Lecture 7 A Flashcards
What is a PSD
Patient specific direction.
A written directions from a doctor/ dentist or a NMP to supply/ administer a medicine to a patient having examined that patient
What is a PGD
A patient group direction.
Written direction that allows the supply and administration of a specific medicine by a named authorised health professional to a specific group of patients with a health condition requiring treatment.
Pharmacist must be involved in the process. And the administration/ supply cannot be delegated, the specific HCP must be involved
Does the administration of P or GSL medications require a PGD
No
Does the supply of a p medicine requires a PGD or a PSD
Yes within their scope of practice
How are PGDs labelled
Just like a regular prescription
Can optometrists/ podiatrist prescribe POMs
No unless they’re additionally qualified
What’s a signed patient order
When a HCP is restricted in the medication they can prescribe and so have a pharmacist prescribe them that medicine.
How could an optometrist or podiatrist give a POM to a patient
Give the patient a signed patient order to take to a registered pharmacist at a pharmacy. However the POM can only be a POM from a list of medications related to their profession
What is the signed patient order format and what labelling requirements of a POM given to a patient from a signed patient order
The signed patient order does not require prescription format however must instruct the patient how to safely use the medicine and directions
The medicine should have a patient info leaflet and be recorder in the POM register
Can schools give out a patient signed order
Yes to limited medications e.g. salbutamol and only by a trained person and with the consent of parents
What info should be on a school signed order
- School name
- product name
- product strength
- purpose
- quantity
- ## head teachers signature
How long should a school signed patient be held for
2 years and be entered into the POM register
What is special about nalaxone
It’s a POM however can be directly supplied to patients without the need of a prescription, PSD and PGD.
What is an example of HCP that can sell or administer POMs without a prescription
Paramedic administering POMs in emergency situations
What are the legal requirements regarding the signed order content
There are none however all the details that are required in the POM register should be kept
What must be done when a POM is supplied from a pharmacy to another HCP
It must be recorded in the POM register and must be retained for another 2 years from the date of supply.
What information must be put int the POM register when a POM is sold
- date the POM was supplied
- name of POM
- dosage of POM
- quantity
- formulation
- name and address of the person the POM was supplied to
- profession of the person the POM was supplied to
- purpose for which it was supplied
What are the requirements from someone who wholesales drugs to anyone other than patients
- Must have a WDA, wholesale distribution authorisation
- must comply with GDP, good distribution practice
- must have a suitable responsible pharmacist and ensure that there is suitable procurements, storage and distribution of drugsw
Who is exempted from having a WDA when wholesaling medicines
If a pharmacy send drugs from to another however both are the same legal entity, however must be for non profit reasons and quantity must be small and it must be occasionally
How is the Serious Shortage Protocol of medications combating the shortages
Allows:
- different strength, form or quantity of the medication prescribed to be given
- allows different POM to the one prescribed to be given, e.g. the generic version could be given as opposed to the branded one prescribed
What must be done in order to give a different medication under the SSP
- Pharmacist uses professional judgement to determine the change is okay .
- Patient also needs to agree for the months supply
