l3 module 2 assignment 2 questions oct 2011

Copyright Buttercups Training Ltd April 2012

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Level 3 Pharmaceutical Science

Module 2 Assignment 2

1. Ramipril 5mg is available in a calendar pack of 28 tablets within which there are two sub-packs

of 14 tablets. You receive a prescription for 60 tablets. If an NHS prescription was not endorsed

what quantity would the pricing agency assume had been supplied?

a) 56 tablets b) 60 tablets c) 70 tablets d) They would return it for clarification, they would not assume.

Name.

Module 2 Assignment 2 is composed of 54 questions.

This contributes towards the achievement of the knowledge criteria for Unit 18: Pharmacy Law,

Ethics and Practice in your course syllabus. These are listed below:

To achieve the knowledge criteria please refer to the marking grid provided with the cover sheet for

the Module 2 Assignments. The marking grids outline how many questions you must answer

correctly in each section to achieve the knowledge criteria specified.

P2 Explain the uses of The Drug Tariff

P6 Describe the key principles and requirements of current legislation relating to the use of

controlled drugs

P7 Describe the additional requirements for the use of controlled drugs in hospitals

P9 Summarise the key principles of legislation within the pharmacy context (non-pharmaceutical

legislation)

P11 Describe the structure and function of the NHS and other NHS bodies and organisations

connected with pharmacy

Section 1 (P2)


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2. In which one of the following circumstances would you NOT refer to the Drug Tariff if you were unsure on how to? a) Check endoresements required on a private prescription from a doctor b) Check on an exemption category for a NHS prescription from a nurse c) Check if a drug can be prescribed by an NHS dentist d) Check endorsements required on a NHS prescription from a stoma nurse 3. According to The Drug Tariff, which of the following is a correct statement with regard to NHS prescriptions? a) Broken bulk will only be paid once within 12 months on an item b) If the prescription calls for 30g of a cream which is listed as a 20g or 50g pack size, you will get paid for supplying the 50g pack c) Antibiotics are subject to special container rules the nearest pack size must be dispensed. d) Additional fees of measured and fitted can be claimed on hoisery

THE ASSIGNMENT CONTINUES ON THE NEXT PAGE


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4. Match the description to the topics of the Drug Tariff by filling in the boxes at the bottom of the page

a)

b) c) d) e) f)

a) Borderline

Substances

b) Black List

c) Selected List

Scheme

d) Nurse Prescribers

Formulary

e) Notes on Charges/ Prescription charges

f) Out of Pocket Expenses

Topics

iii. this is a list of food, drink and toiletries only available on NHS

prescriptions for specific medical conditions.

vi. items on this list must be endorsed ACBS by the prescriber otherwise you will not be paid for the item by the NHS.

viii. a list of products which may only be prescribed privately

vii. a list of products that can never be prescribed privately

xi. these drugs must be endorsed SLS (S11 in Northern Ireland) by the prescriber if they are prescribed on the NHS

ii. the drugs in this scheme can be found in the section of The Drug Tariff called Drugs, Medicines and Other Substances that may be ordered in elderly patients

iv. this is the limited list of items that can be prescribed by community practitioners/district nurses/health visitors on the NHS

x. this is the limited list of items that can be prescribed by Nurse Independent Prescribers on the NHS

ix. this section of The Drug Tariff will indicate the reasons a patient may be exempt from NHS prescription charges in England

i. this section of The Drug Tariff will indicate the price you should charge a patient for a private prescription

v. this scheme can allow pharmacies to recoup costs such as postage or courier fees if the cost has been incurred by the pharmacy on obtaining the item on an NHS prescription

xii. can be claimed on any drug or appliance which is prescribable on the NHS

Descriptions


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5. According to The Data Protection Act 1998, which of the following statements is false:

a) Information must be held securely

b) A pharmacy must adhere to a request from the patient for their records to be destroyed

c) Information cannot be divulged to a third party, unless in exceptional circumstances

d) Records can only be kept for as long as necessary

6. Which one of the following is covered in The Consumer Protection Act 1987?

a) Temperature of environment

b) Value for money of goods sold

c) Training for staff

d) Correct pricing for goods sold

7. In relation to the Weights and Measures Act 1985, which of the following is false?

a) Measuring cylinders can be made of plastic

b) All measurements must be made using the metric system

c) Weights must be stamped to show they meet the standards

d) Measures must be stamped to show they meet the standards

8. A patient brings back an amber medicine bottle containing 200ml of salbutamol liquid which

they had dispensed from your pharmacy two days ago. The patient complains that the glass was

chipped inside the top of the bottle when they opened it for the first time this morning. You ask to

have a look at the bottle and can see that it is not a manufacturers bottle, but one of the

pharmacys own.

Who is responsible for this and under which legislation?

a) The pharmacy is responsible under The Trade Descriptions Act 1968

b) The pharmacy is responsible under The Consumer Protection Act 1987

c) The manufacturer is responsible under The Trade Descriptions Act 1968

d) The manufacturer is responsible under The Consumer Protection Act 1987

9. Which one of the following statements regarding The Freedom of Information Act 2000 is true?

a) Pharmacies must charge a fee to provide the information

b) Verbal requests can be made for information

c) Patients can ask for information recorded on the PMR about their medication history

d) Pharmacies have 20 working days to respond to a request

Section 2 (P9)


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10. Which one of the following statements is true?

a) Vulnerable adults in Wales are protected under The Safeguarding and Vulnerable Groups Act

2006

b) In Scotland, checks by the Criminal Record Bureau (CRB) are used to ensure adults do not pose a

risk to children

c) Safeguarding ensures that children are protected from bullying by other children

d) Anyone who has been checked by the Criminal Record Bureau (CRB) in the past will never pose a

risk to a child or vulnerable adult in the future

11. Which statement below reflects equality?

a) Making sure that people from minority groups are treated more favourably than those who are

not

b) Ensuring that people are treated the same irrespective of their race, religion or other protected

characteristic

c) Ensuring that disabled customers are served first

d) Ensuring that everybody in the workplace has the same conditions of employment

12. Which one of the following job advertisements would be allowed under The Equality Act

2010?

a) Bright, young woman required as PA for managing director

b) Catholic Medicine Counter Assistant required for pharmacy with local Irish population

c) Qualified technician required for busy dispensary in the city centre. Must speak Urdu

d) Able-bodied delivery driver required for village pharmacy. Mornings only

13. Which two of the following statements relating to discrimination are true?

a) Direct discrimination is when a person is disadvantaged because of their protected characteristic

b) Direct discrimination is when someone is disadvantaged because of a protected characteristic of a

family member

c) Indirect discrimination is when a person is disadvantaged because of their protected characteristic

d) Indirect discrimination is when someone is disadvantaged because of a protected characteristic of

a family member


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14. Which one of the following would it be acceptable to do under Employment Law and Equality

Law?

a) Pay a male technician more than a female technician doing the same role in the same pharmacy

b) Allow a Muslim technician breaks at particular times of day in order to accommodate daily

prayers

c) Allow smokers breaks at particular times of day in order to accommodate their daily habit

d) To dismiss a member of staff who has recently become disabled without making a reasonable

adjustment to the workplace

15. Which of the following statements regarding waste regulations is false?

a) Pharmacies are exempt from requiring a licence to accept waste medicines from patients homes

b) Cytotoxics need separating from other medicines as hazardous waste

c) All drugs can be de-blistered to save space in the disposal bins

d) Controlled drugs must be denatured before they can be disposed of in the pharmacy

16. The Health and Safety at Work Act 1974applies to: a) Employees only b) Employers, employees and self employed persons c) Employers d) Employers and employees 17. Categorise the following list of health and safety activities to indicate who is responsible for each of them in the workplace. Do this by writing your answer (a-i) in the correct column of table 1: a) Ensure that correct equipment is provided and

maintained

b) Provide adequate first aid facilities

c) Complete a risk assessment of potential hazards in the

workplace

d) Provide adequate protective clothing or equipment

e) Provide training on safe working practices

f) Ensure warning signs are correctly in place

g) Follow any Health and Safety procedures provided

h) Report any health and safety concerns

i) Report anything that may affect the ability to work,

e.g. injury or medication

Employer Employee

Table 1


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18. Which one of the following statements is false? a) The employer needs to have a formal health and safety policy and risk assessment if they employ more than 10 staff B. The employer needs to provide specific protection against fire for staff and customers C. The HASAWA makes employees responsible for the health and safety of customers D. A first aid box must be kept in a pharmacy 19. A RIDDOR F2508 form needs to be completed when

a) A member of staff is off ill for more than 5 days

b) A member of staff is off ill for more than 3 days as a result of an accident that happened at work

c) A client has an accident in the pharmacy

d) A member of staff is off ill as a result of an accident occurring at home

20. To which one of the following options do COSHH regulations not usually apply?

a) Bleach used in the pharmacy toilet b) Return of sharps under a needle exchange scheme c) Industrial denatured alcohol for dispensing d) All dispensed medication 21. Which one of the following statements is false?

a) The packaging and labelling of chemicals is currently covered under the CHIP regulations

b) CHIP regulations are being phased out and replaced by the CLP regulations

c) Hazard warnings or data sheets must be provided when chemicals are sold or supplied

d) Any chemicals dispensed on prescription must be labelled with the appropriate hazard symbols

22. Use the list below to correctly identify the definition for the terms hazard, risk and control

measures in relation to risk assessment.

a) A substance, situation or process which has the potential to cause harm

b) Reducing exposure or the level of risk

c) Exposure to a disease

d) The standard means by which medicines are dispensed

e) Damage to a product or the environment

f) The likelihood of harm being caused

Write the letter that corresponds to the correct definition in the boxes below

Hazard

.................

Risk

...................

Control Measures

.........................


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Questions 23-30 refers to the prescription shown in figure 1

23. This question concerns the list of laws given below:

(i) Medicines Act 1968

(ii) Misuse of Drugs Act 1971

(iii) Misuse of Drugs Regulations 2001

(iv) Misuse of Drugs (Safe Custody) 1973

Which of these laws must this prescription comply with?

a) (i), (ii), (iii) and (iv)

b) (i) only

c) (iii) and (iv) only

d) (i) and (iii) only

24. What action is required on presentation of this prescription

to the pharmacy?

a) This prescription can be dispensed straight away

b) This prescription needs to be given back to the patient

c) The prescription needs to be referred back to the prescriber

d) The prescription needs to be referred to the pharmacist

25. Explain your reasoning for your answer to question 24

a) There is a minor typographical error which can be amended by the pharmacist

b) The quantity needs be written in words and must be amended by the prescriber

c) The prescribers qualification is missing

d) The prescription is valid

26. How long is this prescription valid for?

a) 14 days b) 28 days c) 30 days d) 6 months

Figure 2

Section 3 (P6)


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27. Where would you find stocks of this drug in your pharmacy? a) The fridge b) CD cabinet c) A locked drawer d) On the shelf 28. Explain your answer to question 27 a) It must be stored between 2 and 8oC b) It has no special storage requirements c) It is a controlled drug schedule 2 d) It is a controlled drug schedule 3 29. What information must legally be recorded after dispensing and supplying this medicine? (there is more than one correct answer) a) Patients name and address b) Patients date of birth c) Quantity of drugs supplied d) Prescribers details e) Running balance f) Name of the pharmacist who dispensed the medication g) Date of supply h) Was proof of identity requested? (yes/no) i) Did the person collecting the medication provide proof of identity? (yes/no) j) Passport number of the person collecting the medication 30. When issuing this medication to the patient who is unknown to you, what would you need to do? a) After ascertaining it is their medication, hand it out and bid them a good day b) Ask them to confirm their address and ask them for ID to prove it c) After ascertaining it is their medication, request ID and ask them to sign the back of the prescription form d) Ask them to confirm their address and request they sign the back of the prescription form


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31. Identify the correct statement about private prescriptions for Controlled Drugs in Schedules 2 and 3 dispensed in the community for humans: a) It is good practice but not essential for prescriptions in the community to be written on one of the standardised prescription forms e.g. FP10PCD b) The prescription must contain the private prescriber's identification number c) A copy of the prescription should be sent to the relevant NHS Agency d) The prescribers signature can be pre-printed on the private prescription form 32. Identify the false statement about requisitions for Controlled Drugs in Schedules 2 and 3: a) A practitioner may not be supplied with a Controlled Drug until they have provided a valid requisition, even if the request is "urgent" b) The requisition must be signed by the recipient c) The requisition must state the recipient's name and address d) The requisition must state the recipient's occupation or profession

33. Which of the following dosage instructions is legally acceptable for a prescription for schedule 2 controlled drugs? a) As directed

b) Take 1 as directed

c) When required

d) When the need arises Questions 34 to 38 refer to the following drugs. Answer each question using the boxes provided.

a) Fentanyl patches

b) Temazepam tablets

c) Oxazepam 10mg tablets

d) Co-codamol 30/500 tablets e) Sativex spray 34. Which one the drugs listed needs to be entered in the CD register when supplied?

35. Which of the drugs listed requires safe custody but no records of supplies?

36. Which of the drugs listed belongs to a CD schedule where the prescriptions are valid for 6 months? 37. Which of the drugs listed belongs to a CD schedule which is divided into two parts?

38. Which of the drugs listed is technically classed as a schedule 1 CD but is treated

more like a schedule 2 CD?


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39. Which one of the following statements regarding the prescribing of controlled drugs is correct? a) Pharmacist independent prescribers cannot write prescriptions for any controlled drugs

b) Nurse independent prescribers can write prescriptions for controlled drugs to treat addiction

c) Pharmacist supplementary prescribers can write prescriptions for any controlled drug within a Clinical Management Plan

d) Community Practitioner Nurse prescribers can write prescriptions for any controlled drug within a Clinical Management Plan 40. Which of the following statements regarding clinical governance of controlled drugs is true? a) Accountable officers are employed in each pharmacy to ensure the safe management of controlled drugs b) Accountable officers may ask to view SOPs relating to controlled drugs as pharmacies must legally have these in place to ensure their safe management c) SOPs must cover record keeping of CD stock unless the pharmacy has an electronic CD register d) Electronic CD registers must record running balances 41. If an error is made in a written Controlled Drugs register it must be corrected by: a) Scoring through the relevant text and writing the correct information above it b) Marking the error with an asterisk and making a dated footnote with the correct details c) Sticking a note to the relevant page stating the correct information d) Using an eraser to correct the entry as entries must be written in pencil

42. Identify the situation where a record does not need to be made in the Controlled Drugs register: a) A box of 30 MST 10mg tablets is received from the wholesaler b) A box of 30 MST 10mg tablets is supplied to a patient against a valid prescription c) A stock box of 30 MST 10mg tablets is destroyed in the presence of an authorised witness by the pharmacist d) A box of 30 MST 10mg tablets returned by a patient is destroyed in the presence of the pharmacy technician by the pharmacist

43. Identify the most appropriate way to denature and dispose of fentanyl patches: a) Discard the sealed pouch in the general pharmacy waste b) Remove the patch from the sealed pouch, dispose of the pouch and the patch in the general pharmacy waste c) Remove the patch from the sealed pouch, take the backing off, fold the patch upon itself and place the patch in a CD denaturing kit d) Remove the patch from the pouch, flush the patch down the toilet and put the pouch in the general pharmacy waste


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44. Which one of the following scenarios outlines the correct procedure to requisition a schedule 2 CD?

a) A midwife who produces a supply order signed by their appropriate medical officer for pethadine b) A matron from a nursing home, which employs a doctor, produces a signed order for morphine that has been signed by the matron c) A pharmacist independent prescriber who has written a requisition to supply morphine for the pain clinic he works in d) The owner of a UK ship (which carries an onboard doctor) in port at Liverpool writes a signed order in your pharmacy to requisition stock of midazolam injections

45. Which of the following statements regarding CDs in hospital is true?

a) A nurse in charge of a ward must make all entries in the CD register

b) A nurse in charge of a ward must have the CD key on their person at all times

c) A nurse in charge of a ward must provide a signed order (requisition) to obtain CD stocks from the

pharmacy department

d) A nurse in charge of a ward must return all CDs for destruction to the pharmacy department

46. Which one of the following is NOT an appropriate person to have overall responsibility for the

safe management of CDs in the stated area of the hospital?

a) A midwife in charge of a maternity ward

b) A nurse in charge of the cornonary care ward

c) A theatre nurse in charge of an operating department

d) A consultant in charge of the A&E department

47. Which of the following statements regarding the management of CDs in hospitals is true?

a) The ward pharmacist will agree the CD stock list required on a ward with the nurse in charge

b) When CDs are delivered to a ward by a pharmacy porter they do not need to be signed for by the

receipt ward.

c) The accountable officers for CDs in a hospital will be the nurses in charge of each ward

d) CD registers are not held on each ward, instead they are held centrally by the pharmacy

department.

48. Identify the correct statement in relation to CD records in hospitals.

a) Any CD that has been delivered to the ward as a discharge medication for a patient on that ward

does not need to be stored in the CD cabinet.

b) Entries in the CD record book on a ward should be witnessed by another member of staff

c) The nurse in charge of a ward does not need to make stock checks against the CD record book as

this is done by the pharmacy department

d) Hospital CD record books must be kept for a minimum of 7 years after the last entry

Section 4 (P7)


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49. Categorise the following list of health care services into either primary or secondary health

care or those that could be both. Do this by writing your answers (a-h) in the correct column of

table 2:

a) Community Health Services

b) Mental Health Trusts

c) Community pharmacy

d) GPs

e) Eye casualty

f) Hospital

g) A dental practice

h) Ambulance service

50. Which one of the following is achieved under the current structure of the NHS?

a) The Secretary of State for Health in London oversees the budget for the NHS in England, Northern

Ireland, Scotland and Wales

b) Patients are often asked to pay for their treatment on the NHS

c) The NHS is not readily accessible in all parts of the country

d) The delivery of NHS services is supported by special health authorities, for example SIGN, NPSA or

the National Blood Transfusion Service

51. Which statement is true?

a) SIGN this is the Scottish equivalent of NICE

b) NSF these are issued each year to provide a framework for all diseases

c) NPSA they receive reports of adverse drug reactions

d) NHS Direct (and equivalent service in Scotland and Wales) provide telephone consultations with

your doctor

Primary Health Care

Secondary Health Care

Could be both

Table 2

Section 5 (P11)


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52. Which of the following statements is false?

a) The LPC are groups of pharmacists located regionally across England who negotiate the

community pharmacy contract with the Department of Health

b) The PSNC are a national group in England who negotiate the community pharmacy contract with

the Department of Health

c) Community Pharmacy Scotland are a national group in Scotland who negotiate the community

pharmacy contract with the Scottish Executive Health Department

d) Community Pharmacy Wales are a national group in Wales who negotiate the community

pharmacy contract with the Department of Health

53. Which of the following is not a role of the NHSBSA (or equivalent service in Scotland or

Wales)?

a) Administer NHS pension schemes

b) Process prescription payments to NHS pharmacy contractors

c) Monitor the quality of services provided by community pharmacies

d) Issue European Health Insurance Cards (EHICs)

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54. Match the following organisation to their function by filling out the boxes below

a) b) c) d)

Function

iii) responsible for purchasing/providing healthcare for patients in

their area

ii) responsible for overall budget of NHS services and the strategic planning for the country

iv) a specialist health and social care service

i) responsible for integrated strategic planning across a region of the country. This covers both primary and secondary care

Organisation

a) Primary Care

Organisation

b) Mental Health

Trust

c) Department of

Health/ Scottish

Executive Health

Department

d) NHS Health Board

(Scotland)


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Trainee Declaration of Authenticity

I understand that:

The work in this assignment is my own

All word processed documents must be signed and dated.

Trainees may study together but all assignments are completed independently.

Buttercups Training Ltd may follow up this assignment with oral or written questions to ensure work sent for assessment is authentic.

Copying of other trainee's work or plagiarism will be considered as malpractice and Buttercups Training Ltd will investigate any potential cases. Should malpractice be proved the trainee will be withdrawn from the course.

Print Name: Signature: Date:

................................................. ................................................. ...........................

Pharmacist or Senior Pharmacy Technician Declaration*

I confirm that all work completed in this assignment is the trainees own work.

Print Name: Signature: Date:

................................................. ................................................. ...........................

Registration Number (if applicable):

.................................................

* If you are completing the course without pharmacist supervision then your line-manager or dispensary manager can

sign this declaration

l3 module 2 assignment 2 questions oct 2011

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