MEP / LAW Flashcards
(123 cards)
1
Q
what is a GSL?
A
General sale list
these are medicines that are made available as ‘self-selection’ items for sale in registered pharmacies. They can also be sold in
other retail outlets that can ‘close so as to exclude
the public’.
2
Q
when can GSL be sold?
A
GSL medicines can only be sold when a pharmacist has assumed the role ofresponsible pharmacist; however, the pharmacist
may be physically absent for a limited period of
time while remaining responsible, thus permitting
sales of general sale medicines during this absenc
3
Q
What is a P medicine?
A
Pharmacy Medication
A pharmacy medicine is a medicinal product that can be sold from a registered pharmacy premises by a pharmacist or a person acting under the supervision of a pharmacist
4
Q
what are OTC medications?
A
P and GSL medications are OTC medications.
5
Q
how much psuedoepherine and ephedrine is UNLAWFUl to sell?
A
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
6
Q
can you sell pseudoepherdine at the same time as an edpherdine product?
A
NO
7
Q
what are signs of possible misuse?
A
- Lack of symptoms
- Rehearsed answers
- Impatient or aggressive
- Opportunistic
- Specific products
- Paraphernalia
- Quantities
- Frequency
8
Q
what are the three methods of emergency contraception?
A
copper intrauterine device (Cu-IUD)
• oral ulipristal acetate
• oral levonorgestrel.
9
Q
who is levonoesgtrel licensed for?
A
Levonorgestrel is licensed for women aged
16 years or over for emergency contraception
within 72 hours of unprotected sexual intercourse or
failure of a contraceptive method.
10
Q
who is Ulipristal acetate licensed for?
A
licensed for emergency contraception within 120
hours (five days) of unprotected sexual intercourse
or failure of a contraceptive method
11
Q
whats the maximum amount of paracetamol that can be purchased?
A
Not more than 100 non effervescent* tablets
or capsules can be sold to a person at any
one time.
-OTC pack sizes are for 16or 32 dose units, this means that, in practice, 96 is the maximum number that can be sold.
12
Q
how many efferescevent paracetamol tablets can be bought
A
There are no legal limits on the quantity of over-the-counter effervescent* tablets, powders, granules or liquids that can be sold to a person at any one time.
Use professional judgement to decide the appropriate
quantity to supply and what limits to impose.
13
Q
how many aspirin can be sold at any one time?
A
Not more than 100 non-effervescent* tablets or capsules can be sold to a person at any one time. Since most OTC pack sizes are for 16 or 32 dose units, this means that, in practice, 96 is the maximum number that can be sold.
14
Q
what needs to be on the packaging of products containing codeine or dihydrocodeine?
A
- indication
- pack size
- patient information leaflet and labels
15
Q
what indications is OTC codeine and dihydrocodeine NO longer used for?
A
including cold, flu, cough, sore throats and minor pain have been removed due to misuse issues
16
Q
what labels MUST be on codeine and dihydrocodeine containing OTC products?
A
Can cause addiction. For three days use only’ must be positioned in a prominent clear position on the front of the pack.
In addition, both the PIL and packaging must state the indication and that the medicine can cause addiction or headache if used
continuously for more than three days
17
Q
what are the LEGAL requirements for a prescription? (SEVEN)
A
- Signature
- Address of Rxer
- Date
- Particulars
- Name of the patient
- Address of the patient
- Age of the patient (if under 12 years)
18
Q
how long is a prescription valid for?
A
A prescription is valid for up to six months from the appropriate date.
19
Q
what is an appropriate date?
A
For an NHS prescription, the appropriate date is the later of either the date on which the prescription was signed or a date indicated by the appropriate practitioner as the date before which it should not be dispensed.
For private prescriptions, the appropriate date will always be the date on which it was signed
20
Q
what is an advanced electronic signature?
A
An advanced electronic signature is a signature
that is linked uniquely to the signatory, capable of
identifying the signatory and created using means
over which the signatory can maintain sole control
21
Q
what are repeatable prescriptions?
A
Repeatable prescriptions are private prescriptions
which contain a direction that they can be
dispensed more than once e.g. “repeat x 5”.
22
Q
how many times can a repeatable script be issued?
A
If a number is not stated, they can only be repeated once (dispensed twice) unless the prescription is for an oral contraceptive in which case it can be repeated five times (dispensed six times in total
23
Q
how many times can a repeatable script be issued?
A
If a number is not stated, they can only be repeated once (dispensed twice) unless the prescription is for an oral contraceptive in which case it can be repeated five times (dispensed six times in total
24
Q
can CDs be issued on repeatable prescriptions?
A
Prescriptions for Schedule 2 and 3 CDs are not
repeatable; however, those for Schedule 4 and 5
are repeatable
25
when does the first issue of a repeatable prescription have to take place?
The first dispensing must be made within six
months of the appropriate date, following which
there is no legal time limit for the remaining
repeats
UNLESS CD 4
the first dispensing must be made within 28 days of the
appropriate date
26
how long is a POM and CD 5 owing valid for?
6 months from appropriate date
27
how long is P and GSL owings valid for?
6 months from appropriate date
28
how long are CD 2,3 and 4 owings valid for?
28 days from the appropriate date
29
what needs to be included in a private RX register entry?
```
- Supply date
• Prescription date
• Medicine details
The name, quantity, formulation and strength
of medicine supplied (where not apparent from
the name)
• Prescriber details
• Patient details
```
(also good practice to add how much was paid)
30
when should a record be added to register?
ideally day of supply but if not within 24 hours
31
what does NOT need to be entered into private register?
CDs (go in CDR) and oral contraceptives
32
what are dentists legally allowed to prescribe?
Dentists can legally write prescriptions for any POM. The General Dental Council advises that dentists should restrict their prescribing to areas in which they are competent and generally only prescribe medicines that have uses in dentistry.
(DENTAL FORMULARY)
33
are fax prescriptions legal?
NO
34
what are the approved countries where prescriptions would be allowed to be accepted from?
Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech
Republic, Denmark, Estonia, Finland, France,
Germany, Greece, Hungary, Iceland, Republic
of Ireland, Italy, Latvia, Liechtenstein, Lithuania,
Luxembourg, Malta, The Netherlands, Norway,
Poland, Portugal, Romania, Slovakia, Slovenia, Spain,
Sweden, Switzerland.
35
what is required on a prescription from an approved country?
Patient details
Patient’s full first name(s), surname and date of
birth
• Prescriber details
Prescriber’s full first name(s), surname,
professional qualifications, direct contact
details including email address and telephone
or fax number (with international prefix), work
address (including the country they work in)
• Prescribed medicine details
Name of the medicine (brand name where
appropriate), pharmaceutical form, quantity,
strength and dosage details
• Prescriber signature
• Date of issue
Prescriptions are valid for up to six months from
the appropriate date (prescriptions for Schedule
4 CDs 28 days). For prescriptions from these
countries the appropriate date is the date on
which the prescription was signed.
36
what is an emergency supply?
Emergency supplies at the request of a patient, or
at the request of an approved health professional,
are legally possible
37
which medications can NOT be given via emergency supply?
Schedule 1, 2 and 3 CDs (including phenobarbital)
or unlicensed products cannot be supplied in
an emergency to a patient of an approved
health professional.
38
what legally needs to be on a label of a dispensed product?
• Name of the patient
• Name and address of the supplying pharmacy
• Date of dispensing
• Name of the medicine
• Directions for use
• Precautions relating to the use of the medicine.
The RPS recommends the following also appears
on the dispensing label:
• ‘Keep out of the reach and sight of children’
• ‘Use this medicine only on your skin’
where applicable
39
what is 'covert' administration
‘Covert administration’ is the term used when
medicines are administered in a disguised format
without the knowledge or consent of the person
receiving them
40
can pharmacist give adrenaline?
pharmacists using their professional
and clinical judgement can administer adrenaline
in an emergency to persons presenting with
symptoms of anaphylaxis.
41
what is a PGD?
A PGD is a written direction that allows the supply
and/or administration of a specified medicine
or medicines, by named authorised health
professionals, to a well-defined group of patients
requiring treatment for a specific condition.
42
can PGD be ued for controlled drugs?
Pharmacists can supply, offer to supply and
administer diamorphine or morphine under a PGD
for the immediate, necessary treatment of sick
or injured persons.
43
if emergency supply is at the prescriber request when do you need need rx?
within 72 hours
44
can CDS be given with an emergency supply?
Schedule 1, 2 or 3 CDs cannot be supplied in an emergency whether requested by UK, EEA or Swiss health professionals. Phenobarbital
(also known as phenobarbitone or phenobarbitone sodium) is the exception and can be authorised by UK doctor, dentist, nurse or pharmacist independent prescriber or supplementary prescriber in an emergency for the treatment of epilepsy.
45
what records need to be kept for an emergency supply?
An entry must be made into the POM register on the day of the supply (or, if impractical, on the following day). The entry needs to include:
• The date the POM was supplied
• The name (including strength and form where appropriate) and quantity of medicine supplied
• The name and address of the prescriber requesting the emergency supply
• The name and address of the patient for whom the POM was required
• The date on the prescription (this can be added to the entry when the prescription is received by the pharmacy)
• The date on which the prescription is received (this should be added to the entry when the prescription is received in the pharmacy
46
what does a pharmacist need to consider with regards to emergency supply request?
- interview patient
- establish a need for medication
-previous use of medication
- dose
- length of treatment
-
47
what is the maximum length of treatment for CD (i.e.
| phenobarbital or Schedule 4 or 5 CD)?
FIVE DAYS
48
what is maximum length of treatment for POMS emergency supply/
For any other POM, no more than 30
days can be supplied except in the following
circumstances:
• If the POM is insulin, an ointment, a cream, or an inhaler for asthma (i.e. the packs cannot be broken), the smallest pack available in the pharmacy should be supplied
• If the POM is an oral contraceptive, a full treatment cycle should be supplied
49
what needs to be on the label of an emergency supply?
'emergency supply'
50
what medications can be supplied to schools?
Schools can obtain supplies of adrenaline autoinjectors (AAIs) and/or salbutamol inhalers from a
pharmacy on a signed order. These can then be
administered in an emergency, by persons trained
to administer them, to pupils previously prescribed
such medication and where parental consent has
been received.
51
what needs to be on 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
52
what records need to be kept for a signed order?
The signed order needs to be retained for two years from the date of supply or an entry made into the POM register.
53
do you need a POM register entry for a signed order?
no - but it is good practice for audit purposes
54
which medications needs PPP?
oral retinoids, valproate,thalidomide, lenalidomide and pomalidomide
55
what is a POM-V?
Prescription-only medicines that can only be prescribed by a veterinary surgeon and supplied by a veterinary surgeon or a pharmacist with a written prescription
56
what is a POM-VPS?
Prescription-only medicines that can be prescribed and supplied by a veterinary surgeon, a pharmacist or a suitably qualified person on an oral or written prescription. A written prescription is only required if the supplier is not the prescriber
57
what is a NFA-VPS?
A category of medicine for non-food animals that can be supplied by a veterinary surgeon, a pharmacist or a suitably qualified person. A written prescription is not required
58
what is an AVM-GSL?
An authorised veterinary medicine that is availableon general sale
59
what is Exempt medicines under Schedule 6 of the veterinary medicines regulations – exemptions for small pet animals (SAES)?
An unlicensed veterinary medicine that does not require a marketing authorisation because it meets criteria laid out in Schedule 6 of the Veterinary Medicines Regulations - Exemptions for small pet animals
60
what is Unauthorised veterinary medicine?
An unlicensed medicine that does not have a marketing authorisation and is not eligible for exemption through the SAES. It can only be prescribed by a veterinary surgeon under the Cascade. This includes any human medicine used for animals
61
what is required on a veterinary prescription?
1 Name, address, telephone number, qualification and signature of the prescriber. Where Schedule 2 or 3 CDs have been prescribed, the Royal College of Veterinary Surgeons (RCVS) registration number of the prescriber must also be included.
2 Name and address of the owner.
3 Identification and species of the animal and its address (if different from the owner’s address).
4 Date. prescriptions are valid for six months or shorter if indicated by the prescriber (the Veterinary Medicines Directorate (VMD) as confirmed in the case of repeatable prescriptions all supplies must be made within 6 months or shorter if indicated by prescriber). Prescriptions for Schedule 2, 3 and 4 CDs are valid for 28 days.
5 Name, quantity, dose and administration instructions of the required medicine
6 Any necessary warnings and if relevant the withdrawal period (i.e. the time that must elapse between when an animal receives a medicine and when it can be used for food).
7 Where appropriate, a statement highlighting that the medicine is prescribed under the veterinary Cascade (e.g. ‘prescribed under the Cascade’ or other wording to the same effect).
8 If the prescription is repeatable, the number of times it can be repeated
62
what is required on a vet script for a CD 2-3 drug?
that the medicines are ‘prescribed for the
| treatment of an animal or herd under my care’
63
how long do veterinary prescriptions need to be kept for?
Veterinary prescriptions should be retained for five years and not submitted to the relevant NHS agency
64
what do SC2-3 drugs on vet prescription need to have from prescriber?
Veterinary prescriptions for Schedule 2 and 3 CDs must include the Royal College of Veterinary Surgeons (RCVS) registration number of the prescriber
65
what is the veterinary cascade?
1. Supply a veterinary medicine with a GB or UK-wide marketing authorisation for the species and condition indicated WHERE THIS IS NOT POSSIBLE
2. A veterinary medicine with a Northern Ireland (NI)* marketing authorisation for the species and condition indicated can be supplied WHERE THIS IS NOT POSSIBLE
3. A GB, NI* or UK-wide veterinary medicine licensed for another species or different condition can be considered
WHERE THIS IS NOT POSSIBLE
4.a A GB, NI* or UK-wide licensed human medicine
OR
4.b A veterinary medicine authorised outside the UK* can be considered WHERE THIS IS NOT POSSIBLE
5. An extemporaneous or a specially manufactured medicine can be considered
66
what are the requirements needed 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
UNDERPINNING KNOWLEDGE – LEGISLATION AND PROFESSIONAL ISSUES 1013
• 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.
67
what is an accountable officier?
Accountable officers are responsible for supervising and managing the use of CDs
in their organisation or setting. Their roles and responsibilities include:
• 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
68
what are the classifications of CDs/
* 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).
69
what is a CD Sch 1 drug?
Most Schedule 1 drugs have no therapeutic use and a licence is generally required for their production, possession or supply. Examples include hallucinogenic drugs (e.g. ‘LSD’), ecstasy-type substances and raw opium.
70
what is a CD Sch 2 drug?
Schedule 2 includes opiates (e.g. diamorphine, morphine, methadone, oxycodone, pethidine), major stimulants (e.g. amfetamines), quinalbarbitone and ketamine
71
what is a CD sch 3 drug?
Schedule 3 CDs include minor stimulants and other drugs (such as buprenorphine, temazepam, tramadol, midazolam and phenobarbital) that are less likely to be misused (and less harmful if misused) than those in Schedule 2.
72
what is a CD Sch 4 drug?
Schedule 4 is split into two parts:
• Part I (CD Benz POM)
Contains most of the benzodiazepines (such as diazepam), non-benzodiazepine hypnotics (such as zopiclone), and Sativex (a cannabinoid oromucosal mouth spray)
• Part II (CD Anab POM)
Contains most of the anabolic and androgenic steroids, together with clenbuterol (an adrenoceptor stimulant) and growth hormones
73
what is a CD Sch 5 drug?
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
74
how long is a CD Sch1-4 prescription valid for?
28 days after appropriate dose
75
can you give an emergency supply of CDs?
- NOT of Sch1-2 (except phenobarbital ] for epilepsy by a UK-registered
- Sch3-5 can be given if seen as necessary
76
what is a home office license?
Persons who have an applicable Home Office licence can possess and supply CDs in accordance with the terms of the licence (e.g.
the RPS museum holds a Home Office licence to possess CDs for the purposes of the museum)
77
what is Home Office group authority?
Persons who are covered by an applicable Home Office licence group authority can possess and supply CDs in accordance
with the terms of the group authority (e.g. there is currently a group authority covering paramedics that allows them to possess and supply certain CDs)
78
who is lawfully allowed to possess a CD?
- home office license
- home office group
- legislation class of person
- legilsation class of drug
- patients
79
who can Schedule 2, 3 or 4 CDs can be administered to a patient by?
* A doctor, dentist, pharmacist independent prescriber or nurse independent prescriber acting in their own right
* A supplementary prescriber (including a pharmacist supplementary prescriber) acting in accordance with a clinical management plan
80
which CDS need a license to be able to import and export>?
A licence is needed for a pharmacy to import or export Schedule 1, 2, 3 and 4 (Part I) CDs.
A licence is needed for Schedule 4 (Part II) CDs, unless the substance is imported or exported by a person for self-administration.
81
when is a personal license not needed?
A personal licence is not required by the Home Office if a person travelling is carrying less# than three months’ supply of a CDs.
82
what is advised to patients travelling with CDs?
it is advised that a covering letter signed by the prescriber is obtained that confirms the name of the patient, travel plans, name of the prescribed CDs, total quantities and dose.
83
what are the legal requirements for a controlled drug requsition?
84
what are the legal requirements for a controlled drug requsition?
```
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
```
85
when a requisition for a SC 1,2 or 3 CD is received, what is it a legal requirement to do?
• Mark the requisition indelibly with the supplier’s name and address (i.e. the name of the pharmacy); where a pharmacy stamp is used this must be clear and legible
• Send the original requisition to the relevant NHS
agency
86
what is good practice with regards to requisitions?
it is good practice to keep a copy of the requisition for two years from the date of supply
87
what can a registered midwife obtain using a midwife supply order?
* Diamorphine
* Morphine
* Pethidine.
88
what must a midwife supply order contain?
• Name of the midwife
• Occupation of the midwife
• Name of the person to whom the CD is to be administered or supplied
• Purpose for which the CD is required
• Total quantity of the drug to be obtained
• Signature of an appropriate medical officer –a doctor authorised (in writing) by the local
supervising authority or the person appointed by the supervising authority to exercise supervision over midwives within the area
89
what is required on a CD prescription?
1. signature
2. date (valid for 28 days from appropriate date)
3. prescriber address
4. name of CD
5. formulation (abbreviations are accetpable)
6. strength
7. dose
8. total quantity (words AND figures)
9. quantity prescribed (max dose should be 30 day supply)
10. name of patient
11. address of patient
12. dental prescriptions
13. instalement directions
90
what doses are NOT legally acceptable when it comes to CD prescriptions?
* As directed
* When required
* PRN
* As per chart
* Titration dose
* Weekly (this is just a frequency and not a dose)
* Decrease dose by 3.5ml every four days
* Twice a day
91
what doses ARE legally acceptable on a CD prescription?
• One as directed
• Two when required
• One PRN
• Three ampoules to be given as directed (better
still – three ampoules to be given over 24 hours
as directed)
• One to two when required
92
What is the appropriate date?
The appropriate date is either the signature date or any other date indicated on the prescription as a treatment start date before which the drugs should not be supplied – whichever is the later
93
What is the home office approved wording for a instalment prescription?
1 Please dispense instalments due on pharmacy
closed days on a prior suitable day.
2 If an instalment’s collection day has been
missed, please still dispense the amount due for
any remaining day(s) of that instalment.
3 Consult the prescriber if three or more
consecutive days of a prescription have been
missed.
4 Supervise consumption on collection days.
5 Dispense daily doses in separate containers.
94
what can a pharmacist amend when it comes to CD prescriptions?
Where a prescription for a Schedule 2 or 3 CD contains a minor typographical error or spelling mistake, or where either the words or figures (but not both) of the total quantity has been omitted, a pharmacist can amend the prescription indelibly so that it becomes compliant with legislation.
95
what is needed for a private RX for CD 2 and 3 medications?
1. standardised form (needs to be written on designated standardised form)
2. prescriber identification number #
3. submission
96
which drugs need to be kept under safe custody?
```
• Schedule 1 drugs
• Schedule 2 drugs except some liquid
preparations and quinalbarbitone
• Schedule 3 drugs unless exempted under the
Common exemptions include:
– gabapentin
– mazindol
– meprobamate
– midazolam
– pentazocine
– phentermine
– phenobarbital
– pregabalin
– tramadol
• Common Schedule 3 CDs which require safe custody include temazepam and buprenorphine
```
97
which CD drugs need to be denatured?
Schedule 2, 3 or 4 (Part 1)
98
do you need an authorised witness for patient returned controlled drugs>
No. However it is preferable for denaturing to be witnessed by another member of staff familiar with CDs
99
do you need to keep records for patient returned CDs>
A record 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
100
do you need to denature unwanted / expired cds?
Yes, if Schedule 2, 3 or 4
101
do you need an authorised witness for denturating of unwanted/expired CD stock?
Yes, if Schedule 2. For Schedule 3 medicines it would be good practice to have another member of staff witness the denaturing
102
do you need to keep records for unwanted / expired CD stock?
An entry should be made in the CD register for Schedule 2 CDs
103
what is needed to be recorded for CD which are recieved?
1. date recieved
2. name and address from whom recieved
3. quantity recieved
104
what needs to be recorded for CD which have been issued?
• Date supplied
• Name and address of recipient
• Details of authority to possess – prescriber or licence holder’s details
• Quantity supplied
• Details of person collecting Schedule 2 CD –patient, patient’s representative or healthcare representative (if the latter, also record thei name and address)
• Whether proof of identity was requested
of the person collecting
• Whether proof of identity was provided.
105
how do the enteries of the CD register need to be?
• Entered chronologically
• Entered promptly – entries must be made on the day of the transaction or on the
following day
• In ink or indelible – entries and corrections
must be in ink or indelible
• Unaltered – entries must not be cancelled,
obliterated or altered. Corrections must be
made by dated marginal notes or footnotes.
The register should be marked to show who
the amendments made are attributable to
(e.g. name, initials/signature, GPhC number
if applicable)
106
which cannabis products are licensed?
* THC combined with CBD (Sativex)
* Nabilone
* CBD (Epidyolex)
107
what category is Sativex?
Sch 4
108
what category is nabilone?
POM
109
what Sch is epidyolex?
sch 5
110
what is the CDMP definition?
* The product is or contains cannabis, cannabis resin, cannabinol or a cannabinol derivative
* It is produced for medicinal use in humans; and
* It is a product that is regulated as a medicinal product, or an ingredient of a medicinal product.
111
what needs to be considered for you to be able to post/ deliver a patients medication?
• Patient consent for delivery or posting
• Patient confidentiality during the delivery
or posting process
• Whether it is necessary for face-to-face contact with the patient to ensure that the medicine can used
• Whether it is necessary to interview the patient
• Whether the patient has been assessed or directly interviewed by the prescriber
• Medicines and medical devices are not ordinary items of commerce and must be handled and supplied to the patient safely.
• Storage requirements during transit
• When posting – will the postal carrier agree to transport the medicinal product
• When posting abroad – are there legal
restrictions in the destination country
which would prevent you from posting?
• When posting abroad – are there UK legal restrictions which would prevent you dispensing
112
what is homropathy?
Homeopathy has been defined as a holistic
complementary and alternative therapy based on the concept of ‘like to treat like’ and involves the administration of dilute and ultradilute products prepared according to methods given in homeopathic pharmacopoeias.
113
what should we say to patients who are on homeopathy?:
If a patient requests advice on homeopathy,
you should advise on the lack of evidence on the efficacy of homeopathic products, discuss the formulation and composition of the product, and provide advice relevant to the patient’s condition.
You should also ensure that patients do not stop taking their prescribed medication if they take a homeopathic product.
114
what is a medical device>
any instrument, apparatus, appliance, software, material or other article, whether used alone or in combination, including the software necessary for its proper application intended by the manufacturer to be used on human beings for the
purpose of:
• diagnosis, prevention, monitoring, treatment or alleviation of disease
• diagnosis, monitoring, treatment, or alleviation of or compensation for an injury or handicap
• investigation, replacement or modification of the anatomy or of a physiological process
• control of conception
115
when should child resistant packaging be used?
Suitable, child-resistant packaging should be used for supplying all solid, all oral and external liquid dose preparations unless there is a good reason for not doing so
116
what diol you need to think about with collection and purchasing of medications by a child?
1. knowledge of the child
2. maturity of the child
3. nature of the medication
4. prior to arrangement
5. reason for collection
6. advise on use of medication
7. local policies
8. proof of ID
117
what is a statutory medical defence?
exists to protect patients who may test positive for certain specified drugs as a result of taking a medication
118
what does a pharmacy display notice need?
* The name of the responsible pharmacist
* The GPhC registration number
* The fact that the responsible pharmacist is in charge of the pharmacy at the time
119
what is needed on a 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
120
how long can a pharmacist be absent for?
Legislation allows the responsible pharmacist to be absent for up to a maximum period of two hours during the pharmacy’s business hours between midnight and midnight
121
if the responsible pharmacist is absent what needs to be pit in place
• Only be absent if the pharmacy can continue to
run safely and effectively
• Remain contactable with the pharmacy staff,
where this reasonably practical and be able
to return with reasonable promptness.
• If the responsible pharmacist cannot remain
contactable and return with reasonable
promptness, she/he must arrange for another
pharmacist to be contactable and available
to provide advice (this does not need to be
another responsible pharmacist).
122
what needs to be recorded if RP becomes absent?
• 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
123
what cannot be done when a RP is absent from a pharmacy
- no clinical checks
- no sale/supply of P medicines#
- no sale/supply of POM medicines
- no PGD supply
- no wholesale medicines
- no emergency supply#
