GPhC Exam > Law > Flashcards

Law Flashcards

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1
Q

Schedule 2 CD

A

Opiates
- morphine
- diamorphine
- oxycodone
- methadone

Stimulants
- methylphenidate
- dexamphetamine

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2
Q

schedule 3 CDs

A

Buprenorphine
Tramadol
Midazolam
Temazepam
Gabapentin
Pregabalin

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3
Q

schedule 4 CDs

A

Benzos
- diazepam
- lorazepam
- clonazepam
- zopiclone
- zolpidem

CD anab
- Testosterone
- nandrolone
- growth hormone

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4
Q

schedule 5 CDs

A
  • codeine
  • co-codamol
  • oramorph
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5
Q

Which CDs require safe custody?

A

All schedule 2 + temazepam

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6
Q

How long is a prescription valid for if they are schedule:
- 2
- 3
- 4
- 5

A

schedule 2, 3, and 4 = Max 28 days
Schedule 5 = 6 months

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7
Q

What is the max days of supply for CDs?

A

Schedule 2, 3 and 4: Max 30 days is GOOD PRACTICE (not legally required)

Schedule 5: no prescription duration requirements

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8
Q

which schedule requires an entry into the CD register?

A

schedule 2

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9
Q

Which schedule requires specific directions to be written on a prescription?

A

Schedule 2 and 3
- quantity in worlds and figures
- exact dose to be take

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10
Q

Prescriptions from EEA and Switzerland
- type of prescription permitted
- prescription requirements

A

Type permitted
- Prescriptions
- repeatable prescriptions
- emergency supplies

Prescription requirements
- pt details (name and DoB)
- prescriber details (name, profession, contact detail and address)
- prescribed med (form, quantity, strength and dose)
- signature
- date (6 months, sch 4 28 days)

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11
Q

Are prescriptions that are written in another language still legal?

A

Yes, but you must be able to translate to safely supply the medicine

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12
Q

What meds can you NOT supply if they are on a prescription from EEA or Switzerland?
- what do you do?

A

CD 1, 2 or 3
Medicines that do not have a marketing authorisation in the UK
- refer to an appropriate UK prescriber

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13
Q

Can you do an emergency supply at the request of an approved HCP from the EEA or Switzerland?
- what are the requirements
- which drugs can not be supplied?

A

Yes
- usual emergency supply process
- requires a prescription within 72 hours

Can not supply CD 1, 2 or 3
- INCLUDING phenobarbital
- or any UNLICENSED products

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14
Q

What form in a military prescription written on?

A

FMED 296
- if presented, treat as a private script and charge pt (they can claim back from military unit)

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15
Q

Labelling requirements

A
  • name of pt
  • name and address of pharmacy
  • date of dispensing
  • name of medicine
  • directions for use
  • precautions
  • keep out of reach of children
  • for skin only where applicable
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16
Q

What is an emergency supply?

A

Supply POM meds to a patient without a prescription at their request or at the request of a ‘relevant prescriber’

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17
Q

What are the conditions for an emergency supply at the request of the prescriber?

A
  1. Must be from a ‘relevant prescriber’
  2. Must be an emergency
  3. The prescriber must agree to write a prescription within 72 hours
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18
Q

Which drugs can be given as an emergency supply?

A

All except schedule 1, 2 or 3 CDs
- PHENOBARIBTAL can be given if authorised by a UK prescriber in the treatment for EPILEPSY

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19
Q

What records must be kept after an emergency supply is made?

A

Enter into the POM REGISTER
- the date of supply
- name, strength and quantity of medication
- name and address of prescriber requesting i (if at request of prescriber)
- name and address of pt
- date on prescription
- date the prescription was sent (this can be added after- must be within 72 hours)- if at the request of prescriber
- nature of the emergency

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20
Q

What are the conditions for an emergency supply at the request of a patient?

A
  1. An interview
  2. The immediate need
    - even if surgery is open, it may be impractical for patient to wait for script
  3. Must have previous treatment with POM
  4. Must be satisfied with the dose
    - usually by looking at PMH
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21
Q

Which drugs can be given as an emergency supply at the request of a patient?

A

All except CD 1, 2, and 3
- except phenobarbital for epilepsy
- medications without a UK marketing authorisation can NOT be supplied

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22
Q

What is the length of treatment for an emergency supply
- CD 4, 5 or phenobarbital
- POM
- insulin, ointment, cream or inhaler
- oral contraceptive
- antibiotic liquid

A

CD = 5 days
POM = 30 days
Insulin, ointment, cream or inhaler = smallest pack size
Oral contraceptive = a full cycle
Antibiotic liquid= quantity to give full treatment length

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23
Q

What record should be made for an emergency prescription at the request of the patient?

A

Entry into the POM register on day of supply
- date POM supplied
- Name, strength and quantity
- name and address of patient
- info regarding the nature of the emergency

Labelling is standard with ‘emergency supply’ added

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24
Q

Supply of medications in schools
- which meds
- what are the prescription requirements

A

Can supply
- adrenaline autoinjectors
- salbutamol inhalers
Signed order must have
- name of school
- product details
- strength
- purpose for required product
- total quantity
- signature of head teacher

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25
What records are kept for signed orders from schools? - how long must records be kept - where is entry made
Retained for 2 years Entry in the POM register - can be either, but good practice to do both
26
Prescriptions for oral retinoids (isotretinion)
Only initiated under the PPP - prescription valid for 7 days following negative pregnancy test - max 30 day supply
27
For dentist, what can they prescribe on an NHS prescription?
Medicines listed in the dental practitioner section of BNF
28
What can vets NOT prescribe?
Can not authorise emergency prescriptions - can only prescribe for animals
29
What can optometrists NOT prescribe?
CDs 2-5 - can also only prescribe for treatment affecting the eyes and surrounding tissues (not parenteral administration)
30
What is POM-V
POM that can only be prescribed by a VET and supplied by a vet or by a pharmacist with a written prescription
31
What is a POM-VPS?
POM that is prescribed and supplied by a vet, pharmacists or trained person on an oral or written prescription - written prescription is required if the prescriber is NOT supplying
32
Prescription requirements for POM-V or POM-VPS and meds prescribed under the veterinary cascade - what is extra for CDs 2 and 3? - no dstandard form How many days prescription is good practice?
1. Name, address and phone number of prescriber 2. Name and address of owner 3. Identification and species of animal (e.g. for ‘spot the dog’) 4. Date 5. Name, quantity and dose of drug with instructions 6. Warnings - e.g. with food or time taken 7. That it is prescribed under the cascade 8. Number of repeats (if applicable) CDs 2 and 3- RCVS registration number - ‘the item has been prescribed for an animal or herd under care of the vet’ 28 days supply is good practice
33
How long are vet prescriptions valid for?
POM: 6 months unless specified shorter CD 2, 3 AND 4: 28 DAYS
34
Are standard forms required for vet prescriptions?
NO -
35
How long must vet prescriptions be retained for?
5 years
36
Where are human private prescriptions submitted to?
The relevant NHS agency (NHS business and services authority and equivalent)
37
What is the vet cascade?
An exemption at specifies that where a licensed vet product is not available, other medicines can be considered: 1. Vet med with GB or uk marketing authorisation (MA) 2. Vet med with NI MA for the same species and condition 3. A GB, NI or UK- wide vet met licensed for a different species or different condition 4. GB, UK or NI Human med OR med authorised outside the UK 5. Special made
38
Can you sell P or GSL meds for the use in animals?
NO, unless advised by a vet under the cascade - this can be done verbally to purchase OTC
39
what records must be kept for supplying POM-V and POM-VPS? - how long are the records kept?
A record must be kept for 5 YEARS of - name of product - date of receipt or supply - batch number - quantity - name and address of supplier or recipient - name and address of prescriber (if written and keep copy of prescription)
40
Age restriction for levonorgestrel and ulipristal acetate
Levonorgestrel: 16 Ulipristal: none
41
Can you sell an advanced supply of EHC?
Yes - patient must be assessed as competent to use the medicine appropriately
42
Can ulipristal acetate be supplied to someone under the age of 16?
Yes - levonelle can NOT
43
Under what age is too young to consent, therefore sexual activity must be reported to social services?
Children under 13
44
How many non-effervescent aspirin and paracetamol can be sold OTC How many effervescent can be sold?
No more than 100 non-effervescent tablets - however practically this is 96 due to pack sizes No legal limit
45
What record is kept for a private POM prescription? - how long is it kept for?
Record made on the POM register Kept for 2 YEARS
46
Prescription Records - ERDS - POM - POM-V/POM-VPS - Private - specials
- ERDS: 6 months - POM: 2 years - POM-V/POM-VPS: 5 years - Private: 2 years - specials: 5 years
47
How long is a CD register kept for?
2 years
48
Which drugs need to be denatured before they are disposed of?
CD 2,3 and 4
49
Which drugs require to be denatured with an authorised whiteness
CD 2 EXPIRED STOCK
50
Which drugs can be denatured with just another member of staff as a whiteness?
ALL Patient return control drugs CD 3 expired stock
51
where is the destruction of expired CD sch 2 recorded?
The CD register
52
Where is the destruction of patient returns recorded?
In the pt returns record
53
What is recorded in the CD register when a CD is received?
- Date received - Name and address of supplier - Quantity of CD received
54
What is recorded in the CD register when a CD is supplied
- Date supplied - Name and address of patient/ representative (if a HCP, their name ans address) - quantity supplied - ID asked for/ given
55
How long is the CD register kept for?
2 years
56
What does ‘use by’ or ‘use before’ mean?
Product must be used before the end of the previous month - i.e before the 1st of the month stated - for example: id it says ‘use by 11/25, the last date it an be used would be the 31/10/25
57
What does expiry date mean?
Use by the end of the month stated - for example, 04/25 means use by the 31/04/25
58
Which drugs have a driving limit?
Diazepam Lorazepam Clonazepam Methadone Morphine (and other opioid based drugs) Oxazepam Temazepam (COLD FeeT) + morphine - there is a medical defence for those who are taking meds in line with HCP advice and their driving IS NOT IMPAIRED
59
What must be included on the responsible pharmacists notice?
- name - GPhC registration number - the fact that they are the RP of the pharmacy at that time
60
should you remove the notice if the responsible pharmacist is temporarily absent, but remains the RP?
NO - even if there’s another pharmacist in the pharmacy
61
What is the pharmacy record?
Record that shows who was the responsible pharmacist at any given date and time
62
what details are in the pharmacy record?
- RP name - RP registration number - date and time at which they STARTED and STOPPED being the RP - any absences from the pharmacy (date of absence, time left and time returned)
63
How long must the pharmacy record be kept for?
5 years
64
How long can the responsible pharmacist be absent for?
2 hours (from 12-12 during opening hours)
65
Legal requirements for a CD drug requisition
1. Signature of recipient 2. Name of recipient 3. Address of recipient 4. Profession and occupation 5. Total quantity of drug 6. The purpose of the requisition
66
When should the SOPs be revised?
Every 2 years or following an incident
67
Activities that can take place with a responsible pharmacist in charge, under the supervision of a pharmacist, where the supervising pharmacist will need to be physically present at the pharmacy
1. Professional check (legal and clinical) of a prescription 2. Sale/ supply of P meds 3. Sale/ supply of POMs (e.g. handing them to patients, representatives or delivery drivers) 4. Supply of meds under PGD 5. Wholesale of medicines 6. Emergency supply (at request of pt or HCP) Most of these are obvious - remember the handing out meds one
68
Activities that can take place with a responsible pharmacist in charge of the pharmacy, under the supervision of the pharmacist, but the supervising pharmacist may not need to be physically present
The assembly process: - generating labels - taking meds off the dispensary shelves - assembly of items (e.g. counting tabs) - labelling containers with dispensary labels - accuracy checking ‘Supervision’ may not require the physical presence - the level of supervision required of the staff depends on what is regarded as good practice in the pharmacy
69
Activities that can take place with a responsible pharmacist in charge of the pharmacy, but does NOT require supervision of a pharmacist
1. Sale of GSL 2. Processing waste stock meds or pt returns (NOT CDs)
70
Activities that CAN take place WITHOUT a responsible pharmacist to be in charge of the pharmacy, but requires the support staff undertaking the activity to be trained
1. Ordering stock 2. Receiving stock from wholesaler (NOT CDs) 3. Putting medicinal stock received from the wholesaler away onto shelves 4. Date checking (NOT CDs) 5. Stocking pharmacy with consumables 6. Cleaning 7. Responding to enquiries about issues 8. Accessing PMR 9. Receiving and processing prescriptions from EPS or collecting from pts/ surgery 10. Receiving returns
71
Delivering medication by pharmacy delivery drivers
72
Does this vet prescription meet all of the requirements? - what are the requirements?
Yes it does
73
How long after issuing is an RX for morphine sulphate (oramorph) valid for? - what schedule is it?
6 months from the date the prescription was signed - Schedule 5 - any medicines that are owed should also be supplied within this period.
74
If half a diazepam RX was given, and the rest is owed, how long does the pt have to collect them? - what schedule is diazepam?
28 days from the date the prescription was signed - schedule 4
75
Emergency supply at the request of the patient? A) carbamazepine B) Gabapentin C) Lamotrigine D) Phenobarbital E) Sodium Valproate
Gabapentin- CD 3
76
77
78
What schedule is tramadol?
Schedule 3 - valid for 28 days
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