Medicines Management and Drug Classification
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Questions and Answers

What should be done if an adverse effect occurs due to drug administration?

  • Report it only if it's serious
  • Discuss it with the patient first
  • Ignore it and move on
  • Document it on the patient report form/ePCR (correct)
  • What classification requires no prescription and does not need a pharmacist's supervision?

  • Pharmacy medicines (P)
  • Prescription-only medicines (POM)
  • Controlled drugs
  • General-sales-list medicines (GSL) (correct)
  • All discrepancies, regardless of size, need to be reported.

    True

    Where should lost or stolen drugs be reported?

    <p>To the EOC and the local police station</p> Signup and view all the answers

    Prescription-only medicines (POM) can be administered without a doctor's prescription.

    <p>False</p> Signup and view all the answers

    Adverse effects should be reported using _____ Incident Reporting.

    <p>Datix</p> Signup and view all the answers

    What act governs the classification of drugs in the UK?

    <p>Medicines Act 1968</p> Signup and view all the answers

    Class A drugs include substances such as __________ and morphine.

    <p>cocaine</p> Signup and view all the answers

    Match the following responsibilities with the appropriate actions:

    <p>Clinical Team Manager = Report discrepancies Crewmate = Notify errors immediately EOC = Report lost or stolen drugs Medicines Management = Contact for reporting errors</p> Signup and view all the answers

    Match the drug classes with their examples:

    <p>Class A = Cocaine, Morphine Class B = Amphetamine, Codeine Class C = Diazepam, Lorazepam GSL = General-sales-list medicines</p> Signup and view all the answers

    Which of the following forms is related to drug usage for paramedic drugs?

    <p>LA290</p> Signup and view all the answers

    Controlled drugs are not subject to specific regulations.

    <p>False</p> Signup and view all the answers

    What is the purpose of the Patient Report Form?

    <p>To document patient information and treatment provided by ambulance crews.</p> Signup and view all the answers

    What is the primary purpose of JRCALC guidelines?

    <p>To ensure uniformity in patient care</p> Signup and view all the answers

    The Medicines Act 1968 is one of the key legislations related to medicine management.

    <p>True</p> Signup and view all the answers

    What is defined as a substance that affects the body's composition or function when taken or applied?

    <p>Medicine</p> Signup and view all the answers

    Which schedule allows for the administration of certain drugs in an emergency?

    <p>Schedule 19</p> Signup and view all the answers

    The __________ ensures safe and secure handling of medicines by LAS staff.

    <p>TP/008 Policy and Procedure</p> Signup and view all the answers

    The intravenous (IV) route is considered a non-parenteral route of drug administration.

    <p>False</p> Signup and view all the answers

    What are the five parenteral routes of drug administration mentioned?

    <p>Intramuscular (IM), Subcutaneous (SC), Intra-osseous (IO), Intravenous (IV), External jugular vein (EJV)</p> Signup and view all the answers

    Match the following legislation with its description:

    <p>Medicines Act 1968 = Regulates the use of medications Misuse of Drugs Act 1971 = Controls the drugs considered dangerous Health and Safety at Work Act 1974 = Ensures workplace safety standards Human Medicines Regulations 2012 = Regulates the safety and efficacy of human medications</p> Signup and view all the answers

    The __________ route of administration involves relying on passive absorption without breaking the skin.

    <p>non-parenteral</p> Signup and view all the answers

    Which of the following is NOT a type of aid available for patients to manage their own medications?

    <p>Qualified medical personnel</p> Signup and view all the answers

    JRCALC guidelines originated from national clinical practice guidelines without any local protocols.

    <p>False</p> Signup and view all the answers

    Match the following types of administration with their respective categories:

    <p>Inhaled (INH) = Non-parenteral Intravenous (IV) = Parenteral Oral (OR) = Non-parenteral Intramuscular (IM) = Parenteral</p> Signup and view all the answers

    Which of the following is NOT a responsibility of LAS staff concerning drugs?

    <p>Selling drugs to patients</p> Signup and view all the answers

    The __________ Agency is responsible for ensuring the safety and efficacy of healthcare products in the UK.

    <p>Medicines and Healthcare Products Regulatory</p> Signup and view all the answers

    What is the explicit legal obligation of LAS staff in relation to drug discrepancies?

    <p>To report any discrepancies.</p> Signup and view all the answers

    Inhalation and nebulisation are forms of __________ routes of drug administration.

    <p>non-parenteral</p> Signup and view all the answers

    What is the primary purpose of accurate documentation of medication administered?

    <p>To provide traceability of medication</p> Signup and view all the answers

    Controlled drugs can be stored in any cabinet as long as it is locked.

    <p>False</p> Signup and view all the answers

    What is one reason mentioned for good medicines management?

    <p>Better, safer patient care</p> Signup and view all the answers

    Medicines must be safeguarded to prevent __________.

    <p>loss or theft</p> Signup and view all the answers

    Match the following drug pack numbers with their descriptions:

    <p>P = Paramedic drugs packs G = General drugs pack</p> Signup and view all the answers

    Who can witness the withdrawing and return of controlled drugs?

    <p>Only qualified staff members</p> Signup and view all the answers

    The New Digital Medicines Tracking System can be used by any staff member without qualification.

    <p>False</p> Signup and view all the answers

    What do the letters 'MHRA' in MHRA alert stand for?

    <p>Medicines and Healthcare products Regulatory Agency</p> Signup and view all the answers

    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.

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