Emergency Supply Flashcards
1
Q
What are the general principles of emergency supply? (both patient and prescriber request)
A
- Legal mechanisms to supply POM w/o prescription in an emergency
- Must be supplied by a registered pharmacist in a pharmacy
- Can be requested by a patient or a relevant prescriber
- The medicine must’ve been previously prescribed by appropriate prescriber
- A record must be made in the POM register in the same day or the next
- CDs Sch 1,2,3 cannot be supplied except phenobarbital for epilepsy
2
Q
Emergency supply at the request of a prescriber
A
- Must be from a relevant prescriber (doctor, dentist, IP ect)
- Prescriber must be authorised to supply that med (e.g nurses cannot request codeine)
- Only UK prescribers can request phenobarbital for epilepsy
- A prescription must follow within 72 hours
3
Q
Emergency supply at the request of a patient
A
- Pharmacist must interview patient to assess immediate need
- Pharmacist must be satisfied of the correct dose
4
Q
What are some possible sources of verification for correct dose/formulation/medication that a patient is requesting?
A
- Patient Medication Record (PMR)
- Repeat prescriptions
- Labelled medicine boxes
- Electronic patient records
- Contacting the GP or regular pharmacy
5
Q
What is the maximum quantity supplied for ES?
A
- 30 days supply
- 5 day supply for sch 3,4
6
Q
What should included in the POM register entry?
A
- Date of supply
- Name, strength and quantity of medicine supplied
- Name and address of the patient
- Name and address of prescriber (if requested by a prescriber)
- Reason for emergency supply
- Date of prescription (if applicable)
6
Q
What are the exceptions of the maximum supply?
A
- Inhalers, creams, ointments etc: Smallest available pack
- Oral contraceptives: Supply one full menstrual cycle
- Liquid antibiotics: Enough to complete the course
- CDs Schedule 4&5: Pharmacist discretion on quantity
7
Q
Labelling requirements for ES
A
- Standard medicine labelling
- The words “Emergency Supply”
8
Q
How are payments made for emergency supplies?
A
- Supplying via commissioned pharmacy services allow free supply
- ES at patient request = Private supply -> it’s going a small fee, is that okay
9
Q
What are some commissioned pharmacy services that allow free supply of ES?
A
- Wales: Emergency Medicines Supply Service
- England: Community Pharmacy Consultation Service (CPCS)
- Scotland: Unscheduled Care
- Local commissioned services
9
Q
What are examples of NOT an emergency supply?
A
- Lending medicines to deduct from a future prescription
- Dispensing from a faxed prescription (not legally valid)
