Lecture 7 A

Question 1

What is a PSD

Answer 1

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

Question 2

What is a PGD

Answer 2

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

Question 3

Does the administration of P or GSL medications require a PGD

Answer 3

No

Question 4

Does the supply of a p medicine requires a PGD or a PSD

Answer 4

Yes within their scope of practice

Question 5

How are PGDs labelled

Answer 5

Just like a regular prescription

Question 6

Can optometrists/ podiatrist prescribe POMs

Answer 6

No unless they’re additionally qualified

Question 7

What’s a signed patient order

Answer 7

When a HCP is restricted in the medication they can prescribe and so have a pharmacist prescribe them that medicine.

Question 8

How could an optometrist or podiatrist give a POM to a patient

Answer 8

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

Question 9

What is the signed patient order format and what labelling requirements of a POM given to a patient from a signed patient order

Answer 9

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

Question 10

Can schools give out a patient signed order

Answer 10

Yes to limited medications e.g. salbutamol and only by a trained person and with the consent of parents

Question 11

What info should be on a school signed order

Answer 11

• School name
• product name
• product strength
• purpose
• quantity
• ## head teachers signature

Question 12

How long should a school signed patient be held for

Answer 12

2 years and be entered into the POM register

Question 13

What is special about nalaxone

Answer 13

It’s a POM however can be directly supplied to patients without the need of a prescription, PSD and PGD.

Question 14

What is an example of HCP that can sell or administer POMs without a prescription

Answer 14

Paramedic administering POMs in emergency situations

Question 15

What are the legal requirements regarding the signed order content

Answer 15

There are none however all the details that are required in the POM register should be kept

Question 16

What must be done when a POM is supplied from a pharmacy to another HCP

Answer 16

It must be recorded in the POM register and must be retained for another 2 years from the date of supply.

Question 17

What information must be put int the POM register when a POM is sold

Answer 17

• 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

Question 18

What are the requirements from someone who wholesales drugs to anyone other than patients

Answer 18

• 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

Question 19

Who is exempted from having a WDA when wholesaling medicines

Answer 19

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

Question 20

How is the Serious Shortage Protocol of medications combating the shortages

Answer 20

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

Question 21

What must be done in order to give a different medication under the SSP

Answer 21

• Pharmacist uses professional judgement to determine the change is okay .
• Patient also needs to agree for the months supply