Law assessment Flashcards
(216 cards)
1
Q
9What are the professional standards?
A
Person centered care
Partnership working
Effective communication
Professional knowledge and skills
Professional judgment
Professional behavior
Confidentiality and privacy
Speaking up about concerns
Leadership
2
Q
How long should schedule 2,3 or 4 not exceeds?
A
30 days
3
Q
Incase of accidents, what should pharmacist do?
A
Carry out a root cause analysis
4
Q
Are standardized forms required for VET prescription
A
No, only for human prescription
5
Q
What is POM-V
A
A prescription only medicine that can only be prescribed by a veterinary surgeon and supplied by a veterinary surgeon or a pharmacist with written prescription
6
Q
What is POM VPS
A
Prescribed and supplied by a vet surgeon, a pharmacist or a suitably qualified person on oral or written prescription
7
Q
What’s is NFA - VPS medicine?
A
A category of medicine for non food animals that can be supplied by a veterinary surgeon, a pharmacist or a suitably qualified person
Written prescription is not required
8
Q
AVM-GSL
A
Authorized vet medicines available on general sales
9
Q
What does vet cascades says?
A
-The vet medicine regulations allows supply of medicine that are not licensed for animals
- it is unlawful to supply a human medicine against a veterinary prescription unless - it is prescribed by a veterinary surgeon and specifically states that is “ for administration under the cascade”
10
Q
What schedule is Buprenorphine?
A
CD 3( no register)
11
Q
What schedule are Cannabinol and its derivatives?
A
CD 5
12
Q
What schedule is Clonazepam?
A
CD4-1
13
Q
What schedule is Chlordiazepoxide?
A
CD4-1
14
Q
What schedule is Codeine phosphate?
A
CD5 ( CD InV)
15
Q
What schedule is Diamorphine?
A
CD2
16
Q
What schedule is Diazepam?
A
CD 4-1
17
Q
What schedule is Dihydrocodeine tartrate?
A
CD 5
18
Q
What schedule is Dipipanone hydrochloride?
A
CD2
19
Q
What schedule is Fentanyl?
A
CD 2
20
Q
What schedule is gabapentin?
A
CD3
21
Q
What schedule is Hydrocodone?
A
CD2
22
Q
What Schedule is Loprazolam?
A
CD4 -1
23
Q
What schedule is Lorazepam
A
CD4 Benz
24
Q
What schedule is methadone?
A
CD2
25
What schedule is Methylphenidate Hydrochloride?
CD2
26
What schedule is Midazolam?
CD3
27
What is medicinal forms of morphine under schedule 2?
Oramorph 20mg/ml
sevredol
MST continus
Zomorph
28
List other medicinal forms of morphine under schedule 5
Morphine sulphate(oral solution) 10mg/5ml
Oramorph 20mg/5ml
29
What schedule is Nitrazepam?
CD 4-1
30
What schedule is Oxycodone?
CD 2
31
What schedule is Pethidine?
CD 2
32
What schedule is phenobarbital?
CD3
33
What schedule is Pholcodine?
CD 5
34
What schedule is Pregabalin?
CD3
35
What schedule is Quinalbarbitone?
CD2
36
What schedule is Somatotropin?
CD4-2
37
What schedule is Tramadol hydrochloride?
CD3
38
What schedule is zolpidem?
CD4-1
39
What schedule is Zopiclone?
CD4-1
40
What CD schedule may only be administered or prescribed under a Home office license?
Schedule 1 CDs
41
Schedule 2,3 or 4 CDs can be administered to a patient by?
A doctor, dentist, Pharmacist IPs, Or nurse IPs acting in their own right.
A supplementary IPs acting in accordance with a clinical management plan.
A person acting in accordance with directions of a prescriber entitled to prescribe CDs
42
Who hold a special license from the Home secretary or Scottish Government chief medical officer to prescribe cocaine, diamorphine or dipipanone for treating addiction?
Only Medical Prescribers
43
Who is responsible for supervising and managing the use of CDs in their organisation and settings?
Accountable officers
44
State the role of accountable officers?
see MEP pg 103
-Oversight of the monitoring and auditing of the management, prescribing and use of CDs
-Ensuring that systems are in place for recording concerns and incidents involving CDs and the operation of these systems
-Attendance at Local Intelligence Network meetings
-Submission of occurrence reports which describe the details of any concerns
the organisation has had regarding the management of CDs in a required time frame
-The appointment of authorised witnesses for the destruction of CDs
45
The 2001 regulations classify CDs into 5 schedules namely?
Schedule 1 (CD lic POM)
Schedule 2 (CD POM)
Schedule 3 (CD No Register POM)
Schedule 4 (CD Benz POM and CD Anab POM)
Schedule 5 ( CD INV P and CD INV POM)
46
Facts about Schedule 1 CD
Most schedule 1 drugs have no therapeutic use and a license is generally required for their production, possession or supply
47
List examples of drugs in schedule 1
Hallucinogenic drugs eg LSD. ecstasy-type substances and raw opium substances and raw opium
48
List examples of drugs under schedule 2
Opiates( diamorphine, morphine, methadone, oxycodone, pethidine)
Major stimulants( Amphetamines), Quinalbarbitone and Ketamine.
49
Facts about Schedule 3( CD no register POM)
Includes minor stimulants and other drugs that are less likely to be misused and less harmful if misused than those in schedule 2
50
List examples of Schedule 3 CD ( 7 drugs)
Temazepam, buprenorphine, tramadol, midazolam, phenobarbital, gabapentin and pregabalin
51
List facts about Schedule 4
Schedule 4 is split into two parts namely
CD benz Pom- Part 1
CD Anab Pom- Part 11
52
List examples of drugs in Schedule 4 part 1
Most of the benzodiazepines such as diazepam, non benzodiazepine hypnotics such as Zopiclone and Sativex( a cannabinoid oromucosal mouth spray)
53
List examples of drugs in Schedule 4 Part 2
Anabolic and Androgenic steriods together with clenbuterol( an adrenoceptor stimulant) and growth hormones
54
Facts about Schedule 5 (CD INV POM or CD INV P)
Schedule 5 contains preparations of certain CDs such as codeine, pholcodine and morphine that are exempt from full control when present in medicinal products of specifically low strengths
55
List the CD schedules that needs prescription requirements
Schedule 2 and Schedule 3
56
List the schedules of Controlled drugs that is valid for 28days after the appropriate date
Schedule 2-4
57
Schedule 5 CD prescription is valid for?
6 months
58
Address of the prescriber required to be within the UK for what CD schedule?
Schedule 2 and 3
59
The address of the prescriber is not required to be within the UK for which CD schedule?
Schedules 4 and 5
60
EEA and Swiss healthcare professionals can legally prescribe which CD schedule?
Schedule 4 and 5
61
Sch 2 and 3 CD cannot be prescribed by EEA and Swiss healthcare professionals legally. True/False?
True
62
Prescription is repeatable for what CD schedule?
Schedule 4 and 5
63
Prescription is not repeatable for what CD schedule?
Sch 2 and 3
64
Emergency supply is allowed in certain CD schedules such as?
Schedules 4 and 5
65
Emergency supply is not allowed in which CD schedule?
Schedule 2 and 3 but exempt for phenobarbital used in Epilepsy by a UK-registered prescriber
66
Invoices to be retained for two years for which CD schedule?
schedule 3 and 5
67
License required to import or export what class of CD?
Sch 2,3 and 4 only
68
Requisition to be marked by the supplier for which CD?
for only schedule 2 and 3
69
Is requisition necessary for which CD?
Schedule 2 and 3
70
Who can possess and supply Schedule 2,3, 4 and 5 CDs?
Pharmacists, Doctors, Dentists
71
List other mechanism for the lawful possession of CDs
Home office license
Home office group Authority
Legislation (a class of person)
Legislation( class of drugs) eg Schedule 4 part 2 drugs when contained in certain medicinal products and schedule 5 drugs
Patients
72
A home office license is required for the possession of which CD schedule?
Schedule 1
73
A pharmacist can take possession of Schedule 1 CD under what circumstance?
1. For the purpose of destruction or to
hand over to the police officer
2. Hospital pharmacist asked to deal with substances removed from a patient on admission which may be schedule 1 products
74
A license is needed for a pharmacy to import or export which CD schedule?
Schedule 1,2, 3 and 4(Part 1 and 2) CDs
75
A license is needed for a pharmacy to import or export which CD schedule?
Schedule 1,2, 3 and 4 CDs
76
When is a license needed for the export or import of Schedule 4( part 2) CDs
if the substance imported or exported is not for self administration.
77
Are there restrictions on the import or export of schedule 5 CDs?
NO
78
A personal license is not required by the Home office if a person traveling is carrying how many months' supply?
Less than three months supply of CDs
However, it is advised that a covering letter signed by a prescriber is obtained that confirms the name of the patient, travel plans, name of the prescribed CD, total quantities, and dose
79
State the legal requirements for a controlled drug requisition (6 things)
1. Signature of the recipient
2. Name of the recipient
3. Address of the recipient
4. Profession or occupation
5. Total quantity of drug
6. Purpose of the requisition
80
What type of approved mandatory requisition form is used in England for CD ?
FP10CDF
81
legislation requires that a requisition in writing must be obtained by the supplier before delivery of any schedule 2 or 3 CDs to which recipients?
Practitioners, hospitals, care homes, ship and offshore installation personnel, senior registered nurses in charge of wards, theatres and other hospital departments
82
The home office advises that supplies from one registered pharmacy to another registered pharmacy should only be made after -------
After receiving a written requisition on an approved requisition form
83
In an emergency, a doctor or dentist can be supplied with a sch 2 or 3 CD on the undertaking that......
A requisition will be supplied within the next 24 hours. Failure to do so would be an offense on the part of the Doctor or Dentist
84
What should be done when a CD stock is collected by a messenger on behalf of the purchaser ?
Written authorization must be provided to the supplying pharmacist that empowers the messenger to receive the medicine on behalf of the purchaser
85
State the legal requirement for processing requisition forms for Sch 1,2 and 3 CD
Mark the prescription indelibly with the supplier's name and address
send the original requisition to the relevant NHS agency
86
A registered mid wife may use a midwife supply order to obtain which CDs?
PMD
Diamorphine
Morphine
Pethidine
87
State what a midwife supply order must contain?
1. Name of the midwife
2. Occupation of the widwife
3. Name of the person to whom the CD is to
be administered or supplied
4 . Purpose for which the CD is required
5. Total quantity of the drug to be obtained
6. signature of the appropriate medical officer
88
State the prescription requirements for schedule 2 and 3 CD (both NHS and Private Prescription)
1. Signature of prescriber
2. Date
3. Address of prescriber
4. Name of the CD
5. Form
6. Strenght
7. Total quantity
8. Quantity prescribed
9. Dose
10. Patient Name
12. Patient Address
13. Dental wording where appropriate
14. Installment wording where
appropriate
89
State installment direction for schedule 2 or 3 CD
1. Amount of medicine to be supplied per
installment
2. Interval between each time the medicine can be supplied
90
Schedule 2 or 3 CDs for both private and NHS prescriptions must be written on a standardized form . True or false?
True
91
VET prescriptions for CDs do not need to be written on standardized forms and do not need to be submitted to the relevant agency. True or false?
True
92
VET prescription forms must be retained for how many years?
5years
93
Medicines that are not CDs should not be prescribed on the same form as a schedule 2 or 3 CD. True/False
True
94
what schedule must be kept under safe custody
1. Schedule 1 drugs
2. Schedule 2 drugs except some liquid
preparations and
quinalbarbitone(secobarbital)
3. Schedule 3 drugs unless exempted under
the misuse of drugs
95
List Schedule drugs that are exempt from custody
(M3P4GT)
Gabapentin
Mazindol
Meprobamate
Midazolam
pentazocine
Phentermine
Phenobarbital
Pregabalin
Tramadol
96
List common schedule CDs that require safe custody
(TB)
Temazepam and buprenorphine
97
How do you handle patient returned and out-of-date or obsolete CDs?
To minimize the risk of supplying these to patients, this stock should be segregated from other pharmacy stock and clearly marked eg mark the stock as patient returns waiting to be destroyed
98
State how to destroy Controlled Drugs
Pharmacies are required to denature CDs prior to disposal; this process requires an appropriate license
99
List the CD schedules that need to be denatured before disposal
2,3 and 4(part1) should be denatured and rendered irretrievable before disposal
100
Who can witness the denaturing of controlled drugs returned by a patient?
No Authorised witness is required. However it is preferable for denaturing to be witness by another staff familiar with CDs
101
Facts about record keeping for a patient returned CD
A record-keeping should not be made in the CD register but records of patient-returned schedule 2 CDs and their subsequent destruction should be recorded in a separate record for this purpose
102
Is an authorized witness required for denaturing of expired/obsolete/unwanted stock?
Yes if schedule 2. For schedule 3 medicines, it would be good practice to have another member of staff witness the denaturing
103
An entry should be made in the CD register for Schedule 2 for expired/obsolete/unwanted stock. True/False
True
103
An entry should be made in the CD register for Schedule 2 for expired/obsolete/unwanted stock. True/False
True
104
State how a solid dosage form is destroyed?
Grind or crush the solid dose formulation before adding it to the CD denaturing kit to ensure that whole tablets or caps are not retrievable
105
State an alternative method of denaturing a solid dosage form where a CD denaturing kit is unavailable
Crush or grind the solid dose formulation and place it into a small amount of warm, soapy water stirring sufficiently to ensure the drug has been dissolved or dispersed. The resulting mixture is poured onto an appropriate amount of suitable product and added to an appropriate waste disposal bin supplied by the waste container
106
State how to dispose of a liquid dosage form
Pour into an appropriately-sized CD denaturing kit.
Where a CD denaturing kit is not available, an alternative method is to pour the liquid onto an appropriate amount of suitable product and add this to an appropriate waste disposal
107
State how to dispose of CD ampoules and Vials
For liquid-containing ampoules, open the ampoule and empty the content into a CD denaturing kit or dispose of it in the same manner as a liquid dose formulation. Dispose of the ampoule as sharps pharmaceutical waste
For powder-containing ampoules, open the ampoule and add water to dissolve the powder inside. The resulting mixture can be poured into the CD denaturing kit and the ampoule dispose of as sharps pharmaceutical waste
108
State how to destroy a CD patch
Remove backing and fold the patch over on itself. Place into a waste disposal bin or a CD denaturing Kit
109
How to destroy an Aerosol formulation CD?
Expel into the water and dispose of the resulting liquid in accordance with the guidance on destroying liquids
If this is not possible because of the nature of the formulation, expel into an absorbent material and dispose of this as pharmaceutical water
110
State what must be recorded for controlled drugs received
Date supply received
Name and address from whom received
Quantity received
111
How to destroy an Aerosol formulation CD?
Expel into the water and dispose of the resulting liquid in accordance with the guidance on destroying liquids
If this is not possible because of the nature of the formulation, expel it into an absorbent material and dispose of this as pharmaceutical water
112
A controlled drug register must be used to record what type of schedule?
Schedule 1 and 2 received or supplied by a pharmacy
113
Pharmacist are required to keep records of sativex(schedule 4part1) by the Home office. True/false
True. It is a recommendation, not legal
114
All entries made in CD registers should be?
entered chronologically
entered promptly- on the day of transaction or the following day
in ink or indelibly
entries must not be cancelled
115
What is the duration for keeping a record in the CD register?
2 years
116
When a CD register entry has been made for schedule 2 CD, the usual requirement to make a record in the POM register does not apply. True or false?
True
117
It is unlawful to supply a product or combination of products that contain more than 720mg of pseudoephedrine or 180mg of ephedrine at any one time without a prescription. True/false
True
118
It is unlawful to sell or supply any pseudoephedrine product at the same time as a ephedrine product without a prescription. True/false?
True
119
who should sale or supply Pseudoephedrine?
Pharmacists or pharmacy staff well trained to deal with pseudoephedrine issues and know when to refer to a pharmacist
120
State the maximum number of paracetamol non effervescent tablets that must be sold.
96 is the maximum number
(page 56)
121
State the maximum quantity of Aspirin non effervescent tablet that must be sold OTC?
96
122
What pack size of codeine and dihydrocodeine including effervescent formulation is a POM?
Any pack containing more than 32 dose units
123
Indications for solid-dose OTC codeine and dihydrocodeine products are now restricted to the short-term tx of acute and moderate pain not relieved by PCM, aspirin, or Ibuprofen. True or false?
True
124
State the warnings that should be seen on PIL when supplying codeine and dihydrocodeine.
Can cause addiction. For three days used only
125
Both the PIL and packaging of Codeine and dihydrocodeine must state the indication and that the medicine can cause addiction or headache if used continuously for more than 3 days. TRUE/FALSE?
TRUE
126
For repeatable private prescriptions, if a number is not stated, they can only be repeated once unless the prescription is for an oral contraceptive in which case it can be repeated five times(dispensed 6times in total). True/false
True
127
Private Prescriptions for schedule 2 and 3 CDs are not repeatable. True/false?
True
128
Schedule 4 and 5 Cds are repeatable. True or false?
True
129
The first dispensing for a POM or schedule 5 Cd must be made within 6 months of the appropriate date, following which there is no legal time for the remaining repeats. True/ False?
True
130
The first dispense for a schedule 4 CD must be made within how many days of the appropriate date, following which there is no time limit for remaining repeat?
28days
131
Private prescriptions for a POM must be retained for how long from the date of the supply or for repeatable prescriptions from the date of the last sale or supply?
2years
132
State what must be recorded in a POM register
supply date
prescription date
medicine details
prescribers details
patient details
the record should be made on the day of the sale or supply takes place or if that is impractical on the following day
133
Prescriptions for oral contraceptives are exempt from the POM register. True/false
True
134
When prescribing on an NHS dental prescription, dentists are restricted to the medicines listed in the Dental Prescribers' Formulary. True/False?
True
135
Fax of a prescription does not fall within the definition of a legally valid prescription within human medicines legislation because it is not written in indelible ink and has not been signed in ink by an appropriate practitioner. True/False
True
136
The supply of schedule 2 and 3 CDs without possession of a lawful prescription could be prosecuted as a criminal offense. True/false?
True
137
Military prescriptions are written on a military form called?
FMed 296
138
Pharmacies with a dispensing contract with the MOD will usually invoice the MOD directly. True/false
True
139
In the unusual event that the FMed 296 is presented to a non-contracted pharmacy, then the prescription should be treated as a private prescription. True/false?
True
140
A schedule 2 or 3 CD written on an MOD FMed 296 form cannot be legally dispensed by community pharmacies. True/false?
True
141
For military prescriptions, schedules 2 and 3 should be written on which form?
Pink FP10PCD
142
List examples of Ministry of Defense accountable drugs that are highly unusual to see handwritten generated ?
Schedule 3,4 and 5 CDs, codeine ,sedatives and medicines for erectile dysfunction
143
It is a legal requirement for the following to appear on dispensed medicinal products? 6 things
1. Name of the patient
2. Name and address of the supplying pharmacy
3. Date of Dispensing
4. Name of the medicine
5. Directions for use
6. Precaution relating to the use of medicine
144
The RPS recommends the following also appear on the dispensing label
Keep out of reach and sight of children
Use this medicine only on your skin where applicable
145
NPSA requires that the actual container such as the inhaler or cream tube should be labeled rather than the outer container. True or false?
True
146
The assembly or pre-packing of medicines by the pharmacy to be supplied to a separate legal entity requires an appropriate license from the MHRA. True/false?
True
147
Labeling of medicines broken down from a container must contain the following?
1.Name of the medicine
2. Quantity of the medicine in the container
3. Quantitative particular of the medicine
4.Handling and storage requirements where
appropriate
5.Expiry date
6. Batch Reference number
148
What is PSD?
Patient-specific Directions means written instruction from a doctor, dentist or non-medical prescriber for a medicine to be supplied or admimsitered to a named patient after the prescriber has assessed that patient on an individual basis
149
A pharmacist can supply, offer and administer diamorphine or morphine under PGD for the immediate, necessary treatment of sick or injured person. True/False
True
150
Prescription medicines supplied under a PGD should be labeled in the same way as if supplied against a prescription. True/false?
True
151
State exemptions that allow POMs to be sold or supplied without a prescription. (6 things)
Patient group directives
Patient-specific directions
Emergency supplies
Optometrists or Podiatrist signed patient orders
Supply of salbutamol inhalers to schools
Supply of naloxone by individuals providing recognised drug treatment services
152
What is PGDs
A patient group directive is a written direction that allows the supply and/or administration of a specified medicine or medicines by named authorized health professionals to a well-defined group of patients requiring treatment for a specific condition
153
In an emergency, a pharmacist working in registered pharmacy can supply POMs to a patient(humans not animals) without a prescription on the request of a relevant prescriber or patient. True/false?
True
154
Healthcare professionals from countries outside EEA or Switzerland are not recognized as relevant prescribers in UK. TRue or false?
True
155
State the conditions for ann emergency supply of medicine at the request of a prescriber (5 things)
1. The prescriber must agree to provide a written
prescription within 72hours
2. The pharmacist is satisfied that a prescription cannot
be provided due to an emergency
3. Relevant prescriber
4. The medicine is supplied in accordance with the
direction given by the prescriber
5. An entry must be made in the POM register on the day of the supply
156
State the conditions for an emergency supply at the request of a patient (7 things)
1. Interview the patient
2. Immediate need
3. Previous tx- The POM requested must previously
have been used as a tx and prescribed by a UK,EEA
or Swiss health professional
4. Dose- Refer to PMR, e-health record, prescription,
repeat slip, labeled medicine box etc.
5. Length of tx- If the emergency supply is a CD4 0r 5, the max qty that can be supplied is for 5days tx. for any other POM, no more than 30 days supply
6. Record kept on the POM register on the day of supply
7. Labelling- The word Emergency need to be added to the dispensing label
157
Optometrists and podiatrists cannot authorise supplies of POMs by writing prescriptions unless they are additionally qualified as independent or supplementary prescribers. True/false?
True
158
Pharmacists working in a regtisterd pharmacy can supply certain POMs directly to a patients in accordance with a signed patient order from any registered pharmacy. True/false?
True
159
The medicine requested by a patient via Optometrists or Podiatrist signed patient order must be one which can be legally sold or supplied by the optometrist or podiatrist rather than one which they can administer only. True/False?
True
160
Schools can obtain supplies of adrenaline auto-Injectors and or salbutamol inhalers from a pharmacy on a signed order. True/false
True
161
What records need to be kept in the pharmacy following supply medicine to schools?
The signed order needs to be retained for 2years from the date of supply or an entry made into the POM register and it is good practice to make a record in POM register for audit purposes
162
Schedule 19 of the Human medicine Regulation 2012 states that anyone can administer Naloxone for the purpose of saving life. True/false?
True
163
What is oral retinoid PPP?
The program is a combination of education for healthcare professionals and patients, therapy management (including pregnancy testing during and after treatment, contraception requirement and distribution control for patient taking oral retinoid
164
An oral retinoid should only be initiated by or under the supervision of a dermatologist, prescribing GP, or specialist dermatology nurse and under the conditions of PPP. True/False
True
165
Pharmacists should not accept repeat prescriptions, free sample distribution or faxed prescriptions for oral retinoid. True/false
True
166
In an emergency. a telephone request should only be accepted at the request of a PPP specialist prescriber together with confirmation that pregnancy status has been established as negative within the preceding 7days. True/false?
True
167
State the special distribution controls for females at risk of pregnancy.
1. Prescription validity- 7days
only
2. Quantity- 30days supply
168
For oral retinoid under PPP, prescriptions are valid for only how many days?
7days
an ideally Rx should be dispensed on the date on the prescription
Prescriptions that are presented after 7days should be considered expired and the patient should be referred back to the prescriber for a new prescription
169
The maximum quantity of oral retinoid prescribed under PPP to be dispensed is ?
30days supply.
A quantity for more than 30days can only be dispensed if the patient is confirmed by the prescriber as not being under the PPP
170
Valproate is used to treat epilepsy, bipolar disorder and for preventing migraines(unlicensed). True/false
True
171
State what Pharmacist should do when patients are under Valproate PPP. ( 8 things)
See MEP pg 82
.Have a conversation with female patients
of child-bearing age who are prescribed valproate to find out if they have had a review with their doctor, are aware of the risks and are on a PPP
• Those planning pregnancy should be advised to schedule an appointment with their prescriber to review treatment and to continue with contraception and valproate treatment
in the meantime
• If there is an unplanned pregnancy whilst a patient is taking valproate medicines advise the patient NOT to stop their treatment and to arrange to see their prescriber urgently to review treatment
• Provide a patient card every time valproate is dispensed
• Dispense valproate preparations in original packs whenever possible. If dispensing in 'white boxes' ensure a patient information leaflet is provided and a valproate warning label/sticker added to the box
• Ensure the dispensing label does not cover the warning label/sticker
• Emphasize the importance of the need for an annual specialist review
• Report any suspected side effects to valproate medicines via the Yellow Card Scheme
172
How will a biosimilar medicine be prescribed?
The MHRA has recommended that all biologics should be prescribed by brand to avoid automatic substitution
173
State what being a responsible pharmacist involves
Secure the safe and effective running of the pharmacy
Display a notice
complete the pharmacy record
Establish, maintain and review pharmacy procedures
174
There can only be one responsible pharmacist in charge at any one time and the pharmacist can only be in charge of one registered premises at any one time. True/false?
True
175
Legislation allows the responsible pharmacist to be absent for up to a maximum period of two hours between midnight and midnight. True/false
True
176
State the activities that take place with a responsible pharmacist in charge of the pharmacy under the supervision of a pharmacist and the supervising pharmacist will need to be physically present. ( 6 things)
1. Professional check of a prescription
2. Sale/supply of P medicine
3. Sale/supply of POMs( handing dispensed medicine
to patients)
4. Supply of medicines under a patient group direction
5. Wholesale of medicine
6. Emergency supply of a medicine at the request of a patient or healthcare professional
177
State activities that can take place with a responsible pharmacist under the supervision of a pharmacist that the supervising pharmacist may not need to be physically present.
The assembly process includes assembly of compliance aids, MDS:
Generating a dispensing label
Taking medicines off the dispensary shelves
Labeling of containers with the dispensing label
Accuracy checking
178
State activities that can take place with a RP in charge of the pharmacy that does not require the supervision of a pharmacist (2 things)
Sale of general sale medicines
processing waste stock medicines or patient returned medicines
179
State activities that can take place in the pharmacy that does not require an RP to be in charge of the pharmacy but require the support staff undertaking the activity to be appropriately trained. (11 things)
See pg 145-147 MEP 45
-Ordering stock from pharmaceutical wholesalers
-Receiving stock from pharmaceutical wholesalers into the building
-Putting medicinal stock received from the wholesaler away onto the pharmacy shelves
-Date checking
-Stocking pharmacy with consumables
-Cleaning of the pharmacy
-Responding to enquiries (about medicine issues)
-Accessing the PMR
-Receiving prescription directly from EPS systems (England only) patients or collecting from a surgery
-Processing of prescription forms that have been
dispensed (eg. Counting number of items dispensed, sorting prior submission for reimbursement)
-Delivery person conveying medicines to patient
-Receiving patient returned medicines
180
EEA and Swiss HCP can legally prescribe what CD schedule?
Only schedule 4- 5
181
Therapeutic Radiographer can prescribe schedule 2- 5. True/false
FALSE
182
State the off label medicine a community practitioner nurse prescriber can precribe
Nystatin for neonates only
183
List CDs that a Piodiatrist IP can prescribe for oral administration ( TDL) D
Diazepam
Lorazepam
Temazepam
Dihydocodeine
184
A paramedic IP cannot prescribe schedule 2-5. True/fasle
True
185
An optometrist IP can prescribe schedule 2- 5 CD. True or false
False
186
List the CDs a physiotherapist IP can prescribe
See page 87 MEp
For oral administration - diazepam, dihydrocodeine, lorazepam, morphine, oxycodone and temazepam
For injection – morphine
For transdermal administration - fentanyl
187
In prison, the use of schedule 3 CD should be recorded in the CD register to maintain an audit trail . True or false
True
Eg Bupronorphine
188
The Home Office strongly recommends the use of a CD register for making records relating to what medicine?
Sativex , a schedule 4,1 CD
189
Legislation requires what to be specified at the head of each page of the CD register?
1. Class
2. Strength
3. Form
190
Can FP10 form be used for patients in prison
NO
191
when can you use FP10 forms on prison patients
those released unexpectedly from court,
those who fail to obtain a take-out supply of their medicines
or those who fail to obtain a same or next day prescribing appointment with a drug treatment agency can take prescription to their community pharmacy
192
Standardised forms are not required for veterinary prescriptions; however, a statement that the medicines are ‘prescribed for the treatment of an animal or herd under my care’ is required for which schedules
sch 2 and 3 CDS
193
The public can administer adrenaline for the purpose of saving lives. True or false
TRUE
194
if a pharmacist administers adrenaline they must also ensure that an ambulance is called reporting that there is a case of suspected anaphylaxis. True or false
TRUE
195
What information must be included in a signed order?
* Name of the school
* Product details (including spacer if
relevant)
* Strength (if relevant)
* Purpose for which the
product is required
* Total quantity required
* Signature of the principal or head teacher
Ideally, appropriately headed paper should
be used; however, this is not a legislative
196
How will a biosimilar be prescribed?
In contrast to generic products, all biosimilars
will have their own unique brand name.
The MHRA has recommended that all biologics
should be prescribed by brand to avoid
automatic substitution
197
How are adverse drug reactions to biosimilars reported?
It is important that both the brand name and batch
number of a biologic medicine are provided when
reporting suspected adverse drug reactions to
biologics to facilitate effective safety monitoring.
To support patient safety, pharmacists should
consider it good practice to record the brand
name and batch number of any biologic medicine
(including biosimilars) supplied to a patient
198
Doctors and dentists require a home office license to prescribe diamorphine, dipipanone or cocaine for treating addiction . True/false?
True
199
Vet prescription for schedule 2 and 3 CDs do not need to be on a standardised forms but must include what?
RCVS registration number of the prescriber
200
Emergency supply legislation applies to human use only. True/false?
TRue
201
An optometrist IP can prescriber parenteral formulations. Yes or No?
No
202
List HCPs that can sell, supply and/or administer certain medications under specific exemptions
. Midwives
* Opthoptists
* Optometrists
* Paramedics
* Podiatrists/chiropodists
203
It is a legal requirement for pharmacists who
supply NFA-VPS medicines or prescribe POM-VPS
medicines to....
* Advise on how to use the product safely
* Advise on any applicable warnings and
contraindications on the packaging or label
* Be satisfied that the recipient intends to use the
medicine correctly and is competent to do so
* Prescribe or supply the minimum quantity
required for treatment.
204
When a medicine is supplied by a pharmacy
for use under the Cascade, the following details
must appear on the dispensing label unless
they already appear on the packaging and are
not obscured by the dispensing label......
* Name of the prescribing veterinary surgeon
* Name and address of the animal owner
* Name and address of the pharmacy
* Identification and species of the animal
* Date of supply
* Expiry date of the product
* The name or description of the product
or its active ingredients and content quantity
* Dosage and administration instructions
* If appropriate, special storage instructions
* Any necessary warnings for the user
(e.g. relating to administration, disposal,
target species, etc)
* Any applicable withdrawal period (i.e. the time
between when an animal receives a medicine
and when it can safely be used for food)
* The words: ‘For animal treatment only’
* The words: ‘Keep out of reach of children
205
If the medicine is not prescribed under the
Cascade, the Veterinary Medicines Regulations
do not specify that a dispensing label is required
if the medicines are dispensed in their original
packaging. True/false?
True
206
It is a requirement to keep records of receipt and
supply of POM-V and POM-VPS products showing:
* Name of the medicine
* Date of the receipt or supply
* Batch number
* Quantity
* Name and address of the supplier or recipient
* If there is a written prescription, record the
name and address of the prescriber and keep
a copy of the prescription
* Pharmacists can either keep all documents
that show the required information or can
make appropriate records in their private
prescription book
* Records can be kept electronically
* Records and documents must be kept
for at least five years
* Pharmacies that supply POM-V and POM-VPS
medicines must undertake an annual audit.
207
Where should waste
medicines be stored?
Waste medicines must be kept in secure waste containers in a designated
area preferably away from medicines that are fit for use. If sharps are accepted,
they should be stored in a sharps container.
208
Blister strips can be removed from their inert outer packaging but tablets
and capsules should not be de-blistered during waste management. True/ False?
True
209
The whole bottle (including empty bottles that may contain residue) should be
placed into a pharmaceutical waste container because the mixing of different medicines
could be hazardous when disposing liquids . True/false
True
210
When medicines are dispensed from an ‘in-house’
pharmacy for administration or supply to patients
within a prison, the pharmacy does not need
to be registered with the GPhC. True or False?
True
211
RPS does not endorse
homeopathy as a form of treatment or support the
prescribing of homeopathic products on the NHS. . True/False?
True
212
Homeopathic products
should only be used for the treatment of minor, self limiting conditions, and must never be used for the
treatment of serious medical conditions. TRue/False?
True
213
what details should be recorded in the pharmacy record
* The responsible pharmacist’s name
* The responsible pharmacist’s registration
number
* The date and time at which the pharmacist became the responsible pharmacist
* The date and time at which the responsible pharmacist stopped being the responsible pharmacist
* If you are absent from the premises:
– The date of absence
– The time which the responsible pharmacist left the pharmacy premises
– The time at which the responsible pharmacist returned to the pharmacy premises
214
how long should a pharmacy record be kept for
5 years
215
NHS prescription FP10 do not need to go on a POM register, only private. TRUE or FALSE
TRUE
