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Questions and Answers
What is required for the destruction of out-of-date Schedule 2 controlled drugs?
What is required for the destruction of out-of-date Schedule 2 controlled drugs?
How long must records of returned Schedule 2 controlled drugs be kept?
How long must records of returned Schedule 2 controlled drugs be kept?
Why is it necessary for a pharmacist to witness the destruction of CDs returned by patients?
Why is it necessary for a pharmacist to witness the destruction of CDs returned by patients?
Who is NOT eligible to act as an authorized person for the destruction of Schedule 2 CDs?
Who is NOT eligible to act as an authorized person for the destruction of Schedule 2 CDs?
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What must pharmacies do with out-of-date CDs that require safe custody before destruction?
What must pharmacies do with out-of-date CDs that require safe custody before destruction?
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What information is NOT typically required when recording the destruction of CDs returned by a patient?
What information is NOT typically required when recording the destruction of CDs returned by a patient?
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Which schedule of controlled drugs does NOT have a legal requirement for the presence of an authorized person during destruction?
Which schedule of controlled drugs does NOT have a legal requirement for the presence of an authorized person during destruction?
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What is the purpose of denaturing controlled drugs before disposal?
What is the purpose of denaturing controlled drugs before disposal?
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Which of the following is a good practice when destroying Schedule 2 controlled drugs returned by patients?
Which of the following is a good practice when destroying Schedule 2 controlled drugs returned by patients?
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What is the preferred method for disposing of controlled drugs (CDs) in Schedule 2, 3, and 4?
What is the preferred method for disposing of controlled drugs (CDs) in Schedule 2, 3, and 4?
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What should be done with solid dose formulations before placing them in the CD denaturing kit?
What should be done with solid dose formulations before placing them in the CD denaturing kit?
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When using a CD denaturing kit, what is crucial to remember about adding liquids?
When using a CD denaturing kit, what is crucial to remember about adding liquids?
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What is the recommended action if a denaturing kit is not available for solid controlled drugs?
What is the recommended action if a denaturing kit is not available for solid controlled drugs?
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What appropriate safety measures must be taken when denaturing controlled drugs?
What appropriate safety measures must be taken when denaturing controlled drugs?
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After denaturing, where can the contents of the denaturing kit be disposed of?
After denaturing, where can the contents of the denaturing kit be disposed of?
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How can liquids be safely disposed of when using a CD denaturing kit?
How can liquids be safely disposed of when using a CD denaturing kit?
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What is a recommended substance for making controlled drug powder unrecoverable when no denaturing kit is available?
What is a recommended substance for making controlled drug powder unrecoverable when no denaturing kit is available?
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What is the first step in disposing of an empty bottle that contained a controlled drug (CD)?
What is the first step in disposing of an empty bottle that contained a controlled drug (CD)?
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What should be done with ampoules containing liquid controlled drugs before disposal?
What should be done with ampoules containing liquid controlled drugs before disposal?
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How should Fentanyl or Buprenorphine patches be disposed of?
How should Fentanyl or Buprenorphine patches be disposed of?
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What is the recommended method for disposing of aerosol formulations of controlled drugs?
What is the recommended method for disposing of aerosol formulations of controlled drugs?
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What should be done with ampoules containing a powder form of controlled drugs?
What should be done with ampoules containing a powder form of controlled drugs?
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Study Notes
Collecting Controlled Drugs (CDs) on Behalf of a Purchaser
- A letter of authority from the purchaser is required for someone to collect CDs on their behalf.
- The letter should be signed and dated by the purchaser and include details of the messenger.
- The pharmacy must be reasonably satisfied that the letter is genuine and must retain it for two years.
Destruction of CDs
- Pharmacies are required to denature CDs prior to disposal.
- Denaturing renders the drug irretrievable without specialized equipment.
- Denaturing is essential to prevent misuse, protect the environment, and ensure safe transportation.
- An exemption, known as the ‘T28 exemption’, allows pharmacies in England and Wales to denature CDs without a licence.
Destruction of Out-of-Date CD Stock
- Out-of-date CD stock must be segregated from other CDs.
- The destruction of schedule 2 stock must be witnessed by an "authorized person".
- An Accountable Officer cannot be an "authorized person".
- The authorized person will record the destroyed quantities in the CD register.
- For schedule 3 CDs, it is good practice to have another staff member, preferably a registered healthcare professional, witness the denaturing process.
Destruction of CDs Returned by Patients
- Returned CDs should be destroyed promptly and not allowed to accumulate.
- Returned CDs should be segregated, stored securely, and marked for destruction.
- Schedule 2 CDs returned by patients should not be recorded in the CD register.
- It is good practice to maintain a separate record of returned schedule 2 CDs for seven years.
- It is good practice to have another staff member witness the destruction.
Records for Returned CDs
- The following information should be recorded for returned CDs:
- Date received
- Received by, with name and signature
- Patient's name and address, if known
- Name of CD
- Form and strength of CD
- Quantity of CD
- Role of person returning the CD, if known
- Date destroyed
- By pharmacist, with name and signature
- Witnessed by, with name and signature
- Ideally, the first eight columns should be completed upon receipt of the CD and the last three columns completed when the CD is destroyed.
Denaturing Methods for CDs
- Denaturing kits are recommended by the Home Office for denaturing controlled drugs.
- CDs should be denatured before disposal, especially those in schedules 2, 3, and 4, part I.
- Denaturing methods vary depending on the formulation, and specific instructions are provided in the Medicines and Healthcare products Regulatory Agency (MHRA) guidelines.
- Ampoules containing liquid should be emptied into the denaturing kit.
- Solid dosage forms should be crushed or ground before being added to the denaturing kit to prevent retrieval.
- Fentanyl and buprenorphine patches should be folded sticky side inwards and placed in the denaturing kit.
- Aerosol formulations should be expelled into water to prevent drug droplets entering the air.
- After denaturing, the kit and its contents should be disposed of in the general pharmaceutical waste bin for incineration.
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Description
This quiz covers essential regulations related to the collection and destruction of controlled drugs (CDs) in pharmacies. It highlights the requirements for authorization letters, proper disposal methods, and safety protocols to prevent misuse. Test your knowledge on the T28 exemption and the proper destruction procedures for out-of-date CD stock.