1- Getting the right medicine to the right person Flashcards
Dispensing Doctors - exception
Certain rural areas (controlled localities)
GPs may apply to dispense NHS prescriptions
No “prejudice” to existing services
Switzerland & EEA (requirements)
If the prescription originates from a country or prescriber not on the approved list the prescription is not valid and you should use your professional judgement
Patient’s full first name(s), surname and date of birth
Prescriber’s full first name(s), surname, professional qualifications, direct contact details including email address and telephone or fax number (with international prefix), work address (including the country they work in)
Name of the medicine (brand name where appropriate), pharmaceutical form, quantity, strength and dosage details
Prescriber signature
Date of issue (valid for up to six months)
Even if the prescription requirements have been written in a foreign language the prescription is still legally acceptable
What are Private Prescriptions?
Outside the NHS
Patient is charged the cost of the item(s) plus a mark-up, and a fee levied by the pharmacist as payment for dispensing the item(
What requirements are there for private prescriptions?
the patient’s details
details of the medication to be supplied
the signature of the prescriber
the address of the prescriber
an indication of the prescriber type
an appropriate date
Repeat Prescriptions (NHS)
- RA printed on it
- valid for a year
- associated Repeat Dispensing issue forms will be marked ‘RD’ and are only valid for the period indicated on the repeat authorisation prescription.
- Pharmacist will keep the authorising form and the first repeat issue form after dispensing for the first time.
- Patient can look after the remaining repeat issue forms or pharmacist can store.
Repeat Prescriptions (Private)
- Written/printed statement on prescription. E.g. Repeat x 3
- first dispensing must take place within 6 months of the date on the prescription
- they can only be repeated once (dispensed twice) unless the prescription is for an oral contraceptive in which case it can be repeated five times (dispensed six times in total)
can patient get repeat prescriptions in different pharmacies?
yes and can retain the prescription
What form are military prescriptions?
FMed 296
who regulates the miliary prescriptions?
Ministry of Defence (MOD) contract
community pharmacy not covered by contact will handle military prescriptions
Explain Optometrist and Podiatrist Signed Orders?
certain POMs can in accordance with a signed patient order
What is different about a Optometrist and Podiatrist Signed Order?
Rather than one which they can only administer.
Additional Supply Optometrists can issue signed patient orders for an extended range of medicines.
The practitioner must provide sufficient advice to enable the patient to use the medicine safely and effectively.
Pharmacist should ensure that the medicine is labelled accordingly as a dispensed medicinal product
Appropriate record must be made in the POM register.
Any additional counselling
Patient Group Directions (PGDs)
Written direction that allows the supply and/or administration of a specified medicine or medicines, by named authorised health professionals, to a well-defined group of patients requiring treatment for a specific condition.
Prescription only medicines supplied under a PGD should be labelled ______ as if supplied against a prescription.
in the same way
The information required in a PSD at a minimum should include:
Name of patient and/or other individual patient identifiers including age if a child
Name, form and strength of medicine (generic or brand name where appropriate)
Route of administration
Dose
Frequency
Date of treatment/number of doses/frequency/date treatment ends as applicable.
Signature of prescriber and date PSD written.
What medication can school obtain?
suppy adrenaline autoinjectors (AAis) and salbutamol inhalers from a pharmacy on a SIGNED order
