the PSNC website
