Emergency supply/Fraser/POM

Question 1

What drugs cant be supplied to patient of an EEA/swiss prescriber?

Answer 1

Schedule 1,2,3 including phenobarbital

Question 2

Can pharmacists supply or offer to supply and administer diamorphine or morphine under a PGD?

Answer 2

YES. Pharmacists can supply, offer to supply and
administer diamorphine or morphine under a PGD
for the immediate, necessary treatment of sick
or injured persons.

Question 3

The conditions for an emergency supply at the

request of a prescriber are:

Answer 3

1. Relevant prescriber
2. Emergency
3. Px within 72 hours
4. Directions
5. Not for CDs - 1,2,3 except phenobarbital for epilepsy but can ONLY be requested by HCP in the UK if EEA/swiss - refer to a UK prescriber
6. record kept

Question 4

Name some relevant prescribers for the condition of emergency supply

Answer 4

• A physiotherapist independent prescriber
  • A podiatrist independent prescriber
  • A therapeutic radiographer independent prescriber
  • An optometrist independent prescriber
  • An EEA or Swiss health professional.
  • A paramedic independent prescriber

Question 5

The conditions for an emergency supply at the

request of a patient are:

Answer 5

1. interview
2. immediate need - even if GP surgery is open
3. previous treatment
4. Be satisfied with the dose
5. Not for CDs except phenobarbital for epilepsy

Question 6

The conditions for an emergency supply at the

request of a patient are:

Answer 6

1. interview
2. immediate need - even if GP surgery is open
3. previous treatment
4. Be satisfied with the dose
5. Not for CDs except phenobarbital for epilepsy for UK-registered patients
6. length of treatment if for a CD 3 (pheno),4,5 then maximum is 5 days
7. records kept
8. labelling

Question 7

what is the maximum length of treatment for a CD 3 (pheno),4,5 if supplied to a pt under emergency supply?

Answer 7

5 days

Question 8

what is the maximum length of treatment for a non-CD if supplied to a pt under emergency supply?

Answer 8

28 days

Question 9

what is the maximum quantity of treatment for oral contraceptive if if supplied to a pt under emergency supply requested by patient?

Answer 9

full treatment cycle

Question 10

what is the maximum length of treatment for a POM antibiotic if supplied to a pt under emergency supply?

Answer 10

the smallest quantity that will provide a full course of treatment should be supplied

Question 11

what is the difference between labelling for an emergency supply on behalf of a prescriber VS patient?

Answer 11

patients label should read ‘emergency supply’

Question 12

what is the ICO?

Answer 12

the enforcement agency for the Data
Protection Act and any organisation processing personal data should be registered with the
ICO

Question 13

what 4 steps should you take when you become aware of a dispensing error?

Answer 13

1 Take steps to let the patient know promptly
2 Make things right (this may involve contacting the prescriber)
3 Offer an apology
4 Let colleagues involved in the error know

Question 14

The defence to the section 64 ‘dispensing
error’ offence can be used when the dispensing
error has been:

Answer 14

1) Dispensed in a registered pharmacy
2) Dispensed by or under the supervision of a registered pharmacist
3) Supplied against a prescription, PGD or direction from a prescriber
4) Promptly notified to the patient once the
pharmacy team are aware of the error

Question 15

how long must a private prescription for a POM be retained?

Answer 15

2 years

Question 16

which POMS are exempt from record keeping?

Answer 16

Schedule 2 as you make a CD entry and oral contraceptives

Question 17

How long should repeatable private prescriptions be kept?

Answer 17

date of last supply for 2 years

Question 18

POM register requirements

Answer 18

Supply date
The date on which the medicine was sold or supplied
 • Prescription date
The date on the prescription
 • Medicine details 
• Prescriber details
The name and address of the practitioner
 • Patient details
The name and address of the patient.

Question 19

are rx and repeatable rx by appropriate practitioners registered in EEA and switzerland recongnised in UK?

Answer 19

yes they are recognised

Question 20

what are prescription requirements for EEA prescribers?

Answer 20

1. patient details
2. prescriber details
3. prescriber signature
4. Prescribed medicine(s) details: Name of the medicine, pharmaceutical form, quantity, strength and dosage details
5. Date of issue Valid for up to six months from the appropriate date (prescriptions for Schedule 4 CDs 28 days).

Question 21

when can schedule 1,2,3 drugs prescribed on an EEA prescription be prescribed?

Answer 21

need a valid marketing authorisation in the UK otherwise cant be dispensed

Question 22

what are the fraser guidelines?

Answer 22

The Fraser guidelines apply specifically to advice and treatment about contraception and sexual health. They may be used by a range of healthcare professionals working with under 16-year-olds. Can now also be applied to STIs and termination of pregnancy

Question 23

when do you consider gillick comptency?

Answer 23

Medical professionals need to consider Gillick competency if a young person under the age of 16 wishes to receive treatment without their parents’ or carers’ consent or, in some cases, knowledge

Question 24

what 5 factors should practitioners consider when using fraser guidelines

Answer 24

1) the young person cannot be persuaded to inform their parents or carers that they are seeking this advice or treatment
2) the young person understands the advice being given.
3) the young person’s physical or mental health or both are likely to suffer unless they receive the advice or treatment.
4) it is in the young person’s best interests to receive the advice, treatment or both without their parents’ or carers’ consent.
5) the young person is very likely to continue having sex with or without contraceptive treatment