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List sources of information about veterinary drugs
NOAH, BSAVA, BEVA, BCVA, BVA, RCVS
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What document does the RCVS produce?
The guide to professional conduct
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What is the Practice Standards Scheme?
This is a voluntary scheme where practices undergo rigorous auditing of all policies and procedures but especially medicines
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Who is responsible for the regulation of controlled drugs in the UK?
The Home Office
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Who does the Home Office Delegate this to for veterinary medicines?
The veterinary medicines directorate (VMD)
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The VMD is a branch of ...?
DEFRA
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List some roles of the VMD
- Monitor the bad effects from veterinary medicines (adverse reactions)
- Test for residues
- Authorise companies to sell veterinary medicines in the UK
- Control how veterinary medicines are made and distributed
- Advise the government on developing veterinary medicines policy
- Making, update and enforce UK legislation on veterinary medicine
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What are the four classifications of veterinary medicines?
- AVM - GSL
- NFA - VPS
- POM - VPS
- POM - V
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What does AVM - GSL stand for?
Authorised veterinary medicine - general sales list
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Who can supply AVM-GSL drugs?
Any retailer can supply these drugs to anyone
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What is the SAES?
Small animal exception scheme
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What class of drug are drugs under the SAES considered the same as?
AVM - GSL
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What type of animals are SAES drugs for?
Cage birds, aquarium fish, ferrets, rabbits, rodents, etc
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What does NFA-VPS stand for?
Non-food animal - veterinary surgeon, pharmacist, SQP
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What type of animals can have NFA-VPS drugs?
Companion animals (not horses)
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Who can supply NFA-VPS drugs?
Veterinary surgeon, pharmacist, SQP
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Is examination of the animal necessary for NFA-VPS drugs?
No
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What does POM-VPS stand for?
Prescription only medicine - veterinary surgeon, pharmacist, SQP
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Who can prescribe and dispense POM-VPS drugs?
Veterinary surgeon, pharmacist, SQP
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Is a clinical examination of the animal necessary for POM-VPS drugs?
No
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True or false: a written prescription for a POM-VPS drug can be taken elsewhere for dispensing?
True
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What does POM-V stand for?
Prescription only medicine - veterinary surgeon
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Who can prescribe a POM-V medicine?
A veterinary surgeon
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Is a clinical examination necessary for a POM-V medicine?
Yes - clinical exam i.e. animal is 'under your care'
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True or false: a pharmacist can dispense human medicines for use under the cascade without a prescription written by a veterinary surgeon?
False - a written prescription must be provided
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What are extemporaneously prepared medicines?
Medicines made up that are not available for wholesale e.g. making up smaller doses of tramadol
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What is a SQP?
A suitably qualified person - they must be registered with AMTRA, pass an examination, pay a fee and undergo CPD.
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List things needed on a written prescription
- The name, address, telephone number and qualifications of the person prescribing the product
- The name and address of the owner or keeper of the animal
- The identification of the animal or group of animals to be treated
- The premises at which the animal is kept if this differs from the address of the owner or keeper
- The date
- The signature of the prescriber
- The name and amount of the medicine prescribed
- The dosage and administration instructions
- Any necessary warnings
- If the medicine is prescribed under the cascade then a statement 'prescribed under the cascade' must be included
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List things needed on a label
- The name and address of the pharmacy, veterinary surgery or approved premises to supply the VMP
- The name of the veterinary surgeon who has prescribed the medicine
- The name and address of the animal's owner
- The identification of the animal/group of animals
- The date of supply
- The expiry date of the medicines (if applicable)
- The name or description of the medicine which should include at least the name and quantity of active ingredient
- The dosage and administration instructions
- Any special storage precautions
- Any necessary warnings
- The words "keep out of reach of children" and "For animal use only"
- The words "For external use only" on topical preparations
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How do you dispose of out of date drugs?
Remove the outer packaging but dispose of in final packaging
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True or false: it is acceptable to place loose tablets, granules, powders or liquids in a pharmaceutical waste bin?
False
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What is an in-use shelf life?
The time period following the first broaching of a container after which any remaining product in the container should be destroyed
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What is the in-use shelf life of most multi-dose parenteral injectables?
28 days
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Can you reuse returned drugs?
No - they should be disposed of responsibly. It is an offence to resell returned drugs.
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How do you dispose of a syringe and needle together?
- If completely discharged - orange/yellow sharps bin
- If incompletely discharged - no official guidance, contact waste contractor
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How do you dispose of a separated needle and syringe?
- Needle - yellow sharps bin
- Completely discharged syringe - no clear guidance, dependent on waste contractor
- Incompletely discharged syringe - pharmaceutical waste
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How do you dispose of open snap top ampoules?
- Empty ampoules - orange sharps bin
- Part used ampoules - no clear guidance
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How do you dispose of rubbed topped vials and bottles?
- Part used - pharmaceutical waste
- Smashed bottles - dealt with as spillage
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How do you dispose of medicated fluid bags?
- Medicated IV fluids - disposed of as waste medicine
- IV fluids containing controlled drugs - disposed of as controlled drugs
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How do you dispose of non-medicated IV fluids?
Empty fluid down the drain (do not discard liquids into landfill)
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How do we dispose of controlled drugs?
Controlled drugs must be denatured and rendered irretrievable before they can be disposed of as pharmaceutical waste
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What is disposed of in purple sharps bins?
Needles or sharps containing cytotoxic/cytostatic chemical residues
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