PAMS Flashcards
What are the types of ‘Emergency Supply’?
(1) Patient
(2) Prescriber
(PATIENT REQUESTED EMERGENCY SUPPLY)
Does the medication have to have been previously prescribed?
Yes. The medication must have been prescribed before.
(PATIENT REQUESTED EMERGENCY SUPPLY)
What is the maximum treatment duration?
30 days.
(PATIENT REQUESTED EMERGENCY SUPPLY)
Which controlled drugs can be dispensed?
CD4 and CD5 only.
Phenobarbital (CD3) can be dispensed ONLY for the indication of epilepsy.
(PATIENT REQUESTED EMERGENCY SUPPLY)
What is the maximum duration of treatment for a CD4 or CD5?
5 days treatment for CD4 and CD5.
CD2 and CD3 cannot be prescribed at patient’s request. (UNLESS PHENOBARBITAL FOR EPILEPSY)
(PATIENT REQUESTED EMERGENCY SUPPLY)
Is a POM register required? If so, when must it be completed by?
Yes.
POM register must be completed on the same or following day.
(LEGAL REQUIREMENT)
(PATIENT REQUESTED EMERGENCY SUPPLY)
What words must be written on the label?
“EMERGENCY SUPPLY”
When should a reference number be included on the label?
When a POM Register is required - Should also be included with the price.
(UNLESS NHS + EXEMPT)
(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What does the pharmacist need to confirm with the prescriber?
That the prescriber will provide a prescription within 72hrs (LEGAL REQUIREMENT)
(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What are considered ‘relevant prescribers’?
(1) Doctors
(2) Dentists
(3) Supplementary prescribers
(4) Community Nurse Prescriber
(5) Independent Nurse Prescriber
(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What must the prescriber do within 72 hours of the emergency request?
Prescriber must supply a prescription within 72 hours of emergency request.
(LEGAL REQUIREMENT)
(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What controlled drugs are able to be dispensed following an emergency request?
CD4 and CD5 only.
Phenobarbital (CD3) can be dispensed, ONLY if to treat epilepsy.
(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
Is a POM Register required?
Yes.
(LEGAL REQUIREMENT)
(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
Does the pharmacist need to check if the emergency supply is NHS/ private?
Yes.
Pharmacist needs to know if patient is exempt (NHS ONLY)
(1) How many types of prescription forms are there?
(2) What colours are they?
(1) 5 different prescription forms.
(2) Green, yellow, lilac, grey, and pink
What does the phrase ‘RD’ mean?
‘RD’ indicates a repeat dispensing form. This is NOT a prescription.
What does the phrase ‘RA’ mean?
‘RA’ is a repeat authorisation form.
What is the code for a green Rx form?
FP10SS
What is the code for a yellow Rx form?
FP10D
What can be prescribed on a yellow Rx form and who can prescribe using this form?
Only items that are in the Dentists’ Formulary.
Dentists.
Can dentist’s prescribe branded products?
Yes, they can prescribe any branded equivalent.
But they are advised to prescribe generically.
Can pharmacists dispense blacklisted drugs?
No.
Where can blacklisted drugs be found?
In section XVIIIa in the Drug Tariff.
Who can prescribe on a lilac Rx form?
Independent nurse prescribers and supplementary prescribers.
What can independent nurses and supplementary prescribers prescribe?
Any drug from the BNF.
What can a community nurse prescribe?
Only drugs in the Nurses’ Formulary.
What are FP10P-REC Rx forms?
Out of hours prescriptions. These items are supplied directly to the patients.
What is the layout of a private prescription and what are the requirements?
There is no standardised layout for a private Rx.
The requirements are the same as those for an FP10SS Rx.
How much does the pharmacist charge a patient for a private prescription?
The pharmacy can charge any amount for a private Rx.
Is a FP10SS form sent or retained after the item has been dispensed?
Sent to NHSBSA services at the end of the month.
Is a FP10D form sent or retained after the item has been dispensed?
Sent to NHSBSA services at the end of the month.
Is a FP10PN form sent or retained after the item has been dispensed?
Sent to NHSBSA services at the end of the month.
Is a private Rx form sent or retained after the item (POMs only) has been dispensed?
Script should be retained for 2 years.
When should a pink form be used?
For a private prescription for CD2 and CD3 drugs.
What should happen to a pink Rx form after the item has been dispensed?
Sent to NHSBSA at the end of the month.
Where should a reference number be found, when it applies?
(1) On POM/ CD register
(2) On Rx, by pharmacy stamp - with price
(3) On drug label
(ONLY APPLIES WHEN A POM REG IS LEGALLY REQUIRED)
What are the FP10 Rx legal requirements?
(1) Age (+DOB if <12yrs)
(2) Patient name + address
(3) Prescriber signature
(4) Date of prescription
(5) Prescriber address and type of prescriber
(6) CDID number if a private CD
What are the FP10 Rx contractual requirements?
(1) Pharmacy stamp
(2) Ref. number + price (if POM or CD)
(3) Number of items on Rx
(4)Endorsements
(5) FP10D - only dental formulary
(6) FP10PN - only nurses formulary
When do you endorse?
(1) If item is branded
(2) If >1 pack size available
(3) If quantity is not clearly stated
(4) If item is a CD
What medicine details are required on a FP10 Rx?
(1) Drug name
(2) Dose
(3) Strength
(4) Form
(5) Quantity - in words + figures for CD
How many times can a ‘repeat x3’ form be dispensed in total?
4 times.
Once for original script and 3 repeats.
If number of repeats is not stated, how many times can it be dispensed in total? What is the exception to this?
Twice. Once for original script and once for a repeat.
Oral contraceptives can be dispensed 6 times in total.
How soon must POM Register entries be made?
On the same/ following day.
How long must a POM Register be kept?
POM Registers must be retained for 2 years.
What are the register requirements for CD2 drugs on an FP10?
CD Register - Legal
(POM REG NOT REQUIRED FOR NHS CD2)
What are the register requirements for CD3 drugs on an FP10?
No register requirements.
(NO REG REQUIREMENTS FOR NHS EXCEPT CD2)
What are the 3 POM Register headings?
(1) Date supplied
(2) Date dispensed
(3) Details
What details are required on a POM Register?
(1) Patient name + address
(2) Prescriber name + address
(3) Drug name, dose, strength, quantity, form
(4) Reference number - also on label and Rx
(5) Price - also on Rx
Why are CD1 drugs rarely prescribed?
They are recognised as having no therapeutic value.
What register requirements do CD2 drugs have on a private prescription?
CD Register - Legal
POM Register - Good practice for private CD2 drugs
How long is a CD2 Rx valid for?
28 days - maximum 30 days supply.
What types of supply are not permitted for CD2?
(1) Emergency supply
(2) Repeat prescribing
What register requirements do CD3 drugs have for (1) NHS forms and (2) private forms?
(1) No register requirements for FP10
(1) POM Reg for private (LEGAL REQUIREMENT)