PHAM01 > CDs - supply > Flashcards

CDs - supply Flashcards

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1
Q

exemptions for possesion of a CD

A
  1. unless regulations allow it
  2. licence from Home Office
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2
Q

Possession of Sch 4 Part 2 or Sch 5 drugs

A

not controlled

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3
Q

How can patients posses CDs?

A

if the CD has been prescribed by prescriber

** only when they are acting in their professional capacity

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4
Q

CDs Dr/dentist can prescribe

A
  • any Sch 2-5
  • Drs - cocaine, dipipanone, diamorphine for treating addiction only if a licence has been obtained from the Home office
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5
Q

Who can prohibit possession/Rx/admin/manuf/supplying of CDs?

A

Home Secretary

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6
Q

Prescription Requirements for Sch 2 & 3 CDs for human use

A

1) Be written so as to be indelible
2) Signed by person issuing it with usual signature or ‘advanced electronic signature’
3) Prescriber’s address (except for a health Rx)
4) If issued by a dentist, must state the words ‘for dental Tx only’
5) Name and address of patient
6) Specify the dose
7) Form of the medicine (if CD is a preparation)
8) Strength of the medicine if 1+ available
9) Total quantity/number of dosage units in words and figures
10) Date

** name of med not legal

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7
Q

Prescription Requirements for FP10MDAs (instalment directions)

A
  • same legal requirements for a CD Rx
  • max 14 days Tx Rx
  • must include an INSTALMENT DIRECTION:
    1. amount of medicine per instalment
    2. interval between each instalment
  • marked with each date of dispensing
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8
Q

instalment direction and the dose on FP10MDA

A

** LEGAL requirement that the instalment direction and the dose are specified separately on Rx

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9
Q

start date on FP10MDA

A
  • does not have to specify a start date
  • if it doesn’t, 1st dispensing must be within 28 days of the date and then instalments run as specified even if this is beyond the 28 day validity
  • if start date specified, must be complied with and the instalments run from that date
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10
Q

records of FP10MDA Rx

A

must be made as per CD requirements

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11
Q

CDs that may be prescribed on a FP10MDA

A
  • any Schedule 2 CD
  • buprenorphine
  • buprenorphine/suboxone
  • diazepam
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12
Q

prescriber outside UK and CD

A

cannot be supplied

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13
Q

validity of CD Rx

A

28 days after the appropriate date

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14
Q

max quantity of CD Sch 2, 3, 4 that can be supplied

A

no legal requirement

good practice that the quantity should not exceed 30 days supply

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15
Q

expiry of CD Sch 2, 3, 4 Rx

A

28 days

cannot be dispensed 28 days after the appropriate date

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16
Q

full quantity and period of validity of the prescription for Schedule 2, 3 and 4

A

full quantity on the Rx must be supplied within the period of validity of the prescription

  • unless it is an instalment prescription
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17
Q

Home Office approved wording on FP10MDA

A
  • doesn’t have to be included
  • if wording is different from the approved wording from Home Office, doesn’t provide pharmacist security
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18
Q

repeat Rx for CDs

A

Sch 2 & 3 = NOT allowed

can have repeats for Sch 4

  • applies to private and NHS Rxs
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19
Q

validity of repeat Rx in Sch 4 and 5

A

Sch 4 - 1st dispensing must be within 28 days of the appropriate date

Sch 5 - 1st dispensing within 6 months

  • no time limit to subsequent dispensing of the repeats on a private prescription
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20
Q

what errors can pharmacist amend on Sch 2 & 3 Rx

A
  • minor typographical errors
  • minor spelling mistakes
  • if the quantity is missing in words or figures (but not both)
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21
Q

Dispensing may only take place if technical error if…

A
  • pharmacist as exercised all due diligence and believes on reasonable grounds the Rx is genuine
  • pharmacist exercised all due diligence and believes they are supplying the drug in accordance with the intention of prescriber
  • pharmacist amends the Rx in ink/otherwise indelibly to correct the mistakes and adds either total quantity in words or figures as necessary
  • pharmacist marks Rx to show they have made amendment (e.g. name, date, signature, GPhC no.)
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22
Q

private CD Rx colour and type

A

FP10 PCD (looks like NHS Rx but private)

pink

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23
Q

drugs that can be on FP10 PCD

A

Sch 2 & 3 CDs

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24
Q

what form MUST (legal) private Sch 2 and 3 CDs be on

A

FP10 PCD (pink)

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25
requirements for private CD Rx (Sch 2 and 3) - FP10PCD
must have prescriber's private CD ID number
26
What to do with FP10PCD?
* Original form is sent to NHSBSA * Keep a copy of the Rx in the pharmacy for 2 years
27
FP10PCD vs hospital private Rx/veterinary Rx
submission to NHSBSA does not apply to hospital private Rx or veterinary Rx
28
signature on FP10PCD
signature MUST match name of prescriber and prescriber’s private CD identification number
29
records for FP10PCD
LEGALLY record in POM register except if record in CD register then POM good practice
30
requisitions/signed orders/wholesale dealing Sch 2 & 3
MUST get written requisition before supplying
31
what must be on requisitions for Sch 2 & 3
- signed by recipient - name, address, profession/occupation of recipient - total quantity of drug - purpose CD is required
32
diff in the quantity for requisitions and Rx for Sch 2 & 3
quantity doesn't have to be in words and figures
33
LEGAL form for requisition for Sch 2 & 3
FP10CDF
34
exemption of FP10CDF form for requisition for Sch 2 & 3
hospitals are exempt if the supply is within the same organisation
35
use of the requisition form FP10CDF
applies to CDs for human and veterinary use
36
What to do with requisition forms FP10CDF (Sch 2 and 3) after
- sent to NHSBSA (but not if a veterinary requisition) - copy kept in the pharmacy for 2 yrs (good practice)
37
what to do with veterinary requisitions for Sch 2 and 3 (FP10CDF)
- NOT sent to the NHSBSA - original requisition retained at the pharmacy for 5 years (legal)
38
faxed/photocopied requisitions for schedules 2 and 3
not acceptable
39
wholesale dealer and requisition for supplying a CD to a pharmacy
wholesale dealer does NOT require a requisition for supplying a CD to a pharmacy
40
urgency to the supply and practitioner can't furnish a written requisition for Schedules 2 and 3
supplier may supply a CD without requisition on the basis the practitioner will supply requisition within 24 hours
41
when should requisition for Sch 2 and 3 be supplied if CD supplied in emergency with no requisition
within 24 hours
42
signature for requisition given by the person in charge of a hospital or care home
must also be signed by a doctor or dentist employed there
43
records for requisitions of Sch 2 CDs
good practice to make a record in POM register
44
Does a requisition have to be used between pharmacies for Sch 2 & 3?
no legal requirement for a requisition to be used but Home Office advice is to use the standard form
45
sending someone else to collect requisition of Sch 2 and 3 CD
- purchaser (person who has signed requisition) can send another person/messenger to collect CD on their behalf - can only supply messenger with CD if they show written statement from purchaser allowing them to receive the CD on their behalf - no legal requirements for what should be on letter, at least signed/dated by purchaser, info on messenger saying they authorise them to collect - satisfied that letter is genuine - must keep letter for 2yrs
46
hospital requisitions for Sch 2 and 3 CDs
- if separete legal entity, must use FP10CDF form - use this if hospital requesting CDs from a community pharmacy - supply of CDs from hospital pharmacies which are same legal entity, don't have to use the FP10CDF (but good practice, audit trail)
47
CDs midwives can admin and possess
diamorphine morphine pethidine
48
How can midwife get supplies of diamorphine, morphine and pethidine?
using a midwife’s supply order signed by the ‘appropriate medical officer’ in writing
49
What info must midwife’s supply order contain?
- name of midwife - occupation - name of the person to whom the CD is to be administered/supplied - purpose CD is required - total quantity - signature of the 'appropriate medical officer’
50
Who is 'appropriate medical officer' that can sign midwife’s supply order?
doctor or a person who is authorised to exercise supervision over midwives within the area
51
record midwife has to keep
required to keep a record of supplies of diamorphine, morphine and pethidine received and administered in a book solely for that purpose
52
surplus stock midwife has
cannot destroy surplus stock but can surrender it to the ‘appropriate medical officer’ or to the person who she got the CD from
53
How long should pharmacy retain the midwives supply order for?
2 years
54
What to do with midwives supply order?
no need to send this to the NHSBSA keep for 2 years
55
records for midwife supply order
same as requisitions
56
T/F FP10MDA: Only controlled drugs in schedules 2 and 3 can be prescribed on this prescription form
FALSE diazepam also
57
T/F FP10MDA: If a prescription includes two dates which are different, the ‘appropriate date’ is the earlier of the two
FALSE later date is app date
58
T/F FP10MDA: It is a good practice to write the date when each instalment was dispensed on the grid on the right-hand side of the prescription
FALSE legal to write date
59
T/F FP10MDA: If a patient misses three or more instalments the remaining instalments may still be legally dispensed
TRUE legally yes clinically shouldn't, methadone cumulative effect, miss dose need to titrate up again
60
T/F FP10MDA: Cocaine may be prescribed for the treatment of addiction if the doctor has a special authorisation from the Department of Health and Social Care
FALSE from Home Office
61
T/F FP10MDA: If a pharmacy closes on a Sunday, instalment prescriptions must include the relevant Home Office approved wording for pharmacy closures
FALSE doesn't have to include it, can be clear from dose to give 2 days on Saturday
62
T/F FP10MDA: These prescriptions must legally include an amount of medicine per instalment which is additional to the requirement to include a dose
TRUE always separate
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