Dispensing and Supply of Medicines (316) Flashcards

Question

What does the Latin abbreviation **d.** mean on medicines?

Answer 1

d. means daily.

Answer 2

dest. means distilled.

Answer 3

dil. means diluted.

Answer 4

div. means divide.

Answer 5

dol.urg means when the pain is severe.

Answer 6

dolent.part. means to the affected part.

Answer 7

dos. means dose.

Answer 8

ex aq. means in water.

Answer 9

ext. means extract.

Answer 10

extemp. means extemporaneously dispensed.

Answer 11

fort. means strong.

Answer 12

garg. means gargle.

Answer 13

gtt. or guttae or g. means drops.

Answer 14

h. means at the hour of.

Answer 15

h.s. means at bedtime.

Answer 16

i.c. means between meals.

Answer 17

IM means intramuscular.

Answer 18

inf means infusion.

Answer 19

inj means injection.

Answer 20

IV means intravenous.

Answer 21

m. or mane means in the morning.

Answer 22

m.d. means as directed.

Answer 23

m.d.u. means to be used as directed.

Answer 24

MDI means metered dose inhaler.

Answer 25

mist. means mixture.

Answer 26

mitt. or mittae means send.

Answer 27

n. or nocte means at night.

Answer 28

n.et m. means night and morning.

Answer 29

narist. means nasal drops.

Answer 30

n.p. or NP means proper name.

Answer 31

o.alt hor. means every other hour.

Answer 32

o.d. means every day.

Answer 33

o.m. means every morning.

Answer 34

o.n. means every night.

Answer 35

occulent. means eye ointment.

Answer 36

p.a. means to the affected part.

Answer 37

OP means original pack.

Answer 38

p.aeq. means equal parts.

Answer 39

p.c. means after food.

Answer 40

p.m. means in the afternoon.

Answer 41

p.r.n. means when required.

Answer 42

part. dolent. means to the painful part.

Answer 43

past. means paste.

Answer 44

PR means per rectum.

Answer 45

pulv. means powder.

Answer 46

PV means per vagina.

Answer 47

q.d. means four times daily.

Answer 48

q.d.s. means to be taken four times daily.

Answer 49

q.i.d. means four times daily.

Answer 50

q.q.h. means every fourth hour.

Answer 51

q.s. means sufficient.

Answer 52

q12h means every 12 hours.

Answer 53

q4h means every 4 hours.

Answer 54

q6h means every 6 hours.

Answer 55

qq. means every.

Answer 56

Rx means take.

Answer 57

s.o.s. means if necessary.

Answer 58

SC means subcutaneous.

Answer 59

SL means sublingual.

Answer 60

ss. means half.

Answer 61

stat. means immediately.

Answer 62

t.d.d. means three times daily.

Answer 63

t.d.s. means to be taken three times daily.

Answer 64

t.i.d. means three times daily.

Answer 65

tinct. means tincture.

Answer 66

trit. or triturate means serial dilution or mixing ingredients.

Answer 67

u.a. means as before.

Answer 68

ung. or unguentum means ointment.

Answer 69

One tablet.

Answer 70

* make sure prescription is **legal** * make sure prescription is **appropriate** for the patient - correct form/dose for a child * **interpret** practitioners instructions * select **correct** product + label it - perform in process **check** * add any additional information, initial it. **Endorse** * provide correct patient **counseling**

Answer 71

Standard operating procedure

Answer 72

SOPs are there to ensure all individuals are working to the same standard

Answer 73

There are eight legal requirements for a prescription

Answer 74

* date --\> prescription is valid for 6 months * address of the prescriber * patient's name * patient's address/nfa * signature of prescriber * indication of qualification * written in indelible ink * age/DOB if under 12

Answer 75

* drug name * quantity * strength * form * directions * administration

Answer 76

* name is correct (of product) * formulation (tabs/caps/liq) * correct strength * quantity

Answer 77

* authenticity of the prescription * correct product * correct formulation * correct frequency

Answer 78

* date created * drug name, quantity, strength, form * directions * cautionary warnings (eg after food) * batch no./expiry date (if packed down) * storage info * patient's name, hospital/NHS no. * address of the pharmacy/hospital * keep out of the reach of children

Answer 79

* amount of tablets dispensed and the strength * your initials * the date

Answer 80

* wash hands * PPE * hair off collar * bare below the elbow * no loose material * disinfect worktops/keyboards * jewellery/piercings * limited makeup * nail varnish

Answer 81

* end of life * private * outpatients * TTOs * inpatient prescription (cardex/charts) * chemo * scripts for high cost drugs or prescribed with caution

Answer 82

* private * repeat prescription * FP10 * FP10D * FP10PN * scripts for high cost drugs or prescribed with caution * FPMDA

Answer 83

A private prescription could be written on a **scrap of paper**. It is a drug that is **not available on the NHS** usually due to a **cost** implication.

Answer 84

If a drug is blacklisted then it is **not available** on the NHS.

Answer 85

FP means the prescription was **created in England**.

Answer 86

An FP10D is **yellow**.

Answer 87

An FP10PN is **lilac**.

Answer 88

An FP10MDA is **blue**.

Answer 89

An FP10MDA is prescribed due to **misuse of drugs**. It is specifically for **addicts**. E.g. methadone prescription.

Answer 90

A CD prescription is valid for **28 days**.

Answer 91

* if the prescriber's signature is unknown (new prescriber?) * if the patient has not visited the pharmacy before * if the patient is not suffering from a condition for which the prescription has been written * unusually large dose * Dr before or after the prescriber's signature * incorrect spelling * an incorrect dose * no GMC no./incorrect * change in ink (a possible amendment) * missing legal requirements * photocopies * terminology * signature inconsistencies * changes in handwriting (possible amendment) * patient behaviour * not written in indelible ink

Answer 92

30 days of CDs can be prescribed.

Answer 93

A CD prescription from a dentist must state for dental use only.

Answer 94

The supply must be written in words and figures. I.e. how many to be dispensed.

Answer 95

The signature on a CD prescription must currently be handwritten.

Answer 96

True! A spelling error can be amended by a pharmacist, but they must put their GPhC number.

Answer 97

True! A pharmacist can amend the prescription if they believe it to be genuine and not littered with mistakes. Must also write their GPhC number.

Answer 98

* in control of the dispensary at any given time * rota basis of when they are responsible * usually be the pharmacist doing clinical checks * go-to in the pharmacy * have to complete the 'pharmacy record' - paper-based out electronic - name/date/time of being responsible pharmacist - there to backtrack errors * can only be off-site for 2 hours in a 24 hour period

Answer 99

* another pharmacist should take over as responsible pharmacist * alternatively the pharmacy should be closed

Answer 100

* no medications should be handed out * no pharmacy only medication should be sold

Answer 101

* can still take in prescriptions * can still dispense and sell GSLs

Answer 102

A pharmacy record is an **audit trail** so we know who the **responsible pharmacist** was, so who was responsible when an error occured.

Answer 103

* who is in charge * their registration number

Answer 104

* incorrect drug * incorrect strength * incorrect form * doses added (given more) * missing doses * omission of an item * expired medicine * wrong release/coated * damaged/not stored in fridge

Answer 105

* incorrect patient name * incorrect drug name * incorrect drug strength * incorrect quantity * incorrect form * incorrect directions * incorrect warnings * incorrect pharmacy address

Answer 106

* lack of in process check * forgetfullness * short codes/cautionary labels * time constraints/stress/pressure * lack of knowledge * illegible handwriting * distractions/multitasking * similar medicines or name or packaging

Answer 107

Have different labellers and assemblers.

Answer 108

* further training * shadowing * mentoring * CPD - continual professional development * training manuals, competencies signed off

Answer 109

Check what it says with the prof checker.

Answer 110

* double check * labels on shelves * clearly separate them * alerts on computers

Answer 111

* don't know how the drug will break down * increased toxicity * reduced efficacy * increased side effects * decreased pain relief --\> hospitilisation/death * internal investigation * stress on staff members * reputation of pharmacy

Answer 112

* investigation * taken off register * lawsuit * death/serious harm * overdose * affects stock levels * reputation of pharmacy * costs (different drug costed out, could be more expensive) * knock confidence of staff member

Answer 113

An incident which did not cause harm at the time but may have had the potential to cause harm. Usually noticed at checking or when issuing to the patient.

Answer 114

1. confirm the patient details with the patient 2. check the prescription is legally valid 3. ensure the prescription exemption declaration is completed 4. idetify any special requirements 5. check the evidence of exemption 6. take payment if not exempt 7. any known allergies 8. check stock availability 9. inform of waiting times 10. issue a prescription receipt 11. forward for clinical check and dispensing

Answer 115

* under the age of 16 * aged 16-18 and in full time education * over the age of 60 * HC2 certificate - university / apprenticeships * prepayment certificate * maternity exemption * medical exemption - diabetic / thyroid * incomee support * tax credits * job seekers allowance * war pensioner * contraceptives * diability * has a partner who gets pension credits (PCGC)

Answer 116

1. clinical check 2. in-process check 3. final check

Answer 117

* Greet patient * Check patient's name * Confirm the patient's address/DOB * Have you had this medication before? * Are you on any other medication? * Do you have any allergies? * Patient counselling * warnings * complete the course * how to store * Check understanding/questions * additional needs * Any sundries?

Answer 118

A standard drug patent is **20 years**.

Answer 119

A generic version can be produced once **the patent has expired**.

Answer 120

A generic drug is usually named after the **active ingredient**.

Answer 121

* automated stock control * reduces dispensing errors * efficiencies in dispensing and turnaround times * enabling of a reengineering of pharmacy services, which might include developing a ward-based medicines management service & decentralising clinical pharmacy service

Answer 122

* linked to drug cabinet/drawer * dispenses unit doses or OPs * can be patient or drug specific * computer system verifies the dose then delivers required medication

Answer 123

Procurement is ordering the **correct quantity and quality** of products at a **competitive price** from a **reputable supplier** who will deliver **on time**.

Answer 124

A local contract is an agreement between a supplier and a pharmacy to purchase medication at a certain price. The more you buy the cheaper you get it.

Answer 125

A national contract is when a group of pharmacies work together nationally to achieve the best price. Good because covers a wide area, can ensure even prescribing.

Answer 126

The NHS works under a **local and a national** contract.

Answer 127

When there isn't a licensed version of the drug.

Answer 128

* check the delivery is for us * check the order number against the original order * check the pack size is correct * check the brand of the medication is what was paid for * ensure the quantity is correct * check the price is correct

Answer 129

Because it is hazardous, flammable and a volatile liquid.

Answer 130

* evacuate the area * alert everyone * close off the area if possible * when it is safe, open the windows * contact appropriate people/company to deal with spill --\> specialist PPE * once cleaned, the area is safe

Answer 131

* cordon off area * alert everyone to spillage * mustn't leave area * ask someone to bring spill kit + be aware of COSHH regulations * put PPE on * tweezers to pick up glass - dispose of in sharps bin * soak up liquid - bring spill inwards to avoid spreading * if sticky, may also require mopping * adjust stock level + reorder if level low * if CD update register

Answer 132

* put waste in correct area * must be closed + secured properly * waste is labelled - where from etc. * must be secure and out of the public's reach * authorised waste disposal company to collect the waste - must fill in documentation --\> audit trail

Answer 133

Put the stock with shortest expiry in the position to be used first.

Answer 134

* too expensive - sent off contract * too short an expiry * damaged * incorrect drug/item * too many sent * incorrect strength * incorrect form * ordered in error * duplicate orders * incorrect storage (ie not in fridge) * wrong pack size

Answer 135

* segregate the stock to be returned + label it as a return * receive onto system to receive a returns number/ring supplier to get a returns number * returns book/fill in delivery note returns * complete returns documentation * package items with returns documentation * collected * re-order

Answer 136

A class I drug alert is critical.

Answer 137

A class II drug alert is major.

Answer 138

A class III drug alert is minor.

Answer 139

A class IV drug alert is a use in caution.

Answer 140

A class I drug alert could be having the wrong drug packaged.

Answer 141

A class I drug alert must be dealt with immediately, even out of hours.

Answer 142

A class II drug alert must be dealt with within 48 hours.

Answer 143

An example of a class II drug alert could be if a drug is missing MR.

Answer 144

A class III drug alert must be dealt with within 5 days.

Answer 145

An example of a class III drug alert could be missing an expiry date or batch no,

Answer 146

An example of a class IV drug alert could be an out-of-date PIL.

Answer 147

In the event of a class IV drug alert a patient may just need more information,

Answer 148

* dealt with immediately, even if out of hours * check stock, do we have any of the affected batch numbers - recall everything * ensure stock is quarantined + clearly label * contact the supplier * reorder if needed

Dispensing and Supply of Medicines (316) Flashcards

(174 cards)