Controlled Drugs

Question 1

What act do controlled drugs come under?

Answer 1

1971 Misuse of Drugs Act

Question 2

What does the 1971 misuse of drugs act control?

Answer 2

The licensing, production, administration and supply of controlled drugs to prevent their misuse recreationally

Question 3

What event occurred for the management of controlled drugs storage and administration to occur?

Answer 3

The Shipman Inquiry

Question 4

What is one feature of CD regulations in relation to timing?

Answer 4

CDs must be supplied in a timely manner

Question 5

What does the medicines act of 1968 control?

what type of product, protect people from what, make sure what

Answer 5

Production and supply of all medical products and devices to protect people from harm and make sure medical products are safe and effective

Question 6

What 3 actions must be carried out by healthcare professionals due to the restrictions of CDs?
(what type of order, … trail, what info should be provided to pts)

Answer 6

Compilation and collection of information regarding bulk orders of CDs on behalf of pts e.g. GPs
Audit trail on behalf of pts
Educating pts about use and protection of CDs

Question 7

What 2 things does the Health Act of 2006 require hospitals to do?

Answer 7

To have standard operating procedures and carry out 3 monthly CD checks

Question 8

True or false, healthcare professionals must have a license to prescribe and dispense CDs?

Answer 8

True

Question 9

What % of CD stock loss is classed as acceptable?

Answer 9

5%

Question 10

What may cause acceptable loss of CDs?

Answer 10

Pouring and measuring of CDs

Question 11

List 3 classes of drugs based on their supply and the letter/acronym that represents them

Answer 11

Prescription Only Medication (POMs)
Pharmacy (P)
General Sales List (GSL)

Question 12

What 3 groups of drugs are not supplied by general sales list?

Answer 12

Enemas
Eye preparations
Drugs containing asprin

Question 13

Where are general sales list drugs available from?

Answer 13

Any shop

Question 14

List 3 restrictions on general sales list medications?

Answer 14

Restrictions on their dose, quantity and form

Question 15

Are all new medications POMs, yes or no?

Answer 15

Yes, until information of their safety has been collected

Question 16

3 classes of CDs

Answer 16

A B C

Question 17

What are class A drugs considered to cause?

Answer 17

The most harm

Question 18

What are the potential consequences for having a class A drug without a license/prescription?

Answer 18

Imprisonment

Question 19

List 5 class A CDs

Answer 19

Heroin 
Exstacy 
LSD 
Cocaine 
Methadone

Question 20

Methadone is not a class A CD, true or false?

Answer 20

False

Question 21

List 3 class B CDs

Answer 21

Amphetamine
Codeine
Cannabis

Question 22

List 2 class B CDs

Answer 22

GHB

Anabolic steroids

Question 23

How many schedules of CDs are there?

Answer 23

5

Question 24

Which of the schedules of drugs are under the most control?

Answer 24

Schedule 1

Question 25

Schedule 1 drugs are for therapeutic use, true or false?

Answer 25

False

Question 26

What license do you need to receive schedule 1 drugs?

Answer 26

Home office license

Question 27

List 2 examples of schedule 1 drugs

Answer 27

LSD | Exstacy

Question 28

Schedule 2 drugs are for therapeutic use, true or false?

Answer 28

True

Question 29

Which 2 schedules of drugs are illegal to possess without a prescription

Answer 29

Schedule 2 and 3

Question 30

For schedule 2 drugs there is strict control on what 4 aspects of drug handling?

Answer 30

Prescribing Dispensing Administration Disposal

Question 31

Schedule 3 drugs are for therapeutic use, true or false?

Answer 31

True

Question 32

What is the difference between the handling of schedule 2 and 3 drugs?

Answer 32

Less control of prescription, dispense, administration and disposal of schedule 3 than schedule 2 drugs

Question 33

Where could you get schedule 5 drugs from?

Answer 33

Over the counter

Question 34

True or false, there are no restrictions on schedule 5 drugs?

Answer 34

True

Question 35

Codeine is what class and what schedule of CD?

Answer 35

Class B | Schedule 5

Question 36

What are features allows for a CD to be schedule 5? | risks

Answer 36

Risks of misuse and abuse are low

Question 37

From a prescription being signed, what is the duration for normal compared to CDs?

Answer 37

``` Normal = 6 months CD = 28 days ```

Question 38

What is the maximum duration for a prescription of a CD compared to that for a normal drug?

Answer 38

``` CD= 30 days Normal= 12 months ```

Question 39

How often must a list of staff authorised to dispense and administer CDs be supplied to pharmacy?

Answer 39

Every 3 months

Question 40

Which member of staff is able to order a CD?

Answer 40

Nurse/midwife in charge / doctor

Question 41

True or false, the member of staff authorised to order CDs is able to delegate the task to another team member?

Answer 41

True

Question 42

What must CD order forms be filled in with and why?

Answer 42

Black ink | To create a carbon copy

Question 43

How many CDs can be ordered per sheet of the CD order book?

Answer 43

1

Question 44

What 6 pieces of information have to be included on a CD order form? (x2 in relation to CD, x2 in relation to dose, x2 in relation to amount, person, when)

Answer 44

``` Name AND form of CD Dose AND units of CD Quantity AND units of CD Nurse signature AND printed name Date ```

Question 45

8 pieces of information that must be on a pts normal prescription chart

Answer 45

``` Pt name AND ward Drug name, form Route Dose Frequency Start date Prescriber signature Allergy status ```

Question 46

When a mistake is made in the CD book how must it be dealt with?

Answer 46

Bracketed as a mistake and signed + dated by another nurse

Question 47

What is an FP10?

Answer 47

Normal prescription

Question 48

12 pieces of information that must be on a CD prescription

Answer 48

``` Name and signature of prescriber Date of signature Age of pt IF <12 years old Address of where prescriber works Formulation of CD CD quantity in words AND numbers Duration that each dose of drug should last for e.g. 28 tablets taken OD for 28 days Stated IF for dental use only Name of pt Address of pt ```

Question 49

7 pieces of information that should be included in the documentation when a CD initially arrives on ward

Answer 49

``` Date + time received Pharmacy supplying Dose of CD with units Page serial number Signature and name of RN completing entry Signature of witness Total balance of new stock ```

Question 50

7 pieces of information to be included when disposing of CD

Answer 50

``` Date and time Name of CD Formulation of CD Dose of CD Quantity of CD Signature of pharmacist and RN New balance of CD stock ```

Question 51

Who conducts the 3 monthly CD stock check?

Answer 51

Charge nurse with pharmacist

Question 52

What 4 things occur at the 3 monthly CD stock check?

Answer 52

Full stock of drugs on ward Review of stock list Review of who has access to CDs Review of record keeping quality

Question 53

6 checks required to be carried out when CD being prescribed/administered

Answer 53

Prescribed dose is safe ? CD prescribed in another form Appropriate form of CD for pt ? pt taken CD before Inform pt of CD name and dose before giving Inform pt of CD forms and ensure their understanding