MEP CD Flashcards

PRS: https://www.youtube.com/watch?v=efrCJdhHEeo (90 cards)

1
Q

Which regulation applies to NHS and Private prescription regarding POM?

A

Regulation 217 of the Human Medicines Regulations 2012.

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2
Q

What is the legal requirements for a Px.
Regulation 217 of the Human Medicines Regulations 2012.

A

PADS:
Pt name & address. Prescriber address, signature and particulars.
Age if <12
Date
Signature

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3
Q

Sched 5 CD Px date needs to be within? for validity?

A

6 months

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4
Q

Sched 2,3,4 CD Px date needs to be within? for validity?

A

28 days

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5
Q

Can you claim/supply RD without RA?

A

No. Need both to be sent.

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6
Q

What is NHS RA and RD?

A

RA - Official Px
RD - Tokens/ Repeat Dispensing can be dispensed in appropriate time frame.

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7
Q

When is age a requirement for a legal Px

A

If Pt under 12 years

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8
Q

Px date validity?

A

Px are valid for 6 months. Unless Sched 2,3,4 CD = 28 days.

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9
Q

What particulars are important regarding the prescriber?

A

Type of prescriber.

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10
Q

Prescriber signature validity in a Px?

A

Signature must be indelible ink or advanced electronic signature.

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11
Q

CD Px Technical amendment

A

Can amend only if one is missing.

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12
Q

CD Px needs to be written in?

A

Needs to be written in figures and words.

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13
Q

How many schedules are thereof CD

A

5

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14
Q

Regulation 217 of the human medicines regulations 2012 sets out the general Px requirements for supply of Prescription Only Medicines.

Which ONE is NOT a general prescription requirement?

A) Px do NOT need to be written in indelible ink
B) Name and address of the pt
C) Age if <12
D) Signature of the prescriber
E) Carbon copies of NHS Px are acceptable as long as they are signed in ink.

A

A

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15
Q

Regulation 218 of The human Medicines Regulations sets out prescription requirements from the EEA or Switzerland.

Which ONE of the following is NOT correct?

A) Prescriptions for ALL controlled meds are acceptable as long they are on list of approved health professionals.
B) Emergency supplies for pt of the approved health professionals is permitted.
C) Px must state the pt full first and surname as well as their DOB
D) Px must have direct contact details for the prescriber
E) Prescribers’ qualification must be stated on the prescription.

A

A - can only prescribe Sched 4,5 CDs

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16
Q

Prescriptions for Sched 2 and 3 CD must meet legal requirements under the misuse of drugs regulations 2001 as amended.

Which one of the following is NOT a legal requirement for sched 2 and 3 CD?

A. Quantity of the medicines in words and figures
B. Age of the patient if under 12
C. Signature of the prescriber
D. The prescription is valid for 30 days after the appropriate date on the prescription
E. If the px is written by a registered dentist “for dental treatment only” must be present.

A

D. 28 days.

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17
Q

Signature requirements?

A
  • Signed in ink by an appropriate practitioner or EPS tokens - advance electronic signature (england only)
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18
Q

Repeat dispensing requirements?

A

RA = Official prescription needs to be dispensed 6 months within Px date.
RD = batches/ tokens, dispensed depending on pharmacist

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19
Q

RA/ RD difference in looks

A

Similar but RD doesn’t have signature.
RA written in black bold writing.

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20
Q

What to do if ONLY one (numbers/words) written on CD script?

A

Can amend it under technical amendments.
- YOUR Name, Gphc no, signature needs to be included.

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21
Q

What to do if minor typographical errors written on CD script?

A

Can amend it under technical amendments.

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22
Q

Schedule 2 CD keep invoices?

A
  • Need to do entries into CD reg,
  • Don’t need keep invoice but good practice.
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23
Q

Schedule 3 CD keep invoices?

A
  • Don’t need to enter into CD reg,
  • DO Need to keep invoices for 2 years. (LAW)
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24
Q

CD brand name needed?

A

Ideally there, but not required by law.

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25
How many years need to keep invoices for Schedule 3 and 5?
Min 2 years
26
Name, Strength and Form of CD?
Strength and form compulsory for more than one strength available
27
Is 'Take when required' as a dose legally acceptable in CD Rx?
No
28
Is 'Take ONE capsule when required' as a dose legally acceptable in CD Rx?
Yes
29
Private Dental CD Rx needs?
Appropriate dental wording "for dental treatment"
30
CD duration of treatment?
No more than 30 days (good practice)
31
Installment CD Px ?
- Blue, FP10 MDA - can get morphine, buprenorphine
32
Regulation 217 of the Humans Medicines Regulations 2012 sets out the general Px requirements for the supply of POM. Which ONE is NOT a general prescription requirement? A. Px do NOT need to be written in indelible ink B. Name and address of pt C. Age if under 12 D. Signature of prescriber E. Carbon copies of NHS prescriptions are acceptable as long as they are signed in ink
A. Px do NOT need to be written in indelible ink
33
Rx are only valid for a certain time period from the appropriate date of the prescription. Which ONE of the following is NOT correct? A. Prescriptions for schedule 2,3 and 4 CD are only valid for 28 days after appropriate date. B. Owing slips for Pharmacy (P) meds are valid for 28 days. C. Owing slips for POM (excluding controlled medicines) is valid for 6 months D. Rx for isotretinoin is only valid for 7 days under pregnancy prevention programme E. Prescriptions for Schedule 5 CD are valid for 6 months.
B. Owing slips for Pharmacy (P) meds are valid for 28 days.
34
Sched 2 CD needs to be entered into the CD register once received or supplied in pharmacy which one of the following is NOT a legal requirement for recording the receipt/ supply of CD meds? A. Date of supply B. Running balance of CD C. Pt name D. Pt address E. Whether ID was requested
B. Running balance of CD
35
34.10! https://www.youtube.com/watch?v=Kpuc5j-3my0
36
https://www.youtube.com/watch?v=SaHCusB8hBQ
37
What is an Accountable Officer?
- Responsible for supervising and managing use of CDs in organisation - Monitoring & Auditing - System in place-recording concerns - Submitting reports - Authorised witness-destroying CDs
37
Sched 2 CD POM Egs?
- Opiates (eg. dimorphine, morphine, methadone, oxycodone,
38
Can Instalments be dispensed on P closed days on a prior suitable day?
Yes
39
What if an instalment collection day has been missed?
Dispense amount due for any remaining day(s) of that instalment
40
What if four days of an instalment prescription is missed?
Consult prescriber if three or more consecutive days missed.
41
Instalment prescriptions give in same containers?
Dispense daily doses in separate containers
42
CD 1 Lic POM eg?
* No therapeutic use * Home Office license required * Hallucinogenic drugs eg LSD * Cannabis * Ecstasy based substances
43
CD 2 POM eg
* opiates eg diamorphine, morphine, methadone, oxycodone, pethidine * Major stimulants (amfetamines) * Cocaine * Ketamine * Quinalbarbitone (secobarbital)
44
CD3 No register POM eg
* Less likely to be misused. * Barbiturates - except secobarbital * Buprenorphine * Gabapentin, Pregabalin, Tramadol * Mazindol * Meprobamate * Midazolam, Temazepam * Pentazocine
45
Which CD Schedule is Cannabis/LSD?
CD 1
46
Which CD Schedule is opiates eg diamorphine, morphine, methadone, oxycodone, pethidine?
CD 2 POM
47
Which CD Schedule is Major stimulants (amfetamines)
CD 2 POM
48
Which CD Schedule is Cocaine
CD 2 POM
49
Which CD Schedule is Ketamine
CD 2 POM
50
Which CD Schedule is Barbiturates - except secobarbital
CD 3 No register POM
51
Which CD Schedule is Buprenorphine
CD 3 No register POM
51
Which CD Schedule is Gabapentin, Pregabalin, Tramadol
CD 3 No register POM
52
Which CD Schedule is Midazolam, Temazepam
CD 3 No register POM
53
Which CD Schedule is Benzodiazepines
Part 1 CD 4 - benz
54
Part 1 Schedule CD 4 eg.
* Benzodiazepines (except temazepam and midazolam) * Sativex * Non-benzo hypnotics - zaleplon, zolpidem, zopiclone
55
Part 2 Schedule CD 4 eg.
* Androgenic and anabolic steroids * HCG (chlorionic gonadotrophin), non-HCG * Somatotropin * Somatropin * Somatrem
56
Which CD Schedule is Sativex
Part 1 CD Schedule 4
57
Which CD Schedule is Zopiclone, Zolpidem, Zaleplon
Part 1 CD Schedule 4
58
Which CD Schedule is Somatotropin, Somatrem, Somatropin
Part 2 CD Schedule 4
59
CD 5 INV POM/P eg
* Codeine * Morphine 10mg/5ml oral solution
60
Which Schedule CD invoices should be kept and for how long?
Schedule 3&5, 2 years
61
CD Requisition is required by?
Schedules CD 2 & 3
62
Licence required to import/ export CD?
No if CD 5 and CD 4 Part 2 if self administration
63
Repeatable CD Rx
CD 4 & 5
64
Validity of CD 5 Rx?
6 months
65
Validity of CD 2,3,4 Rx?
28 days
66
2 exemptions for pharmacist possession of Schedule 1 CD
1. Destruction of Schedule 1 CD 2. Handing to police officer
67
Travelling with CD advice
* No license if travelling < 3 months * Advised covering letter from prescriber * Additional requirements with Travel Operator
68
Which CD can registered midwife obtain via midwife supply order?
Diamorphine Morphine Pethidine * palliative care
69
Which CD required you to retain invoices for 2 years
CD 3 (No register POM) & CD 5 (INV P & POM)
70
Which Meds are exempt from safe custody
* Midazolam ampoules * Phenobarbital
71
Which CD should be denatured when pt returns it?
CD 2, 3, 4 Part 1
72
Pt return CD Destruction - witness & record keeping?
* witness not required but desired * record keeping - not in CD register, separate pt returns book
73
Out of Date CD destruction - witness & record keeping?
* Authorised witness: CD 2 = needed, CD 3 = Good practice * Record Keeping: CD register by witness only * CD 2 entry in CD register by authorised witness as balance needs amending
74
How to Denature CD solid dosage forms eg tabs & capsules
* grind/crush * add CD denaturing kit * add water * no kit = soapy water
75
How to Denature CD liquid dosage forms
Pour into CD denaturing kit
76
How to Denature CD Ampoule & Vials
* Powder: add water, pour into CD denaturing kit * Less preferred: Ampoule crushed using pestle, add bit of water, add to CD denaturing kit
77
78
How to Denature CD aerosol formulations
* expel into water * liquid mixture into CD denaturing kit * dispose as pharmaceutical waste
79
How to Denature CD Patches
* remove backing * Fold patch over itself * Place into waste disposal bin/CD denaturing kit
80
Running balance/ Stock check - how often?
Once a week
81
Cannabis/ Cannabis based product eg
* Sativex * Nabilose * CBD (Epidyolex)
82
Pharmacies are exempt from requiring permit/license on waste meds if?
* store waste securely * NOT accept industrial waste * Hold waste for as long as needed (ideally 3 months) * Hold no more than specified amount of waste = 50m3 of medicinal waste, 5m3 of hazard waste, 1m3 of CD waste
83
Can pharmacies accept sharps as waste?
* usually council collects so many don't * can if you want to - need to store in designated sharps container.
84
What is a T28 exemption?
Pharmacist must apply for it before they can destroy CD
85
Podiatrists can only prescribe which CDs? DDLT
Diazepam Dihydrocodeine Lorazepam Temazapem
86
Midwife Supply orders must have? NPaNTS
* Name & occupation of midwife * Purpose * Name of person to whom giving CD * Total quantity * Signature of appropriate medical officer- supervision over midwives
87
Legal requirements for CD requisition? PPANTS
* Profession * Purpose of requisition * Address of recipient * Name * Total quantity of drug * Signature
88
Min time you should keep RP record for?
5 years