PASP Year 1

A lack of balance in the 4 Humours Blood Phlegm Black bile Yellow bile What did Hippocrates believe caused disease - Standard 1: Pharmacy professionals must provide person- centred care - Standard 2: pharmacy professionals must work in partnership with others - Standard 3: pharmacy professionals must communicate effectively - Standard 4: Pharmacy professionals must maintain, develop & use their professional knowledge & skills - Standard 5: Pharmacy professionals What are the GPhC standards for pharmust use their professional judgement macy professionals? - Standard 6: Pharmacy professionals must behave in a professional manner - Standard 7: Pharmacy professionals must respect & maintain a person's confidentiality & privacy - Standard 8: Pharmacy professionals must speak up when they have concerns or when things go wrong - Standard 9: Pharmacy professionals must demonstrate leadership What is millers triangle - a knowledge and competence hierarchy describing 4 levels of outcomes - knows (has knowledge) - knows how (applies knowledge) - shows how (demonstrates competence in a limited way) - does (demonstrates competence repeatedly and safely) What is the British Pharmacopoeia Protects public health Provide quality standards for UK meds & paramed substances 1 / 10 1864 combined all into one What is medicine reconciliation Process of accurately listing person currents meds What is a medicine formulary List of meds available for use in specific organisation What is aseptic technique Sterile controlled environment for preparation of injectable meds ready to administer format Diagnosis and therapy for disease Radio pharmaceutical product Radioisotope bound to biological molecule to target specific organ tissues or cells Reform delivery & organisation of health services Describe health care act 2022 Aim to make it easier to deliver joined up care for people reliant on different services ICS Integrated care system Local organisations deliver triple integration (primary care, health and social care and mental health care) What is ICS and what do they do Integrated care board allocate NHS budget and 5yr plan Integrated care partnership bring together partners to develop a plan to address broader health What are PCNs Group of GP practices working together in specific areas to provide care for those with long term health conditions 2 / 10 What legislation covers lawfully conductPart IV medicines act 1968 HMR 2012 ing a retail pharmacy business Retail sale of medicinal products that are not subject to general sale What is a retail pharmacy business Not a professional practice carried by doctor or dentist Maintain SOPs What's the role of a responsible pharmacist What is a pharmacy record Safeguarding and effective running The pharmacy record is an important legal document. It shows who the RP is at any given date and at any given time. Owner of pharmacy responsibility to keep for 5 years Gives power to GPhC to define professional standards for how those roles are fulfilled Describe the pharmacy (RP, SIP etc) or- Pharmacy practice and standards set der 2022 and enforced by regulators instead of legislation Clarifies relationship between owner RP and SIP What is a super intendant pharmacist SIP manages business if a company has multiple pharmacies No legal duties What is procurement of medicines Process of identifying acquiring and distributing medications to a patient Exemption to HMR requirement that POMs can only be sold in line with prescription 3 / 10 Alternative quantity Alternative strength Alternative formulation Generic equivalent Theraputic equivalent What are serious shortage protocols Patient details Med details What is in a emergency supply record Dates Nature of emergency - request of patient Prescriber details - request of prescriber What is a summary care record Key clinical information about a patient on NHS spine What is CPCS Community pharmacist consultation service requirements for medicinal containers Child resistant Dark tinted Opaque Prescription for schedule 2 and 3 drugs Only supply sugar free and colour free products when specified Must have time and date of supply Sch 2 3 cannot repeat Sch 4 dispense within 28 days Sch 5 dispense within 6 months Private prescription requirements for CDs Written on standardised form and submitted to NHS Brianne services agency Prescriber unique identification number 1 - hallucogenics, CD license POM, prohibited without home office approval 2 - opiates and major stimulants, CD POM 3 - minor stimulants, CD no reg POM 4 / 10 Describe the drug schedules for controlled substances. 4 - CD benz POM, CD Anab POM, no safe custody 5 - CD inv POM, CD inv P, include small amount of controlled drug in product, invoice kept for 2 years What is clinical governance A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish How is an audit carried out Select area to audit Agree standards Collect data and analyse against standards Feedback Implement agreed changes Re audit and collect data Analyse and feedback Discuss if practice has improved What is duty of candour Duty to tell the truth and ensure people receive safe and effective care Public Interest Disclosure Act 1998re whistleblowing, encourage culture of openess in an organisation What is PIDA Protects whistleblowers from negative treatment or unfair dismissal if they disclosed information in public interest National Reporting and Learning System What is NRLS Central database of patient incident reports 2003 5 / 10 No harm Low harm Moderate harm Severe harm Death What are the NRLS categories of harm What is the pharmacy (preparation & dis- Prevent automatic criminalisation of inpensing errors - registered pharmacies) advertent dispensing error providing that order 2018 criteria were met Visual warning Physical separation Shelf edgers Prompt on patient record system How can selection errors be reduced in dispensing learn from safety patient events 2 services provided by NHS What is LFSPE 1 - organisation and staff have access to record details of safety incident 2 - provider can access data about recorded patient safety events Accountability Lawfulness fairness and transparency Purpose limitation What are the seven principles of general Data minimisation data protection regulations Accuracy Storage limitation Integrity and confidentiality What are the Caldecott principles? Justify purpose for using confidential information Use minimum amount Only use when necessary Inform patient on how confidential information is used Duty to share is as important and duty to keep confidential Comply with law Understand responsibilities Access only in a need to know basis 6 / 10 What was legislation like before HMR 60 principle statutory instruments 130 amending statutory instruments What us HMR Human medicine regulation MHRA codified all existing legislation into one document Replaced medicines act 1968 but kept part IV Any substance or combination of substances presented as having properties of preventing or treating disease in human beings ( presentation ) Define medicinal product Any substance or combination of substances that may be used by or administered with a view of restoring correcting or modifying a physiological function by exerting a pharmacological, immunological or metabolic action or making a medial diagnosis What are unlicensed medicines Don't have a valid MA When might you supply or import unlicensed meds Licensed in another country, import for specific patient Specials Mixture of meds before administration Form altered Waiting for MA Clinical trials Used differently to how they are described in MA What are off license medicines Still licensed What is a manufactures license Required if you wish to import assemble or manufacture a human medicine in a country other than approved for import No ML cannot apply for MA 7 / 10 Herbal remedies have to have a full MA based on safety efficacy and quality or a traditional herbal registration Describe traditional herbal remedies Describe homeopathic medicine Has to have shown medicinal use for 30 years or 15 in UK not harmful and pharmacological effects are plausible Based on safety and quality not efficacy No theraputic use Barely any API as so diluted Not in NHS prescriptions Regulated by certificate of registrations from MHRA Private What prescriptions can be repeated If no number specified repeat once unless oral contraceptive can repeat up to five times Private prescriptions When do you need to Record keep for POMS Wholesale Emergencies What is CHM what do they do Med act introduced committee on safety of medicines 2005 CSM replaced by commission on human medicines Provide advice on safety efficacy and quality of medicines to ministers What is CHMP what do they do committee on proprietary medicinal products looks over Europe wide licensing CPMP to Committee for medicinal products for human use (CHMP) in 2004 8 / 10 European Medicines Agency What is the EMA what do they do Protect and promotes human and animal health by evaluating meds in EU and European economic area 1992 Prevent misuse of controlled drugs Describe misuse of drugs act 1971 Ban on possession supply and manufacture of CDs unless allowed by regulations or license by home office possession of CDs for legitimate purposes Describe misuse of drugs regulations 2001 prescribing Administrating Safe custody Dispensing Describe misuse of drugs safe custody regulations 1973 CD should be kept locked in a safe or room unless specified otherwise Describe controlled drugs supervision and management of use regulations 2013 Healthcare providers must appoint a CD officer Secretary of State has power to amend Describe medicines and medical devices existing law concerning veterinary and act 2006 human medicines and medical devices What is statue law made up of Primary and secondary legislation Primary - main laws passed by legislative bodies (act of parliament) What us primary and secondary legislation Secondary - law created by ministers or bodies under powers given by act of parliament What is common law 9 / 10 Built up over many years Based on juridical precedent Civil and criminal What is administrative law Crates and regulates public bodies Sets out responsibilities What is professional law Gives bodies power to register and discipline relevant professionals Moral concepts for health care Justice Beneficence Non malifecance Respect for autonomy 10 / 10