ms 2 Flashcards
What are the POM Rx requirements?
These apply to private AND NHS
- Signature
- In original ink!
- an advanced electronic signature can be used to authorise an electronic Rx - Prescriber’s Address
- Date
Either:
- Date signed (by the signature)
- Or date indicated by prescriber (e.g. post dated)
What date is the appropriate date for private POM Rx’s?
the date signed
What isn’t a POM Rx legal requirement?
. The medicine detail
- but they wouldn’t give you a blank Rx
- If there is something missing e.g. dose, quantity or strength, then:
- contact prescriber and write it yourself on Rx (endorsing as PC with name & date)
OR
- If you use your judgement and are confident on whats missing then write it and (endorse as PNC with name and date)
What if the medicine quantity is missing?
- If surgery open
- contact prescriber and confirm quantity and PC as endorsement - If surgery closed
- 5 days of treatment should be supplied
- PNC should be endorsement (as you haven’t contacted the prescriber)
How long is a Rx valid?
6 months from the appropriate date (INCLUDING OWINGS)
- within 28 days from the appropriate date for schedule 2 and 3 drugs
When is there an exemption to the validity of a Rx?
f the Rx is repeatable
- this where prescriber has added a direction on the Rx to be repeated
- These are commonly found on private Rx!
(NHS not so common) - The direction could say “Repeat x 5”
- For the first time, the Rx HAS to be dispensed within 6 months.
- But for times after the first dispensing, there is no legal timeframe to dispense them (but always use professional judgement on whether further dispensing is appropriate)
Are NHS prescriptions repeatable? As in it can say “repeat 2x”?
no
If a Rx says “Repeat x 5”, how many times in total will you dispense that Rx?
6 time.
So first time you dispense, then repeat a further 5 times
What happens if the Rx just says “Repeat” without specifying how many times?
This means you’ll ONLY repeat one more time
- So in total, you would have dispensed it TWICE
- However, there is an exemption..
What is the exemption with regards to “Repeat” on rx that doesn’t specify how long?
RAL CONTRACEPTIVES! ONLY!
- If it say’s repeat, then that means you can repeat for a further 5 times
- So you would in total dispensed it 6 times (for 6 months treatment)
Can you write “Repeat” on Control drugs Rx’s?
chedule 2 = No
Schedule 3 = No
Schedule 4 = Yes
- Remember, Rx’s are valid for 28 days, so the first dispensing MUST occur within then
- there is NO TIME LIMIT for further repeats to be dispensed
- e.g. Diazepam
- But remember, use professional judgement
Can patients with “Repeat” on Rx go to different pharmacies?
They can go to different pharmacies
- To maintain an audit trail, the pharmacist should mark the name and the address of the pharmacy from where the supply has been and the date.
Which type’s of prescriptions require you to make a record? And how long are they retained for?
Private Rx’s
Rx is retained for 2 years since since the date of supply (or for repeatable, the last authorised supply)
Records are made in a POM register (written or electronic)
What are the exemptions to record keeping?
A private Rx for Oral contraceptives
- YOU DO NOT NEED TO MAKE A RECORD
- But you retain the script for 2 years
- Schedule 2 CD’s
- they’re made on a separate register - sale is via wholesale dealing
- no record is made
- BUT order/invoice is made for 2 year
How long are the records in the POM register retained for?
E.g. if book finished, then it’s two years since the last entry (on the last page perhaps)
What must the POM record entail?
- Patient’s name and address
- Medicine detail
- e.g. medicine, strength, formulation and quantity provided - Prescriber’s name and address
- Date on Rx
- Date dispensed
When should a record be made?
on the day of the supply
Or if this is not possible
- the next following day
Is a faxed prescription legally valid?
No
- its not signed indelibly (by ink)
If a patient brings you a prescription for Amlodipine 10mg from Italy, can you dispense it?
Yes
- Prescriptions and repeatable prescriptions issued by a doctor, dentist, prescribing pharmacist or prescribing nurse Registered in an EEA country OR Switzerland are legally recognised in the UK