How many RPs can be in charge at any one time?
Only 1 can be in charge - at one registered premise at any 1 time.
What 4 things should a RP need to do?
Secure safe + effective running of pharmacy
Display notice
Complete pharmacy record
Establish, maintain + review pharmacy procedures.
What should RP do if unsure about anything?
Reasonable measures can be taken to clarify with pharmacy owner, SI pharmacist or other delegated person.
What happens if RP thinks pharmacy is NOT safe or if patients are at risk?
Steps taken to ensure safe + effective running of pharmacy.
Close pharmacy - if NOT possible to do above.
What 3 things should be included in pharmacy notice?
Name of RP
GPHC no
Fact that RP is in charge of pharmacy at that time.
What happens to notice if RP leaves temporarily?
Notice should NOT be removed even if 2nd pharmacist there.
What formats can the pharmacy record be?
In writing, electronically or BOTH.
What 4 things should the pharmacy record do?
- Be recorded accurately + reflect the RP at any time.
- Made personally by the RP- can be made remotely as long as record complies with professional standard.
- alterations made for paper/electronic need to identify when + whom made it.
- e-records should b backed up + kept on pharmacy premise in case of audit.
What 5 details must be on pharmacy record?
RP name
RP reg number
Date/time when RP was RP
Date/time when they stopped being RP
If absent- date, time left and time arrived to pharmacy
How long should pharmacy record be kept for?
5 years
What regulation outlines RP pharmacy procedures?
The medicines (pharmacies) (RP) regulations 2008
What are the 9 pharmacy procedures that the RP must ensure are maintained?
- Arrangements to secure med products are: ordered, stored, prepped + sold via retail
- cases where pharmacy staff NOT pharmacist may give out advice about med products.
- ID of pharmacy staff, are competent to perform activities.
- Record keeping
- what to do if RP is absent
- Steps to take when RP changes
- What steps to do for complaints
- What steps to do if incident happens where pharmacy NOT safe
- How changes in pharmacy procedures explained to staff.
What format can the pharmacy procedures be kept in pharmacy?
Writing, electronically, both forms - need back ups.
Who should the pharmacy procedure be available for? (5)
Pharmacy owner
SI pharmacist
RP
Pharmacy staff
GPHC inspector
When are pharmacy procedures usually reviewed?
every 2 years OR after incident
What is needed when temporary amendments made to procedure?
Need to maintain audit trail to show what procedures in place, what procedures was in place, RP who amended procedure, date amendment made.
How long can RP be absent for ?
2 hrs during pharmacy business hours - midnight to midnight
What 3 arrangements need to be in place if the RP is absent?
RP can only be absent if pharmacy can continue to run safely + effectively.
RP should be contactable + should return
If RP is NOT contactable/ can’t return, they need to arrange another pharmacist to come help.
What 3 things should an RP record if they are absent?
- Date of absence
- Time they left
3.time they returned
What 5 activities need a RP + supervising pharmacist to be present?
Professional check of an Rx.
Sale/supply of P + POMS meds
Supply of meds under PGD
Wholesale of meds
Emergency supply
What 5 activities only need an RP, not a supervising pharmacist too?
Making dispensing label
Taking meds off shelf
Assembly of item (e.g. counting tablets)
Labelling containers with label
Accuracy checking
What is assembly + what act is it under?
Medicines Act 1968
Under supervision of a pharmacist usually.
What 2 activities can take place with an RP in site but does not need supervision of pharmacist?
GSL sale
Processing waste stock meds or patient returned meds
What 12 activities can take place WITHOUT a RP but requires trained support staff?
Ordering stock
Receiving stock into building.
Putting stock onto shelves
Date checking of meds
Stocking front of pharmacy
Cleaning
Responding to enquiries
Accessing the PMR
Receive Rx from EPS system (england only)
Processing Rx already dispensed(e.g. counting items dispensed)
Delivery patient conveying meds to patient
receiving patient returned meds
