Dr. Shipman Case Study and Drug Regulations

<p>$5mg$ followed by additional doses of $2.5 - 5mg$ if necessary (C)</p> Signup and view all the answers

<p>She was negligent in her professional duties. (A)</p> Signup and view all the answers

<p>To control and prevent the misuse of dangerous drugs. (B)</p> Signup and view all the answers

<p>It allows for certain uses of controlled drugs in medicine. (D)</p> Signup and view all the answers

<p>Controlled drugs have both legitimate medical uses and unlawful misuse. (C)</p> Signup and view all the answers

<p>The legality of alcohol and tobacco compared to cannabis. (B)</p> Signup and view all the answers

<p>A prescription in the required form issued by a qualified practitioner (C)</p> Signup and view all the answers

<p>Home Office (D)</p> Signup and view all the answers

<p>Medical laboratory technician (B)</p> Signup and view all the answers

<p>28 days (C)</p> Signup and view all the answers

<p>All Schedule 2 CDs, even expired ones, must be kept in secure storage. (D)</p> Signup and view all the answers

<p>All transactions must be recorded in the controlled drugs register (D)</p> Signup and view all the answers

<p>They have potential for abuse or harm. (B)</p> Signup and view all the answers

<p>It introduced stricter regulations on prescribing controlled substances. (C)</p> Signup and view all the answers

<p>They are classified into schedules and classes based on their potential for harm. (C)</p> Signup and view all the answers

<p>The requirements for safe custody and records become less stringent. (A)</p> Signup and view all the answers

<p>CBD products derived from cannabis have specific legal frameworks for use. (C)</p> Signup and view all the answers

<p>New regulations were implemented to increase monitoring. (D)</p> Signup and view all the answers

<p>To provide a framework for the legal regulation of drugs based on their risks. (C)</p> Signup and view all the answers

<p>Schedule 2 drugs require stricter record-keeping and storage. (B)</p> Signup and view all the answers

<p>If it has a high potential for abuse but also has medicinal uses. (B)</p> Signup and view all the answers

<p>The need for safe custody decreases. (C)</p> Signup and view all the answers

<p>Medicinal cannabis can be prescribed under strict conditions. (B)</p> Signup and view all the answers

<p>Controlled drugs can never be used for legitimate medical purposes. (D)</p> Signup and view all the answers

<p>To regulate and control the misuse of harmful drugs (B)</p> Signup and view all the answers

<p>Misuse of Drugs Regulations 2001 (D)</p> Signup and view all the answers

<p>Importing without proper authorization (A)</p> Signup and view all the answers

<p>There are inconsistencies in regulation despite similar social impacts (B)</p> Signup and view all the answers

<p>It regulates medicinal use while allowing wider access to drugs (B)</p> Signup and view all the answers

<p>Allowing specified activities with controlled drugs in medical settings (A)</p> Signup and view all the answers

<p>Home Office (D)</p> Signup and view all the answers

<p>To minimize the risk of misuse and associated harms (D)</p> Signup and view all the answers

<p>All controlled drugs are banned for any use unless licensed (B)</p> Signup and view all the answers

<p>Cocaine (C)</p> Signup and view all the answers

<p>Gabapentin and pregabalin (A)</p> Signup and view all the answers

<p>He prescribed it without proper patient need. (A)</p> Signup and view all the answers

<p>The introduction of new regulations for controlled drugs. (B)</p> Signup and view all the answers

<p>Using controlled drugs solely for hospice care. (B)</p> Signup and view all the answers

<p>To prevent unauthorized distribution and misuse. (D)</p> Signup and view all the answers

<p>Psychotropic drugs like LSD (A)</p> Signup and view all the answers

<p>Prescription guidelines and controls. (B)</p> Signup and view all the answers

<p>Amphetamines (A)</p> Signup and view all the answers

<p>Greater scrutiny and approval processes for prescriptions. (C)</p> Signup and view all the answers

<p>They have no safe custody requirements. (C)</p> Signup and view all the answers

<p>They do not require entry in the CD register. (C)</p> Signup and view all the answers

<p>Tetrahydrocannabinol (THC) (A)</p> Signup and view all the answers

<p>They are exempt from full control due to their low strength. (A)</p> Signup and view all the answers

<p>They are classified as Schedule 2 controlled drugs. (A)</p> Signup and view all the answers

<p>The duration of prescription validity was reduced to 28 days. (D)</p> Signup and view all the answers

<p>Controlled Drug Accountable Officer (CDAO) (D)</p> Signup and view all the answers

<p>They must be written on a standardised form (FP10PCD). (A)</p> Signup and view all the answers

<p>The Care Quality Commission (D)</p> Signup and view all the answers

<p>Running balances are recommended in CD registers. (B)</p> Signup and view all the answers

<p>She overlooked an unusual pattern of prescribing 30mg diamorphine. (D)</p> Signup and view all the answers

<p>Her meticulous record-keeping preserved important evidence. (D)</p> Signup and view all the answers

<p>Maximum quantity of controlled drugs on a prescription was introduced. (D)</p> Signup and view all the answers

<p>Being blamed for the actions of Dr. Shipman. (C)</p> Signup and view all the answers

<p>To determine whether she had a case to answer for negligence. (D)</p> Signup and view all the answers

Drugs subject to special regulations due to their potential for misuse or harm.

Changes in legislation regarding controlled drugs were influenced by events like the Shipman murders.

Controlled drugs are categorized into schedules according to their potential for harm.

Controlled drugs are categorized into classes and schedules in the UK, based on their potential for abuse.

Legal requirements for controlled drugs, like safe custody and record-keeping, decrease as control levels lessen.

Drugs restricted due to potential harm or misuse, legally controlled substances.

UK law prohibiting possession, supply, manufacture, and import/export of harmful drugs, unless permitted by the Secretary of State.

Controlled substances permitted for medical use under certain regulations.

UK regulations controlling medicines for human use, usually permissive, part of EU framework.

Regulations about the use of controlled drugs, allowing exceptions for medicine, part of the Misuse of drugs Act.

Dr. Shipman prescribed large doses of diamorphine (30mg) to patients, often in single ampoules.

Mrs. Brant was the pharmacist who dispensed most of Dr. Shipman's diamorphine prescriptions.

The prescriptions for 30mg diamorphine ampoules, frequently in single doses, were unusual compared to standard treatment protocols for acute MI.

Mrs. Brant believed Dr. Shipman's prescriptions were for legitimate medical purposes related to suspected chest pain or heart attacks.

Multiple patients received single 30mg diamorphine ampoules from the same doctor, which raised concerns about potential wastage and the validity of the prescribed doses.

Opiates and stimulants requiring a prescription and specific handling procedures. Includes safe storage and record-keeping.

A Schedule 2 prescription can be used only within 28 days.

All Schedule 2 drugs, except quinalbarbital, must be kept securely, including those returned by patients and expired stock (until disposed).

All Schedule 2 drug transactions (incoming and outgoing stock) must be documented in a specific register.

Only authorized prescribers can administer or direct the administration of Schedule 2 drugs (CDs).

Drugs with special controls due to misuse potential.

Changes in CD laws, often due to events like the Shipman murders.

Categories for CDs based on potential harm.

To limit misuse and reduce harm caused by certain drugs.

Rules for handling, storing, and recording CDs vary by schedule.

Legal status of cannabis for medical purposes under current regulations.

Legal changes regarding controlled drugs following the Shipman murders.

Drugs with special regulations due to their potential for misuse or harm.

UK law controlling dangerous drugs, prohibiting possession, supply, and manufacture, except when allowed by regulations or licence.

Regulations under the 1971 Act, granting exceptions for medicinal use of controlled drugs.

UK regulations governing all medicines for human use within the EU framework.

To limit drug misuse and reduce harm.

Laws about controlled drugs in the UK.

Legally permitted use of controlled drugs for medical reasons.

Coexistence of CD laws with general medicine legislation.

Differences in how different drugs (like alcohol, tobacco, and cannabis) are controlled.

Drugs with strict regulations due to potential for abuse or harm.

Dr. Shipman's case of murdering patients with diamorphine highlighted issues in CD regulations.

Law controlling certain drug to prevent misuse

Shipman used diamorphine to kill his patients

Changes in laws regarding CDs, often spurred by harmful practices

Categories for CDs based on their potential for harm.

Control limits drug-related harm and misuse.

The law about controlling substances is very stringent.

Shipman's misuse of prescribing drugs

Drugs legislation which aims to improve regulations on drugs

The Shipman case led to changes in controlled drug legislation, emphasizing stricter controls and record-keeping.

Controlled drug prescriptions are valid for a maximum of 28 days after issuing by a doctor.

A standardized form used for private prescriptions of controlled drugs in the UK National Health Service (NHS).

A designated individual responsible for ensuring the safe and proper handling of controlled drugs within an organization.

The body that oversees the management and control of controlled drugs within health and social care settings.

A maximum amount of controlled drugs permitted on a single prescription.

Recommended practice for maintaining records of controlled drug balances in stock, not a legal requirement.

The RPSGB fitness to practice committee determined that Mrs. Brant had no wrongdoing related to unusual prescriptions

A pattern of prescribing that deviates significantly from typical practice and raises suspicion.

An individual within an organization who is responsible for ensuring the safe and proper handling of controlled drugs.

Opiates and stimulants requiring strict prescription and handling procedures, including specific storage and record-keeping.

Drugs less prone to misuse and harm than Schedule 2, but still requiring safe custody for most, with specific exceptions.

Mostly benzodiazepines and 'z' hypnotics requiring restrictions similar to Schedule 3, with some exceptions for imports/exports, possession, and labeling.

Drug preparations containing controlled drugs at low levels, exempt from most restrictions due to lower abuse risks.

Cannabis-based medicinal products are classified as Schedule 2 CDs, but raw cannabis remains Schedule 1.