PAMS Flashcards

1
Q

What are the types of ‘Emergency Supply’?

A

(1) Patient
(2) Prescriber

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2
Q

(PATIENT REQUESTED EMERGENCY SUPPLY)
Does the medication have to have been previously prescribed?

A

Yes. The medication must have been prescribed before.

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3
Q

(PATIENT REQUESTED EMERGENCY SUPPLY)
What is the maximum treatment duration?

A

30 days.

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4
Q

(PATIENT REQUESTED EMERGENCY SUPPLY)
Which controlled drugs can be dispensed?

A

CD4 and CD5 only.
Phenobarbital (CD3) can be dispensed ONLY for the indication of epilepsy.

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5
Q

(PATIENT REQUESTED EMERGENCY SUPPLY)
What is the maximum duration of treatment for a CD4 or CD5?

A

5 days treatment for CD4 and CD5.
CD2 and CD3 cannot be prescribed at patient’s request. (UNLESS PHENOBARBITAL FOR EPILEPSY)

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6
Q

(PATIENT REQUESTED EMERGENCY SUPPLY)
Is a POM register required? If so, when must it be completed by?

A

Yes.
POM register must be completed on the same or following day.
(LEGAL REQUIREMENT)

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7
Q

(PATIENT REQUESTED EMERGENCY SUPPLY)
What words must be written on the label?

A

“EMERGENCY SUPPLY”

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8
Q

When should a reference number be included on the label?

A

When a POM Register is required - Should also be included with the price.
(UNLESS NHS + EXEMPT)

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9
Q

(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What does the pharmacist need to confirm with the prescriber?

A

That the prescriber will provide a prescription within 72hrs (LEGAL REQUIREMENT)

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10
Q

(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What are considered ‘relevant prescribers’?

A

(1) Doctors
(2) Dentists
(3) Supplementary prescribers
(4) Community Nurse Prescriber
(5) Independent Nurse Prescriber

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11
Q

(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What must the prescriber do within 72 hours of the emergency request?

A

Prescriber must supply a prescription within 72 hours of emergency request.
(LEGAL REQUIREMENT)

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12
Q

(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
What controlled drugs are able to be dispensed following an emergency request?

A

CD4 and CD5 only.
Phenobarbital (CD3) can be dispensed, ONLY if to treat epilepsy.

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13
Q

(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
Is a POM Register required?

A

Yes.
(LEGAL REQUIREMENT)

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14
Q

(PRESCRIBER REQUESTED EMERGENCY SUPPLY)
Does the pharmacist need to check if the emergency supply is NHS/ private?

A

Yes.
Pharmacist needs to know if patient is exempt (NHS ONLY)

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15
Q

(1) How many types of prescription forms are there?
(2) What colours are they?

A

(1) 5 different prescription forms.
(2) Green, yellow, lilac, grey, and pink

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16
Q

What does the phrase ‘RD’ mean?

A

‘RD’ indicates a repeat dispensing form. This is NOT a prescription.

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17
Q

What does the phrase ‘RA’ mean?

A

‘RA’ is a repeat authorisation form.

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18
Q

What is the code for a green Rx form?

A

FP10SS

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19
Q

What is the code for a yellow Rx form?

A

FP10D

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20
Q

What can be prescribed on a yellow Rx form and who can prescribe using this form?

A

Only items that are in the Dentists’ Formulary.
Dentists.

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21
Q

Can dentist’s prescribe branded products?

A

Yes, they can prescribe any branded equivalent.
But they are advised to prescribe generically.

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22
Q

Can pharmacists dispense blacklisted drugs?

A

No.

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23
Q

Where can blacklisted drugs be found?

A

In section XVIIIa in the Drug Tariff.

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24
Q

Who can prescribe on a lilac Rx form?

A

Independent nurse prescribers and supplementary prescribers.

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25
Q

What can independent nurses and supplementary prescribers prescribe?

A

Any drug from the BNF.

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26
Q

What can a community nurse prescribe?

A

Only drugs in the Nurses’ Formulary.

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27
Q

What are FP10P-REC Rx forms?

A

Out of hours prescriptions. These items are supplied directly to the patients.

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28
Q

What is the layout of a private prescription and what are the requirements?

A

There is no standardised layout for a private Rx.
The requirements are the same as those for an FP10SS Rx.

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29
Q

How much does the pharmacist charge a patient for a private prescription?

A

The pharmacy can charge any amount for a private Rx.

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30
Q

Is a FP10SS form sent or retained after the item has been dispensed?

A

Sent to NHSBSA services at the end of the month.

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31
Q

Is a FP10D form sent or retained after the item has been dispensed?

A

Sent to NHSBSA services at the end of the month.

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32
Q

Is a FP10PN form sent or retained after the item has been dispensed?

A

Sent to NHSBSA services at the end of the month.

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33
Q

Is a private Rx form sent or retained after the item (POMs only) has been dispensed?

A

Script should be retained for 2 years.

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34
Q

When should a pink form be used?

A

For a private prescription for CD2 and CD3 drugs.

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35
Q

What should happen to a pink Rx form after the item has been dispensed?

A

Sent to NHSBSA at the end of the month.

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36
Q

Where should a reference number be found, when it applies?

A

(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)

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37
Q

What are the FP10 Rx legal requirements?

A

(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

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38
Q

What are the FP10 Rx contractual requirements?

A

(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

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39
Q

When do you endorse?

A

(1) If item is branded
(2) If >1 pack size available
(3) If quantity is not clearly stated
(4) If item is a CD

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40
Q

What medicine details are required on a FP10 Rx?

A

(1) Drug name
(2) Dose
(3) Strength
(4) Form
(5) Quantity - in words + figures for CD

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41
Q

How many times can a ‘repeat x3’ form be dispensed in total?

A

4 times.
Once for original script and 3 repeats.

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42
Q

If number of repeats is not stated, how many times can it be dispensed in total? What is the exception to this?

A

Twice. Once for original script and once for a repeat.
Oral contraceptives can be dispensed 6 times in total.

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43
Q

How soon must POM Register entries be made?

A

On the same/ following day.

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44
Q

How long must a POM Register be kept?

A

POM Registers must be retained for 2 years.

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45
Q

What are the register requirements for CD2 drugs on an FP10?

A

CD Register - Legal
(POM REG NOT REQUIRED FOR NHS CD2)

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46
Q

What are the register requirements for CD3 drugs on an FP10?

A

No register requirements.
(NO REG REQUIREMENTS FOR NHS EXCEPT CD2)

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47
Q

What are the 3 POM Register headings?

A

(1) Date supplied
(2) Date dispensed
(3) Details

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48
Q

What details are required on a POM Register?

A

(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

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49
Q

Why are CD1 drugs rarely prescribed?

A

They are recognised as having no therapeutic value.

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50
Q

What register requirements do CD2 drugs have on a private prescription?

A

CD Register - Legal
POM Register - Good practice for private CD2 drugs

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51
Q

How long is a CD2 Rx valid for?

A

28 days - maximum 30 days supply.

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52
Q

What types of supply are not permitted for CD2?

A

(1) Emergency supply
(2) Repeat prescribing

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53
Q

What register requirements do CD3 drugs have for (1) NHS forms and (2) private forms?

A

(1) No register requirements for FP10
(1) POM Reg for private (LEGAL REQUIREMENT)

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54
Q

Is emergency supply allowed for a CD3?

A

No. Unless for the treatment of epilepsy with phenobarbital (CD3).

55
Q

What types of supply are not permitted for CD3?

A

(1) Emergency supply only permitted for phenobarbital for epilepsy.
(2) Repeat prescribing.

56
Q

Are CD3 scripts sent or retained for (1) NHS, (2) private, and (3) veterinary?

A

(1) NHS are sent to NHSBSA services at end of month.
(2) Private are sent to NHSBSA services at end of month.
(3) Veterinary CD3 are retained for 5 years - as with all vet scripts.

57
Q

How many types of CD4 drugs are there?

A

2 types.
(1) Benzodiazepines - CD4-1
(2) Androgenic + anabolic steroids - CD4-2

58
Q

Which controlled drugs have to be kept in the CD cabinet?

A

CD1, CD2, and CD3.
CD4 and CD5 are not required to be kept in CD cabinet.

59
Q

Do CD4 drugs require a CD register entry?

A

No.

60
Q

What types of supply are not permitted for CD4?

A

None.
Repeat prescription is allowed.
Emergency supply is allowed - Max. 5 days supply

61
Q

(1) Which CD schedule are lowered doses of CD2 drugs?
(2) Name some examples

A

(1) CD5.
(2) Such as codeine/ morphine.

62
Q

Which type of CDs are available OTC?

A

Some CD5 only.

63
Q

How long are the scripts of each of the CD schedules valid for?
(1) CD2
(2) CD3
(3) CD4
(4) CD5

A

(1-3) CD2, CD3, CD4 - 28 days only.
(4) CD5 - 6 months.

64
Q

What extra information is required on the prescription from the prescriber for private controlled drugs?

A

(1) Quantity in words and figures (LEGAL REQUIREMENT)
(2)CDID number of the prescriber for private CD (LEGAL REQUIREMENT).

This must also be stated on the CD/ POM register.

65
Q

What different categories of Veterinary prescriptions are there?

A

(1) POM-V
(2) POM-VPS
(3) NFS-VPS
(4) AVM-GSL
(5) SAES

66
Q

What must the Rx for a POM-V CD state?

A

Prescribed for an ‘an animal/ herd under his/ her care’

67
Q

Who can prescribe a POM-V?

A

Veterinary surgeon or pharmacist

68
Q

What type of Rx is required for a POM-VPS?

A

(1) Written/ oral prescription
(2) Written is ONLY required if prescriber is not the supplier.

69
Q

What is an NFA-VPS?

A

Medicines for a non-food animal.

70
Q

What type of Rx is required for a NFA-VPS?

A

Written Rx is not required, oral ONLY.

71
Q

What are the register requirements for POM-V, POM-VPS, and CD3?

A

POM Register - LEGAL

72
Q

Are POM-V, POM-VPS, and CD3 prescriptions sent or retained after being dispensed?

A

Scripts should be retained for 5 years.
Applies for all veterinary prescriptions

73
Q

Where can AVM-GSL drugs be obtained?

A

Petshops, supermarkets, or online.
There is no restriction/ advice for AVM-GSL drugs.

74
Q

What are SAES?

A

SAES are exempt medicines for specific species.
Species include: Ferrets, aquarium animals, cage birds, rabbits, etc

75
Q

(1) What is an unauthorised veterinary medicine? (2) What is the exception?

A

(1) The prescription of a human drug against a veterinary Rx
(2) Exceptions include endorsing ‘FOR USE UNDER THE CASCADE’

76
Q

How long should veterinary prescriptions be retained for following dispensing?

A

The Rx should be retained for 5 years.

77
Q

(1) When is the RCVS Registration number of the prescriber required?
(2) What should be stated on the prescription when the RCVS number is required?

A

(1) For the prescription of CD2 and CD3 drugs.
(2) ‘For an animal/ herd under his/ her care’ should also be stated.

78
Q

What extra requirements do CD2 and CD3 veterinary prescription scripts have?

A

(1) Prescriber’s RCVS Registration number
(2) ‘For an animal/ herd under his/ her care’

79
Q

What Rx form should veterinary prescriptions be on?

A

There is no standardised Rx form for veterinary medicines.

80
Q

What duration of treatment can be prescribed for a controlled drug in a veterinary prescription?

A

28 days - Good practice
Longer durations of treatment should be well justified.

81
Q

What type of prescription does not LEGALLY require a dispensing label?

A

Veterinary medicines - unless under the cascade.
It is still GOOD PRACTICE to make dispensing labels.

82
Q

What extra requirements are needed for the dispensing label of veterinary medicines?

A

‘FOR ANIMAL TREATMENT ONLY’ or equivalent.

83
Q

What records are needed for a medicine prescribed under the cascade?

A

(1) Treat as if a private script - POM REG LEGAL REQUIREMENT
(2) Include the batch number of the drug
(3) Include reference number and price

84
Q

What are the register requirements for private POM prescriptions?

A

POM Register - LEGAL

85
Q

What are the register requirements for private CD2?

A

POM Register - GOOD PRACTICE
CD Register - LEGAL

86
Q

What are the register requirements for private CD3?

A

POM Register - LEGAL

87
Q

What are the register requirements for veterinary CD2 prescriptions?

A

POM Register - GOOD PRACTICE
CD Register - LEGAL

(SAME AS PRIVATE CD2)

88
Q

What are the register requirements for veterinary POM-V, POM-VPS, and CD3 prescriptions?

A

POM Register - LEGAL

89
Q

What are the register requirements for NHS POM, P, and GSL prescriptions?

A

No register requirements

90
Q

What are the register requirements for NHS CD1/ CD2?

A

CD Register - Legal

91
Q

What are the register requirements for NHS CD3?

A

No register requirements

92
Q

What are the register requirements for NHS FP10D (Dentists)?

A

No register requirements

93
Q

What are the register requirements for emergency supply at the request of a patient?

A

POM Register - LEGAL

94
Q

What are the register requirements for emergency supply at the request of a prescriber?

A

POM Register - LEGAL

95
Q

Are private POM prescriptions sent/ retained?

A

Retain for 2 years

96
Q

Are private CD2 prescriptions sent/ retained?

A

Sent to NHSBSA at month end.

97
Q

Are private CD3 prescriptions sent/ retained?

A

Sent to NHSBSA at month end

98
Q

Are all veterinary prescriptions sent/ retained?

A

Retained for 5 years

99
Q

Are all NHS prescriptions sent/ retained?

A

Sent to NHSBSA at month end.

100
Q

What is the action to be taken for emergency supply at the request of a prescriber?

A

It is not a prescription.
Request a prescription to be received within 72hrs.
This prescription will then be sent to NHSBSA at month end when received.

101
Q

What is the action to be taken for emergency supply at request of a patient?

A

It is not a prescription.
Charge the patient for the medication.

102
Q

When is the quantity required in both words and figures?

A

CD2 prescriptions.
(QUANTITY SHOULD BE CONFIRMED WITH PRESCRIBER BEFORE AMENDING)

103
Q

Is the prescriber number required on a CD Register?

A

Yes.
Under ‘Details of authority to possess’

104
Q

What should be written in the ‘BALANCE’ column of a CD Register?

A

Top line - Initial/ current stock
Below - How much is being dispensed

105
Q

(1) When can a pharmacist amend the script clinically?
(2) What additions are required?

A

(1) When the prescriber has not written the quantity in words and figures.
(2) The quantity in words/ figures, pharmacist signature, pharmacist name, date, pharmacist GPhC number

106
Q

When does ‘human’ need to be written on supply type?

A

When the prescription is private.

107
Q

What type of error is prescribing a drug which is not permitted, e.g. Dentist prescribing outside of formulary?.

A

Contractual error

108
Q

What units are required for prescription endorsements?

A

Units are only required when the item being endorsed has a quantity in ‘mL’
e.g. 250mL/250mL

109
Q

In regards to the prescription of liquids, what administration instructions are required (unless specified otherwise on the Rx, e.g. syringe)?

A

Take ONE 5mL “SPOONFUL”

Unless stated otherwise, the measurement of a spoonful following the quantity is required.

110
Q

How should the remaining balance be written on the CD register when the prescription information says only “3 bottles remaining”, but you know their quantity (e.g. 250mL)?

A

The remaining balance should be written in mL or other such unit, NOT in number of remaining bottles.

111
Q

What is the price of a single NHS prescription?

A

£9.15

112
Q

What is the significance of the price £9.15?

A

£9.15 is the price of a single NHS prescription, unless the patient is exempt.

113
Q

When should the dispensing label state “EMERGENCY SUPPLY”?

A

For emergency supply at the request of a patient ONLY.

114
Q

What extra POM Register requirements are there for emergency supply at the request of a prescriber?

A

(1) Date on prescription
(2) Date prescription received

Remember also: Date supplied/ dispensed.

115
Q

For emergency supply at the request of a prescriber, what happens to the prescription once it is received?

A

The prescription should be sent to NHSBSA at the end of the month.

“Not applicable - no prescription” applies only to ES at patient request.

116
Q

What addition to the POM Register is required for E/S at the request of a patient?

A

The reason for emergency supply.

117
Q

(1) When is the batch number required?
(2) Where is it required?

A

(1) For veterinary prescriptions
(2) On the POM register

118
Q

(1) When is the expiry date required?
(2) Where is the expiry date required?

A

(1) For veterinary prescriptions
(2) On the label for veterinary prescriptions

119
Q

What are 2 alternative names for phenobarbital?

A

(1) Phenobarbitone
(2) Phenobarbitone sodium

120
Q

What is a requirement for E/S at request of the patient, with specific regard to the requested treatment?

A

The medication must have previously been prescribed by a suitable prescriber.

121
Q

(1) What is the maximum length of treatment prescribed for a CD at request of the patient?
(2) What CDs cannot be prescribed?

A

(1) 5 days emergency supply
(2) CD2 or CD3 - unless phenobarbital for epilepsy

122
Q

When is the RCVS number required?

A

When a CD2 or CD3 has been prescribed on a veterinary prescription.

123
Q

When is the animal’s address required on a veterinary prescription, in addition to the owner?

A

When the address of the animal is different to that of the owner.

124
Q

Which prescriptions are valid for 28 days only?

A

CD1, CD2, CD3 and CD4.

125
Q

Which CD categories are not eligible for emergency supply?

A

(1) CD2
(2) CD3 - unless phenobarbital for epilepsy.

126
Q

Which prescribers are unable to prescribe CD2 and CD3 due to their geographical location?

A

EEA and Swiss prescribers.

127
Q

If you have to calculate the quantity (usually from the duration of treatment), what do you need to do on the prescription?

A

Endorse, e.g. 28/28.

128
Q

Do you have to endorse if the medication is branded?

A

Yes

129
Q

(1) What does the endorsement ‘PC’ mean? (2) When is it required?

A

(1) Prescriber contacted
(2) When the quantity has been amended by the prescriber - i.e. to be written in words and figures.

130
Q

For oral solutions, when is the amount in mg also required?

A

When the oral solution is being administered using a syringe.

The dose in mg should be written in brackets, e.g. 5mL (10mg)

131
Q

(1) When should the reference number be written on the label? (2) How should it be written?

A

(1) When a POM Register is required - required on the POM Register, dispensing label, and by the pharmacy stamp.
(2) It should be typed onto the label.

132
Q

How much should a pharmacy charge for E/S at prescriber’s request?

A

NHS - £9.15/ Exempt
Private - Any amount

133
Q

How much should a pharmacy charge for E/S at patient’s request?

A

Any amount, for handling and medication fee - as no prescription will be received.