Emergency Supply

Question 1

Define emergency supply

Answer 1

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

Question 2

Two types of emergency supply?

Answer 2

1. by prescriber

2. by patient

Question 3

Emergency Supply-Request Made by Prescriber

Answer 3

Prescriber contacts pharmacy
by phone
personal visit

Question 4

6 Prescribers who can request and ES?

Answer 4

1. Doctor
2. Dentist
3. Supplementary prescriber
4. community practitioner nurse prescriber
5. Independent prescriber
6. EEA or Swiss health professional

Question 5

What time frame must the prescriber provide a prescription?

Answer 5

72 hours

Question 6

Can CDs 1, 2 or 3 be supplied or sold as emergency supply?

Answer 6

No. except Phenobarbital which is used in the treatment of epilepsy

Question 7

Which CDs can be supplied if it is requested by EEA/Swiss prescriber?

Answer 7

Only CD 4 and 5.

Doesnt include the exception of phenobarbital CD3.

Question 8

When should an entry be made in the POM register?

Answer 8

The same of supply or the next

Question 9

What must be recorded in the POM register for supply at request of prescriber?

Answer 9

1. Date the medicine was sold or supplied
2. Name, form, strength, quantity of product
3. Name & address of prescriber
4. Name & address of patient
5. Date on prescription
6. Date prescription received
7. NHS paid/exemption, fee for private Rx*
8. Dosage of medication*
   * not legal requirement

Question 10

What must the pharmacist do for an Emergency supply at Patient’s request

Answer 10

Pharmacist (Responsible Pharmacist) must interview the patient him/herself and be satisfied that:
Immediate need for the POM
Impracticable to obtain a prescription without undue delay
The treatment has previously been prescribed by a UK registered appropriate prescriber for the patient or EEA or Swiss health professional
It is an appropriate dose for that patient in the circumstances

Question 11

What is the max length of treatment that can be supplied?

Answer 11

30 days except:
Ointments, creams or aerosol – supply smallest pack
Oral contraceptive – give full cycle
Antibiotics in liquid form – supply the smallest quantity to complete the course
Insulin – smallest pack

Question 12

How about for controlled drugs at patient request?

Answer 12

Only CD 4 and 5. and phenolbarbitone for the treatment of epilepsy.
For the treatment of 5 days.

Question 13

Where can you find a list of substances that canNOT be supplied to a patient as emergency supply?

Answer 13

In the MEP and Dale and Appleby

Question 14

What must be recorded in the POM register for supply at request of patient?

Answer 14

1. Date the POM was sold or supplied
2. Name, form, strength, quantity of product
3. Name & address of patient requiring the POM
4. The nature of the emergency
5. GP name and address*
6. Dosage of medication*
7. Amount paid or exemption/paid status if receiving a prescription retrospectively*
   * not legal req

Question 15

Emergency supply at Patient’s request – 5 labelling requirements

Answer 15

1. date of supply
2. name, form, strength, quantity of product
   the patient’s name
3. name and address of the pharmacy
4. the words “EMERGENCY SUPPLY”
5. the words “Keep out of the reach of children”