Getting the Right Medicine to the Right Person Flashcards
1
Q
Dispensing prescriptions from Switzerland & EEA
A
- Legally recognised in the UK
- Not part of the approved list then use proffesional judgement to refer to GP
2
Q
Switzerland & EEA - requirements
A
- Patient’s full first name surname and date of birth
- Prescriber’s full first name surname, professional qualifications, direct contact details including email address and telephone or fax number & work address (Country they are in)
- Prescriber signature
- Date of issue
3
Q
Can the prescription be accepted if in a foriegn language
A
- Still legally acceptable - need enough infromation for safe supply of medicines
4
Q
Private Prescriptions
A
- Patient is charged the cost of each item + mark up fee by pharmacist for dispensing
5
Q
Requirements for private prescription
A
- the patient’s details
- details of the medication to be supplied
- the signature of the prescriber
- the address of the prescriber
- an indication of the prescriber type
- an appropriate date
6
Q
Private Prescriptions documentation
A
It is a legal requirement to record the sale or supply of all
prescription-only medicines
7
Q
Repeat Prescriptions
A
- Valid for up to 1 year Repeat autherising signed by doctor
- Associated Repeat dispensing also issued
- Pharmacists keep autherising form after the first repeat is issued
8
Q
Repeat Prescriptions private
A
9
Q
Repeat prescription private
A
- Written statement on prescription
- First dispensing takes place within 6 months of the date on prescription
- They can only be repeated once or dispenced twice
- For oral contraceptives which can be repeated 5 times
- No time limits use professional judgement
10
Q
Repeat Prescriptions Private when and where can it be dispensed
A
- Repeats dispensed from different pharmacies and can retain the prescription
- Audit trail mark on the prescription the name and address of the pharmacy and date of supply
11
Q
Military Prescriptions
A
- Dispensing for Ministry of
Defence - Not covered by the contract will not
routinely handle military prescriptions - Military prescriptions are written on a military form FMed 296
- Invoice directly to MOD
- Non contracted the prescription should be treated as private charge as required
12
Q
Optometrist and Podiatrist Signed
Orders
A
- POMs can be given directly to patients in accordance with a signed patient order from any registered optometrist or podiatrist
- Legally sold or supplied by practioner list from MHRA
- Additional supply optomertrist extended range of meds
13
Q
Patient Group Directions
A
- Written directions that allow the supply or adminstration of specific medicines by named autherised health professionals well defined group of of patients requiring treatment for specific condition
- Advance patient care without comprimising patient safety
- POM supplied under PGD sgould be labelled in the same way as supplied with prescription
14
Q
Patient specific direction
A
- Not defined in legislation
- Traditional instruction and signed by prescriber
- Supplied or administered by named patient
- Route of administration, dose, frequency, date of treatment
- Name form and strength of medicine
- Name of patient and patient identifiers
15
Q
School supply of medicines
A
- Schools obtain Adrenaline auto injectors and salbutamol inhalers from signed order
- Person trained to administer and pupils consent recieved
- signed order needs to be retained for two years
from the date of supply and entry in POM register
16
Q
School supply requirements
A
- Name of the school
- Product details (including spacer if relevant)
- Strength (if relevant)
- Purpose for which the product is required
- Total quantity required
- Signature of the principal or head teacher
17
Q
Supply of Naloxone
A
- Provision of
recognised drug treatment services - Under arrangement made by:
- an NHS body
- a local authority
- Public Health England
Groups of people that can be supplied to family members, peers and staff
18
Q
Wholesaling
A
- MHRA is hte regulatory body that oversees wholesale distribution of medicines
19
Q
Wholesaler Licence requirements
A
- Anyone trading medicines need wholesaler licence - wholesale distribution autherisation
- Comply with good distribution practice standards
- Responsible person
20
Q
WDA Exemptions
A
- Pharmacy supplying stock to another pharmacy within same legal enity (same boots)
- If legal entity does hold a WDA the pharmacy supplying the medicine for the purpose of wholesaling must be named on WDA
- In Medicines Act 1968
21
Q
Wholesale and medicine shortages
A
- Measures in place to minimise medicines shortage
- Limiting those medicines which can be traded/exported
- Legal and ethical issues
22
Q
Serious Shortage Protocols
A
- Pharmacist makes amendments to prescriptions and supply an alternative medicine to those in short supply - specific to each country
23
Q
Written requisitions
A
- Supply the medication to patient to GP or practice
- Requests something for use during home
visits or an optician requests a medicinal item for use during eye examinations - Signed orders - dont require sign not legal requirement
24
Q
Written requisition not concidered as a wholesale distribution if
A
- The transaction takes place on an occasional basis
- The quantity of medicines supplied is small
- The supply is made on a not for profit basis
- The supply is not for onward wholesale distributio
25
Q
Written requisitions requirements
A
- No legally defined details as to the content required
- Local SOP followed
- Date
- Name, quantity and, where it is not apparent, formulation and strength
- Name and address, trade, business or profession of the person
- Purpose for which it was sold or supplied.
- Signature of prescriber
26
Q
Written requisitions supply
A
- Only complete packs
- No need for label on medication
- Good practice to make an entry in the POM register at the time of supply
- Requisition is retained within the pharmacy for 2 years from the date of supply
27
Q
Emergency Supply
A
- In an emergency a pharmacist working in a registered pharmacy can supply POMs to a patient without a prescription
- By relevant prescriber
- By patient
28
Q
Emergency supply with request of prescriber
A
- Relevant prescriber
- Emergency
- Prescription within 72 hours
- Directions
- Record kept
- Correctly labelled
29
Q
Emergency Supply at the Request of a
Patient
A
- Must interview the patient
- Immediate need and not practical for patient to obtain prescription
- May supply up to 30 days treatment
- Insulin ointment and inhaler smallest pack size
- Satisfied must be satisfied by the dosage
30
Q
Records
A
- Include information on the nature of the emergency
- Why the patient needs POM and why a prescription cannot be obtained
- Added Emergency supply on label
31
Q
Choose Pharmacy
A
- EMS module enables you to access relavent medicines info from welsh GP records
- View info on allergy, repeat medicine, acute meds precribed, medicines being discontinued
32
Q
Fax prescription
A
- Not legally valid prescription definition of a legally
valid prescription within human medicines legislation because it is not written in indelible ink - Supply medicines using fax make an informed decision and take steps to safeguard patient safety
33
Q
Prescribing and dispensing to the same person
A
- Should remain seperate function improved by a second healthcare professional check
- Limit errors use audit trails
- Document reasons
34
Q
Dispensing self-prescribed prescriptions
and prescriptions for close friends and
family
A
- Fulfil the usual legal requirements
- Exceptional circumstances life saving
- Refuse to suply clearly and calmly
35
Q
Recording supplies
A
- Medication supply via a non-NHS (private) prescription
- Supply of medication via a written requisition
- Emergency supply of medication at the request of a practitioner
- Emergency supply of POM at the request of a patient
- oral contraceptives are exempt from record keeping
36
Q
POM Register
A
- Records must be made in the POM register and retaine din premisis for 2 yrs
- Supply date
- Prescription date
- Name, quantity, formulation and strength of medicine supplied
- Prescriber details
- Patient details
- Reason for supply
37
Q
A
