Regulatory Bodies And Legislation

Question 1

What are some of the tasks veterinary nurses could carry out in practice

Answer 1

Ordering and stock control
Administering meds
Calculating drug doses
Advising clients on how to medicate an animal at home
Recognising adverse reactions to medication

Question 2

Why do we need legislation surrounding veterinary medicines

Answer 2

Antimicrobial resistance
Animals for human consumption
Use of controlled meds
Health and safety
Supply of distribution
Environment
Animal ethics and welfare

Question 3

How many new antibiotics have been made since the 1980s

Answer 3

None

Question 4

How many countries have extensive drug resistance

Answer 4

123

Question 5

Antimicrobial resistance has caused how many deaths a year globally

Answer 5

Estimated 700,000

Question 6

What’s the predicted increase in antibiotics use by 2030

Answer 6

3x

Question 7

Since 2014 we have reduced antibiotic use by how much

Answer 7

55%

Question 8

How have we improved animal welfare

Answer 8

NSAIDs are used as analgesics to reduce antibiotic use.
Mastitis in cows

Question 9

How have farmers improved animal welfare

Answer 9

Additional education has been provided for them

Question 10

What is one health

Answer 10

An initiative to protect public health by considering the effect of veterinary/animal health and the environment on human health

Question 11

How many infectious diseases can be transmitted from animals

Answer 11

6/10

Question 12

What is significant about the UK regarding antibiotic usage on livestock

Answer 12

We are the lowest users of them in Europe

Question 13

What does Veterinary medicines Reg 2013 govern

Answer 13

All aspects of veterinary medicine usage including
Wholesalers
Retail
Storage
Prescribing
Supplying
Labelling
Record keeping
Monitoring

Question 14

When the VMR was updated in 2013 what 2 changes were made

Answer 14

Advertising of POM-V to professional keepers of animals was prohibited
Advertising of POM-VPS medicines to owners or keepers of horses was prohibited

Question 15

What was the impact from the VMD changes

Answer 15

Less awareness for owners
Get drugs cheaper elsewhere
Not influenced by brand so will ask vet

Question 16

Misuse of drugs regulations 2001 role

Answer 16

Controls the supply, possession and storage of controlled drugs
Deals with scheduling of controlled drugs
Promotes education and research into drug dependence and addiction

Question 17

Hazardous waste regulation 2005 role

Answer 17

Relates to the classification and disposal of hazardous waste
Require businesses to register with environment agaency if producing significant amount of hazardous waste a year

Question 18

Control of Substances Hazardous to Health Regulations (COSHH) 2002

Answer 18

Covers the management of risks associated with hazardous substances including all pharmaceutical products

Question 19

Veterinary medicine Directorate (VMD)

Answer 19

An executive agency of the government department DEFRA

Question 20

Veterinary medicine Directorate (VMD) responsibility

Answer 20

Enforcement of the veterinary medicines regulations (VMD)
Issuing and monitoring Marketing Authrisations (MA)
Develop and update legislation
INSPECT / SEARCH PREMISES(not including PSS - practice standard scheme)
Enforce prosecutions against illegal marketing or use off products - seizing products

Question 21

Environmental risk assessment purposes

Answer 21

Evaluates that new or current vet medicines do not possess a threat to human animal or environmental health

Question 22

Process of environmental risk assessment

Answer 22

Identify potential environmental hazards/risks
Identify the need for reducing the risk
Ensure appropriate labelling advice and instructions are in place

Question 23

What does environmental risk assessment NOT consider

Answer 23

Environmental contamination from manufacturing, transportation or storage

Question 24

VMD enforcement tools

Answer 24

Advisory / warning letters
Improvement notices (min of 14 days to make change)
Seizure notices
Destruction of products
Police cautions/prosecutions - for non compliance with VMR

Question 25

Examples of offences that have resulted in the seizure of products

Answer 25

Possessions of unauthorised products Administration or medication not in accordance with MA Marketing drugs as veterinary medicines when they are not Unauthorised possession of POM-V products Failure to supply accurate records of sales POM-VPS product Seizure at border of unauthorised imported products

Question 26

What does AMTRA stand for

Answer 26

Animal medicines training regulatory authority

Question 27

Role of the AMTRA

Answer 27

Maintain a register of Registered Animal Medicine Advisiors (RAMAs) and registered premises other than veterinary practices Regulate practicing RAMAs Monitor CPD for RAMAs Authorise training centres for the delivery of RAMA qualifications

Question 28

RCVS meaning

Answer 28

Royal College of Veterinary Surgeons

Question 29

Role of RCVS

Answer 29

Monitor vet professional conduct including the use of vet medicines Hold a list of registered premises Oversee the Practice Standards scheme

Question 30

When an improvement notice is isssued what is the minimum amount of time that a practice will be given to make improvements

Answer 30

14 days

Question 31

Why is the practice standard scheme relevant to veterinary medicine

Answer 31

There is a medicine module and if a practice is in the PSS they don’t have routine VMD inspections

Question 32

What is the name of the executive agency of the government department DEFRA that is responsible for enforcing the Veterinary Medicine Regulations 2013

Answer 32

Veterinary Medicine Directorate

Question 33

How do the VMD promote animal health and welfare

Answer 33

Assuring the safety, quality and efficacy of veterinary medicines

Question 34

What are the VMD responsible for in relation to animal products

Answer 34

Testing for residue of veterinary medicines or illegal substances

Question 35

When should newly registered premises be inspected by

Answer 35

Within 6 months

Question 36

State the year each came into force Veterinary Medicine Regulation Misuse of drugs regulations Hazardous waste regulations COSHH

Answer 36

2013 - inspections 2001 - controlled drugs 2005 - 200kg of waste a year 2002 - hazardous substances

Question 37

Requirements of a pharmacy

Answer 37

Permanent building No public access Not within a residential home Frosted glass and bars on windows No direct sunlight Organised Disabled access if required Storage for medication Clearly marked emergency exits Fire fighting equipment PPE

Question 38

Pharmacy can have

Answer 38

Sink Non slip stool/ladder Dispensing and labelling area Bottles and bags for dispensing medications A pill counter Scales Computer and label printer

Question 39

Things that shouldn’t be in a pharmacy

Answer 39

Food Food in fridge Not a communal area The general Public

Question 40

Under which circumstances would the VMD inspect a vet practice that is a member of the PSS

Answer 40

Reported or suspected non compliance with VMD

Question 41

What is the purpose of exemptions from authorisations for medicines for small pet animals scheme

Answer 41

To low drugs for small pet animals to be marketed in a cost effective way

Question 42

What is one health

Answer 42

An initiative to protect public health by considering the effect of veterinary

Question 43

Why should medication be protected from the adverse effects of light, temperature extremes and moisture

Answer 43

Prevent bacteria growth May dissolve if moist or get wet Potential for drugs to denature May react with light Out of date