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Questions and Answers
What should be done if an adverse effect occurs due to drug administration?
What classification requires no prescription and does not need a pharmacist's supervision?
All discrepancies, regardless of size, need to be reported.
True
Where should lost or stolen drugs be reported?
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Prescription-only medicines (POM) can be administered without a doctor's prescription.
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Adverse effects should be reported using _____ Incident Reporting.
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What act governs the classification of drugs in the UK?
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Class A drugs include substances such as __________ and morphine.
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Match the following responsibilities with the appropriate actions:
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Match the drug classes with their examples:
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Which of the following forms is related to drug usage for paramedic drugs?
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Controlled drugs are not subject to specific regulations.
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What is the purpose of the Patient Report Form?
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What is the primary purpose of JRCALC guidelines?
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The Medicines Act 1968 is one of the key legislations related to medicine management.
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What is defined as a substance that affects the body's composition or function when taken or applied?
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Which schedule allows for the administration of certain drugs in an emergency?
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The __________ ensures safe and secure handling of medicines by LAS staff.
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The intravenous (IV) route is considered a non-parenteral route of drug administration.
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What are the five parenteral routes of drug administration mentioned?
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Match the following legislation with its description:
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The __________ route of administration involves relying on passive absorption without breaking the skin.
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Which of the following is NOT a type of aid available for patients to manage their own medications?
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JRCALC guidelines originated from national clinical practice guidelines without any local protocols.
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Match the following types of administration with their respective categories:
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Which of the following is NOT a responsibility of LAS staff concerning drugs?
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The __________ Agency is responsible for ensuring the safety and efficacy of healthcare products in the UK.
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What is the explicit legal obligation of LAS staff in relation to drug discrepancies?
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Inhalation and nebulisation are forms of __________ routes of drug administration.
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What is the primary purpose of accurate documentation of medication administered?
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Controlled drugs can be stored in any cabinet as long as it is locked.
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What is one reason mentioned for good medicines management?
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Medicines must be safeguarded to prevent __________.
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Match the following drug pack numbers with their descriptions:
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Who can witness the withdrawing and return of controlled drugs?
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The New Digital Medicines Tracking System can be used by any staff member without qualification.
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What do the letters 'MHRA' in MHRA alert stand for?
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Study Notes
Policies and Procedures
- OP/014 outlines the procedures for managing patient conveyance.
- OP/031 addresses consent for examination or treatment.
- Essential LAS forms include LA4 for Patient Report and LA290/L291 for drug usage.
Drug Classification
- Medicines Act (1968) defines drug categories:
- General-sale-list medicines (GSL): No prescription needed.
- Pharmacy medicines (P): Sold under pharmacist supervision.
- Prescription-only medicines (POM): Require valid prescriptions; commonly administered by ambulance crews.
Misuse of Drugs Act (1971)
- Class A drugs: High risk (e.g., cocaine, morphine).
- Class B drugs: Moderate risk (e.g., amphetamine, codeine).
- Class C drugs: Lower risk (e.g., diazepam, lorazepam).
- Controlled substances categorized into five schedules with varying control levels.
Objectives of Medicines Management
- Familiarization with JRCALC guidelines and LAS policies.
- Understanding assistance options for patient medication administration.
- Emphasizes infection control during medication administration.
JRCALC Guidelines
- Developed from local protocols to national clinical guidelines.
- Central in clinical risk management and standardizes patient care across UK ambulance services.
Definition of Medicine
- Any substance affecting bodily functions or microbial activity when consumed or applied.
Key Legislation and Guidelines
- Medicines Act (1968).
- MHRA regulates medical product safety.
- Misuse of Drugs Act (1971).
- Additional regulations include 1997 Prescription Order and 2012 Human Medicines Regulations.
Administration of Medication
- Parenteral routes: Require breaking the skin (e.g., IM, IV).
- Non-parenteral routes: Do not break the skin (e.g., oral, inhaled).
Drug Routes for AAPs, EACs, and Paramedics
- Routes include inhaled (INH), nebulization (NE), oral (OR), and various injection methods (IM, IV, SC).
Staff Responsibilities
- Compliance in receiving, checking, recording, and storing medications.
- Obligation to report any medication discrepancies.
Reporting Practices
- Document and report any adverse drug events via Datix system.
- All discrepancies, even minor, must be reported to appropriate management.
Theft and Loss Reporting
- Immediate reporting to Emergency Operations Centre and local police, followed by Datix documentation.
Importance of Communication
- Errors should be openly communicated to crewmates and management to ensure patient safety.
Documentation
- Accurate medication documentation is crucial for ongoing patient care and traceability in case of inquiries.
Medicines Management and Patient Safety
- Guards against loss, misuse, and tampering to enhance patient care quality.
Controlled Drugs Handling
- Must be stored in designated safes; witnessing administration and disposal is mandatory.
New Digital Medicines Tracking System
- Qualified personnel can withdraw and manage drugs using advanced tracking technology.
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Description
This quiz covers the essential policies and procedures related to patient conveyance and drug classification. It includes key definitions from the Medicines Act and the Misuse of Drugs Act, as well as guidelines for medicines management. Test your understanding of the various drug categories and their legal implications.
