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Pharmacy management > RAMAs, Storage And Disposal > Flashcards

RAMAs, Storage And Disposal Flashcards

(70 cards)

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1
Q

What are the 4 distribution categories of veterinary medicines

A

POM-V
POM-VPS
NFA-VPS
AVM-GSL

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2
Q

POM-V

A

Prescription Only Medicine

Only prescribed by a veterinary surgeon

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3
Q

POM-VPS

A

Prescription Only Medicine

Prescribed by veterinary surgeon, pharmacist or RAMA/SQP

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4
Q

NFA-VPS

A

Non-Food Animal

supplied by a veterinary surgeon, pharmacist or RAMA/SQP

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5
Q

AVM-GSL

A

Authorised Veterinary Medicine - General Sales List
Supplied by any retailer
Eg pets at home

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6
Q

Which controlled drugs CANT nurses/pharamacist/RAMAs prescribe

A

Diamorphine
Cocaine
Dipipanone for addiction treatment

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7
Q

What are the schedules of controlled drugs

A

Schedule l
Schedule ll
Schedule lll
Schedule lV
Schedule V

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8
Q

Schedule l drugs

A

Little or no therapeutic value
High potential for abuse/misuse
Only used for research purposes in vet practice
Illegal recreational drugs

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9
Q

Schedule ll drugs

A

High potential for abuse/misuse
highly addictive but with therapeutic value
Their use is strictly controlled
Opioids

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10
Q

Schedule l drug example

A

Cocaine and heroin

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11
Q

Schedule ll drug examples

A

Opioids such as methadone hydrochloride, fentanyl, morphine and ketamine

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12
Q

Schedule lll drugs

A

High potential for abuse/misuse but have therapeutic value
Their use is controlled

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13
Q

Schedule lll drug examples

A

Buprenorphine hydrochloride
Tramadol
Gabapentin
Phenobarbital

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14
Q

Schedule lV drugs

A

Some potential for abuse/misuse and has therapists value

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15
Q

Schedule IV drugs examples

A

Diazepam
Chronic gonadotropin
Clenbuterol hydrochloride

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16
Q

Schedule V drugs

A

Some potenitnal for abuse/misuse and has therapeutic value

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17
Q

Schedule V drug examples

A

Paracetamol and codeine phosphate

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18
Q

Controlled drugs requirements - lockable cupboard

A

All schedule 2 except Quinalbarbitone

Only burenorphine from schedule 3

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19
Q

Controlled drugs requirement - prescription validity

A

28 days for 2,3 and 4
6 months for 5

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20
Q

Controlled drugs repeat prescription

A

Only schedule 4 and 5

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21
Q

Controlled drugs register

A

Only for schedule 2 and buprenorphine from schedule 3

RCVS recommends all schedule 3 to be in CD cabinet

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22
Q

Controlled drugs witness destruction

A

Only for schedule 2 drugs

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23
Q

How long does the invoice get kept on controlled drugs

A

2 years

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24
Q

What is required on a prescription for schedule 2 and 3 drugs

A

Declaration that it is for an animal or herd under vet care
Full name and address of owner and animal
Name and form of drug
Amount prescribed in words and figures
Strength of preparation
Dose to be administered
RCVS number of prescribing vet

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25
Sharps bin has what waste
Used needles Syringes with fixed needles Broken single use vials/ampules
26
Cytotoxic and cytostatic bin has what waste
Any cytotoxic or cytostatic medications (chemotherapy drugs) including syringes, needles and bottles/vials
27
Pharmaceutical waste bin has what waste
Multiuse medication bottles Used syringes without fixed needles Out of date medication Returned medication from owners
28
Disposal of schedule 2 controlled drugs
Out of date or unused need to be denatured and disposed of in pharmaceutical waste bin in presence of either A police officer (CD liaison officer) Inspector appointed under VMR vet from another practice (can’t be partners or friends - must provide RCVS number) Drugs must be kept in cabinet and only removed from register once destroyed
29
Process of disposing schedule 2 drugs
Empty into a denaturing kit Place on pharmaceutical waste bin Record disposal in the CD register Countersign from witness on register Schedule 3,4,5 do not need to be witnessed
30
How would you destroy transdermal fentanyl patch
Food and place into denaturing gel
31
How would you destroy phenobarbital tablets
Crush and mix with water then add to denature gel
32
What is significant about denaturing kit
Turns to gel so the drug can’t be extracted
33
Waste vs stock on disposing of controlled drugs
If CD is waste then witnessed denaturing and destruction is NOT required If CD is stock witnessed denaturing and destruction IS required
34
What is stock
Any out of date controlled drugs Any multiuse vial that is beyond 28 day broached life
35
What is waste
Small out of medication left in single use vial after drawing up dose If dose if drawn up but not administered Unusable amount of medication left over in multiuser vial Part used infusions
36
Storage requirements of medicines in accordance to Summary of Product Characteristics (SPC)
pharmacy between 8 and 25 Pharmacy fridge between 2 and 8 Temp to be monitored and recorded daily incl min and max temps
37
Can we accept medications back from clients and use them
No
38
What is the formula for the order up to level regarding stock
OULT(order up to level) = D(daily demand) x L(lead time) which is how long it takes for drug to come.
39
What is needed for stock storage
Set stock levels (min and max) Named person responsible for stock level Store products in original packaging Supply a product leaflet with products dispensed Dispense products with shortest expiry date first Store products with different batch numbers together (in case of any recall they’ll have spares)
40
What records should be kept in vet medicine
Dates of deliveries and items Batch numbers for food producing animals Record first usage on each box/bottle Wholesaler to keep transaction records for 3 years Vet practices to keep for 5years
41
What are the reasons for stock loss
Products going OOD broken/damaged Items not charged Theft Items charged but not received Wholesaler credit for goods returned/missing not received Consumable wastage
42
What is a stocktake
VMD requires all practices to do annually Must include OOD products and broken/damaged stock aswell as the rest of the srock
43
Controlled drugs record keeping
Register to be kept for all schedule 2 drugs for 2 years after the last entry Chronological order Separate page for each strength and form of that drug Separated into each drug class Be able to be audited No corrections or alterations Dated and signed Recorded in a bound book
44
What should every entry have in the register book for schedule 2 drugs
Date Name and address of owner/animal/case number Batch number Amount dispensed and disposed of Name or sig of prescriber RCVS number Amount remaining/ running balance
45
Should we use CD returned by a client
No
46
Should. Record any CD that are returned and destroyed
Yes
47
CD cabinet requirements
Attached by bolts to wall of building Multi point lock Double lock Kept locked when not in use Different to any other lock Keys to authorised members of staff Key can be left in combination box but code must be changed monthly and should not be next to CD
48
CD in vehicles
Lockable bag/box/glove compartment Vehicle should not be left unattended Separate register must be maintained
49
Can CD be sent in the mails
Only in exceptional circumstances and must be recorded and signed fora
50
Can CD be supplied by internet pharmacies
Yes but prescription must be received before the CDs are supplied
51
Can CDs be advertised to clients
No but a VS can discuss the use of CDs during a consult
52
What do SOPs cover
Order and receipts of CDs Who has access to CD Where are they stored Dispensing of CD Transportation of CD Disposal and destruction of them Who to alert if complications occur Record keeping (what to do if discrepancies)
53
28 days after opened stock of ketamine left in a bottle what should happen to it
Must be denatured and recorded in register and witnessed by independent vet surgeon
54
What happens to remaining methadom in syringe from client
It is waste and is denatured ideally witnessed by another team member Not recorded in register
55
Tramadol drug RCVS recommendations
That it should be locked in CD cabinet even tho it’s schedule 3 drug and can be kept on dispensary shelf
56
A discrepancy of methadone is noted at the end of the month what should be done
Consult the discrepancy policy SOP
57
A - RAMA (AVM)
Birds
58
L-RAMA (FAM)
Farm
59
J-RAMA (EQM)
Horses
60
C-RAMA (CAM)
Cats and dogs
61
CA-RAMA
Companion and avian
62
EA-RAMA
Companion equine and avian
63
K-RAMA
Farm and companion
64
G-RAMA
Farm and equine
65
E-RAMA
Equine and companion
66
JA-RAMA
Equine and avian
67
RAMA training timeline
Register with AMTRA as a student RAMA/sit base module (VN don’t need to do this) Sit modular exam in chosen species Face to face exam Register with AMTRA and maintain CPD
68
Roles of a RAMA
Prescribe VMP within drug category POM-VPS supply VMP within the drug categories POM-VPS, NFA-VPS, AVM-GSL Identify infestations Advise on prevention and control of disease refer a client to vet if required Ensure VMP are appropriate for client
69
What info must be gathered before a RAMA can prescribe or supply
Species Number to be treated Clinical signs Age, sex, weight, lifestyle, temperament Current medical history Repeat or not When was Last clinical exam If the owner knows how to use product
70
What don’t RAMAs do
Diagnose disease Treat disease Don’t need to see the animal

Pharmacy management (9 decks)

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