Pharmacy Law, Ethics and Practice 2016/17 PDF

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I.D. Number _________________________Desk No __________________

Faculty of Science, Engineering and Computing Undergraduate Regulations April/May Examinations 2016/17 Level 5 MODULE:

PY5020: Pharmacy Law, Ethics and Practice

DURATION:

Three Hours Instructions to Candidates

This paper consists of THIRTY-EIGHT questions in THREE sections: Section A, Section B and Section C. Answer THIRTY-SEVEN questions only: Section A: THIS SECTION HAS BEEN WITHHELD BY THE FACULTY Section B: Answer ALL FIVE questions in the Salmon Answer Book Section C: Answer TWO questions only using a separate Yellow Answer Book for each question

THIS PAPER MUST BE HANDED IN AT THE END OF THIS EXAMINATION CALCULATORS ARE NOT PERMITTED IN THIS EXAMINATION

Stationery

Yellow Answer Books x2 Salmon Answer Book x1 MCQ Answer Sheet x1

Number of Pages: 1 – 16

SECTION A THIS SECTION HAS BEEN WITHHELD BY THE FACULTY

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SECTION B Answer ALL FIVE questions in the Salmon Answer Book 1.

Legal classification of drugs

A B C D E F G H

1 EllaOne ® 30mg tablet 1 levonelle one step® tablet 5g zovirax ® cold sore cream 12 pseudoephedrine 60mg tablets 28 dihydrocodeine 30mg tablets 30 fybogel® sachets 32 aspirin 300mg tablets 32 ibuprofen 200mg tablets

For the statements below, select the single most suitable drug from the list above. Each option may be used once, more than once, or not at all. i. ii. iii. iv. v. vi.

This medicines is an example of a medicine classified as a PO This medicine is classified as a P, but is also available as GSL or POM if the pack sizes differ This medicine is usually only available to under 16s as a POM Only 720mg of this medicine can be sold as a P This medicine would be available to purchase at a petrol station This medicine is only available as a POM (Total: 6 marks)

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2.

Mr Smith brings this prescription into your pharmacy. When looking at the prescription, you notice there are a number of omissions and mistakes, making this prescription invalid. You decide to contact the prescriber.

45

Mr P Smith PO BOX 4039 Kingston

morphine M/R tablets Take when required Supply 30 tablets Dr Jones El Surgery Madrid Spain

27/02/2016

215856

What information does the prescriber need to add or correct to ensure it is legally valid? (6 marks)

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3.

Answer all THREE parts of this question:

(a) You are the regular pharmacist at a small independent pharmacy. On the way to work there is an accident so you will be ten minutes late. You phone the pharmacy and speak to your dispenser. She says a regular patient is outside wanting to buy a 32 pack of paracetamol. Can she open the pharmacy and sell the paracetamol? Please give your rationale for your response. (2 marks)

(b) A patient on a business trip from Hong Kong comes to your pharmacy and says he has run out of his ant hypertensive medication. He asks if he can get a small amount as an emergency supply. Can you make this supply? Please give your rationale for your response. (2 marks) (c) You receive a veterinary prescription for a human medicine. You have the medicine in stock. What words are needed on the prescription for this supply to be made? If no words were written what legal category of medicine would need to be supplied? (2 marks) (Total: 6 marks) 4.

Answer all FOUR parts of this question: A 28 year old male patient brings you a prescription for flucloxacillin 500mg capsules given to him by his doctor. (a) What daily dose would you expect to see on the prescription? (1 mark) (b) What counselling are you going to give the patient regarding when and how he should take his medicine? (2 marks) (c) You receive a prescription for a 14 year old boy. The prescription is for codeine 30mg tablets. What is the maximum daily dose, in mg, for this patient? (1 mark) (d) An adult patient wants to buy codeine in solid tablet form over-thecounter. How is this available and at what strength? What counselling would you give the patient? (2 marks) (Total: 6 marks) Continued…

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5.

You are working in a community pharmacy which provides a methadone dispensing service for people with substance abuse problems. One of your regular clients comes in on a Saturday to collect their instalment prescription for their weekend supply. The prescription is for dispensing 3 x 20 ml doses of Methadone DTF 1mg/ml on Friday. The prescriber has failed to add any endorsement with regard to missed collection to the prescription. He tells you that yesterday on Friday morning his wife went into labour and he was with her all day at the hospital and was unable to collect his prescription. He is now the proud dad of a new son. He asks you to please dispense him his Saturday and Sunday doses as if he doesn't get his Methadone for the weekend he will be ill by Monday and unable to go into work and he is likely to lose his job. You know that he is working, that his wife was pregnant and her due date was around now. In general he is a committed and motivated client you know to be truthful. When using a structured approach to solve an ethical dilemma, one of the steps is to identify the stakeholders and the likely impact upon them. In considering whether to supply the Methadone to him or not, who are the stakeholders and the likely impact upon them? (6 marks)

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SECTION C Answer TWO questions only Use a separate Yellow Answer Book for each question 36.

Answer ALL SIX parts to this question: (a) Give FOUR examples of people who must supply a requisition in order to obtain a Schedule 2 or Schedule 3 controlled drug from a pharmacy? (4 marks) (b) What type of mandatory requisition forms are used in England? (1 mark) (c) What information is required on a requisition form to ensure it is legally valid? (7 marks) (d) Describe how you would process a requisition? (6 marks) (e) How long do requisitions, issued by care homes, need to be kept for? (1 mark) (f) How long do requisitions, issued by vets, need to be kept for? (1 mark) (Total: 20 marks)

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37.

Answer ALL THREE parts to this question: You are about to carry out an MUR with a patient. You have printed off a copy of their patient medication record (PMR). (a) Outline all the physical steps you would take to protect the patient’s information during the MUR process, and keep this confidential afterwards. (8 marks) (b) Which legal act regulates the process of processing personal data? (1 mark) Your pharmacy is a very busy one, carrying out many services. You have genuine concerns that a fellow pharmacist is taking patient data and using this in an unlawful way. (c) Outline why it is important to raise concerns, and the steps you would take to raise this concern, including who would you talk to and where you could go for support (11 marks) (Total: 20 marks)

38. Answer ALL THREE parts of this question: (a) The first Francis Report into the situation at Mid Staffs Foundation NHS Trust identified a range of problems or failings that were systematic throughout the hospitals. Describe what these were. (8 marks) (b) In his report Lord Francis said it should be patients, not numbers, that should be counted and the patient should be put first day in and day out. He made a number of recommendations on how NHS organisations should achieve this. What are they? (8 marks) (c) The failings at Mid Staffs Foundation NHS Trust were primarily due to failings in nursing care. However, as a clinical service, pharmacy and pharmacists also have a duty in ensuring the patient is put first. With particular reference to the recommendations outline two ways in which hospital pharmacy services and/or hospital pharmacists can ensure that patients are put first. (4 marks) (Total: 20 marks) END OF EXAMINATION PAPER 7...