CD-03 Flashcards
Who can prescribe?
i) An Authorised Prescriber
ii) Nurse Practitioner
iii) Optometrist
iv) Registered Practitioner
v) A dentist
vi) Registered Midwife
vii) Designated Prescriber
viii)a person who belongs to a class of registered health professionals authorised to prescribe any specified class or description of prescription medicines and meets the competency requirements to do so. For example:
o Pharmacist Prescriber (PDN)
o Dietitian
o Registered Nurse
Who can they prescribe for?
patients under their care.
Within their scope of practice.
the medicines they are authorized to prescribe.
For what duration can a prescription be written for or prescribe for?
Maximum 3-month supply OR
Maximum of 6 month for oral contraceptives
What are the 5 LEGAL requirements of a prescriber for his prescription?
Dated Signature Name of the Dr Address of Dr practice Telephone number
What are the CLINICAL requirements of a prescription from doctors?
(NSTDM) Name. Strength (where appropriate). Total amount to dispense OR total period of supply Dose and frequency of dose If for internal administration (i.e. by injection, insertion into any body cavity, or swallowing) Method of administration if for external application
For which groups of people, the prescription item fees or (co-payment) is waived by govt?
Children under the age of 13
Patient Category Code A means?
(Adult) Age 18 years & over
Patient Category Code J?
Junior - age 14 - 17 years
Patient Category Code X ?
Exempt after 20 Rx - Families and individuals collected 20 new prescription items in a year do not have to pay any more prescription co-payments for the rest of that year.
Patient Category Code Z?
High use health card (HUHC) holder.
Patient Category Code Y?
Youth - 13 & under years
Patient Category Code 3?
Not a CSC and not an Eligible Prescriber
Patient Category Code 1?
Community Services Card (CSC) holder
Patient Category Code 4?
Eligible Prescriber for an Eligible Patient
Sig?
Latin “signature “
let it be labelled.
mane?
In the morning
Mitte?
Give
How is dispensing defined?
The preparation of that medicine for sale to the public (whether in response to a prescription OR a request by an individual) AND the packing, labelling, recording, and delivery of that medicine.
Who can dispense?
Pharmacist
Authorized prescriber
Veterinarian
An agent or employee of a veterinarian can dispense prescription medicine at the direction of the veterinarian for use in the treatment of any animal under the care of the veterinarian.
To dispense prescription medicine who require direct personal supervision of a pharmacist?
Dispensary technicians
Pharmacy graduates
Pharmacy technicians
Pharmacy or pharmacy technician students.
Where we need to look for NZ Funded Products by govt?
PHARMAC Pharmaceutical Schedule
What are the labels we will be able to see in the PHAPMAC schedule search product?
Funded or Not funded Pharma code Pack size Link to the hospital list Link to NZF Link to Medsafe
STAT versus Non-STAT Medicines?
STAT: Dispensing frequency permitted for that medicine. For example: dispensed all-at-once or monthly supply i.e. A three-month supply or a six-month supply in the case of oral contraceptives.
Non-STAT: medicines are dispensed in monthly lots (i.e., monthly with 2 repeats). However, these may be dispensed in a 90-days lot in certain circumstances.
(CALs)?
Cautionary and Advisory Labels
What are the recommended CALs for INSULIN glargine 10 mL vial?
1) Keep in fridge Do not freeze
2) Do Not Use after……02/22
Prescription abbreviation (gutta)?
Drops
what is the rules for urgently required prescription medicine?
- Authorised prescriber can communicate orally to apharmacist that they know
- Medicine required urgently
- Within 7 days a written prescription must be forwarde to pharmacist.
who has ability to chnage regulations for medication or health sector
Director-General of health may wive certain requirements
What are the things you need to do during the Annotation of prescription?
- name and address of the pharmacy
- date of dispensing (this can be found in pharmacy stamp often)
- unique identifying number or code
- quantity supplied
- to identify the individual dispensing each item.
- each item annotate with the initials of the checking pharmacist for completeness and accuracy.
What are the classifications of medicine ?
prescription only
pharmacist only
pharmacy only
general sale
restricted medicine what are the records need to be done?
Date of sale
buyers ID with name and address
Name of the medicine
Quantity of the medicine
Name of the person making the sale
Substitution of brand when and how its allowed for pharmacist for dispensing
- The prescriber not annotated “No brand substitution permitted”
- The substitution brand contains the same active ingredients and no others.
- The substitute brand is in the same dosage form strength
- No clinical reason why you should not substitute
- Pharmacist record the substitution and sign and date and inform the patient
why we substitue the brand?
- Prescribed brand is no longer available
- Prescribed brand is no longer funded and a funded alternative is available.
where we can stick the label while dispensing?
Do not damage: when container is opend so not on the lid
Not obscure: by any other label so do not stick labels on top of each other.
Securely attached to the container.
pharmacist supplied vs OTC label?
Pharmacist supplied medicines are labelled with well instruction for a particular person which is recommended by a healthcare professional.
Additional information: OTC need additional information for the patient to assess the suitability of the medicine for their condition.
Warning statement: Additional warning statement required.
what is a pharmaist role in a pharmacy?
Safe supply: of prescription medicine
Provision: of restricted medicine
Supervision: of pharmacy only medicine.
