Emergency supply/Fraser/POM Flashcards
What drugs cant be supplied to patient of an EEA/swiss prescriber?
Schedule 1,2,3 including phenobarbital
Can pharmacists supply or offer to supply and administer diamorphine or morphine under a PGD?
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.
The conditions for an emergency supply at the
request of a prescriber are:
- Relevant prescriber
- Emergency
- Px within 72 hours
- Directions
- 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
- record kept
Name some relevant prescribers for the condition of emergency supply
- 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
The conditions for an emergency supply at the
request of a patient are:
- interview
- immediate need - even if GP surgery is open
- previous treatment
- Be satisfied with the dose
- Not for CDs except phenobarbital for epilepsy
The conditions for an emergency supply at the
request of a patient are:
- interview
- immediate need - even if GP surgery is open
- previous treatment
- Be satisfied with the dose
- Not for CDs except phenobarbital for epilepsy for UK-registered patients
- length of treatment if for a CD 3 (pheno),4,5 then maximum is 5 days
- records kept
- labelling
what is the maximum length of treatment for a CD 3 (pheno),4,5 if supplied to a pt under emergency supply?
5 days
what is the maximum length of treatment for a non-CD if supplied to a pt under emergency supply?
28 days
what is the maximum quantity of treatment for oral contraceptive if if supplied to a pt under emergency supply requested by patient?
full treatment cycle
what is the maximum length of treatment for a POM antibiotic if supplied to a pt under emergency supply?
the smallest quantity that will provide a full course of treatment should be supplied
what is the difference between labelling for an emergency supply on behalf of a prescriber VS patient?
patients label should read ‘emergency supply’
what is the ICO?
the enforcement agency for the Data
Protection Act and any organisation processing personal data should be registered with the
ICO
what 4 steps should you take when you become aware of a dispensing error?
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
The defence to the section 64 ‘dispensing
error’ offence can be used when the dispensing
error has been:
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
how long must a private prescription for a POM be retained?
2 years
which POMS are exempt from record keeping?
Schedule 2 as you make a CD entry and oral contraceptives
How long should repeatable private prescriptions be kept?
date of last supply for 2 years
POM register requirements
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.
are rx and repeatable rx by appropriate practitioners registered in EEA and switzerland recongnised in UK?
yes they are recognised
what are prescription requirements for EEA prescribers?
- patient details
- prescriber details
- prescriber signature
- Prescribed medicine(s) details: Name of the medicine, pharmaceutical form, quantity, strength and dosage details
- Date of issue Valid for up to six months from the appropriate date (prescriptions for Schedule 4 CDs 28 days).
when can schedule 1,2,3 drugs prescribed on an EEA prescription be prescribed?
need a valid marketing authorisation in the UK otherwise cant be dispensed
what are the fraser guidelines?
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
when do you consider gillick comptency?
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
what 5 factors should practitioners consider when using fraser guidelines
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
