Controlled drugs 2 AT Flashcards
CD register must be used to record details of any schedule ___ + ___ CDs received or supplied by a pharmacy.
1 + 2
What should. be at the head of each CD reg?
class
strength
calsses of CD must be
kept in seperate part
within each class
separate page should be used for different strengths and formulations
CD kept for how long?
2 years from date of last entry
can be kept in original form, copied / approved computerised form
Copy of the register, and other details of stock, receipts and supplies, must be made available to authorised persons e.g _____
(e.g. a GPhC inspector or CD liaison officer) upon request.
For Controlled Drugs received, the following must be recorded
Date supply received
Name and address from whom received
Quantity received.
For Controlled Drugs supplied, the following must be recorded:
Date supplied
Name and address of recipient
Details of authority to possess – prescriber or licence holder’s details
Quantity supplied
Details of person collecting Schedule 2 CD – patient, patient’s representative or healthcare representative (if the latter, also record their name and address)
Whether proof of identity was requested of the person collecting
Whether proof of identity was provided.
These are the minimum fields of information that must be recorded; additional relevant information can be added.
All entries made in CD registers should be:
Entered chronologically
Entered promptly – entries must be made on the day of the transaction or on the following day
In ink or indelible – entries and corrections must be in ink or indelible (or computerised)
Unaltered – entries must not be cancelled, obliterated or altered.
Corrections must be made by dated marginal notes or footnotes. The register should be marked to show who the amendments made are attributable to (e.g. name, initials/signature, GPhC number if applicable).
Electronic CD registers must be:
Attributable
Capable of being audited
Compliant with best practice.
accessible from premises and capable of being printed
Safeguards must be incorporated into the software to ensure all of the following:
The author of each entry is identifiable
Entries cannot be altered at a later date
A log of all data entered is kept and can be recalled for audit purposes.
stocks checks
checked at least once a week
liquids CDs can be affected by overage, residue and spillage
recorded/ signed and dated
An instalment direction combines two pieces of information:
- Amount of medicine to be supplied per instalment
- Interval between each time the medicine can be supplied
Dose and instalment amount must be specified separately
The first instalment must be dispensed within ___ days of the appropriate date.
28
The appropriate date is either the signature date or any other date indicated on the prescription as a treatment start date
The prescription must be:
marked w date of each supply
Home Office wording:
Please dispense instalments due on pharmacy closed days on a prior suitable day.
If an instalment’s collection day has been missed, please still dispense the amount due for any remaining day(s) of that instalment.
Consult the prescriber if three or more consecutive days of a prescription have been missed.
Supervise consumption on collection days.
Dispense daily doses in separate containers.
Supply the balance of an instalment if the interval date is missed
e.g. if three days’ supply was directed to be supplied on day one but it was missed, it allows two days’ supply to be issued on day two)
Supply treatment prior to the start date on the prescription, if this is on a day the pharmacy is closed for example during bank holiday periods
e.g. if the start date is a bank holiday Monday and the pharmacy is closed, a supply can be made if the signature date is before the start date)
Missed Doses
Missed three days’ prescribed treatment
risk that they will have lost tolerance to the drug and the usual dose may cause overdose.
contact the prescriber
