Pharm.legislation.W19 (1).ppt

Drug Legislation in Canada What you need to know PNUR124 Revised Winter 2019 Two acts form the foundation of the drug laws in Canada 1. Food and Drugs Act (included is the Food and Drug Regulations) 2. Controlled Drugs and Substances Act (CDSA) Food and Drugs Act h...

Drug Legislation in Canada What you need to know PNUR124 Revised Winter 2019 Two acts form the foundation of the drug laws in Canada 1. Food and Drugs Act (included is the Food and Drug Regulations) 2. Controlled Drugs and Substances Act (CDSA) Food and Drugs Act has two primary purposes: 1. To protect the consumer from drugs that are contaminated, adulterated (altered to be non-therapeutic) or unsafe for use 2. To address drugs that are labelled with false, misleading or deceptive information Food and Drugs Act Federal legislation: Health Canada Drugs are categorized under this Act according to “Schedules” “Controlled Drugs” are regulated by the 1997 Controlled Drugs and Substances Act (CSDA) and Narcotic Control Regulations Category System for Drugs in Canada Over-the-counter (OTC) Prescription only  With pharmacist only  Less potential for abuse (behind the counter)  Potential for abuse  Within a pharmacy (on the shelf) RESTRICTED ACCESS  In any store without  Controlled drugs professional supervision  Narcotics (opioids) Adams et al, 2018, p. 13 Controlled Drugs and Substances Act and Narcotic Control Regulations Establishes the requirements for the control and sale of narcotics and substances of abuse in Canada RCMP enforces the Act Also lists drugs according to 8 Schedules (but are separate from the Food and Drugs Act schedules) (Adams et al, 2018, p.14) CDSA also allows sale of some low dose codeine preparations without a prescription but only available from pharmacist E.g. Acetaminophen with Codeine 8 mg (Tylenol #1) Calmylin (cough suppressant with codeine) Non-prescription Drugs Over-the-counter (OTC) drugs are available for purchase without a prescription Some limitations of OTC according to 3 categories Review OTC Categories 1. Restricted access drugs physically kept behind counter (e.g. insulin, Tylenol #1) 2. Drugs only available through pharmacy sale (e.g. anti-histamines; ulcer medications) 3. Drugs available at retail or variety stores (e.g. acetaminophen, ibuprofen) Consider the OTC status  Advantages  Disadvantages  Convenient o Relieves symptoms but  Effectively self-treat many not underlying cause minor ailments o Delays seeking medical  Good for short-term care until very ill  Enables health care o Misuse of product professionals to spend o May have interactions more time with the “really with other drugs sick” o Lack of medication  Financial gains to HC teaching system So, what is the role of the nurse? Nursing is interrelated to the other health care professions, including physicians and pharmacists Medication is prescribed and administered collaboratively with appropriate health care team members, dependent on data collection and accurate assessments The Nursing Role Nurses prepare and administer medications using Standards to ensure patient safety Regulations vary according to settings (hospital, long-term care, home care) Requires knowledgeable critical thinking to make professional judgments and decision-making Patient safety is your top priority!!!! YOU WILL BE DEVELOPING YOUR KNOWLEDGE FOR THIS THROUGHOUT THIS SEMESTER…..AND BEYOND!