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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Can the prescription be accepted if in a foriegn language

A
  • Still legally acceptable - need enough infromation for safe supply of medicines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Private Prescriptions

A
  • Patient is charged the cost of each item + mark up fee by pharmacist for dispensing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Private Prescriptions documentation

A

It is a legal requirement to record the sale or supply of all
prescription-only medicines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Repeat Prescriptions private

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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