Emergency Supply Flashcards
Emergency Supply
In an emergency and under certain conditions a pharmacist working in a registered pharmacy can supply POMs to a patient without a prescription if requested by a prescriber or the patient
Underpinning Legislation for Emergency Supply
- HMR 2012
- NUMSAS
What are the two types of emergency supply?
- Prescriber
- Patient
- Different conditions apply to each type
Emergency Supply-Request Made by Prescriber
- Prescriber Contacts Pharmacy
- By phone
- Personal Visit
- Fax
- Make sure the phone message is clear
- Pharmacist should take the call
- Confirm what is required
- ask for further details if necessary
Who are prescribers that can request an emergency supply?
I. doctor
ii. dentist
iii. Supplementary Prescriber
iv. community practitioner nurse prescriber
v. independent prescriber
vi. EEA or Swiss health professional
Emergency supply at prescribers request
- Must be registered in UK or EE/Swiss
- Pharmacists must be satisfied that:
- the request is made by an appropriate prescriber (CHECK QUALIFICATIONS)
- For the reason of some emergency is unable to provide a prescription
- prescriber promises to supply an rx within 72 hours
- POM is sold or supplied in accordance with the directions of the prescriber
- POM is not CD 1, 2 ,3 except phenobarbital used in the treatment of epilepsy
- Where request is made by EEA/swiss prescriber, POM isn’t schedule 1, 2 ,3 CD (including phenobarbital) but can be 4 or 5
- EEA/ Swiss prescribers request meds with a marketing authorisation valid in UK
- entry is made in POM register on day of supply or next day
- Usual label requirements apply
What is goof practice in emergency supply?
Clinically validate the emergency supply
- patient age
- dose
- other meds taken
- appropriate med for patient
- check whether private or NHS and NHS Rx exemption
What must POM register have for emergency supply?
- Date supplied or sold
- Name, strength, form, quantity
- Name and address of patient
- Name and address of prescriber
- Date on Rx (add later)
- Date Rx received (Add later)
- NHS paid/exemption, fee for private RX
- Dosage of medication (not a legal requirement)
Emergency Supply at Patients Request
Patient asks for a supply of medicine without a prescription
- Usually visit the pharmacy in person
- Rarely a phone call from the patient
- Sometimes a rep is sent
- Parents/guardians
- carers
- Relative/friends
What should a pharmacist do for an emergency supply at a patients request?
must interview the patient him/herself and be satisfied that:
- immediate need from the POM
- Impracticable to obtain an rx without undue delay
- treatment has previously been prescribed by a UK registered appropriate prescriber for the patient or EEA/Swiss
- Appropriate dose for that patient in the circumstances
Supply at patients request
No more than 30 days treatment should be supplied except:
- ointments, creams or aerosol, supply smallest pack
- OC, give full cycle
- AB in liquid form, supply smallest quantity
- insulin, smallest pack
- CD 2/3 not supplied except for phenobarbitone (phenobarbital) for epilepsy (CD 3)
- Phenobarbitone/barbital or CD 4/5 can be supplied for no more than 5 days treatment. if prescriber is EEA/Swiss, cannot supply phenobarbitone
Emergency supply at patients request POM, EEA/Swiss
- record in POM register must be made on day (or next day)
- Patient of EEa/Swiss not permitted to obtain CD 1-3 or meds without uk authorisation
- Other substances can’t be supplied as emergency on HMR 2012
Emergency supply in a pandemic at patients request
- do not need to interview the patient
- need to be satisfied that the treatment has been previously prescribed by an appropriate practitioner and dose is appropriate
Emergency supply at a patients request POM
- Patients Name and address
- Name, strength, quantity and for of drug
- Date POM was sold or supplied
- Nature of emergency (patient or prescriber request)
- Name and address of GP
- Exemption or amount paid
- Dosage of med
Emergency Supply at patients request labelling requirements
1) date of supply
2) Name, strength, form and quantity of product
3) patients name
4) Name and address of the pharmacy
5) Emergency Supply
6) keep out of the reach of children
