CD register

[Rafael]

hey pharmacists
could you please help me with this simple question. do we have to to make a CD register for each seperate instalment of Schedule 2 CD Rx.
cheers

[Rafael]

Re: CD register

another questions:
2-under any circumstances, can pharmacists re-dispense returned medicines in good conditions?
3- The mother of a 14 year old girl enters your pharmacy and demands to know how long her daughter has been taking contraceptive pills she has just found in her room. we can refuse to provide information, or we can not?

thanks

[Zoggite]

Re: CD register

1. Yes, each instalment of a sched 2 Cd requires its own separate entry in the CD register.
2. No, there are no circumstances under which Phcists can re-dispense returned meds, no matter what state they're in (the meds, not the phcists!)
3.Yes, we can refuse to provide the information. If the 14-year-old is deemed to be "Fraser-competent", she is entitled to patient confidentiality even from her mother. See the landmark "Gillick versus West Norfolk and Wisbech Area Health Authority" 1986 ruling.

[Rafael]

Re: CD register

thank you Zoggite
more questions might pop up while revising for exams.
cheers

[Jeff]

Re: CD register

2-under any circumstances, can pharmacists re-dispense returned medicines in good conditions?

Legally no - ethically perhaps.

Scenario

There's a national shortage of heroin.

You have some heroin amps returned unopened sitting in the CD cupboard awaiting destruction.

It's a late night pharmacy and an urgent script for heroin amps.

Justify refusing to dispense.

Jeff

[admin]

Re: CD register

another questions:

1-could you please help me with this simple question. do we have to to make a CD register for each seperate instalment of Schedule 2 CD Rx.
2-under any circumstances, can pharmacists re-dispense returned medicines in good conditions?
3- The mother of a 14 year old girl enters your pharmacy and demands to know how long her daughter has been taking contraceptive pills she has just found in her room. we can refuse to provide information, or we can not?

thanks

Hi Ray, and welcome

Whilst I sympathise with Jeff to some extent, the legal matters are: -

1. Yes - section for each drug
2. No, not ever
3. No - it's confidential patient information, as long as she has the ability to understand what's been said to her

Hope this helps a little...

[admin]

Re: CD register

Legally no - ethically perhaps.

Scenario

There's a national shortage of heroin.

You have some heroin amps returned unopened sitting in the CD cupboard awaiting destruction.

It's a late night pharmacy and an urgent script for heroin amps.

Justify refusing to dispense.

Jeff

That's easy - I don't want the society banging down my door!

[Jeff]

Re: CD register

That's easy - I don't want the society banging down my door!

Jobsworth ;-)

It's why our Society fails us.

Jeff

[admin]

Re: CD register

Jobsworth ;-)

It's why our Society fails us.

Jeff

I know, I just have this overwhelming self preservation thing!

[Titch]

Re: CD register

Legally no - ethically perhaps.

Scenario

There's a national shortage of heroin.

You have some heroin amps returned unopened sitting in the CD cupboard awaiting destruction.

It's a late night pharmacy and an urgent script for heroin amps.

Justify refusing to dispense.

Jeff

You'd have to question the logic of a GP issuing a script for heroin amps during a national shortage!!

Couldn't dispense in good conscience in case they hadn't been stored properly prior to return - esp for something that is going to be injected.

Just playing Devils Advocate

[lamzee]

Re: CD register

You'd have to question the logic of a GP issuing a script for heroin amps during a national shortage!!

Usually they have no idea what is short and what isn't.

[Pharmanaut]

Re: CD register

You'd have to question the logic of a GP issuing a script for heroin amps during a national shortage!!

Couldn't dispense in good conscience in case they hadn't been stored properly prior to return - esp for something that is going to be injected.

Just playing Devils Advocate

What would you do if they had been issued the day before, got to the patient too late (patient now deceased) and had been returned say within 24 hours?
Another devils advocate.

[lamzee]

Re: CD register

as far as I know, there is no diamorph prescribed in the USA. Is that right? What do they use instead?

[Titch]

Re: CD register

What would you do if they had been issued the day before, got to the patient too late (patient now deceased) and had been returned say within 24 hours?
Another devils advocate.

Might sound like a cop-out but until I'm in that actual situation I cannot honestly answer that question.

It would be a tough one weighing up ethics vs legality.

[Titch]

Re: CD register

Usually they have no idea what is short and what isn't.

I agree but with a "national shortage" they might have come to realise - hey I can hope/dream/......

Fill in your own choice for ...... !