Week 4 Flashcards
What are the NHS Wales core values?
Putting quality and safety above all else
Integrating improvement into everyday working and eliminating harm, variation and waste
Focusing on prevention, health improvement and inequality
Working in true partnership with partners and organisations with staff
Investing in staff
What are OTC medicines?
Over the counter
What are self selected medicines?
Over the counter medicines
Herbal products
Vitamins
Dietary supplements
Recreational drugs
What is human medicines regulations 2012 a regulation for?
Authorisation of medicinal products for human use
Manufacture, import, distribution, sale and supply
Labelling and advertising
Pharmacovigilance
What marketing authorisation is responsible for including how a product is available?
Medicines and healthcare products regulatory agency
MHRA
What are the categories of sales of medicine?
GSL (general sales list)
P (pharmacy)
POM (prescription only medicine)
Who is the pharmacy staff?
Medicines counter assistants (MCAs)
Dispensing/ pharmacy assistant
Pharmacy technicians
Accuracy checking technicians
What do medicines counter assistants do?
Sale of non-prescription medicines, receipt of prescription, handing out of completed dispensed items and giving advice on health matters
What do pharmacy technicians do?
Preparations and supply and dispensing of medicines
Where can otc medicines be sold?
Always from pharmacies
Premises that can be closed from the public
As long as the medicine was packaged elsewhere
Outer packaging has not been opened
Where are p medicines sold from?
Registered pharmacies by a pharmacists or person acting under supervision of a pharmacist
What are p medicines used for?
For short term treatment of medicinal conditions
For management of some long term conditions
How does a pharmacy medicine change into a general sale list?
Where the hazard to health, the risk of misuse, or need to take special precautions in handling is small and where wider sale would be a convenience to the purchaser
Prescription only medicines to pharmacy medicine?
A medicine will be non-prescription unless it fulfils certain criteria for prescription control
What is the criteria for prescription control?
A direct or indirect danger to health exists to human health, if used without medical supervision
There is frequently incorrect use which could lead to direct or indirect danger to human health
The product is normally prescribed for parenteral administration
What are the signs of possible misuse of medication?
Lack of symptoms
Rehearsed answers
Opportunistic
Specific products
Paraphernalia
Quantities
Frequency
What is the human medicines regulation 2012 relating to prescription only medicine?
A person may not sell or supply a prescription only medicine except in accordance with a prescription given by an appropriate practitioner
Who can prescribe?
Doctors
Dentists
Independent prescribers
What can be prescribed?
Licensed drugs
Off label and off licence medicines
Unlicensed medicines
Controlled drugs
Some appliances or chemical reagents
Selected list medicines
Borderline substances
A prescription must be…
Signed in ink
Written in ink or indelible
Dispensed within six months
What are the legal requirements on a prescription?
Name of patient
Address of the patient
Age of the patient (if under 12)
Signature
Date
Address
Particulars
What are the packaging requirements?
Name of the medicine
Expression of strength
Route of administration
Dosage
Warnings
What is required on blister packs?
Name
Strength and form
Babies, children or adults?
Common names (if up to three active substances)
Expiry date
Batch number
Holder of the marketing authorisation
What is required on dispensing labels?
Name of patient
Name and address of the supplying pharmacy
Date of dispensing
Name of the medicine
Directions for use
Precautions relating to the use of the medicine
Since when have patient information leaflets been a requirement?
1999
What is contained within a patient information leaflet?
Identification of the medicine
Therapeutic indications
Information necessary before taking the medicine
Dosage
Description of side effects
Additional information
What information is necessary before taking the medicine?
Situations where the medicine should not be used
Precautions
Warnings
Interactions with other medicines or food
Information for special groups of patients
Any effect the medicine may have on the patients ability to drive
In a healthier wales, what is the main emphasis on?
wellbeing
prevention
early intervention
use of technology
how much pseudoephedrine can be supplied?
720mg
how much ephedrine can be supplied?
180mg
how many noneffervescent tablets or capsules can be sold at any one time?
no more than 100
how many codeine and dihydrocodeine can be supplied?
no more than 32 unit doses
