ms 2a Flashcards
what are the legal requirements of a nhs prescription?
patient name and address
age (if under 12)
prescribers address
prescribers signature (in indelible ink/ink, not pencil)
date of prescription (POM date needs to be within 6 months
indication of the type of prescriber (qualification or the name of the professional group)
is the name of the prescriber a legal req?
no
is the age of an adult patient a legal req?
no
is it a legal requirement to include the strength of the medicine?
not a legal requirement but is good practice
what is the current prescription charges?
£9.15
where do we find the patients who are exempt from prescription charges?
PSNC
who authorizes the Rx charges?
NHS BSA
nhs bsa means?
nhs business service authority for payment
what does strength mean?
the amount avaliable of the dosage form i.e. 50mg 25mg atenolol
what does dose mean?
the number of times we administer the drug i.e. tds od bd
private Rx requirements include….
may be on a headed paper or a blank paper
cost of the Rx is borne by the patient
same Rx writing requirement as for nhs
is there a legal obligiation for layout of a private Rx?
no
if a private Rx has repeat once, how many times do you dispense the item?
twice
can you write repeat for a nhs Rx
no
can you write repeat for CD 2 and 3
no
can you write repeat for any pom?
yes except cd2 and cd3
explain nhs repeat dispensing service?
prescribers can set a batch i.e. 6 Rx for 6 months which means every month Rx will be sent to the pharmacy ready to be dispensed every month at set intervals
if a patient comes into the pharmacy with a repeat private rx which has a repeat x2 which was supplied yesterday to the gp, what do we do with the prescription?
dispense the medicine once, the pharmacy can hold onto the Rx so it could be stored in the pharmacy until the patient requests for a second or a third repeat,
RPh stamps the repeat onto the Rx and marks repeat on the Rx including the date and stamp to ensure that when the patient takes it to another pharmacy they are informed
what happens to a private Rx on the final dispensing?
pharmacy hold onto the Rx for two years on the final dispensing of a private rx
if an oral contraceptive does not have a repeat specified, how many times can you repeat it (max) and dispense it?
repeated 5 times
dispensed 6 times
on a private rx, what does the prescriver need to include to ensure the same medicine can be prescribed again
repeat” on the Rx
does a private rx need to be recorded on a pom register?
yes
does a nhs rx need to be recorded on a pom register?
no
how long does a private rx for a pom need to be retained in the pom register?
two years from the date of the sale and supply of the pom or sale and supply of a repeatable Rx
what pom are exepmted from pom entry?
health Rx (i.e. nhs Rx i.e. pom supplied on healthcare Rx oral contraceptives (even for private rx contraceptive) CDs wholesale supply (pom supplied to a wholesale does not need pom entry)
what should you include in the pom entry? legal
date of supply name and address of the patient name and address of the prescriber name of the medicine, the quantity, the formulation, strength, date of supply date on Rx
what should you not inclide in pom entry
dose
when do you do the pom entry?
on the day or the next day
is private rx sent to nhs bsa?
no
what forms can a pom entry be recorded?
electornic or paperback
how long should the pom register be retained in the pharmacy?
two years from the date of last entry in the register
do you record p and gsl in pom register?
no
do we write pom ref number on the private rx?
yes
