Law

Question 1

What is a legal requirement for a CD requisition

Answer 1

Applies to S1/2/3
Purpose of requisition,
Supplier name and address (aka pharmacy),
FP10CDF / WP10CDF form

Question 2

What can a pharmacist amend on a S2/3 Rx

Answer 2

Minor spelling errors
Typographical errors
Omission of either words OR figures NOT both

Question 3

Maximum supply of S2/3/4 on a single Rx

Answer 3

30 days unless justified

Question 4

Maximum supplies of FP10MDA

Answer 4

14 days

Question 5

Is it a legal requirement to collect the signature of the recipient of a S2/3 Rx

Answer 5

Best practice

Question 6

What drugs are permitted on an FP10MDA

Answer 6

All S2 CDs
And
Buprenorphine, Buprenorphine/Naloxone (Suboxone), Diazepam

Question 7

What is the approved wording for supply of an instalment from an FP10MDA when the normal pharmacy is shut on a bank holiday

Answer 7

Please dispense instalments due on pharmacy closed days on a prior suitable day

Question 8

Within what time frame should all S2/3 be dispensed

Answer 8

28 days
Aka the Rx expiry date

Question 9

Where can zopiclone be prescribed on a FP10MDA

Answer 9

NOT England only the stated S2+others
But in Wales and Scotland S2/3/4/5 can all be prescribed on instalment prescriptions

Question 10

Which CDs must be denatured

Answer 10

S2/3/4p1
Into official kits or cat litter

Question 11

Must an authorised witness be present to destroy a S3 CD

Answer 11

No, but best practice to have another staff member witness it

Question 12

When is an authorised witness required to destroy CDs

Answer 12

Pharmacy own S1/2 stock that has gone out of date

Question 13

What must be recorded in the CD register when pharmacy own out of date stock is destroyed

Answer 13

Name, strength, form of drug
Quantity
Destruction date
Signature of authorised witness to destruction

Question 14

Which CDs must be recorded in the CD register

Answer 14

S1/2

Question 15

What must be recorded in the CD register when receiving CDs into the pharmacy

Answer 15

Date of supply
Name and address from whom obtained
Quantity obtained

Update running balance good practice on paper but requirement on electronic

Question 16

What must be recorded in the CD register when supplying to a person from the pharmacy

Answer 16

Date of supply
Name and address of person supplied to
Details of authority to possess (prescriber/license holder details)
Was person the patient/representative
If not patient then collectors name and address
If patient/representative proof of identity asked for and provided

Question 17

CD prescription requirements

Answer 17

Full name, address and if <12 patient age
Drug name
Formulation
Strength if more than one available (if multiple strengths of same medicine split them into separate sections)
Dose specified (not as directed or when required)
Total quantity in words and figures, if liquid in mL
Prescriber signature and address
Date of prescription issue
If instalment specify instalment amount and interval
If dentist for dental treatment only

Question 18

How long is each schedule prescription valid for

Answer 18

S2/3/4 28d
S5 6 months

Question 19

When must owings be supplied

Answer 19

Before 28 day validity expires

Question 20

Can CD prescriptions be repeated

Answer 20

S2/3 No
S4/5 repeatable as long as 1st dispensing within expiry date

Question 21

What is the maximum amount of time in between prescription and first dispensing of an FP10MDA

Answer 21

28 days

Question 22

When must an identity check take place for a CD supply

Answer 22

S2

Question 23

What must a private CD prescription contain to enable a supply that normal CD prescriptions won’t have

Answer 23

Private prescriber allocated 6 digit identification number

Question 24

How long are signed orders kept in the pharmacy

Answer 24

2 years

Question 25

When supplying a signed order to a school what must be documented

Answer 25

Reason Total quantity Medicine name, strength Purpose of supply Headteacher signature How to use and safely dispose of adrenaline auto injectors

Question 26

What is required for revalidation

Answer 26

4 CPDs (2planned and 2 unplanned) 1 peer discussion 1 reflective account 6 total

Question 27

If a patient normally has capacity but not at the point of a decision who can consent for them

Answer 27

No consent required Medical staff can act in the patients best interest to provide care This doesn’t apply if there is a pre-agreed ceiling of care Relatives cannot give consent on patients behalf

Question 28

How does consenting work for children

Answer 28

After consultation if they are deemed to have capacity they can consent for themselves If no capacity the parental consent must happen in front of the child

Question 29

Which CDs can an EEA prescriber issue

Answer 29

CD4,5 NOT CD2,3

Question 30

How long must a CD register be kept for

Answer 30

2 years after last date of entry

Question 31

How long must veterinary invoices be kept for S3,4,5

Answer 31

5 years

Question 32

Which S3 CDs are exempt from safe custody requirements

Answer 32

Tramadol Gabapentin, Pregabalin

Question 33

Which S3 CDs are exempt from safe custody requirements

Answer 33

Tramadol Gabapentin, Pregabalin

Question 34

What does a drug requisition mean

Answer 34

When a supply is made for stock purposes NOT for an individual named patient S2,3 CDs must be on a FP10CDF form

Question 35

CD requisitions have wh

Question 36

What makes a veterinary prescription valid, CDs on different card

Answer 36

- Prescriber name, address, phone number, qualifications, signature - Owner name and address - Animal name and species identifier/ group of animals being treated - Premises at which animals kept if different to owners address - date - drug name, quantity, dose, admin instructions, warnings, withdrawal period - prescribed under veterinary cascade

Question 37

What makes a veterinary CD prescription valid

Answer 37

In addition to normal requirements: - Declaration that CD for animal/ herd is prescribed under vet cascade - animal receiving treatment name - drug name and formulation even if only one exists, quantity in words and figures, strength if more than one available, dose instructions written out -RCVS registration number

Question 38

Are electronic signatures valid on a veterinary CD prescription

Answer 38

No only indelible ink

Question 39

What can community nurses prescribe (non-IPs)

Answer 39

Laxatives All creams Lidocaine local topical Folic acid 400mcg NRT Nystatin Topical Azole anti fungal/antihelminths Paracetamol Ibuprofen

Question 40

What can dentists prescribe

Answer 40

- Penicillins, Cefalosporins, Macrolides, Tetracyclines, Metronidazole, Nystatin, Aciclovir - Lidocaine local, diazepam, temazepam, paracetamol, dihydrocodeine, carbamazepine, ibuprofen, diclofenac - difflam, clenil, hydrocortisone buccal and topical - NaCl, NaF - artificial salivas and stimulators - PPIs Promethazine, Cetirizine, Loratadine, Ephedrine

Question 41

What can’t IP nurses and pharmacists prescribe

Answer 41

Diamorphine Dipipanone Cocaine For treatment of addiction If treating organic injury/disease can prescribe them

Question 42

CD requisition requirements

Answer 42

Recipient signature, name, address, profession Total quantity Purpose of requisition NOT date

Question 43

How do you dispose of the end of a methadone bottle with remnants

Answer 43

Rinse out into denaturing kit. Not out of date and not enough for dose so no authorised witness required

Question 44

What does the GPhC recommend with regards to indemnity cover

Answer 44

You as an individual should ensure that you have it

Question 45

What document tells us storage requirements

Answer 45

Orange guide