Level 3 Certificate in Pharmacy Services (7356)

Level 3 Certificate in Pharmacy Services (7356) Assignment guide www.cityandguilds.com

September 2006 Version 1.0

About City & Guilds City & Guilds is the UK’s leading provider of vocational qualifications, offering over 500 awards across a wide range of industries, and progressing from entry level to the highest levels of professional achievement. With over 8500 centres in 100 countries, City & Guilds is recognised by employers worldwide for providing qualifications that offer proof of the skills they need to get the job done. City & Guilds Group The City & Guilds Group includes City & Guilds, ILM (the Institute of Leadership & Management) which provides management qualifications, learning materials and membership services, NPTC which offers land-based qualifications and membership services, and HAB (the Hospitality Awarding Body). City & Guilds also manages the Engineering Council Examinations on behalf of the Engineering Council. Equal opportunities City & Guilds fully supports the principle of equal opportunities and we are committed to satisfying this principle in all our activities and published material. A copy of our equal opportunities policy statement Access to assessment and qualifications is available on the City & Guilds website. Copyright The content of this document is, unless otherwise indicated, © The City and Guilds of London Institute 2006 and may not be copied, reproduced or distributed without prior written consent. However, approved City & Guilds centres and learners studying for City & Guilds qualifications may photocopy this document free of charge and/or include a locked PDF version of it on centre intranets on the following conditions:

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Level 3 Certificate in Pharmacy Services (7356) 1

Level 3 Certificate in Pharmacy Services (7356) Assignment guide

www.cityandguilds.com September 2006 Version 1.0

2 Level 3 Certificate in Pharmacy Services (7356)

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Contents

1 Introduction: About the assignments 5 2 Unit 305 Assignment coverage sheet 7 3 Assignments 9 Assignment 301 Pharmaceutical Science 10 Assignment 302 Pharmacy practice skills 10 Assignment 303 Law relating to Pharmacy 10 Assignment 304 Pharmaceutics: the complete dispensing process and applied

techniques 10 Assignment 306 Principles of medicines’ administration and the actions and uses of

medicines relating to blood, nutrition and sensory organs 10 Assignment 307 Actions and uses of medicines relating to the central nervous,

endocrine and musculo-skeletal systems 10 Assignment 308 Actions and uses of medicines relating to infections, malignant

diseases, immunosupression, gynaecology and obstetrics 10 Assignment 309 Actions and uses of medicines relating to gastro-intestinal,

cardiovascular and respiratory systems 10 Assignment 310 Pharmaceutical production including aseptic procedures 10 Assignment 311 Assist in the provision of community specialist services 10 Assignment 312 Assist in the sale of over the counter medicines, and provide

information and advice in community pharmacy 10 Assignment 313 Facilitate the learning of self and others in a pharmacy setting 10 Appendix 1 About the VRQ Recording forms 10 Appendix 2 Form VRQ 1 10 Appendix 3 Form VRQ 2 10 Appendix 4 Form VRQ 4 10




1 Introduction: About the assignments

Mandatory Units (301-309) Coverage Learners must complete all of the following assignments and complete and pass all tasks within each assignment to achieve the mandatory units. Assignments Assignment 301 Pharmaceutical science Assignment 302 Pharmacy practice skills Assignment 303 Law relating to pharmacy Assignment 304 Pharmaceuticals: the complete dispensing process and applied techniques Assignment 306 Principles of medicines’ administration and the actions and uses of

medicines relating to blood, nutrition and sensory organs Assignment 307 Actions and uses of medicines relating to the central nervous, endocrine

and musculo-skeletal systems Assignment 308 Actions and uses of medicines relating to infections, malignant diseases,

immunosuppression, gynaecology and obstetrics Assignment 309 Actions and uses of medicines relating to gastro-intestinal, cardiovascular

and respiratory systems Assignment 305 (Human Anatomy and Physiology) Unit 305 outcomes have been incorporated into Assignments 301, 306-309 and therefore learners must achieve a pass in all of these assignments in order to achieve Unit 305. Achievement of Unit 305 will be recognized on the final certificate. Coverage of Unit 305 outcomes can be found in 305 assignment coverage sheet prepared for this unit which precedes Assignment 306. Assignment 308 This assignment comprises common and sector-specific tasks. Learners must ensure they answer only those questions relevant to the sector in which they are currently working. Assignments

Optional Units (310-313) Coverage Learners must complete one assignment relevant to their chosen optional unit and complete and pass all tasks within that assignment. Assignments Assignment 310 Pharmaceutical production including aseptic procedures Assignment 311 Assist in the provision of community specialist pharmacy services Assignment 312 Assist in the sale of over the counter medicines, and provide information

and advice in community pharmacy Assignment 313 Facilitate the learning of self and others in a pharmacy setting


Tasks A number of the tasks require answers to be presented in a table or grid. Tables/grids are provided in the assignments which follow. Learners may use these or may wish to create their own tables/grids. Tables/grids created by learners must contain the same information as the tables/grid provided by City & Guilds in the assignment.

Recording requirements The following recording forms are provided for centre use and should be photocopied as required:

• Form VRQ 1 Learner and centre details • Form VRQ 2 Summary of achievement • Form VRQ 3 Learner assessment record, assignment feedback and results sheet • Form VRQ 4 Assignment witness statement form

Forms VRQ 1, 2 and 4 can be found from page 10 of this guide. Form VRQ 3 follows each assignment. It must be completed by the assessor and retained with the assignment for verification. Centres are reminded that forms VRQ 2 and 3 must be safeguarded by the centre throughout the learner’s period of assessment and maintained by the centre for a period of three years after completion of the qualification. Learners should be given a photocopy of these completed forms to keep in their file/portfolio.

Assignment coverage sheets An assignment coverage sheet accompanies each assignment indicating where unit outcomes are covered in individual tasks. Coverage of unit 305 outcomes in assignments 301, 306-309, is given in Unit 305 Assignment Coverage sheet.

Marking criteria All tasks are graded at pass/fail only. Detailed marking schedules and guidance accompany each assignment and, due to their sensitive nature, are kept in a password protected folder on the website.

Relationships with other qualifications Level 3 NVQ in Pharmacy Services Details can be found on the cover sheet of each unit in the Qualification Handbook. Key Skills This qualification provides opportunities to gather evidence for the accreditation in Key Skills. Full details can be found in Appendix 1 in the Qualification Handbook. The Wider Curriculum This qualification provides opportunities to cover aspects of the wider curriculum. Full details can be found in Appendix 2 of the Qualification Handbook.


2 Unit 305 Assignment coverage sheet Human anatomy and physiology

The table below identifies learning outcomes that are covered in Assignments 301, 306, 307, 308 and 309 Please note: there is no separate assignment for Unit 305

Outcome Assignment Task Number

Outcome 1 - Identify the structure and function of major organs and body systems

1a Not covered

1b Assignment 309, Task C, Q1, 2

1c Assignment 308, Task C, Q1, 2

1d Assignment 306, Task C, Q 6 Assignment 309, Task A, Q 2

1e Assignment 306, Task C, Q 7

1f Assignment 307, Task A, Q 3, 4

1g Assignment 301, Task C, Q 6

1h Assignment 306, Task C, Q 4

1i Not covered

2a Assignment 309, Task B, Q 4

2b Assignment 309, Task B, Q 3

2c i Assignment 309, Task B, Q 3, 5

2c ii Assignment 309, Task B, Q 3, 5

2c iii, iv Not covered

2c v Assignment 309, Task B, Q 6

3a Assignment 309, Task B, Q 6

3b Not covered

3c Assignment 309, Task B, Q 6

4a, b, c, d, e, f Assignment 306, Task C, Q 2

5a, b, c, d Assignment 306, Task C, Q 3

6a, b Assignment 308, Task D, Q 1, 2

6c, d, e Assignment 308, Task D, Q 1

6f Not covered

6g Assignment 308, Task D, Q 3

7a Assignment 308, Task D, Q 4, 5

7b Assignment 308, Task D, Q 4, 6

7c, d Assignment 308, Task D, Q 4

7e Not covered

7f Assignment 308, Task D, Q 8

7g Assignment 308, Task D, Q 7


Outcome Assignment Task Number

7h Not covered

7i Not covered

7j Assignment 308, Task D, Q 8

Outcome 2 – Describe the importance of homeostasis by studying the roles of the endocrine and nervous systems in the regulation and co-ordination of the body systems

1a Not covered

1b Assignment 307, Task A, Q 5, 6

2 Not covered

3 Not covered

4a, d Not covered

4b-c Assignment 307, Task A, Q 5

5a-b Assignment 306, Task C, Q 7

5c Not covered

6a- c Not covered

6d Assignment 307, Task A, Q 2

6e Assignment 306, Task C, Q 2, 3, 4

6f Assignment 307, Task A, Q 5

7a-c Not covered

7d Assignment 306, Task C, Q 7

8a- c Assignment 307, Task A, Q 6

8d Assignment 307, Task A, Q 5

8e-g Not covered

Outcome 3 – Describe the defence systems in the human body

1 Not covered

2 Assignment 308, Task C, Q 2

3 Assignment 308, Task C, Q1, 2

4 Not covered


3 Assignments


Assignment 301 Pharmaceutical Science Assessor / centre guidance

Standards familiarisation Assessors delivering and marking this assignment must be familiar with the structure, content and assessment requirements of the Level 3 Certificate in Pharmacy and the Level 3 NVQ in Pharmacy Services qualifications. This should be carried out prior to issuing assignments to candidates.

Completion of assignment Normally approximately 6 hours, open book.

Reference sources Candidates may find the current edition of the following materials/reference sources useful when undertaking the assignments

• Biology, chemistry and microbiology text books

Access / requirements No access requirements are necessary to complete this assignment

Equipment No equipment is necessary to complete this assignment.

Health and safety There are no specific health and safety requirements for this assignment.


Assignment 301 Pharmaceutical Science Assignment coverage sheet

The table below identifies the learning outcomes that are covered in the assignment:

Outcome Assignment task number

Outcome 1 - Describe the structure and classification of inorganic chemicals

1a-e Task A, Q 1

2a-b Task A, Q 1, 2, 4

2c Task A, Q 2

2d Task A, Q 1

2e Task A, Q 2, 4

2f Task A, Q 4

3 Task A, Q 2, 4

4a Task A, Q 2

4b Task A, Q 3

4c Not covered

Outcome 2 – Describe the principles of chemical reactions

1a Task A, Q 1

1b-c Task A, Q 3

2 Not covered

3 Task B, Q 1

4 Task B, Q 1

5 Task A, Q 3

Outcome 3 – Describe the structure and function of cells and tissues

1 Task C, Q 1

2a Task C, Q 1, 2

2b Task C, Q 1

2c Not covered

2d Task C, Q 1, 3

2e Task C, Q 1, 2

2f Task C, Q 1, 2

2g Task C, Q 1, 2

2h Task C, Q 1, 2

3 Task C, Q 4

4 Task C, Q 5

5a Not covered

5b Not covered

5c Task C, Q 6

5d Not covered



Outcome 4 - Describe the basic structure of biological chemicals

1a Task D, Q 1

1b Task D, Q 1

1c Not covered

2 Task D, Q 2

3 Task D, Q 4

4a Task D, Q 3

4b Task D, Q 4

4c Task D, Q 4

4d Task D, Q 4

4e Not covered

4f Task D, Q 4

4g Task D, Q 4 and Assignment 307, Task A, Q 6

5 Assignment 306, Task C, Q 6

6a-c Not covered

7a-d Task D, Q 5

8a-c Task D, Q 6, 7

9 Task D, Q 8

10a, c Task D, Q 8

10b Not covered

11 Task D, Q 9

12 Task D, Q 9

Outcome 5 – Describe the range of micro-organisms, their structure and classification and the basic principles of hygiene

1a-d Task E, Q 1

1e-f Task E, Q 3

1g Not covered

2 Task E, Q 1, 3

3 Task E, Q 1

4a-d Task E, Q 1

5 Task E, Q 2

6 Not covered

7 Not covered

8a, d Not covered

8b-c Task E, Q 4

9 Task E, Q 4

10 Task E, Q 4

11 Task E, Q 5


Assignment 301 Pharmaceutical Science Tasks

Task A

1 a Draw an electron diagram of a magnesium atom.

b State the atomic number and atomic mass of a magnesium atom.

c State the electronic structure of a magnesium atom.

d Identify the group number in the periodic table to which magnesium belongs.

e Name the group to which magnesium belongs.

2 a Draw an electron diagram to show the formation of potassium chloride.

b State the type of bond present.

c State what holds this type of bond together.

d Describe the effect of bonding upon the charge of the potassium and chlorine atoms.

e i Identify the group number in the periodic table to which potassium belongs.

ii Name the group to which potassium belongs.

iii Identify two characteristics of this group.

f i Identify the group number in the periodic table to which chlorine belongs.

ii Name the group to which chlorine belongs.

iii Identify two characteristics of this group.

3 a Draw an electron diagram of methane.

b State the type of bond present.

c Write a balanced equation showing the reaction of carbon and hydrogen to form methane.

d State the relative molecular mass of methane.

4 a Name the group to which:

i helium belongs

ii copper belongs.

b State two characteristics of each of the groups in a).

c State one common use of helium.

d State one common use of copper.


Task B

1 Complete the following table of SI units

Name Unit Abbreviation Equivalent

1 kilogram g

1 gram mg

1 milligram 1000

mcg ng

1000 pg

1 picogram 1/1000 ng

Task C

1 Identify structures of the cell diagram below:

2 Describe the structure and function of each of the following:

a plasma membrane b golgi apparatus c lyosomes d cytosol e nucleus.

3 a Draw a diagram of rough endoplasmic reticulum.

b Draw a diagram of smooth endoplasmic reticulum.

c Describe how the differences in the structure of rough and smooth endoplasmic reticulum affect their functions.


4 Describe the process of diffusion.

5 a Describe the term isotonic.

b Describe the effects upon the body if our body fluids were not isotonic.

6 List the different muscle types and state their roles in the human body.

Task D

1 Draw a diagram of the structure of each of the following carbohydrates:

a straight chain monosaccharide

b disaccharide.

2 Describe the function of carbohydrates within the body.

3 Describe how the structure of an enzyme is relevant to its action.

4 State the function of each of the following proteins:

a transport protein

b immunoprotein

c structural protein

d contractile protein

e hormones.

5 a Identify two types of lipids.

b State the main function of each of the lipids identified in a).

6 a Identify parts A, B and C in the diagram below of a DNA nucleotide.

b State which part contains nitrogen.

7 State the main structural difference between DNA and RNA.

8 a Draw and label a molecule of water indicating the charges on each part.


b State one function of water as a

i solvent

ii temperate buffer.

9 a Draw a PH scale and label the three main divisions.

b Place the following substances in the correct place on the PH scale:

i human gastric juice

ii human blood.

c State one method of testing the PH of a substance and interpret the result from your chosen method.

Task E

1 For each of the diseases listed below:

i identify the micro-organism that causes the disease

ii describe the reproduction of the micro-organism

iii identify two symptoms of the disease

iv draw a labelled diagram showing the structure of the micro-organism.

Diseases:

a acquired immune deficiency syndrome (AIDS)

b E. coli food poisoning

c malaria

d athletes foot.

2 List the measures a health care facility should have in place to prevent the spread of disease from an infected patient for each of the following modes of disease transmission:

a droplet contact

b direct physical contact

c indirect contact

d airborne transmission

e faecal-oral.

3 State three characteristics of:

a prokaryotic cells

b eukaryotic cells.

4 a State two uses of disinfectants in a health care facility.

b State two precautions that should be taken when regularly using disinfectants to prevent microbial resistance.

c State one use of antiseptics in a healthcare facility.


5 List two causes of how each of the following may occur in a health care facility:

a contamination

b cross contamination.


Candidate assessment record Assignment feedback and result sheet

Unit number and title Assignment 301 Pharmaceutical Science

Candidate’s name Enrolment number

Assessor’s name Centre number

Dates assignment submitted

1st

2nd

Tasks 1st Submission Outcome Pass/Fail

Resubmission Outcome Pass/Fail

IV Signature if sampled

A1

A2

A3

A4

B1

C1

C2

C3

C4

C5

C6

D1

D2





D3

D4

D5

D6

D7

D8

D9

E1

E2

E3

E4

E5


Assessor/Tutor feedback to candidate on outcome of assessment

Target date and action plan for resubmission (if applicable)

Assessor/Tutor feedback to candidate on outcome of resubmission

Date of final assessment decision

I confirm that this assessment has been completed to the required standard and meets the requirements for validity, currency, authenticity and sufficiency

Tutor/assessor’s signature

Date

I confirm that the assignment work to which this result relates, is all my own work

Candidate signature Date

Internal verifier signature

Date


Assignment 302 Pharmacy practice skills Assessor / centre guidance



Reference sources Candidates may find the current edition of the following materials/reference sources useful when undertaking the assignments.

• Articles or books on Customer Service, Medicines Management, Pharmacy Practice and Health and Safety

• Articles, books or leaflets on Health Promotion and ‘self help’

• The RPSGB Pharmacy Technician Code of Ethics: www.rpsgb.org.uk

• The RPSGB Pharmacy Technician Plan and Record: www.uptodate.org.uk

• HSE H&S guidance and COSHH guidance: www.hsegov.uk

• Pharmaceutical practice (edited by Winfield and Richards).

Access / requirements Assessors must ensure that candidates have access to the current edition of all of the following materials/procedures in order to complete the assignment:

• Dispensing Standard Operating Procedures

• Customer Complaints Procedure

• Organisational Health and Safety Policies and procedures

• Stock Management Procedures including outstanding stock procedures

• Medicines spillages and breakages procedures

• Organisational Employee’s Handbook.




Assignment 302 Pharmacy practice skills Assignment coverage sheet



Outcome 1 Identify their customers and others with whom they regularly interact

1a-c Task A, Q 1, 2

2a-e Task A, Q 2

3a-e Task A, Q 1, 2

Outcome 2 Describe the safe and effective supply and use of medicines and the promotion of health

1a-f Task A, Q 2, Task B, Q 1

2a-f Task A, Q 2, Task B, Q 1

3 Task F, Q 1

4 Task A, Q 2

5a, c Task A, Q 2

5b, d-e Not covered

6a-d

Task A, Q 2

7a

Task B, Q 1

7b Task B, Q 2

7c-d Task B, Q 3

Outcome 3 State the need for and describe the application of organisational polices and standard operating procedures (SOPs) within the pharmacy working environment

1 Task C, Q 1

2 Task D, Q 1

3 Not covered

4 Task C, Q 1

5 Task A, Q 2

Outcome 4 Explain and demonstrate the process of ordering, receiving, maintaining and issuing of pharmaceutical stock and equipment

1 Task E, Q 3

2a-b, d Task A, Q 2, Task E, Q 1

2c Not covered

2e Tasks E, Q 2

2f Task E, Q 1

3 None

4 Task A, Q 2

5 Task E, Q 1, 2

6a-c None



7a-d Tasks E, Q 1, 2, 3

8a Tasks E, Q 1, 2

8b-c Task E, Q 2

9 Task D, Q 1, 3

10 Task F, Q 2

Outcome 5 Demonstrate support of learning of self and others

1 None

2 None

3 Task E, Q 3

4 Task C, Q 2

5 Task C, Q 2


Assignment 302 Pharmacy practice skills Tasks

Task A

1 Providing an effective customer service is essential when delivering pharmacy services.

a Define each of the following categories of customer:

i internal

ii external.

b Identify four types of customers that would fit within each of the two categories defined in a).

c Describe how to develop an effective working relationship with each category of customer defined in a).

2 Read the scenarios and answer the questions which follow.

a A customer is waiting to collect a prescription from your pharmacy and is becoming rather agitated. The customer begins to complain to another customer waiting that the prescription is taking too long to dispense. You hear the customer mutter ‘Surely it doesn’t take that long to put a label on a bottle’

i Explain how to approach and communicate with the patient and how to identify their requirements.

ii State three factors that might affect good customer relationship and describe how each of these can be minimised to ensure customer expectations are met and potential conflict is minimised.

b Once the prescription is completed you begin to issue this to the customer who is the patient. The prescription is for a course of antibiotic eye drops requiring one bottle for each eye and painkilling tablets. Unfortunately your pharmacy only has one bottle of the eye drops in stock. When you explain this, the patient becomes anxious and angry, demanding a reason why there is insufficient stock and suggests raising a complaint.

i Explain how you would deal with this situation ensuring that an effective customer service is delivered.

ii Explain the procedure undertaken when assisting with a customer complaint .

iii Describe the action you would take to supply the outstanding bottle of eyedrops.

c Once this situation is resolved, you continue to issue the medication and undertake patient counselling. During this conversation the patient tells you that they are allergic to an antibiotic but cannot remember its name. The patient also asks you if there is any specific information regarding the eye drops, as this is a new prescription.

i State why undertaking ‘patient counselling’ is beneficial to patients.

ii When counselling the patient, describe the action you would take regarding the antibiotic query.

iii List a minimum of three reference sources that contains specific information about medicines.

iv Explain how confidentiality is ensured when issuing a prescription.


Task B

1 a Describe the role of pharmacy services in:

i promoting health

ii the safe use of medicines.

2 Identify two different advertising methods that could be used to promote health messages wiithin your workplace.

3 a Choose one specific disease and identify either one local or one national organisation involved with aiding ‘self help’.

b Describe the methods and role of the organisation identified in 3a in supporting patient ‘self help’.

Task C

1 a State the purpose of ‘Standard Operating Procedures’ SOPs.

b Explain the importance of adhering to SOPs in pharmacy practice

c Give two examples of how you would personally fulfil the requirements listed in the Royal Pharmaceutical Society of Great Britain’s (RPSGB) Pharmacy Technicians’ Code of Ethics, for each of the following categories:

i Key Responsibilities for Pharmacy Technicians

ii Personal Responsibilities

iii Pharmacy Technician providing professional services

iv Professional competence

v Confidentiality.

2 a Describe the benefits of identifying your own learning needs and developing a Personal Development Plan (PDP).

b Describe the relationship between a PDP and Continuing Professional Development (CPD).

Task D

1 Describe the health and safety obligations for a pharmacy with a staff of ten.

2 Explain the employers’ and employees’ role and responsibility for health and safety in the workplace.

3 Read the scenario and answer the question which follows:

Your pharmacy has a small team of ten staff. Whilst you are storing the daily delivery of pharmaceutical stock, a 500ml glass container of syrup falls from a top shelf and breaks, causing a cut on your leg.

Describe the accident reporting process in your own pharmacy.

Task E

1 a Describe the stock management system used in your workplace.

b Explain the importance of ‘effective stock management’ .

c State the principles of stock rotation, stock checks and the need for expiry dates.


2 a State three possible sources and situations in which stock could become spoilt.

b Describe the procedures for dealing with the safe disposal of prescription only medicines

c State the legal requirements for the safe disposal of methadone liquid stock.

3 a Reflecting on your own work experience, develop instructions for a new member of staff explaining the process for receiving stock. Include in your instructions the need to ensure correct stock is received and it is ‘fit for purpose’.

b Describe the information this new member of staff would require for dealing with broken or spoilt hazardous pharmacy stock.

Task F

1 Describe how the basic principles of medicines management relates to the safe and effective supply of medicines.

2 Complete the table overleaf for each of the four categories of ‘Drug Alerts’.


Category Action required as specified by MHRA

Organisation’s procedures for dealing with drug alerts

1

2

3

4



Unit number and title Assignment 302 Pharmacy practice skills




1st

2nd




A1

A2

B1

B2

B3

C1

C2

D1

D2

D3

E1

E2

E3

F1

F2








Date




Date


Assignment 303 Law relating to Pharmacy Assessor / centre guidance



Reference sources Candidates may find the current edition of the following materials/reference sources useful when undertaking the assignments.

• Articles or books on Pharmacy Law, Pharmacy Practice, Health and Safety, National Health Service, Healthcare Professionals

• Medicines, Ethics and Practice

• British National Formulary (BNF)

• Chemist and Druggist

• The Royal Pharmaceutical Society of Great Britain (RPSGB) website www.rpsgb.org.uk

• The RPSGB Pharmacy Technician Code of Ethics: www.rpsgb.org.uk

• The RPSGB Pharmacy Technician Plan and Record: www.uptodate.org.uk

• The Association of Pharmacy Technicians UK: www.aptuk.org

• Health & Safety Executive (HSE), Health & Safety (H&S) guidance and Control of Substances Hazardous to Health (COSHH) & Chemicals Hazard Information & Packaging – for supply regulations (CHIP) guidance: www.hse.gov.uk

• Organisational Codes of Practice, policies and procedures

• Pharmaceutical practice (edited by Winfield and Richards).

Access / requirements Assessors must ensure that candidates have access to the current edition of all of the following procedures in order to complete the assignment:

• Dispensing Standard Operating Procedures

• Purchasing and Distribution Standard Operating Procedures

• Good Manufacturing Practice (GMP).




Assignment 303 Law relating to Pharmacy Assignment coverage sheet



Outcome 1 Identify and apply legislation relating to the manufacture, sale, supply and use of drugs and medicines

1 Task A, Q 1

2a Tasks A, Q 3, 7

2b Task A, Q 7

2c Task A, Q 5

3 Task A, Q 1

4a-d Task A, Q 1

5a, b Task A, Q 2

5c Tasks A, Q 2, 3, 4

5d Not covered

5e Task F, Q 2

5f Task A, Q 5

6a-d Task A, Q 6

7a, c Task E, Q 1

7b, d Not covered

8a - c Not covered

9a, b Task A, Q 2

9c Not covered

9d Task F, Q 2

Outcome 2 Describe the structure and function of the National Health Service and other professional organisations relating to Pharmacy

1 Not covered

2a, b Task B, Q 1

2c Task B, Q 1

2d Task B, Q 2

2e Not covered

2f Task B, Q 2

3 Task B, Q 3

4a, b Not covered

Outcome 3 Explain and compare the roles and responsibilities of pharmacist, pharmacy support staff and other health care professionals within pharmacy practice

1a Task C, Q 2

1b Task C, Q 1, 2

1c Task C, Q 2



1d Not covered

2 Not covered

3 a, c-f Task C, Q 2

Outcome 4 Describe the factors affecting and the standards governing, safe working practises within pharmacy

1a-c Not covered

1d Task D, Q 1

1e-g Not covered

1h-i Not covered

1j-k Task D, Q 1

2a Task D, Q 3

2b-c Not covered

2d-e Not covered

2f Task D, Q 1

3 Task D, Q 1

4 a Task D, Q 2

4 b Not covered


Assignment 303 Law relating to Pharmacy Tasks

Task A

1 a Describe three acts governing all dealings with medicines and non-medicinal poisons.

b Explain the terms ‘medicinal product’ and ‘medicinal purpose’.

2 For each of the products listed:

a state the legal classification

b describe the conditions for retail sale or supply

c identify the labelling and packaging requirements.

Products:

i Paracetamol tablets or capsules (non-effervescent) 500mg x 100 pack size

ii Clotrimazole 1% with Hydrocortisone 1% cream x 30g

iii Nicotinell TTS 20 patches x 7 days supply

iv Simvastatin 10mg tablets as a maximum daily dose x 28

v Aspirin tablets 75mg x 100 request from a parent to buy for their 14 year old daughter to take.


3 State whether the prescription below, issued for an eleven year old child, is legally valid and give reasons for your answer.

4 State where the registration status can be checked and confirmed as valid, for the following prescribers:

I doctors

ii dentists

iii supplementary and independent prescribers.

Dr B Pill Everytown Medical Centre Nowhere St BX1 C47 Tel: 0405 645637


5 State the conditions that apply to the sale or supply of emergency requests for prescription only medicines by:

i a patient

ii a prescriber.

6 a Identify and describe the scope of Schedules 1-5 in the Misuse of Drugs Regulations 2001.

b Identify the type of drugs controlled by each of the Schedules identified in a).

c Describe the storage, recording and destruction requirements for each of the five Schedules.

d Study the prescription and answer the questions which follow:

i State whether the prescription is legally valid and give reasons for your answer.

ii Describe the regulations that govern the supply of Methadone to addicts.

iii List the details to be recorded in the register when dispensing controlled drugs.

7 a Identify the ‘prescription only medicines’ that can be purchased by an Ophthalmic Optician for use in their practice.

Dr B Pill Nowhere Medical Centre Mortimer Street , Everytown BX1 C33 Tel: 0405 645 637

Rx Methadone Oral Solution 60mg daily for 14 days

Date dd/mm/yy*

Age DOB 26/01/1978

FP10-MDA-SS

Pharmacy Stamp

Number of days treatment NB Ensure dose is stated

Signature of Prescriber

Title, Forename, Surname & Address

Ms A Patient 13 Any Street Everytown BX1 C45

Endorsements


b Describe the legal recording requirements for a dispensed private prescription written by a dentist for a 7day course of Metronidazole 400mg tablets to be taken three times daily.

Task B 1 a Describe the structure of the Royal Pharmaceutical Society Great Britain (RPSGB) and explain its role.

b Describe the structure and functions of the Society’s Council and the Royal Charter.

2 Read the scenario and answer the questions which follow:

A prescription for a young adult calling for 140ml Fluoxetine Liquid, 10mg daily, with a strength of 20mg in 5ml was dispensed as 2 x 70ml and both bottles were labelled with directions ‘Take two 5ml spoonfuls daily’. After taking the medication the patient became unwell and referred back to the prescriber. The dispensing error was identified and the patient subsequently made a formal complaint to the RPSGB through the Fitness to Practice and Legal Affairs directorate.

a Draw a flow diagram to illustrate the investigating and disciplinary process that the RPSGB would follow on receiving such a complaint.

b Describe the inspection and enforcement role of the RPSGB and any possible penalties that could be incurred.

3 a Describe the structure and role of the Association of Pharmacy Technicians United Kingdom.

b Describe the current role of the RPSGB in the regulation and registration of pharmacy technicians.

Task C

1 Identify four different pharmacy sectors that employ pharmacy technicians

2 Describe the role of each of the following healthcare professionals in relation to pharmacy practice:

i Nurses ii Doctors iii Dentists iv Ophthalmic opticians v Health visitors.


Task D


When obtaining the patient details on receipt of a prescription for a course of antibiotics, it becomes apparent that the person handing in the prescription is the mother of the 19 year old patient. During the conversation the mother asks you what the prescription is for and asks you to look on the computer records to tell her if her daughter has had this medicine before.

a Explain how you would legally and ethically approach this situation.

b Identify and describe any legislation and codes of practice that would support you in your actions.

2 Describe the principles relating to ‘Patient Group Directions’ (PGD).

3 a Define the term ‘Clinical Governance’.

b Describe one aspect of clinical governance and explain how this relates to pharmacy practice.

Task E

1 a State the meaning of ‘Non-medicinal Poisons’

b State the differences between Part I and Part II poisons.

c Read the scenario and answer the questions which follow

A gentleman comes into the pharmacy wishing to purchase ‘’Phostoxin’. He says he is a farmer who has just moved into the area and wishes to purchase this product to kill moles in one of his fields. The Pharmacist does not know this gentleman.

i Identify the active ingredient in Phostoxin

ii State the poison classification of Phostoxin.

iii Describe how the sale of this poison should proceed. Include in your answer the legal requirements and information to be given to this gentleman to allow him to purchase ‘Phostoxin’.

iv Describe the legal recording requirements if this poison was sold.

Task F

1 Draw a flow diagram showing the ‘cascade’ system of supplying medicines on a prescription, written by a veterinary surgeon.

2 State the details that must be written on the label of a supplied or veterinary medicine dispensed under the cascade system.



Unit number and title Assignment 303 Law relating to Pharmacy




1st

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A3

A4

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D3

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F1

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Date




Date


Assignment 304 Pharmaceutics: the complete dispensing process and applied techniques

Assessor / centre guidance


Completion of assignment Normally approximately 6 hours, open book content here

Reference sources Candidates may find the current edition of the following materials/reference sources useful when undertaking the assignment:


• British Pharmacopoeia (B.P.)

• British Pharmaceutical Codex (B.P.C.)

• Local formularies


• Monthly Index of Medical Specialities (MIMS)

• Drug Tariff


• Martindale

Access / requirements Assessors must ensure that candidates have access to all the following procedures, reference sources and systems in order to complete the assignment:

• local dispensing standard operating procedures (SOPs)

• extemporaneous preparation SOPs

• Data Protection Act

• cleaning SOPs

• Control of Substances Hazardous to Health (COSHH regulation)

• Health and Safety at Work Act (HASWA)

• computer back up systems SOPs.

Equipment IT equipment is desirable for Task A1e (production of labels)

Health and safety There are no specific health and safety reuqirements for this assignment



Assignment coverage sheet



Outcome 1 Outcome 1 title Demonstrate the safe working principles and practices applied to dispensing prescriptions

1a-g Task A, Q 1, 2

2a-g Task A, Q 3

2 h Not covered

3a Task A, Q 4

3b-c Not covered

4a Task A, Q 5

4b-c Task A, Q 1

4d Task A, Q 6, 7

5 Task A, Q 8

6a Task B Q 2

6b Not covered

6c-d Task A, Q 9

6e Not covered

7a-g Not covered

8 Task A, Q 10

9 Task A, Q 11

Outcome 2 Describe formulation, packaging and storage requirements of medicines

1 Task B, Q 1

2a Task B, Q 3, 7

2b Task B, Q 4

2c Not covered

2d Not covered

2e Not covered

3a, d Not covered

3b-c Task B, Q 5

4a,d Task B, Q 5

4 b-c Not covered

5 a-c Task B, Q 6

6a-b, f-g Task B, Q 2

6 c-d, h Not covered

6e Task B Q 1

8 a-c Task B, Q 2



Outcome 3 Perform accurate weighing, measurement, calculations and labelling in the process of preparing and dispensing medicines

1a-e Not covered

2 Task C, Q 1

3a Task C, Q 3, 4, 5, 6, 7, 8

3b Task C, Q 3, 6, 7

3c Task C, Q 3, 8

3d Task C, Q 4, 5

3e Task C, Q 8

3f Task C, Q 4

3g Task C, Q 6

4 Task B, Q 1

5a, b Not covered

5c Task C, Q 2

5d Task C, Q 1

6 Task A, Q 1

7a Task A, Q 1

7 b-f Not covered



Tasks

Task A

1 Mrs Radley hands the prescription below into her community pharmacy.

Any Primary Care Trust Dr A N Other (123456) The Surgery Anywhere Tel: 0405 645637


a State the process to be followed on receipt of the prescription from the patient.

b State the process for validating the prescription including checking for validity, legality and authenticity.

c Describe the process for labelling and dispensing the prescription.

d Produce/draw labels for each of the medicines to be dispensed.

e List the information legally required on these labels.

f Explain the endorsement procedure for this prescription.

g Describe the action you take to ensure you dispense correctly.

h Explain how the prescription should be issued and include any relevant counselling the patient must receive in connection with this prescription.

2 Identify the personnel in your department who are authorised to carry out final checking on a clinically screened prescription.


3 a List four reference sources used in pharmacy services.

b Describe the contents of each reference source identified above.

4 List four types of NHS prescriptions currently available and explain their uses.

5 For each of the patients below, state whether they would pay for their prescription or be exempt and give reasons for your answers:

a James Smith is 17 years old and is studying for a plumbing qualification at his local college in the evenings. He has been given a prescription for prednisolone tablets for his asthma flair-up.

b Mrs Brown has been prescribed antibiotic drops for her eye infection. Her husband was made redundant last year and is currently claiming Job Seekers’ allowance.

c Mr Solomon suffers with Epilepsy. He has been prescribed amitriptyline 25mg tablets.

d Mrs Abbott gave birth 10 months ago and has been given a prescription for fluoxetine 20 mg capsules.

e Miss Green has been prescribed sulfasalazine EC 500mg tablets and loperamide 2mg capsules. She has applied for a prepayment certificate but it has not yet arrived. Explain what you would say to Miss Green.

f Mrs Willow is 55 years old and has been prescribed Prempak-C tablets. She tells you this is her first prescription for this item. State what you would say to her.

6 Identify whether an emergency supply can be issued in the following situations. If so, state the quantity that can be supplied.

a Mr Fitzpatrick comes into the pharmacy. He explains he is on holiday and has forgotten his beclometasone 100mcg inhaler and requires a replacement to last him for the remainder of his holiday

b Ms Gray comes into the pharmacy and explains she is visiting her sister for 6 weeks but has forgotten to bring her bendroflumethiazide 2.5mg tablets with her.

7 Explain why all requests for emergency supplies of prescription only medicines must be referred to the pharmacist.

8 List five forms/strengths available for the following drugs and describe the circumstances in which each form would be used:

a Paracetamol

b Ciprofloxacin.

9 Explain the following terms:

a drug interactions

b contra-indications.

10 List two possible consequences of failing to monitor stock levels in your pharmacy.

11 a Describe the back-up system used by your pharmacy to ensure computerised


systems are kept up to date

b Describe the significance of having a back-up system in your workplace.

Task B

1 a Define the term ‘extemporaneous preparations’.

b State the importance of sieving powdered ingredients when preparing extemporaneous products.

2 Questions a – f relate to the following extemporaneous preparation:

Menthol 0.5% in Aqueous cream Apply to the affected areas PRN Mitte 200g

a Describe the techniques required to prepare this extemporaneous preparation.

b State the function of each ingredient.

c Identify the primary packaging and give reasons for your answer.

d State the expiry date and give reasons for your answers.

e State correct storage requirements.

f State two possible sources of contamination during the preparation process and describe how these could be minimised.

3 Define the following terms:

a linctus

b eixir

c emulsion.

4 Describe the differences between ointments, pastes and creams.

5 a State the use of:

i Syrup BP in solutions

ii Ascorbic acid in solutions.

b Identify the function of each of the ingredients identified in i) and ii) above

c i Define the term: ‘solution’

ii State two factors that affect the solubility of a substance.

6 Describe each of the following types of water found in pharmacies:

a Potable

b Distilled

c Water for injection


d Water for preparation.

Task C

1 State two precautions you must take when dispensing loose cytotoxic tablets.

2 Referring to two hygroscopic medicines, state the correct procedure for dispensing this type of medicine.

3 A dose of ibuprofen for a child is 5mg/kg 3 times a day

a Calculate the dose required for a child weighing 20kg showing all your working.

b State the quantity of ibuprofen to be supplied if the child was taking the dose 3 times a day for 10 days.

4 a Calculate the quantity of sodium chloride required to produce 1 litre of 3.6% Sodium chloride solution.

b State the quantity of 3.6% Sodium chloride solution required to produce 500ml of 0.9% sodium chloride solution.

5 Express:

a 2.5 milligrams as micrograms

b 11.01 kilograms as grams

c 2.2 litres as millilitres

d 500 milligrams to grams

6 Patient A is admitted to hospital on 100mg Phenytoin capsules. Patient A takes 100mg twice a day. The patient is having difficulty swallowing and it is decided to transfer the patient onto Phenytoin 30mg/5ml suspension.

a Referring to the BNF, state the dose in mls of Phenytoin 30mg/5ml suspension to be given to the patient

b Give a reason for your answer.

7 State the strength of tablets and calculate the amount to be supplied for each of the following prescriptions:

i Methotrexate tablets:

Methotrexate 7.5mg once a week for 4 weeks

ii Digoxin tablets:

Digoxin 187.5micrograms daily for 28 days

iii Amiodarone tablets:

Amiodarone 200mg three times daily for 7 days Amiodarone 200mg twice daily for 7 days


Amiodarone 200mg once daily for 14 days

8 The Children’s starting dose for cholestyramine sachets is calculated using the following formula:

Childs weight in kg x adult dose in g 70 The adult starting dose is 4g

i Calculate the dose for a child weighing 30kg

ii Calculate the dose for a child weighing 55kg



Unit number and title Assignment 304 Pharmaceutics: the complete dispensing

process and applied techniques




1st

2nd

Task 1st Submission Outcome Pass/Fail



A 1

A2

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A4

A5

A6

A7

A8

A9

A10

A11

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B2

B3

B4

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Date




Date


Assignment 306 Principles of medicines’ administration and the actions and uses of medicines relating to blood, nutrition and sensory organs


Standards familiarisation Assessors delivering and marking the assignment must be familiar with the structure, content and assessment requirements of the Level 3 Certificate in Pharmacy and Level 3 NVQ in Pharmacy Services qualifications. This should be carried out prior to issuing assignments to candidates.


Coverage of Unit 305 Refer to Unit 305 Assignment Coverage Sheet (Section 2) for details of 305 outcomes covered in this assignment.

Reference sources Candidates may find the current edition of the following materials/reference sources useful when undertaking the assignment


• Monthly Index Medical Specialties (MIMS)

• British Medical Association - New guide to Medicines and Drugs

• Human physiology text book

• Pharmacology text book

Access / requirements This assignment does not require access to any procedures

Equipment No equipment is necessary to complete this assignment

Health and safety There are no specific health and safety requirements for this assignment






Outcome 1 Explain the basic principles of drug delivery including drug interactions and adverse drug reactions

1a-b,d Not covered

1c,e-f Task A, Q 1

2 a-d Task A, Q 2

3a Task A, Q 3

3b-d Not covered

4 Assignment 304, Task A, Q 9

5 Not covered

6 Not covered

7 Task A, Q 4

8 Task A, Q 4

Outcome 2 Describe the principles of drug dependency including drug abuse

1 a-b, d Task B, Q 1

1 c Not covered

2, 3 Not covered

4 a-c Task B, Q 2

5 Not covered

Outcome 3 Describe the therapeutic management of diseases and disorders affecting the blood and nutrition

1a Task C, Q 1

1b Not covered

1c Task C, Q 1

2a Task C, Q 1

2b Not covered

2c Task C, Q 1

3a Task C, Q 1

3b,d Not covered

3c Task C, Q 1

4 Task C, Q 5

5a Task C, Q 5

5b Not covered



6a-b Not covered

7a-b Not covered

8a-c Not covered

9a Not covered

9b Not covered

9c Task C, Q 8

10 Task C, Q 6

Outcome 4 Describe the therapeutic management of diseases and disorders affecting the eyes, ears, nose, mouth, throat and skin

1a-b Task C, Q 1

1c-d Not covered

2a-b Task C, Q 1

2c-d Not covered

3a Task C, Q 1

3b-c Not covered

4a, c-d Not covered

4b Task C, Q 1

5a-c Not covered

6a-d Not covered

7a,b,d Not covered

7c Task C, Q 1

8a,c,d,e Not covered

8b Task C, Q 1

9a-c Task C, Q 1

10a-c Task C, Q 1



Tasks

Task A

1 List two benefits and two limitations of each of the following routes of drug administration and drug delivery:

i inhalation

ii transdermal

iii topical.

2 Describe how orally administered drugs are:

i absorbed

ii distributed

iii metabolised

iv excreted.

3 Draw and label a diagram showing the action of agonist drugs.

4 a State the purpose of the Yellow Card Scheme.

b Give three examples of who may use the Yellow Card scheme.

Task B

1 Explain the following terms:

i drug tolerance

ii drug dependency

iii withdrawal effects.

2 Describe the indication, mechanisms of action, common side effects, cautions and advice to patients for each of the following drugs:

i Chlordiazepoxide capsules

ii Nicotine replacement patches

iii Methadone 1mg/ml solution.

Refer to the table overleaf for the number of common side effects, cautions and advice to

patients required to be described.


Condition/disease/disorder Side effects Cautions Advice Chlordiazepoxide capsules 2 2 2 Nicotine replacement patches 1 1 2 Methadone 1 mg/ml solution 3 3 2

Task C

1 a For each of the conditions/diseases/disorders listed below, describe the:

i cause of the condition/disease/disorder

ii general symptoms

iii drug therapies.

Conditions/diseases/disorders:

a Iron deficiency anaemia

b Megaloblastic anaemia

c Haemophillia

d Open-angle glaucoma

e Bacterial conjunctivitis

f Otitis externa

g Cold sores

h Psoriasis

i Veruccas

Refer to the table below for the number of causes, general symptoms and drug therapies required to be described.

Condition/disease/disorder Cause General symptoms Drug therapies Iron deficiency anaemia 1 2 2 Megaloblastic anaemia 1 3 1 Haemophillia 1 1 1 Open-angle glaucoma 1 3 2 Bacterial conjunctivitis 1 3 1 Otitis externa 1 3 2 Cold sores 1 2 2 Psoriasis 1 1 2 Veruccas 1 1 1

b Select one of the drug therapies you have identified for each of the conditions/diseases/disorders listed in a) and describe:

i mechanism of action

Ii three common side effects

Iii two patient counselling points.


2 a Draw and label a diagram of the eye showing the following parts:

i pupil

ii iris

iii sclera

iv extrinsic muscle

v optic nerve

vi retina.

b State the function of the pupil.

3 a Draw and label a diagram of the ear showing the following parts:

i outer ear ii middle ear iii inner ear iv ear drum v hammer vi anvil vii cochlea.

b State the function of the cochlea.

4 a Draw and label a cross-section diagram of the skin showing the following parts:

i epidermis

ii dermis

iii hair folicle

iv erector muscle

v sweat gland

vi sweat duct

vii sweat pore

viii blood vessels

ix sebaceous gland.

b Describe how the skin maintains body temperature.

5 A customer seeks your advice on how to deal with travellers’ diarrhoea as he will be going on holiday to Thailand.

i Describe two symptoms of travellers’ diarrhoea.

ii State two different treatments that can be sold over the counter for this condition.

iii Describe the mechanism of action for each treatment identified in ii).

iv State two pieces of advice to be given to the patient to prevent the condition.


6 a Beginning with the mouth, identify the organs involved in digestion.

b List the main digestive enzymes and state in which organ they are active.

c State two functions of the small intestine.

d State three functions of the large intestine.

e State the causes and treatment of Coeliac Disease.

f State three symptoms of Coeliac Disease in adults.

7 a Describe the function of the kidney.

b Explain how the parasympathetic nervous system controls the storage and release of urine by the bladder.

8 a State one cause of Gout.

b State two symptoms of Gout.

c Identify one drug used to treat the symptoms of Gout.

d Name one common drug used in the prophylactic treatment of Gout.



Unit number and title Assignment 306 Principles of medicines’ administration and

the actions and uses of medicines relating to blood, nutrition and sensory organs




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Date


Assignment 307 Actions and uses of medicines relating to the central nervous, endocrine and musculo-skeletal systems










• Pharmacology text book.

Access / requirements This assignment does not require access to any procedures.







Outcome Assignment Task number

Outcome 1 - Describe the therapeutic management of diseases and disorders affecting the central nervous system

1a Not covered

1b Task A, Q 1

1c-d,h-j Not covered

1e-g Task A, Q 1

2 Not covered

3a-b Task A , Q 7

3c-d Not covered

4a-d Task A, Q 1, 2

5a, c-e Task A, Q 1

5b,f-i Not covered

Outcome 2 - Describe the therapeutic management of musculo-skeletal and joints diseases and disorders

1a, c Task A, Q 1

1b, e-f Not covered

1d Assignment 306 Task C, Q 8

2a-d Task A, Q 1

2e Assignment 306 Task C, Q 8

Outcome 3 - Describe the therapeutic management of diseases and disorders affecting the endocrine system

1a,c,d Task A, Q 1

1b,e Not covered

2a,c,d,h Task A, Q 1

2b,f,g,i Not covered

2e Task A, Q 8



Tasks

Task A

1 a For each of the conditions/diseases/disorders listed below, describe the:

i cause * of the condition/disease/disorder

ii general symptoms

iii drug therapies.

*Triggers are also acceptable for depression, classic migraine and type 2 diabetes. Refer to the table below for the number of causes/triggers, general symptoms and drug therapies required to be described.

Condition/disease/ disorder

Cause/ trigger*

General symptoms

Drug therapies

Parkinson’s disease

1 3 1 each from 2 different therapy groups

Epilepsy 3 3 2 Osteoporosis 3 1 2 specific drugs from different

therapy groups Rheumatoid arthritis

1 3 1 specific drug from 3 different therapy groups

Depression 2 3 1 specific drug from 2 different therapy groups

Classic migraine 3 3 1 drug for the treatment of Classic migraine, 1 drug for the prophylaxis of migraine

Type 1 diabetes 1 3 3 types of named therapy Type 2 diabetes 2 3 1 specific drug from 2 different

therapy groups Hypothyroidism 1 3 1 Menopause 1 3 2

b Select one of the drug therapies you have identified for each of the conditions/diseases/disorders listed below, describe:

i mechanism of action

ii three common side effects

iii two patient counselling points.

Conditions/diseases/disorders:

a Parkinson’s disease


b Epilepsy

c Osteoporosis

d Rheumatoid arthritis

e Depression

f Classic migraine

g Type 1 diabetes

h Type 2 diabetes

I Hypothyroidism

j Menopause.

2 Draw and label a diagram of a nerve fibre showing the following parts:

a nucleus

b axon

c myelin sheath

d dendrites.

3 Draw and clearly label cross-section diagrams demonstrating the structural differences between the following bone conditions:

a normal

b osteoporotic.

4 a State the function of the rib cage.

b Draw and label a diagram of the hip joint showing the following parts:

i ligaments

ii cartilage

iii synovial fluid

iv synovial membrane

v pelvis

vi capsule

vii femur.

c State the main function of the hip joint.

5 Explain how insulin regulates rises in blood glucose.

6 a Draw and label a diagram showing the feedback mechanisms of thyroxine secretion.

b State one function of thyroxine in the body.

7 Draw the analgesic ladder and place an appropriate drug on each step.


8 a Identify the syndrome associated with long term use of high doses of corticosteroids.

b List three common symptoms of this syndrome.

c State three pieces of advice that must be given to patients on long term corticosteroid therapy.



Unit number and title Assignment 307 Actions and uses of medicines relating to

the central nervous, endocrine and musculo-skeletal systems




1st

2nd




A 1

A2

A3

A4

A5

A6

A7

A8








Date




Date


Assignment 308 Actions and uses of medicines relating to infections, malignant diseases, immunosupression, gynaecology and obstetrics




Coverage of Unit 305 Refer to Unit 305 Assignment Coverage Sheet (Section 2) for details of 305 outcomes covered in this assignment



• Monthly Index of Medical Specialties (MIMS)



• Pharmacology text book


Equipment No equipment is necessary to complete this assignment

Health and safety There are no specific health and safety requirements for this assignment






Outcome 1 Describe the therapeutic management of diseases and disorders caused by infections

1 Not covered

2 Task A, Q 1

3 Task A, Q 1

4a Task A, Q 2

4b Task A, Q 3

4c Assignment 306, Task C, Q1

4d-e Not covered

4f Task A, Q 4

Outcome 2 Describe the therapeutic management of vaccines and immunological products.

1a-b Not covered

2a-c Not covered

3 Task B, Q 1

4a-d Task B, Q1

5a-d Not covered

6a Not covered

6b Task B, Q1

6c-e Not covered

Outcome 3 Describe the therapeutic management of diseases and immunosupression.

1 Task C, Part 1, Q 3


3a-b Task C, Part 1, Q 4


5a-b Task C, Part 2, Q 6

5c-d Task C, Part 2, Q 7

5e Not covered

6a-b Not covered

6c-d Task C, Part 3, Q 8

7a Task C, Part 3, Q 9

7b-d Not covered

Outcome 4 Describe the therapeutic management obstetrics, gynaecological and urinary tract


Outcome Assignment task number diseases and disorders.

1a, c-d Not covered

1b Task D, Part 2, Q 9

2a Task D, Part 3, Q11

2b Task A, Q5

2c Not covered

3a Task D, Part 3, Q12

3b-d Not covered

4a,c-d Not covered

4b-d Task D, Part 2, Q10



Tasks

Read the following instructions carefully and only answer the questions relevant to the sector in which you are working All sectors - Hospital and Community Answer: Task A (Questions 1-5 inclusive), Task B (Question 1), Task C Part 1 (Questions 1-5 inclusive) and Task D Part 1 (Questions 1-8 inclusive) Hospital only Answer Task C Part 2 (Questions 6 and 7) and Task D Part 2 (Questions 9 and 10) only Community only Answer Task C Part 3 (Questions 8 and 9) and Task D Part 3 (Questions 11 and 12) only Task A

1 Explain the terms:

a ‘Resistance’ in relation to anti-infective therapy

b ‘Antibacterial sensitivity’ in relation to the choice of antibacterial treatments.


Miss Jones, a 33 year old female, has been to see her GP who has diagnosed her with tonsillitis. She hands you a prescription for the following:

Amoxicillin capsules 250mg 1 three times daily for 5 days

a List four symptoms of tonsillitis.

b Give two examples of treatments, other than antibiotics, that may help to relieve the symptoms.

On issuing the prescription to Miss Jones, you learn that she is allergic to penicillin

c State the course of action you would take on hearing this information and explain why

Miss Jones returns with a new prescription for the following:

Erythromycin 250mg tablets four times daily for 5 days.

On issuing the medication you learn that Miss Jones is taking the contraceptive pill.

d State the advice that must be given to Miss Jones.



Mr Brown asks for your advice on treatment for his athlete’s foot.

a Name two topical preparations in different forms used to treat athlete’s foot, as listed in the current edition of the BNF.

b Explain how each preparation identified in a) should be used.

c State two pieces of advice that Mr Brown can be given for preventing a reoccurrence of athlete’s foot.


Mrs White visits your pharmacy to buy some mebendazole for her 3 year old child, Giles. On questioning her, you discover that Giles has thread worms and that Mrs White has two other children aged 4 and 7, who are not showing any symptoms.

a State the symptom likely to be present in a child with threadworms.

b Describe the mechanism of action of mebendazole .

c State three pieces of advice that must be given to Mrs White about mebendazole

d State three pieces of advice you would give Mrs White to avoid the infection spreading to other members of the family.

5 a State three symptoms of vaginal thrush.

b State the medical term for this fungal infection.

c State one treatment for vaginal thrush which is prescription only.

d State one treatment for vaginal thrush that can be purchased over the counter.

e Identify two routes of administration for the drug treatment of vaginal thrush.

Read the scenario and answer the questions which follow:

Mrs Green visits your pharmacy and asks for a treatment for vaginal thrush. Mrs Green has previously been diagnosed by her GP but has been free from symptoms for 12 months. She has used pessaries before but did not like them as she found them messy to use. Mrs Green is no taking any other medication.

f Identify an appropriate treatment for Mrs Green to purchase.

g State one common side effect that Mrs Green could experience for the treatment you have identified in A5f.

h State two pieces of advice that should be given to Mrs Green to aid recovery and help prevent a reoccurrence.

Task B


Mr Templeton calls into the pharmacy and tells you that he is going away for three months to work in the Republic of Congo. He is carrying out some botanical research and will be testing soil samples. He asks for your advice on vaccines for international travel and malaria prophylaxis.


a List three vaccinations that Mr Templeton will require.

b State one common side effect of each of the vaccines identified in a).

c State the storage requirements for these vaccines.

d State the current drug of choice for the prophylaxis of Malaria in the area Mr Templeton is visiting.

e State the recommended dose and duration of treatment.

f Describe two other measures that Mr Templeton could take to protect himself from Malaria.

g List one symptom Mr Templeton must watch for upon his return to the UK and give a reason for your answer.

Task C Part 1: Questions 1-5 inclusive to be answered by all sectors

1 Describe the structure and function of the lymphatic system.

2 Describe two roles of each of the following in protecting the body against injury or infection:

i monocytes

ii lymphocytes.

3 Draw and title two diagrams to show the structural differences between normal and malignant cells.

4 State the three different types of therapies that are available to treat cancer patients.

5 List two general side effects associated with Cytotoxic drugs.

Part 2: Questions 6 and 7 to be answered by Hospital sector only


Mrs White has been diagnosed with advanced breast cancer. She has had a mastectomy followed by radiotherapy. She is currently receiving chemotherapy treatment which consists of Cyclophosphamide IV, Methotrexate IV and 5-Fluorouracil IV.

a State the reason for using chemotherapy in addition to the other two methods of treatment.

b State the drug classes to which cyclophosphamide, methotrexate and 5- fluorouracil belong.

c Describe the mechanism/s of action of each drug class identified in b).

d List three side effects Mrs White may experience with this therapy.

e State two treatments given to alleviate the side effects of chemotherapy.


f State one piece of advice to be given to Mrs White concerning her physical appearance.


Mr Franks is a 58 year old and was diagnosed with stage III high grade Non- Hodgkins Lymphoma over ten weeks ago. Since then he has received three cycles of CHOP [which consists of Cyclophosphamide IV, Doxorubicin IV, Vincristine IV and Prednisolone 100mg orally for 5 days]. He complains of mouth ulcers and a sore throat. He is receiving chlorhexidine mouthwash and nystatin suspension for these symptoms.

a State the drug classes to which doxorubicin,vincristine and prednisolone belong.

b Describe the mechanism of action for each type of drug class.

c State the doses of chlorhexidine and nystatin that Mr Franks would be advised to use.

d State the action of chlorhexidine and nystatin.

e List three pieces of mouth care advice to be given to Mr Franks.

Part 3: Questions 8 and 9 to be answered by Community sector only


Mr England calls into your pharmacy and hands over the following prescription: Azathioprine tablets 100mg twice daily Mycophenolate Mofetil tablets 1.5g twice daily Prednisolone tablets 5mg twice daily

a Referring to the medication listed above, state the major operation Mr England has undergone.

b State the main function of each of these drugs.

c State two common side effects of each of the drugs on Mr England’s prescription.

d State three pieces of advice that should be given to Mr England for each of the prescribed drugs.


Mrs O’Clare is 48 years old and has been treated for breast cancer. She hands over a prescription for the following: Tamoxifen tablets 20mg daily

a Identify the drug class to which tamoxifen belongs.

b List one benefit of prescribing tamoxifen to Mrs O’Clare.

c List three common side effects of tamoxifen.

d State the main side effect that Mrs O’Clare should report to her GP, should it occur, and give a reason for your answer.


Task D Part 1: Questions 1-8 inclusive to be answered by all pharmacy sectors

1 Draw and label a diagram of the male reproductive system showing all of the following parts:

a testis

b epididymis

c scrotum

d sperm duct

e penis.

2 State the function of the Testis and Epididymis.

3 a State the hormone that controls sperm production.

b State the site of secretion of the hormone identified in a).

4 Draw and label a diagram of the female reproductive system showing all of the following parts:

a ovary

b oviduct (Fallopian tube)

c uterus

d vagina.

5 State two functions of the Ovary.

6 State the function of the Oviduct (Fallopain tube).

7 Describe the effect of Luteinising Hormone (LH) and Follicle Stimulating Hormone (FSH) on the menstrual cycle.

8 State the function of the mammary glands.

Part 2: Questions 9 and 10 to be answered by Hospital sector only


Mrs Cooper is at the end of her pregnancy and is two weeks past her due date. Her obstetrician decides to induce her as he considers that mother and baby could be at risk.

a State two drugs used in the induction or augmentation of labour.

b Describe the mechanism of action of the two drugs listed in a).

c Describe the next stage if neither of the two drugs identified in a) are successful.

d List three different types of pain relief used during labour.

e State one side effect of each type of pain relief listed in d).



Mr Hughes, a 68 year old man, has recently been prescribed oxybutinin 2.5mg twice a day.

a State the condition oxybutinin is used to treat.

b Describe the mechanism of action of oxybutinin.

c List three side effects of oxybutinin.

d State the counselling to be given to Mr Hughes whilst taking oxybutinin.

Part 3: Questions 11 and 12 to be answered by Community sector only 11 Read the scenario and answer the questions which follow:

Mrs Jay has a prescription for vaginal tablets containing estradiol 25mcg 2 x 15 tablets and applicators

a State the condition for which these tablets would be prescribed.

b State the usage instructions to be given to Mrs Jay.

c State one risk of using topical HRT for long periods of time.

12 a Read the scenario and answer the questions which follow:

Miss Austin has long suffered with dysmenorrhoea and has asked her GP for some treatment for this condition. She also seeks advice on contraception. Her GP prescribes her a combined oral contraceptive pill containing levonorgestrel 150mcg and ethinylestradiol 30mcg. She smokes 10 cigarettes a day and is overweight.

i Describe two mechanisms of action of this contraceptive.

ii State two risks associated with taking oral contraceptives.

iii List two benefits of taking oral contraceptives.

iv State two pieces of advice to be given if Miss Austin misses a dose .

v List two common side effects of combined oral contraceptives.

Miss Austin went away for the weekend. She forgot to take her oral contraceptives and had unprotected sex.

b i State the precaution that Miss Austin should take.

ii State the drug and dosage given for emergency hormonal contraception.

iii State two pieces of advice to be given to Miss Austin regarding the use of emergency hormonal contraception.



Unit number and title





1st

2nd




A 1

A2

A3

A4

A5

B1

Task C Part 1 - all sectors

C1

C2

C3

C4

C5





Task C Part 2 - Hospital sector only

C6

C7

Task C Part 3 - Community sector only

C8

C9

Task D Part 1 - all pharmacy sectors

D1

D2

D3

D4

D5

D6

D7

D8

Task D Part 2 - Hospital sector only

D9

D10

Task D Part 3 – Community sector only

D11

D12








Date




Date


Assignment 309 Actions and uses of medicines relating to gastro-intestinal, cardiovascular and respiratory systems







• Monthly Index Medical Specialities (MIMS)



• Pharmacology text books









Outcome 1 Describe the therapeutic management of disease and disorders of the gastro-intestinal tract.

1a Task A, Q 3

1b Task A, Q 3

1c Assignment 306 Task C, Q 5

1d Task A, Q 1

1e Not covered

1f Assignment 306 Task C, Q 1

1g Assignment 308 Task A, Q 4

2a Task A, Q 3

2b Task A, Q 3

2c Assignment 306 Task C, Q 5

2d Task A, Q 1

2e Not covered

2f Assignment 306 Task C, Q 1

2g Assignment 308, Task A, Q 4

Outcome 2 Describe the therapeutic management of diseases and disorders of the cardiovascular system.

1a-d, g Not covered

1e Not covered

1f Task B, Q 1 and 2

1h Task B Q 1

2a-d, g Not covered

2e Not covered

2f Task B, Q 1 and 2

2h Task B, Q 1

Outcome 3 – Describe the therapeutic management of diseases and disorders affecting the respiratory system

1a Not covered

1b Task C, Q 2

1c Task C, Q 1

1d Not covered

1e Task C, Q 2



2 Not covered

3 Not covered

4a, d Not covered

4b Task C, Q 2

4c Task C, Q 1

4e Task C, Q 2

5a-c Not covered

5d Task C, Q 1

6 Not covered



Tasks

Task A


Mr Gilbert seeks your help as he believes he is suffering from constipation. He complains of stomach cramps and is finding it painful to pass stools when going to the toilet.

a List the four types of drug therapies available to treat his condition and give one example of each.

b Describe the mechanism of action and one common side effect for each of the drug therapies listed in a).

c State two pieces of advice you would give to Mr Gilbert.

2 Describe the action of peristalsis in the intestines.

3 a Read the scenario and answer the questions which follow:

Mrs Smith is suffering from chest pain. She is able to pin point the pain to the centre of her chest. She tells you the pain is much worse at night. She has been taking diclofenac for her arthritis for the last 2 years. She thinks it could be either of the following: a heart burn b indigestion c acid reflux d ulcer.

i List two drug therapy types available to treat the conditions listed above (a-d) and give one example of each

ii Describe the mechanism of action for each of the two drug therapy types listed in i)

iii List the common side effects for each of the examples given in i)

iv State two pieces of advice you would give to Mrs Smith regarding the two drug therapy types stated in i).

Two weeks later Mrs Smith hands you a prescription for the following:

• Lansoprazole 30mg twice daily for 7 days

• Amoxicillin 1g twice daily for 7 days

• Clarithromycin 500mg twice daily for 7 days

b i Identify a disorder from which Mrs Smith could be suffering. ii Identify the bacteria associated with this treatment. iii Describe how this combination treatment will help treat Mrs Smith’s condition. iv List two common side effects for each of the drugs listed above that Mrs

Smith might experience when taking these medications.


Task B


Mrs White is a 55 year old woman who has been discharged from hospital following a myocardial infarction. She has been prescribed the following drugs:

• Aspirin 75mg 1 tablet daily

• Atenolol 50mg 1 tablet daily

• Ramipril 5mg 1 capsule to be taken twice daily

• Simvastatin 10mg 1 tablet at night

• Glyceryl Trinitrate spray - one or two puffs when required

a For each of the drugs listed above, identify the drug therapy type .

b Describe the mechanism of action of each of the drugs prescribed to Mrs White.

c State one common side effect for each of the prescribed drugs drugs above that Mrs White may experience.


Mrs Newton is an overweight female who has recently been put on warfarin following a DVT. She had been taking HRT therapy which was stopped when her DVT was diagnosed. She has no other medical problems and has never had a thrombotic event before. Mrs Newton has her INR monitored at the hospital clinic every fortnight.

a i Name in full, the abbreviated medical term DVT .

ii Give a reason why Mrs Newton’s HRT treatment was stopped.

iii Name in full, the abbreviation INR and state its purpose.

iv State the target INR for Mrs Newton.

v List four points of advice that Mrs Newton should be given regarding the correct use of warfarin .

Several weeks later, Mrs Newton injures her ankle and visits her local chemist to buy some ibuprofen tablets.

b i List five questions Mrs Newton should be asked upon requesting this medication.

ii State two pieces of advice that Mrs Newton should be given on discovering that she is on warfarin.


3 Referring to the diagram of the heart below, identify structures A-L:

4 List five constituents of blood.

5 Referring to the cross section diagrams of an artery and a vein below, identify parts A-D inclusive.

6 Describe the function of the cardiovascular system


a in temperature regulation

b as a transport system.

Task C


Miss Knight is a 24 year old female who has long suffered with asthma. Her asthma condition is currently under control and she hands you a prescription for the following:

• Salmeterol easibreathe inhaler 25mcg 2 puffs twice daily

• Beclometasone easibreathe inhaler 200mcg 1 puff twice daily

• Salbutamol inhaler 100mcg 2 puffs up to four times daily when required.

a i State two symptoms of asthma.

ii State the type of drug therapy to which each of the inhalers listed above, belong.

iii Describe the mechanism of action of each type of drug therapy listed in ii).

iv State one common side effect that may result from using the beclometasone inhaler and the advice you would give Miss Knight to alleviate this side effect.

v State one other piece of advice you would give Miss Knight regarding the use of her beclometasone inhaler.

One month later, Miss Knight experienced a severe asthma attack and was admitted to hospital. She was prescribed two additional medicines in hospital as listed below:

• Ipratroprium bromide 20 micrograms per dose inhaler 2 puffs four times daily

• Theophylline M/R tablets 400mg twice daily

�

b i Identify the type of drug therapy to which each of the newly prescribed items belong.

ii Describe the mechanism of action of each of the drugs listed above.

iii State one common side effect for each of the newly prescribed drugs listed above.


Mr Xavier is an overweight ex-coal miner, 65 year old, who has smoked 30 cigarettes a day for the past 40 years. He has had a productive cough for the past 10 years producing grey sputum. Over the years he has experienced wheezing and recently finds that he becomes breathless on exertion. He has been diagnosed with moderate COPD. Mr Xavier was admitted to hospital recently where he was diagnosed with bronchitis and emphysema which worsened. Pneumonia then developed.

a Name in full, the abbreviated medical term COPD.

b List three drug classes and give one drug example per class, used in the treatment of COPD.

c Identify one method for delivery of high doses of medicines used to manage COPD .

d State one common antibiotic used to treat purulent sputum.

e Describe one role of oxygen in the treatment of patients with severe COPD.


3 Referring to the diagram of the lungs below, identify structures A – F.

4 Describe the process of respiration.



Unit number and title Assignment 309 Actions and uses of medicines relating to

gastro-intestinal, cardiovascular and respiratory systems




1st

2nd




A1

A2

A3

B1

B2

B3

B4

B5

B6

C1

C2

C3

C4








Date




Date


Assignment 310 Pharmaceutical production including aseptic procedures


Standards familiarisation Assessors delivering and marking this assignment must be familiar with the structure, content and assessment requirements of the level 3 Certificate in pharmacy and the Level 3 NVQ in pharmacy services qualifications. This should be carried out prior to issuing assignments to candidates

Completion of assignment Normally approximately 3 - 4 hours, open book


• Rules and Guidance for Manufacturers and Distributors 2002 (‘Orange Guide’)

• Pharmaceutical Practice (edited by Winfield & Richards)

• Pharmaceutics: the science of dosage form design (edited by Aulton)

• Quality Assurance of Aseptic Preparation Services

• British Pharmacopoeia (B.P.)

• British Pharmaceutical Codex (B.P.C.)

• Health and Safety at Work Act (HASWA)

• Control of Substances Hazardous to Health (COSHH) regulations

• Chemicals Hazard Information & Packaging – for supply regulations (CHIP 2)

• Aseptic Dispensing for NHS patients

• Medicines Act 1968 – licensing

Access / requirements Local standard operating procedures, as appropriate

Equipment No equipment is necessary is necessary to complete this assignment







Outcome 1 Legislation and guidelines controlling pharmaceutical production

1 a – c Task D, Q 1

1 d Task C, Q 10

1 e Task D, Q 3

1 f Not covered

1 g Not covered

1 h Assignment 302 Task C, Q 1

2 Task C, Q 1, Q 3, Q 7, Q 8

Outcome 2 Describe the environment and equipment for pharmaceutical production

1 Task A, Q 1

2 Task A, Q 1

3 Task A, Q 1, Q 3

4 Task A, Q 3

5 Task A, Q 1, Q 2 ,

6 Task A, Q 2

7 Task A, Q 3

8 Task A, Q 3

9 Not covered

Outcome 3 Describe the manufacturing process

1 Not covered

2 Not covered

3 Task D, Q 2

4 Task C, Q 1, Q 7

5 Not covered

6 Not covered

7 Task A, Q 1

8 a-c Task B, Q 1

8 d Not covered

9 Assignment 302 Task E, Q 1, Q 2, Q 3 and Task F, Q 1

10 a -b Task C, Q 1

10 c-e Not covered



Outcome 4 Explain the principles of quality control and assurance 1 Task C, Q 2

2 Task C, Q 2

3 a - c Task C, Q 4

4 Task C, Q 6

5 Task C, Q 6

6 Task C, Q 2

7 Task C, Q 7, Q 8, Q 9

8 Task C, Q 1, Q 3, Q 7

9 a Task C, Q 4

9 b Task C, Q 5

Outcome 5 Describe the aseptic preparation of pharmaceutical products including Cytotoxic products 1 Task D, Q 3

2 Task D, Q 1

3a Assignment 303 Task A, Q 2

3b Task D, Q 2

3c Not covered



Tasks

Task A

1 a Draw and label a simple diagram of a sterile manufacturing unit and indicate the air flows within the unit.

b List three design features of the unit and state their importance in helping to maintain cleanliness.

c State three main contamination sources of a pharmaceutical production unit.

d Describe the importance of personnel hygiene and state five rules relating to personal hygiene that must be adhered to when working in a pharmaceutical production unit.

e List five items of protective clothing that must be worn within a sterile manufacturing unit.

f State two activities that must be carried out to prepare the work area prior to manufacture/preparation.

2 a Draw the air flow pattern on each of the diagrams below:

i turbulent flow

ii laminar flow.


b State two types of pressure used in an isolator cabinet and give one reason for using each of the two types.

c State one reason for using each of the following:

i clean rooms

ii laminar air flow cabinets.


Upon entering the department, you discover the following have been reported: i a contact plate from the laminar air flow cabinet has shown a growth of 3 cfu ii QC have reported a count in excess of 5000 particles of 0.5micron in the aseptic

room iii the pressure gauge in the non sterile area is registering no air flow.

a State two actions to be taken immediately.

b i List three possible causes for i)

ii List two possible causes for ii)

iii List one possible cause for iii)

c Referring to 3ii), state one action that must be taken prior to the unit being approved for use again.

d State two reasons why Planned Preventative Maintenance is important for equipment used in production areas.

Task B

1 Describe a sterilisation method to be used for each of the products/items listed below and give one reason for your answer:

i clean room suits

ii liquid paraffin

iii Lidocaine injection 2%w/v

iv Povidone iodine eye drops 5%.

Task C

1 a State one reason for using each of the following types of worksheets:

i pre-printed

ii blank.

b State six factors that must be included on a pre-printed worksheet.

c State two consequences if work sheets are completed incorrectly.


2 Describe the differences between Quality Control and Quality Assurance and state how these are interlinked.

3 State two reasons for the importance of audit trails within the manufacturing/preparation/ quality assurance process.

4 Read the scenarios and answer the questions which follow:

i A batch of sterile injections has been made and placed into quarantine. ii The pharmacy stores department has received a delivery of empty glass vials and

placed them into quarantine. iii 6 x 5kg of a raw material has been delivered and placed in quarantine

a List four quality control checks that must be carried out for each of i), ii) and iii) before these items can be released from quarantine.

b State two reasons for placing these items into quarantine and state why they should remain in quarantine until officially released for use.

5 State the importance of a sampling strategy and list four factors that must be included.

6 a State the purpose of testing for each of the following:

i sterility

ii pyrogens

iii endotoxins

b Describe the method of testing for each of the following:

i sterility

ii pyrogens.

c State the three techniques used for testing for endotoxins


A supplier has recalled a defective batch of Sodium Chloride BP that may have been used in products made within your manufacturing unit. You have been asked to investigate and provide information on the following: i whether the batch was received by your department and if so, how many units were

received ii whether the batch had been used in the manufacture of any products made by your

unit and if so, in which products.

a State two sources for obtaining the information required for i) and ii).

b State two reasons why it is important to be able to access this information quickly.

8 State two factors for the importance of maintaining accurate QA records.

9 a State the importance of validation within a pharmaceutical production unit.

b State three examples where validation is required.


10 State three functions of the ‘Orange Guide’ for pharmaceutical manufacturing units.

Task D

1 State three principles for the safe disposal of waste products used in a manufacturing/aseptic preparation unit.

2 Draw a label featuring nine of the legal requirements for a 5 per cent solution of Sodium Chloride, 500ml for each of the following:

i a manufactured batch

ii a preparation, as covered by Section 10 of the Medicines Act 1968.

3 State three differences between an Unlicensed and Licensed manufacturing unit.



Unit number and title Assignment 310 Pharmaceutical production including

aseptic procedures




1st

2nd




A 1

A2

A3

B1

C1

C2

C3

C4

C5

C6

C7

C8

C9

C10

D1

D2

D3








Date




Date


Assignment 311 Assist in the provision of community specialist services




Reference sources Candidates may find the current edition of the following materials/references sources useful when undertaking the assignment




• Drug Tariff


• Pharmaceutics: the science of dosage form design (edited by Aulton)


• Medicines, Ethics and Practice.

Access / requirements • Local procedures for monitored dosage systems

• Local procedures for endorsing prescriptions

• Local procedures for submitting prescriptions to the Prescription Pricing Authority.








Outcome 1 Provide relevant advice on community specialist services

1 a, b Not covered

1 c Task A, Q 1

2 a, b Not covered

2 c Task A, Q 2

2d Task A, Q 2, Task B, Q 4

3 Task A, Q 2, Task B, Q 4

Outcome 2 – State the uses of appliances, dressings and other products including ostomy products

1 Task B, Q 1

2 Task B, Q 1

3 Not covered

4 Task B, Q 1

5 a, b, e, h, i, j, k, p Task B, Q 2

5 c, d, f, g, l, m, n, o, q Not covered

6 Task B, Q 3

Outcome 3 – Describe the process of the reimbursement of NHS prescriptions

1 a, c Task B, Q 1

1 b, d, e Not covered

2 Task C, Q 1

3a Not covered

3 b, c Task C, Q 2

Outcome 4 - Describe the supply of medications to care homes

1 Task A, Q 1

2 Task A, Q 1



Tasks

Task A

1 a State two types of patients who would benefit from having their medication dispensed in a monitored dosage system.

b State three benefits the patient would receive from this service.

c State one reason for implementing a monitored dosage system in a care home.

d Describe two different monitored dosage systems available.

2 a List one information source provided for patients visiting a pharmacy for each of the following:

i repeat prescription service

ii a health promotion service.

b State the information given in each information service identified in 2a).

Task B 1 Read the scenario and answer the questions which follow:

Mrs Brown brings a prescription into the pharmacy for thigh length, class II stockings 2 pairs. She tells you this is the first time she has had a prescription for these items. Mrs Brown has to pay for her prescriptions.

a Identify two conditions for which thigh length stockings could be prescribed.

b i State the information you would give Mrs Brown about her prescription charges.

ii state the measurements required to be taken to establish whether Mrs Brown can use standard size hosiery.

iii state the most appropriate time of day to take the measurements and give a reason for your answer.

iv state two reasons why it is important to take accurate measurements for fitting of compression hosiery.

v describe the correct method for fitting Mrs Brown’s stockings.

c Explain how you would ensure that Mrs Brown has fully understood the information you had given her about her stockings.

d Describe the procedure to be followed for:

i endorsing Mrs Brown’s prescription

ii submitting Mrs Brown’s prescription to the NHS Business Services Authority (formerly PPA) or appropriate authority at the end of the month.

2 Describe the structure and function of each of the following types of adhesive tapes, bandages and dressings:


i vapour-permeable

ii permeable adhesive tape

iii alginate dressings

iv hydrocolloid dressings

v cohesive bandages

vi odour absorbent dressings

vii hydrogel dressings

viii foam dressings.

3 a State two types of stoma.

b For each type listed in a), state two ostomy products available and describe their function.


Mr Smith comes into the pharmacy counter seeking your advice and information on how to give up smoking. He has been advised by his doctor to stop smoking as he has developed ‘heart problems’.

a State two patient information sources that may be available in your pharmacy on smoking cessation.

b State the information contained in two reference sources that are available in your pharmacy that could help you to advise Mr Smith.


Task C

1 Mr Bloggs hands you the following prescription. He suffers from epilepsy. State the amendment required to be made to the prescription below by the prescriber before the prescription can be dispensed

* assume the prescription is dated today.

2 Describe the importance of the Drug Tariff:

i when endorsing prescriptions

ii for identifying allowable products.

43 01/09/1963

Any Primary Care Trust Dr A N Other (123456) The Surgery Anywhere Tel: 0405 645637



Unit number and title Assignment 311 Assist in the provision of community

specialist services




1st

2nd




A 1

A2

B1

B2

B3

B4

C1

C2








Date




Date


Assignment 312 Assist in the sale of over the counter medicines, and provide information and advice in community pharmacy






• Monthly Index of Medical Specialties (MIMS)




• Pharmaceutics: the science of dosage form design (edited by Aulton, 2nd edition)

• British Medical Association - New guide to Medicines and Drugs.

Access / requirements • Pharmacy protocol on the sale of medicines

• Procedures for referral to the pharmacist

• Local procedures for giving advice to customers

• Local procedures for dealing with customers with special needs.








Outcome 1 Identify the needs of different types of customers and the information they require

1a,b,c Task A, Q 1

2 Task A, Q 6

3 Task A, Q 3, 6

4a Task A, Q 2, 3, Task B, Q 1

4b Task A, Q 2, 3, 4, 8, Task B, Q 1

4c Task A, Q 4

5 Task A, Q 2, 3, 5, 7, 8, 9

6 Task A, Q 5, 6

7a Task A, Q 3, 6, 7, 9

7b Task A, Q 2, 5, 8

7c Not covered

7d Task A, Q 3

Outcome 2 Provide accurate advice about OTC products, symptoms and healthcare

1a Task A, Q 5

1b Task A, Q 2, 8 Task B, Q 1

1c Task A, Q 7, 8

2 Task A, Q 5, 6

3a Not covered

3b Not covered

3c Task A, Q 2

3d Task A, Q 7

3e Task A, Q 6

3f Task A, Q 8

4 Task A, Q 3, 6

5 Task A, Q 3, 5, 6

6a-d Task B, Q 1



Tasks

Task A

1 a Identify the principal sections of your pharmacy’s protocol on the sale of medicines.

b Describe the contents of each principal section identified in a).

c State the reason why the pharmacy protocol on the sale of medicines must be followed at all times.


Mr Gray comes to the pharmacy counter. He tells you that he wants to give up smoking but does not know what products are available to assist him.

a List three different types of nicotine replacement products available to aid smoking cessation.

b Give one example of a product for each of the types as identified in 2a) and state their legal category.

c Chose two of the nicotine replacement products listed in 2b). For each product state the advice to be given to Mr Gray.


Mrs Green tells you that she needs to purchase some ibuprofen for her elderly neighbour who is suffering with backache caused by gardening.

a i List all the questions you would need to ask Mrs Green regarding her neighbour.

ii State the reason for asking each question listed in a i).

You decide to sell Mrs Green ibuprofen 200mg tablets. She chooses to purchase a pack of 84 tablets but your pharmacist is out to lunch.

b State what action you would take and give a reason for your answer.

4 Differentiate between Prescription Only Medicines (POMs) and Pharmacy (P) medicines.


Mr White seeks your help for an insect bite on his leg. He tells you he has had the bite for a week or so and it seems to be getting worse. His leg is swollen, red and itching. He has already tried taking chlorpheniramine tablets and applied Anthisan cream but they have not helped. He asks if you can recommend anything else.

a State one condition these symptoms could indicate.


b Explain why you would need to refer Mr White to the pharmacist.

c Describe how would you explain the referral to Mr White.


Sally, an 18 year old girl comes to the pharmacy counter. She seems embarrassed and worried. She asks if you stock ‘the tablets that stop you from getting pregnant.’

a List two points you would need to clarify with Sally.

b Describe two legal/ethical requirements for maintaining patient confidentiality.

c Describe two ways in which you could deal with Sally to maintain her confidentiality and not embarrass her further.

d Describe why you would need to refer Sally to the pharmacist and how you would explain this to her.


Mrs Lavender comes to the pharmacy counter. She asks you to recommend something for her children as they have ‘nits’ again.

a List three licensed OTC products available for head lice.

b State two different forms of products you could recommend to Mrs Lavender and explain the instructions for their correct use.

c State two other pieces of advice you could give Mrs Lavender on the treatment of head lice.


Ms Brown is driving herself to France by car and will be crossing the English Channel by ferry which will take 4 hours. She tells you she is not taking any other medication and asks if you can recommend an appropriate product for sea sickness.

a List two products suitable for Ms Brown and explain your reasons.

b State two pieces of advice you would give Ms Brown to help prevent sea sickness whilst travelling on the ferry.

Task B

1 a Give one example of one GSL or P product containing each of the following active ingredients.

i Xylometazoline

ii Benzocaine

iii Loperamide

iv Hydrocortisone

v Clotrimazole

vi Dextromethorphan

vii Cetirizine

viii Salicylic acid

ix Ranitidine

x Cinnarizine.


b For each product listed in a) state the licensed indication/s, common side effects, contraindications (if applicable) and advice to be given to the customer.



Unit number and title Assignment 312 Assist in the sale of over the counter

medicines, and provide information and advice in community pharmacy




1st

2nd




A 1

A2

A3

A4

A5

A6

A7

A8

B1








Date




Date


Assignment 313 Facilitate the learning of self and others in a pharmacy setting



Completion of assignment Normally approximately 3 hours, open book


• A validated ‘Learning Styles Questionnaire’ with details of how to score answers and interpret scores

• The Royal Pharmaceutical Society of Great Britain (RPSGB) Continuing Professional Development (CPD) Framework ‘Plan and Record’ either as hard copy or via the website www.uptodate.org.uk

• Articles or Books on CPD, Reflection and Reflective Practice









Outcome 1 - Identify and describe own preferred learning style

1 Task A, Q 1, 2, 4

2 Task A, Q 5

3 Task A, Q 5

4 Task A, Q 6

5 Task A, Q 7, 8

Outcome 2 - Describe the principles of creating conducive learning environments for supporting learning of self and others

1 Task B, Q 2, 3, 4

2 Task B, Q 4

3 Task B, Q 6

4 Task B, Q 7

5 Task B, Q 8

Outcome 3 - Describe the process of facilitating learning through demonstration and instruction

1 Task B, Q 2, 3, 4

2 Task B, Q 2, 3, 4

3 Task B, Q 5

4 Task B, Q 3

5 Task B, Q 3

6 Task B, Q 4, 7, 8

7 Task B, Q 4, 7, 8

Outcome 4- Explain the importance of continuing professional development 1 Task C, Q 2, 3

2 a – d Task C, Q 2, 3

3 Task C, Q 4

4 Task A, Q 7, Task C, Q 1

5 Task C, Q 5

6 Task C, Q 2

7 Task B, Q 2, 3 and Task C, Q 4



Tasks

Task A

1 Complete a ’Learning Styles Questionnaire’ using a recognised tool and score your answers as instructed. Reference the ’Learning Styles Questionnaire’ used.

2 Check your score for each learning style against the criteria provided within the questionnaire.

3 State your identified learning style profile.

4 Based on your identified ‘preferred’ learning style, list:

a three types of activities from which you would learn most

b three types of activities from which you would learn least.

5 a Complete a SWOT analysis.

b Describe how a SWOT analysis can help you identify your own training and development needs.

6 Identify three training and development needs specific to your practice.

7 Create a Personal Development Plan (PDP) that addresses the training needs identified in A6 using SMART objectives.

8 Describe the importance of maintaining and updating your PDP.

Task B

1 Identify an appropriate situation that involves facilitating of:

a own learning

b learning of others eg colleagues or patients.

2 Based on the situations identified in B1, initiate and carry out learning processes for each of

the following:

a own learning

b learning of others eg colleagues or patients .


3 List three factors from the ‘learning cycle’ that you considered when planning learning for yourself, colleagues or patients.

4 Describe two methods you used to:

a ensure effective learner participation for colleagues or patients

b confirm the learning for yourself, colleagues or patients.

5 Describe three benefits of incorporating demonstration and instruction as a teaching method for colleagues and patients.

6 Record the feedback you have given and feedback you have received from colleagues or patients in relation to this learning.

7 Explain how timely and constructive feedback can contribute to learners’ progress and motivation.

8 Reflecting on your overall performance and including feedback you received from colleagues or patients, consider any changes you would make to the content and delivery of learning.

Task C

1 Outline three key driving forces behind the RPSGB mandatory CPD framework for registered pharmacy technicians.

2 Describe your understanding of the term ‘CPD’.

3 Draw and label a CPD Cycle diagram.

4 Using the RPSGB Plan and Record reflection template, prepare a CPD record (starting at reflection) using one of the training and development needs identified in Task A6.

5 Identify three benefits of recording CPD.



Unit number and title Assignment 313 Facilitate the learning of self and others in

a pharmacy setting




1st

2nd




A1

A2

A3

A4

A5

A6

A7

A8

B1

B2

B3

B4

B5





B6

B7

B8

C1

C2

C3

C4

C5








Date




Date


Appendix 1 About the VRQ Recording forms

The following recording forms are provided for centre use and may be photocopied as required for this VRQ. Form VRQ 1 Candidate and centre details Form should be completed and placed at the front of the file/portfolio in which candidate’s assignments are kept. Form VRQ 2 Summary of Achievement Form used to record the candidate’s on-going completion of units and progress towards final achievement. It also allows the internal verifier and external verifier to indicate which units have been sampled for verification purposes. Form VRQ 3 Candidate assessment record, assignment feedback and results sheet Form used to record the results of each assignment and feedback to the candidate. It should be used, where necessary, to record an action plan for and results of all allowable assignment resubmissions. Form VRQ 4 Assignment witness statement form Form used for assignments where confirmation of the completion of work-based activities is required. Centres are reminded that Forms VRQ 2 and 3 must be safeguarded by the centre throughout the candidate’s period of assessment and then kept by the centre for a period of three years after completion of the qualification. Candidates should be given a photocopy of the completed forms to keep in their file/portfolio.


Appendix 2 Form VRQ 1 Candidate and centre details

VRQ title Level 3 Certificate in Pharmacy Services (7356)

Candidate name:

Candidate address:

Candidate telephone no.:

City & Guilds enrolment number:

Date enrolled with centre:

Date registered with City & Guilds:

Centre name:

Centre number:

Centre address:

Centre fax number:

Centre e-mail address:

Centre contact/quality assurance co-ordinator

(QAC) name


(QAC) contact details


(QAC) e-mail address


Appendix 3 Form VRQ 2 Summary of achievement

VRQ title: Level 3 Certificate in Pharmacy Services (7356)

Candidate name: City & Guilds ENR no:

Centre name: Centre number:

Assignments Date completed

Pass/Fail IV Signature if sampled

EV Signature if sampled

Unit 001 Pharmaceutical science

Unit 002 Pharmacy practice skills

Unit 003 Law relating to pharmacy

Unit 004 Pharmaceutics: the complete dispensing process and applied techniques

Unit 005 Human anatomy and physiology (There is no separate assignment for this unit. This unit will be achieved upon achievement of assignments 301, and 306-309 inclusive)

Unit 006 Principles of medicines’ administration and the actions and uses of medicines relating to blood, nutrition and sensory organs


Assignments Date completed

Pass/Fail IV Signature if sampled

EV Signature if sampled

Unit 007 Actions and uses of medicines relating to the central nervous, endocrine and musculo-skeletal systems

Unit 008 Actions and uses of medicines relating to infections, malignant diseases, immuno-

suppression, gynaecology and obstetrics

Unit 009 Actions and uses of medicines relating to gastro-intestinal, cardiovascular and respiratory systems

Unit 010 Pharmaceutical production including aseptic procedures

Unit 011 Assist in the provision of community specialist services

Unit 012 Assist in the sale of over the counter medicines, and provide information and advice in community pharmacy

Unit 013 Facilitate the learning of self and others in a pharmacy setting

All the assignments above have been completed to the required standard and meet the requirements for validity, currency, authenticity and sufficiency

Assessor’s Name

Date

Assessor’s signature

Date

Candidate’s signature

Date

Internal verifier’s signature

Date


Appendix 4 Form VRQ 4 Assignment witness and statement form

VRQ title Level 3 Certificate in Pharmacy Services (7356)

Candidate’s name

Assignment no.

Assignment title

Task(s)

I certify that the above candidate has:

• carried out the tasks listed in the assignment • followed the values and assumptions of Code of Ethics for Pharmacy Technicians of the Royal

Pharmaceutical Society of Great Britain throughout.

Signed Date

Position held Location





Published by City & Guilds 1 Giltspur Street London EC1A 9DD T +44 (0)20 7294 2468 F +44 (0)20 7294 2400 www.cityandguilds.com City & Guilds is a registered charity established to promote education and training

EN-03-7356

Documents

Level 3 Certificate in Pharmacy Services (7356)