MDA 4 - collection and record keeping of CDs

Question 1

What is needed for collection of dispensed Sch2 CDs?

Answer 1

• determine who collector is
• request evidence of ID
• healthcare professional (name, address, ID)
• sign back of prescription in CD collector box

Question 2

What is record keeping like for CDs?

Answer 2

• CD register, used to account Sch1 and Sch2 drugs received and supplied by a pharmacy
• keep records for sativex (Sch4 part I) - HO recommends using CD register for this

Question 3

What does the law require for CD registers?

Answer 3

• class
• form
• strength

Question 4

What are CD registers like?

Answer 4

• separate page for dif strengths and formulations of each drug
• prisons - one compliant CD register, dif areas/wings have their own CD record books

Question 5

What is retention like for CD registers?

Answer 5

• kept at the premises for which it applies
• 2 yrs from date of last entry
• original form/copied/scanned kept in computerised form

Question 6

What are the law requirements for electronic CD registers?

Answer 6

• attributable (author of each entry)
• capable of being audited
• compliant with best practice

Question 7

What is the current best practice for electronic CD registers?

Answer 7

• accessible at the premises
• printable, can be looked at
• entries not be altered at a later date

Question 8

What do you need to record when CDs are received into the pharmacy?

Answer 8

• date supply received
• name of address from who it was received
• quantity received

Question 9

What do you need to record when CDs are supplied from the pharmacy?

Answer 9

• Date supply made
• Name, address of recipient
• Details of authority to possess (requester/prescriber or licence holder details)
• Quantity supplied
• Details of person collecting Sch2 CDs (patient, representative, HCP - also record their name and address)
• proof of ID was requested?
• proof of ID was provided?

Question 10

What do you do when you make a CD register entry?

Answer 10

• make entries chronologically
• enter them promptly, witihin 24 hrs
• ink, indelible (computerised)
• not altered, no cancelling, obliteration
• correction made by dated notes in margin/bottom of page (name, signature/initials, GPhC num)

Question 11

What do running balances and stock checks need to be like?

Answer 11

• help discrepancies and irregularities spotted quickly
• standard procedures - cover balance check process how to deal with them
• liquids - visual check, volume, check balance
• 2 people, check recorded, signed and dated by HCP

Question 12

what are invoices?

Answer 12

• gives good summary of prescription requisition requirements
• kept for 2 yrs for Sch3 and 5 CDs
• practice - keep all, keept ^yrs in case HM Revenue and Customs check