Stuck with Pre-reg NON Calculation Questions?

[admin]

To Pre-Reg Students

If you are having trouble with the pre-reg questions (NON calculations - seperate section for that), post them here and I'll do my best to help you with them. I'm sure others will too.

Pre-Reg question section - not calculations

[cezlaa]

Hi everyone. I am a hospital pre-reg with my exam coming up and wondered if I could a check a question with you all. I have been doing a practise paper with the following question:

A. 100 Co-codamol tablets 30/500mg. Two tablets to be taken four times a day
B. 3 x Phenobarbital 30mg tablets. One to be taken at night
C. 16 x Paracetamol 500mg tablets. One to two to be taken up to four times a day
D. 60 x MST 30mg tablets. One to be taken twice daily
E. 32 x Paracetamol 500mg tablets. One to two to be taken up to four times a day

Select from A to E the most appropriate requirements for the supply of the medication above.

47. Can be sold from a pharmacy in the absence of the pharmacist.


My own knowledge tells me that even GSL medicines cannot be sold from a pharmacy if the pharmacist is not in personal control, and I have checked in the MEP and that seems to say the same thing as far as I can tell. The answer to the question is apparently C, but I don't think it is an official RPSGB question so I suppose it could be wrong. I just wanted to check I'm not missing something! Any thoughts?

[johnep]

co-codamol 30/500 is a POM so script only
phenobarb is a CD and a POM so script only
16 paracetamol is GSL can be sold anywhere.
32 paracetamol is a P. sold behind healthacre counter under supervision
MST is CD and POM so script only.
johnep

[cezlaa]

I know it is GSL and can be sold anywhere, but if it is being sold from a pharmacy can it be sold in the absence of a pharmacist? Because the MEP states:

'All supplies of POMs and P medicines from registered retail pharmacy premises must be made under the supervision of a pharmacist. Sales of GSLs do not require supervision, but do require a pharmacist to be in personal control of the premises. Thus, if a pharmacist is not in personal control, for instance because he or she is not on the registered pharmacy premises, no sales of medicines can be made, and this includes GSL medicines.'

[johnep]

You are quite correct, while any old tom, Dick or Harry can sell a GSL med, a pharmacy can only sell if pharmacist available.

This anomaly in the law dates back to when most med were sold via pharmacies, so called 'patent medicines' have always been sold anywhere.

johnep

[Jeff]

Select from A to E the most appropriate requirements for the supply of the medication above.

47. Can be sold from a pharmacy in the absence of the pharmacist.


My own knowledge tells me that even GSL medicines cannot be sold from a pharmacy if the pharmacist is not in personal control, and I have checked in the MEP and that seems to say the same thing as far as I can tell. The answer to the question is apparently C, but I don't think it is an official RPSGB question so I suppose it could be wrong. I just wanted to check I'm not missing something! Any thoughts?

Most appropriate- might not be equivalent to right. Think of it as least wrong


Jeff

[brorlum]

Hi I am a hospital pre-registration student. I have a question regarding reimbursement.
If, for example, a doctor prescribes 21 Augmentin 375mg tablets; in hospital we would ignore this and dispense 21 co-amoxiclav 250/125 non-proprietary to save money.
In community would you have have to supply the brand when requested? If so would you be reimbursed any differently or would you get back the same amount as if you dispensed the generic product and therefore lose money?
Any clarification would be much appreciated!

[cezlaa]

Thanks for your replies

brorlum: As far as I know you have to supply the branded product in community if that is what has been prescribed, but you do get reimbursed for the branded product so you don't lose money.

If the situation is the other way round and a generic product is prescribed, then you can give the generic or the branded, but would usually only be reimbursed for the generic product (unless for example the branded is all that is available).

Someone can correct me if I'm wrong though!

[Pharmanaut]

Thanks for your replies

brorlum: As far as I know you have to supply the branded product in community if that is what has been prescribed, but you do get reimbursed for the branded product so you don't lose money.

If the situation is the other way round and a generic product is prescribed, then you can give the generic or the branded, but would usually only be reimbursed for the generic product (unless for example the branded is all that is available).

Someone can correct me if I'm wrong though!

...or applaud you because you're right.

[gamhulcol]

cezlaa's question about "what Can be sold from a pharmacy in the absence of the pharmacist."

The answer is in no doubt 16xparacetamol, but the question doesn't actually say the pharmacists is not in personal control e.g. the pharmacists could have just gone to the toilet for a minute. So regards to your query about the quote in the MEP, the question doesn't contradict the MEP.