Law Flashcards

Question

Name OTC antihistamines

Answer 1

- brompheniramine - chlorphenamine - diphenhydramine - promethazine - tripolidine - doxylamine

Answer 2

- ulipristal <120 hours, women of child bearing age - levonorgestrel <72 hours, 16+ - advanced supply - children under 13 can't legally consent to sexual activity - report to social services

Answer 3

- teratogenic - PPP = monthly follow up, effective contraception and pregnancy tests - Rx valid 7 days - max 30 days supply - dont accept fax or repeat Rx - emergency supply ONLY if requested by phone by PPP specialist prescriber with confirmed negative pregnancy test in last 7 days

Answer 4

- specialist use for epilepsy and bipolar - CI in childbearing age unless PPP - discuss risks, pt card and warning stickers when dispensing - check if taking highly effective contraception and discussed tx with GP/specialist - if planning/unplanned preg - tell GP - don't stop - report side effects via yellow card scheme

Answer 5

medicine made from human, animal or microorganism e.g. blood

Answer 6

- medicine similar to an already licensed biologic - not a generic because identical can't be produced - rx by brand - ADR = give batch no and brand - dont switch between brand for biologics/similars - e.g. glargine (biologic), Absalgar (biosimilar)

Answer 7

- doctors, dentists, vets - IP within their competence: nurse or pharmacist optometrist (no CDs or parenteral POMs) podiatrists, physios, therapeutic radiographer IPs (POMs, only certain CDs, and Off-label medicines) - supplementary prescribers according to clinical management plan - all of the above - community practitioner nurses (not CDs/unlicensed meds, only limited POMs)

Answer 8

- doctors/dentists/pharmacists/nurses (not CDs 1, 2, 3 or UK unlicensed meds)

Answer 9

1. pt name and address 2. age if under 12, DOB 3. prescriber signature 4. particulars of prescriber 5. address of prescriber 6. prescriber signature in indelible ink or advanced electronic signature 7. 6 month expiry from appropriate signature (28 days if CD 1, 2, 3, 4) - owings last until expiry date

Answer 10

- same general prescription requirements. No standardised form - private POMs valid for 6 months from date signed

Answer 11

- legally recognised in UK (excepts CDs 1, 2, 3, and UK unlicensed medicine) - can accept Rx in a different language 1. Patients full name and DOB 2. Prescribers full name, professional qualifications, work address with country 3. direct contact details: email and tel/fax, number with international pre-fix

Answer 12

- yellow FP10D - can only prescribe medicines listed under dental prescribers formulary

Answer 13

- written on FMED 296 military form - handled by community pharmacies with a dispensing contract with the Ministry of Defence otherwise treat as a private prescription - particular attention to handwritten FMED, unusual as most are computer generated. If in doubt check registration details of prescriber

Answer 14

- where medicines can be dispensed more than once against the same prescription - not the same as repeat requests or NHS repeat dispensing - NHS prescriptions, Schedule 1, 2, 3 CDs NOT repeatable

Answer 15

- Private Rx's must state it is repeatable e.g. repeat x3 = dispense 4 times total - if number of repeats not stated only repeat once (2 total) - exception for oral contraceptives, can repeat x5 all within 6 months - first dispensing within 6 months (28 days S4 CD) then no legal time for remaining repeats - for audit trail of number of repeats dispensed - stamp the pharmacy name, address and date supplied on the prescription each time it is dispensed

Answer 16

- CDs 1, 2 , 3 except phenobarbital for epilepsy by a UK prescriber - Swiss/EEA prescriber cannot prescribe or request any CD 1, 2, 3 or UK unlicensed medicine

Answer 17

- record in POM register on day of supply or day after - Date (POM supplied) - Medicine details (name, strength, formulation, quantity) - name & address of patient - nature of emergency

Answer 18

- record 3 dates (POM supplied, Rx received and date on Rx) - medicine details (name, strength, formulation and quantity) - name and address of prescriber and patient

Answer 19

- previously prescribed by appropriate practitioner - pharmacist must know the dose needed - CD (4, 5, Phenobarbital) = 5 days - POM = 30 days - oral contraceptives = full treatment cycle i.e. 28 days - inhaler, insulin, creams; packs that cannot be broken = smallest pack size - liquid abx = smallest quantity to complete course

Answer 20

- receive prescription within 72 hours - make supply according to the direction of the prescriber

Answer 21

- an immediate need and not practical to get Rx without undue delay - conduct patient interview for patient requests

Answer 22

- vet and RP = 5 years - everything else e.g. CDs, private Rx's for 2 years

Answer 23

- retain for 2 years from last date of supply (private S2, 3 sent to NHS agency at end of month) - POM register - record supply of private POMs - keep POM register for 2 years from date of last entry except for oral contraceptives and S2 CD (recorded in CD register) - record following info on the day or day after: 1. dates of supply and on prescription 2. medicine name, strength, formulation, quantity 3. patient and prescriber name and address

Answer 24

1. medicine name 2. directions of use 3. any precautions/warnings 4. patient name 5. pharmacy name and address 6. date of dispensing 7. "emergency supply" for emergency supply under patient request - recommended: "keep out of sight and reach of children"

Answer 25

1. name and medicine and quantitative particulars i.e. the ingredients 2. quantity 3. handling and storage requirements 4. expiry date and batch no. - e.g. dispensing 60 tablets from pack size of 100

Answer 26

- the law prevents a person from administering a parenteral POM to another person unless acting under directions of an appropriate practitioner - Exceptions: 1. emergency e.g. adrenaline anaphylaxis 2. midwives and paramedics for specified parenteral POMs under certain conditions 3. smallpox vaccine or after medical exposure

Answer 27

- legislation does not restrict thee administration of non-parenteral POMs - but it should only be done under the authority of a prescription, PGD, or PSD

Answer 28

- written instructions from a prescriber for a medicine to be supplied or administered to a named patient after they are individually assessed e.g. inpatient drug chart - for purpose of administration (not supply) - directions can be verbal or telephone from appropriate practitioner

Answer 29

- emergency supply - PGD - pandemic exemptions - optometrist and podiatrist signed orders - signed order of salbutamol inhalers to school - supply of naloxone by individuals providing drug treatment services

Answer 30

- written direction to supply or administer specified medicines by authorised health care professionals to a well-defined group of patient requiring treatment for specific condition - e.g. doxycycline for malaria prophylaxis

Answer 31

- pharmacist don't need to interview patient who required emergency supply of a medicine - allows supply from designated collection points when a disease is pandemic and there is a serious or potentially serious risk to human health - collection points need to be registered pharmacy premises or under the supervision of a pharmacist

Answer 32

- certain POMs supplied directly to patients via signed order by a registered podiatrist or optometrist - signed order is not a prescription, rx requirements are not needed - must be a med they can legally supply - still label properly, provide PIL and record in POM register

Answer 33

- schools can purchase from pharmacies, for use in emergencies - signed order from head teacher including school name, purpose, total quantity and their signature - retain signed order for 2 years OR make entry into POM register and record date given, medicine details, name, address and profession of person supplied to and purpose

Answer 34

- can be supplied to anyone for purpose of saving a life in an emergency opioid overdose - e.g. community pharmacies that provide needle exchange services can supply naloxone for a friend or family member to administer in heroin overdose

Answer 35

- Pharmacist exempt from requiring a wholesale dealer's license in certain circumstances: 1. occasional basis 2. small quantity of medicines 3. profit is not made 4. not for onward wholesale distribution - if wholesale dealer license is required - this means that if supplies include CDs 2-5, a home office license is also needed

Answer 36

- offense to driver whilst impaired through drugs regardless if they are used legitimately - a statutory medical defence can be raised if driving not impaired, lawfully obtained, Rxed or purchased OTC, taken in accordance with advice of HCP or written instructions - keep suitable evidence whilst driving to show the medicine is being take as it should e.g. PIL

Answer 37

- commonly abused - lower limits - cannabis (THC) - MDMA (ecstasy) - ketamine - methylamfetamine - cocaine (and a cocaine metabolite, BZE) - lysergic acid diethylamide (LSD) - heroin/diamorphine metabolite (6-MAM)

Answer 38

- licensed medicines - higher limits - clonazepam - diazepam - lorazepam, oxazepam, temazepam - methadone - morphine - amfetamine - selegiline (metabolised to amfetamine)

Answer 39

use before the beginning of the month e.g. 06/2017 = expires 1st June 2017

Answer 40

do not use after the end of the month e.g. 06/17 expired 30th June 2017

Answer 41

- essential service provided by community pharmacies enforced by environmental agency - registered pharmacies exempt from requiring a license for waste disposal; accept patient returns - remove all patient identifiable information - dispose in secure waste containers < 5m2 for < 3 months, in designated area - sharps in sharps container - do not treat waste medicine e.g. de-blister tabs/cap, decant liquids unless it is CDs that require denaturing - CD 2, 3, 4.1 need denaturing - CD 2 expired stock required authorised witness

Answer 42

- not advised to sell unless supervised by an optician or doctor and under the legal requirements of the opticians act 1989

Answer 43

- home office license for most dangerous chemicals/poisons e.g. explosive pre-cursors. - when supplying add transaction details to license, label the chemical/poison and record in poisons register

Answer 44

all solid, all oral and external liquid dose medicines must be given in CRCs unless specific request not to or original pack is not CRC

Answer 45

- only in a life or death emergency situation where information needs to be passed on immediately and patients telephone number cannot be found from another source e.g. GP surgery - pharmacist must give their name and pharmacy name

Answer 46

- help patients distinguish the difference - no clinical evidence for efficacy for homeopathic - do not endorse this as treatment, especially for serious conditions

Answer 47

- WHO encourages donating standardised health kit medicines in acute stage of emergency, and then donation of money to purchase essential medicines - WHO advises against donating patient returns

Answer 48

- patient consent for delivery or posting - patient confidentiality during the delivery of posting process - is F2F contact or a patient interview necessary - has the patient been assessed by the prescriber - adequate audit trail for delivery and receipt from point at which medicine leaves the pharmacy. Signature on receipt of delivery - storage requirements during transit - internet pharmacies must be registered with MHRA and display the EU common logo, meds supplied must have MA for use in the destination European Economic Area country

Answer 49

- must carry the CE mark (EU) UKCA (UK) - regulated by the MHRA - medicines and healthcare products regulatory agency

Answer 50

- resemble cigarettes and deliver nicotine via inhalation - the RPS supports nicotine-containing products that have a MA

Answer 51

professional judgement to decide on case-by-case basis if it is appropriate

Answer 52

- pharmacists have a professional, legal and moral duty to protect these patients - raise concerns to the social services if maltreatment suspected; however consider patient consent and confidentiality

Answer 53

- allows supply of a medicine that is not licensed in the animal through a written prescription by a veterinary surgeon that must state "for administration under the veterinary cascade" or similar - this is required as it is a legal requirement for pharmacists to supply a licensed veterinary medicine for animals

Answer 54

1. vet medicine licensed for the species or condition 2. vet medicine licensed for another species or condition 3. UK licensed human medicine or EU licensed vet medicine 4. specially manufactured or extemporaneous medicine (unlicensed)

Answer 55

not legally required to have a dispensary label

Answer 56

1. Name of prescribing vet surgeon 2. name + address of owner 3. medicine name, strength, dosage and administration instructions 4. necessary warnings or withdrawal period 5. any special storage instructions 6. "for animal treatment only" 7. name and species of animal 8. expiry date 9. date of supply 10. pharmacy name and address 11. "keep out of reach of children"

Answer 57

- retain for 5 years - for receiving and supplying POM-V and POM-VPS: 1. medicine name, batch no and qty 2. date of supply or receipt 3. name and address of supplier or recipient - written Rx = also record name and address of prescriber and keep copy of Rx - other info: 1. pharmacists keep documents that show required info or record in private POM register 2. records can be kept electronically 3. pharmacies that supply POM-V and POM-VPS must undertake annual audit

Answer 58

- to supply POM-V, POM-VPS, NFA-VPS - unless authorised in advance and delegated to a competent person to hand out

Answer 59

- unlawful to sell/supply POM, P, GSL human medicined unless under cascade - ADRs reported to adverse reaction scheme for veterinary medicines

Answer 60

- advise on how to use the product safely, any applicable warnings and contraindication on the packaging or label - be satisfied that animal owner intends and is competent to use the medicine correctly - prescribe or supply the minimum quantity required for treatment

Answer 61

- manufacturers of vet medicines or those who have a wholesale dealers authorisation can routinely supply authorised retailers - EXEMPTION - an authorised retailer of vet meds can supply products to another authorised retailer to relive a temporary supply shortage without needing WDA license

Answer 62

- need home office license to possess, produce or supply - no therapeutic use e.g. cannabis, LSD - never return illegal drugs to pt - get consent to destroy or give to police w/o identifying pt - if too large qty for personal use, can disclose confidentiality in the greater public interest

Answer 63

- opiates - morphine, oxy, methadone, pethidine, diamorphine - major stimulants - amphetamines, methylphenidate - quinalbarbitone - ketamine - record in CD register - CD Rx requirement - 28 day validity - safe custody - except quinalbarbitone

Answer 64

- minor stimulants - buprenorphine, temazepam, tramadol, midazolam, phenobarbital - keep invoices - CD Rx requirements - 28 day validity - safe custody - except tramadol, phenobarbital, midazolam

Answer 65

1. Part 1 - benzodiazepines - Z-drugs - sativex 2. Part 2 - anabolic/androgenic steroids e.g. testosterone - clenbuterol - growth hormones e.g. HCG, somatotrophin * all = 28 day validity

Answer 66

1. CD INV P - pholcodine - codeine linctus - kaolin and morphine 2. CD INV POM - morphine oral solution <13mg/5mL * keep invoices * 6 month validity

Answer 67

- validity = 28 days except CD5 = 6 months - Rx requirements/CD requisition form/ not repeatable = CD2 and CD3 - prescriber must be in UK for CD2 and CD3 - No emergency supply for CD2+3, except phenobarbital for epilepsy - safe custody for CD2 and CD3 except quinalbarbitone (2), tramadol, phenobarbital, midazolam (3) - in CD register = CD2 (3 in POM) - keep invoices - CD3 and CD5 invoice P/POM - license to import and export = all CDs except CD5 and CD4 part 2 if for personal use

Answer 68

- doctors, dentists - IP - nurse/pharmacist - supplementary prescribers - patient or person acting in accordance with directions of prescriber

Answer 69

- midwives can obtain supply order for diamorphine, morphine and pethidine - must contain: 1. name and occupation of midwife 2. name of patient administered or supplied to 3. purpose 4. total quantity of drug 5. signature of appropriate medical officer (e.g. Dr authorised to supervise midwives)

Answer 70

- license required for all CDs except 5 and 4.2 if for personal use as medicine

Answer 71

- don't need a personal license from home office if taking less than 3 months supply - advised to carry covering letter by GP that confirms the name of the patient, travel plans, name of CD, total qty and dose

Answer 72

- rx not repeatable - EEA/swiss prescribers cant prescribe, even in emergency - no emergency supply except phenobarbital by UK prescriber - validity of any CD owing balance is same as expiry date

Answer 73

- typos or spelling mistakes - if total quantity either word or figure is missing - attribute amendment e.g. mark with initials

Answer 74

1. patient name and address or NFA (PO Box not valid) 2. medication strength, formulation, dose and directions 3. total quantity in words and figures (max 30 days) 4. 28 days expiry 5. prescriber signature 6. prescriber name and UK address - name of medication is good practice

Answer 75

- doctors, dentists, vets - IP nurse/pharmacist prescriber - supplementary nurse/pharmacist prescriber

Answer 76

1. standardised form FP10PCD in England (WPCD - wales, PPCD - scotland) 2. prescriber ID number 3. submit to NHS agency at end of month - practice issues - prescribe private POM separately to private CD2/3 because POM needs to be kept for 2 years and CD needs to be submitted at end of month - record in POM register except CD2 goes in CD register

Answer 77

Must state "for dental treatment only"

Answer 78

1. dispense instalments due on pharmacy closed days on a prior suitable day 2. if an instalments collection day has been missed, please still dispense the amount due for any remaining day(s) of that instalment 3. consult the prescriber if 3 or more consecutive days of a prescription have been missed 4. supervise consumption on collection days 5. dispense daily doses in separate containers

Answer 79

- 1st instalment dispensing within 28 days of appropriate date - mark date of supply at the time supply is made - if 2 days missed = contact prescriber to discuss next steps - diamorphine, dipanone, cocaine to addiction - only doctors with special license can legally prescribe - collecting CDs for a drug misuse patient - authorising letter from patient, stating name of representative a separate letter for each time; representative should have ID

Answer 80

- must ascertain if person is patient of patients representative - may request ID - if it is a HCP must obtain name, address and request ID - this is for purposes of recording supply in CD register

Answer 81

- 2 years - CD register for S1 and S2 - Sativex CD4.1 required to keep records, home office strongly recommends using CD register to do this

Answer 82

- date received/date supplied - if received: name and address from whom, qty - if supplied: name and address, details of authority to possess - prescriber or license holder's details, person collecting S2 name and address, ID requested? ID provided? qty - running balance is good practice

Answer 83

- bound book with drug class, brand, strength and form at head of each page - different section for different drug class - separate pages for different strengths or formulations - keep at premises - keep for 2 years from date of last entry - enter chronologically, promptly on day or following day in indelible ink and unaltered i.e. no crossing out. Corrections must be dated and attributed e.g. initial or signed

Answer 84

- attributable, audited, compliant with best practice, accessible and printable - safeguarding to ensure author identifiable, entries cannot be changed at later date, a log of all data entered is kept - controlled access and adequate backup

Answer 85

- S2 and 3 CD requisition in the community must be on standardised form for human and vet medicine; hospices and prisons exempt - requisition received by a hospital pharmacy from a ward/department of different legal entity = standard form

Answer 86

- name, address, signature and profession of the recipient - purpose of requisition and total quantity of drug

Answer 87

- faxed/photocopies not acceptable - requisition must be obtained in writing before supplying (except when to another pharmacy) - in emergencies doctor or dentist can be supplied and requisition must be given within 24 hours - if stock collected by messenger, written authorisation needed - retain for 2 years - pharmacists cannon requisition CD1s

Answer 88

- legal requirement to mark the requisition indelibly with the supplier details e.g. pharmacy name & address upon receipt and send off to relevant NHS agency - does not apply to supply by pharmaceutical wholesaler of manufacturer, vet requisition (retain for 5 years), supply by person responsible for dispensing in a hospital, care home, hospice, prison or ambulance services. Just mark requisition and retain for 2 years

Answer 89

- CD2 - secobarbital/quinalbarbitone - CD3 - phenobarbital, mazindol, midazolam, tramadol, pentazocine, phentermine - safe custody applies to patient-returned, out of date and obsolete CDs until they are denatured

Answer 90

- required a license but pharmacies can register an exemption without needing one - must denature 2, 3, 4.1 prior to disposal - authorised witness for CD2 expired stock and record in CD register - record destruction for CD2 patient-returns in a separate CD register (keep for 7 years) - in prisons CD records should be kept for CD3 therefore destruction should also be recorded to maintain a robust audit trail. Also recommended for CD4

Answer 91

- CD denaturing kit used in preference to other materials e.g. cat litter - for destruction using a CD denaturing kit: 1. find/crush solid dosage forms 2. pour liquids and rinsing from bottles 3. open liquid amps and pour 4. mix powder amps with water and pour mixture 5. fold patches over onto itself 6. expel aerosols into water and pour or expel into absorbent material then add to CD denaturing kit

Answer 92

- once bottle emptied as far as possible, rinse the bottle and pour liquid into CD denaturing kit - disposal of irretrievable amounts of CDs do not need to be recorded - remove any patient information from labels or other identifiers

Answer 93

1. provide person-centred care 2. work in partnership with others 3. communicate effectively 4. maintain, develop and use their professional knowledge and skills 5. use professional judgement 6. behave in a professional manner 7. respect and maintain the person's confidentiality and privacy 8. speak up when they have concerns or when things go wrong 9. demonstrate leadership

Answer 94

1. governance arrangements 2. staff are empowered and competent 3. environment and condition of premises 4. the way pharmacy services, including the management of medicines and medical devices are delivered 5. the equipment and facilities used in the provision of pharmacy services ** ALL to safeguard the health, safety and wellbeing of patients and the public

Answer 95

- 4 CPDs - 2 must be planned learning activities, rest can be unplanned - peer discussion - dont have to disclose subject of discussion, GPhC contacts peer to confirm it happened - reflective account - summary of practice history for year

Answer 96

- electronically on myGPhc - approved format - meet core criteria - real examples of benefit for people using your service - relevant - your own - patient confidentiality

Answer 97

- e.g. maternity, break from practice, sick leave, military posts - inform GPhC at point of renewal and give evidence - if good reason - GPhC will renew registration w/o submitting records - if can't submit all records - may accept records you can complete (no gaps larger than 12 months) OR GPhC may extend date to submit all records

Answer 98

- remediation process - another chance to submit - then administrative removal - if removed through this process and later reapply for registration, the GPhc will expect to receive records as part of reapplication

Answer 99

- if selected for review and meet the review criteria - personalised feedback and your records won't be reviewed for 2 years - if not selected for review - summary feedback based on reviews done - if selected for review and dont meet criteria = remediation process. GPhc gives developmental feedback for future records and may be reviewed again next year. GPhc will follow steps in their statutory rules and may administratively remove you from the register

Answer 100

- applies to all patients of any age even after death - includes patient data and details, medication or medical history, treatment or carry that could identify them - does not include anonymous information, coded information, and information that is legitimately in the public domain

Answer 101

- protect the confidentiality of information - take steps to prevent accidental disclosure - only access for permitted purpose - raise concerns if lack of security - store securely - dont leave confidential information unauthorised - dont discuss any information that can identify a patient - dont disclose information online - continue to protects confidentiality except when required by law or in public interest

Answer 102

- can disclose information if you have patients consent - disclose without consent if: 1. law says you must e.g. request from police, other enforcement body or healthcare regulator 2. it is in public interest to do so e.g. serious crime 3. obtaining consent would put you or others at risk of harm, or would prejudice the purpose of disclosure - ask for requests in writing

Answer 103

- get consent unless exceptions - anonymise if patient doesn't need to be identified - only disclose relevant information - release information promptly - make sure recipient treats as confidential - make a record of who, what, obtained consent, consent given or refused - be prepared to justify your decisions and actions

Answer 104

the way an organisation processes or handles information

Answer 105

- general data protection regulation - effect from 25th May 2018 - applies to patient-identifiable data - applies to controllers and processors - a controller determines purposes and means of processing personal data and is responsible for and must demonstrate compliance with principles - a processor is responsible for processing personal data on behalf of a controller

Answer 106

1. process lawfully, fairly and in a transparent manner 2. collected for specific, explicit and legitimate purposes 3. adequate, relevant and limited to what is necessary in relation to legitimate purposes 4. accurate and up-to-date; and every reasonable step taken to rectify or delete inaccurate data 5. lept no longer than necessary unless archiving for purposes of public interest, scientific/historical research, statistical purposes 6. protected against unauthorised/unlawful processing, loss, destruction or damage. e.g. use of passwords/locks

Answer 107

1. consent 2. contract 3. legal obligation 4. vital interests - necessary to protect a life 5. public tasks 6. legitimate interests

Answer 108

- to be informed - to access - to rectify - to erasure - to restriction - to data portability - to object to the processing of personal data

Answer 109

- must appoint a data protection officer you are a public authority e.g. NHS - OR carry out certain types of data processing e.g. biometric or genetic data

Answer 110

- duty to report certain types or personal data breach to relevant supervisory authority within 72 hours - inform individual if breach likely to result in high risk of adversely affecting their rights and freedom - have robust procedures for detection, investigation and internal reporting of breaches - keep record of breaches, regardless of whether you are required to notify

Answer 111

- all NHS contractors must provide assurances to the NHS on annual basis by assessing themselves against 18 requirements for management structures and responsibilities, confidentiality and data protection and information security. - hee level are 0-3 - pharmacies are expected to get level 2 for each pharmacy information governance requirement

Answer 112

- provides public access to information held by public authorities e.g. NHS England - make request in writing - legal obligation to respond within 20 working days

Answer 113

- for any professional service you provide or to use patient information - if you are unsure - always ask for explicit consent - ask for consent each time - when appropriate take a record of explicit consent and what patient has consented to

Answer 114

- implied - indicates their consent e.g. handing in a prescription to be dispensed - explicit - specific permission written or verbal

Answer 115

1. must have capacity 2. acting voluntarily and not under pressure from HCP or others 3. have sufficient and balanced information to make informed decision including risks and alternatives 4. capable of weighing up and using that information

Answer 116

- ability to make a specific and informed decision at the time it needs to be made - ability to understand and remember the information provided, use and weigh up the information provided and communicate their decision about their treatment

Answer 117

- don't assume that if a patient lacks capacity on one occasion that they are unable to make all decisions - must take steps to support patients make their own decisions about their care - don't assume lacks capacity based on age, disability, beliefs, condition, behaviour or if you don't agree with their decision - any advice or assessments you carry out should be recorded with the outcome

Answer 118

- adults and young people ages 16, 17 are presumed to have capacity - children are not presumed to have capacity and they must demonstrate competence

Answer 119

- adults - follow codes of practice set out by mental capacity act 2005 and adults with incapacity act 2000 (scot). grant legal authority too certain people to make decisions on their behalf - young person - in england and wales, a person with parenteral responsibility can give consent. In scotland, young persons over the age of 16 are treated as adults without capacity - children - a person with parenteral responsibility or the courts can give consent

Answer 120

- patients can make advanced decisions about their treatment if they later lose the mental capacity - an advance refusal cannot overs the law to give compulsory treatment under the mental health act

Answer 121

- if cant get consent; provide the best treatment in the patients best interests that is needed to save their life, except if there is valid advance decision to refuse a particular treatment

Answer 122

- raise if risk to public health and safety - if you don't, questions FTP - public interest disclosure act 1998 (PIDA) protects employees who raise concerns

Answer 123

- organisation whistle blowing policy - report without delay if serious risk - first raise with immediate supervisor - report to another suitable person in authority or an outside body - keep record of the concern, who with and response - maintain confidentiality if about a specific patient or colleague, disclose only with consent

Answer 124

- employees should be aware of procedures - create open working environment - encourage all staff to raise concerns - take concerns seriously, investigate, provide support, remain confidential, take steps to deal with concern - keep record - don't stop anyone from raising concern

Answer 125

- apologise and don't minimise the seriousness of the error - establish if patient is safe - inspect medicine, don't dispose unless consented - supply correct medicine - ask what the patient wants to do about complaint - establish RP at time and notify them if it was not you - inform professional indemnity insurer incase legal claim made against you

Answer 126

- do a root cause analysis - make a written record of complaint, findings and audit regularly - Condition in the pharmacy at the time - Health of the pharmacist and other members of the team - Assistance - pharmacist alone or not? - Prescription recovered from file - Systems used for dispensing and checking must be reviewed - CHAPS

Answer 127

- power imbalance in personal relationship between HCP and patient - if attracted to patient don't act on it - if patient attracted to you - constructively reestablish professional relationship or hand over care - sensitive to cultural differences - always offer chaperone and ask for consent for examinations/consultations - record conversations about chaperones - raise concern if another HCP breaking boundaries

Answer 128

- e.g. contraception, fertility medicines, hormonal therapies, mental health, substance misuse, sexual health - ensure patient-centred care not compromised - consider referral to another HCP if appropriate - referral may not be appropriate in every situation

Answer 129

- professional judgement to make sure patient has access to care - think in advance about range of services you can provide, roles you can carry out and how to handle requests sensitively - don't knowingly put yourself in a position where you are unwilling to deliver timely care - consider suitability of location, environment, working hours, other service providers opening hours

Answer 130

- work in partnership with employers - think in advance about areas of practice affected and make arrangements to ensure patient care is not affected - tell employer ASAP if your beliefs might prevent you from providing pharmacy services

Answer 131

- must be sensitive towards pharmacy professionals beliefs to maintain fair working environment - must have governance and staff management processes in place to support and enable pharmacy professionals to provide continuous care for patients using their services

Answer 132

- patients at centre of decision-making - work with patients so they can make informed decisions on how to access the care and services they need - understand barriers patients may face - check patient understands full range of information - make it as easy as possible for patients to recieve care - open to discussing how patients beliefs relate to their care - recognise when a patient may need extra care or advice

Answer 133

- don't imply or express disapproval or judgement - treat patient sensitively - communicate professionally and with respect - adapt communication - consider body language, tone of voice and words - safeguard, respect and maintain privacy

Answer 134

- registered pharmacist must be in charge of registered pharmacy as the RP - can't open pharmacy to public if RP not present - RP of one pharmacy at one time - secure safe and effective running of the pharmacy before operating - establish maintain and review SOPs - every 1-2 years or after incident - if you make a temporary amendment to procedures keep a record of this

Answer 135

- must be cubically viewable - must state name, GPhC number and that you are the RP

Answer 136

- retained for 5 years - contain RP name, GPhc number, date and time they started and stopped being RP and absent if applicable - must personally make the entries, can be done remotely - electronic or paper format

Answer 137

- maximum 2 hours between midnight and midnight - total, not 2 hours each - remain contactable and able to return with reasonable promptness - if RP not signed in - can't open pharmacy, can only dispense and accuracy check - if RP signed in but absent - can dispense, check and sell GSL only (cant hand out). Pharmacist present to do clinical check, sell P, PGDs, emergency supply, wholesale dealing or supplying POMs e.g. handing out

Answer 138

- appoint and support the RP to safely and effectively run the pharmacy - pharmacy record - 5 years - ensure RP maintains record - available on premises for inspection - if recorded electronically ensure it is backed up and any alterations must identify when and by whom they were made

Law Flashcards

(163 cards)