Flashcards in Misuse of Drugs Act 3 Deck (20):
MDA requires use of a controlled drug register to record any schedule _______ received or supplied by pharmacy.
1&2 except Sativex
Register has a separate page for each: ____
Name/brand (distinguish salt form!)
Entries must be in ink/computer recorded on what day...
The day of the transaction or next day if unable
Keep CD register for how long....
2 years (after last entry)
In what order so we lost entries in the CD reg?
That's a law.
How often should balances be checked in cd reg?
Normally weekly, sometimes more frequent if the volume of controlled drugs dispensed is high
How is responsible for maintaining the CD balance?
Pharmacist. Although can delegate.
What to do with discrepancies?
There will be an SOP.
You can amend with a marginal footnote if for example you drop something.
At what amount of discrepancy do you alert someone to the problem?
What do you need to record when receiving cd stock? (4)
Name and address (of person or company from which stock is received)
NB. Still on separate pages for every form etc.
When supplying a cd what must you record?
Name (not 'brother') and address of supplied
Prescriber name, ID no and authorising document (FP10)
Collecting person (& address if healthcare professional)
Was ID requested (can write 'patient known')
Was ID shown (if not why not, if yes what?)
You can record addict all info if you wish.
Why do we not enter CDs in the POM book
CD reg already keeps legal record.
However good practice MEP says also use POM book and cross reference no. With CD reg.
In summary you must have SOPs covering what in reference to controlled drugs?
Who has access (i.e. method of achieving an auditable trail)
Security in relation to storage and transport
Disposal & destruction
Who to alert if problem arises e.g. stock balance wrong
Record keeping re. register maintenance and Sch 2 returns by patients e.g. no longer needed
You may have your records inspected by the GPhC, police etc if...
They make a formal request. Not just a random police officer walking in off the street.
What drugs should be denatured before disposal?
Schedule 2,3 and 4 part I
Usually need a licence to do this but pharmacies are exempt.
Do you enter patient returns in the CD reg?
No - cannot reuse.
But you must record receipt in separate book or folder.
Record destruction in this folder with a witness.
If destroying your own stock you require
Eg. Out of date.
Need a witness, record in CD register.
Who can get a licence to destroy CDs?
Pharmacies do not require one.
GPs might apply for one.
Ships, rigs cannot destroy CDs but return them to pharmacy for destruction.
Can you reuse medicines?
It is legal according to the home office but the RPS and MHRA do not permit it - bad practice.
SO DON'T DO IT.
You don't know where it has been stored for example, right temperature/humidity?
Do you need to keep a CD reg for Sativex?
No. But you can anyway to maintain an audit trail.