What was introduced following the thalidomide tragedy?
Medicines Act 1968
What are the 3 types of medicines supply classifications?
- General Sale List
- Pharmacy
- Prescription Only
The Misuse of Drugs Regulations 2001 was created under the _______. It states 3 classes of drugs: A (e.g. ______), B (e.g. ______) and C (e.g. ______).
Misuse of Drug Act 1971; cocaine, opium, ecstasy; amphetamines, cannabis, codeine; GHB, steroids, tramadol
What does the Health Act 2006 stipulate about organisations?
Standardised standard procedure for every aspect of CDs must be in place, especially: Storage, Access, Record Keeping, Vigilance.
How many schedules of controlled drugs are there?
5
Outline schedule 1 for CDs
No therapeutic use - research only.
Home Office licence needed.
Outline schedule 2 for CDs
Used for medicinal use.
Prescribing, dispensing, administration & disposal tightly controlled.
Outline schedule 3 for CDs
Medicinal use and liable for abuse.
Controls less rigorous than Sch 2.
Outline schedule 4 for CDs
Possession without prescription is an offence.
No restriction or special prescription required for medicinal use.
Outline schedule 5 for CDs
Exempt from full control as active drug is low in strength
What are 6 important part of processing CDs?
Prescribing. Ordering/Transport. Storage. Administration. Record-keeping. Destruction.
State 11 requirements of CD prescriptions
- Patient name
- Patient address
- Patient age
- Drug name
- Strength of medicine
- Form of medicine
- Dose and frequency
- Quantity
- Prescriber’s signature
- Prescriber’s address
- Date (of prescription)
Where do full CD prescribing requirements not apply?
In-patient charts
In hospital, what additional requirement is needed in the patient’s CD chart?
Allergy status
How long must requisition of CDs be kept for as a minimum?
2 years
What role(s) does a registrant have for CDs?
- Responsible for requisitioning drug used in that area
- Delegate control of access (e.g. key holding)
Who can sign CD record books?
2 registrants OR,
1 registrant and 1 student
What 5 bits of information go in CD record books?
- Date
- Name of pharmacist supplying
- Amount
- Form
- Balance in stock
How frequently must CD stock checks be done by each department?
At least once every 7 days
How often will pharmacists carry out a stock check?
Every 3 months
What are the requirements for destroying CDs?
- Must be destroyed in a way that it becomes denatured and unable to be used/reconstituted
- Must be recorded
Define PGD
Patient Group Direction:
Specific written statement, by pharmacists/doctors, for supply and administration of medicines by other HCPs in an identified clinical situation
