emergency supply of a POM Flashcards
what is an emergency supply of a POM?
Emergency supply’ means the emergency supply of a POM without a valid Rx being present at the time of dispensing
it is a legal exemption
what are the two types of emergency supplies of POM?
1- when a patient asks for it
2- when a prescriber asks for it
why are pharmacists hesitant to use emergency supply of POMs?
they do not know the law fully
when may you supply a patient for an emergency supply of a POM?
when the pharmacist has interviewed and is satisfied that there is
1- an immediate need and it would be unpractical to obtain and prescription without undue delay
2- this POM was previously prescribed
3- that the dose is appropiate to take
what CD can you prescribe on an emergency POM supply?
you cannot prescribe a cd 2/3 except phenobarbital for eplipsy
can only have cd 4- for a max of 5 days
what is the max amount of days you can prescribe other POM’s other than CD/s for?
max of 30 days
except- insulin/ointment/inhaler or oral contraceptives’ because they are hard to split up.
when must you register an emergency supply in the POM register?
the day of or the day after- put as much detail as you can as it is good for future reference
what must you record in the POM register? for a patient
the date on which it was supplied
the need for the emergency supply
name quantity and pharmaceuitical strength and form of the POM supplied
name and address of person requiring the POM
what is the CD 2/3 drug you can supply in an emergency?
phenobarbitial for eplipsy
what is the difference in an emergency supply of POM in a pandemic?
you do not have to interview the patient who requests the medicine
what are your professional obligations in the supply of an emergency POM?
- must take care of your patients concern
- if you decide not to supply you should consider the medical consequences
- you must explain to the patient how they can get it- walk in/ gp app
- you can justify your actions
- consider the quantity- can you give less than the maximum?
- payment?
when can you prescribe an emergency POM for a prescriber?
- when the pharmacist is satisfied that it was requested by a prescriber
- they are not able to furnish a prescription immediately
- there is a prescription coming within 72 hours
what should be recoded in a POM register requested by a prescriber?
- 3 dates- date of supply/ when prescription was recieved/ date that prescription was written
-DETAILS OF practioner
Name, quantity and, except where it is apparent from the name, the pharmaceutical form and strength of the POM supplied
•The name and address of the practitioner requesting the emergency supply
•The name and address of the patient
can a CD 2/3 be prescribed if a prescriber requests it?
no- exception phenobarbital or phenobarbital sodium providing that is used for the treatment of epilepsy and the prescriber is UK registered
can the medication prescribed if requested by prescriber be new medication?
yes
