PGDs and NMP Flashcards
What is a patient specific direction?
Where a prescription is written by an appropriate practitioner for a specific patient.
What are the main parts of the definition for a PGD?
- Written instruction
- For sale, supply or administration
- Identified clinical situation
- For a group of patients
- For treatment
PGDs are used in the NHS. Can they be used in private hospitals and clinics?
Yes.
True or False: A PGD is prescribing.
False. It is not prescribing.
-> Sale, supply or administration of a medicine.
Which of the following can be included on a PGD: POM, P, GSL?
All of them, POM, P, and GSL
Which CDs can be included on a PGD?
- Schedule 2: Diamorphine and morphine (for treatment of sick patient only) and ketamine.
- Schedule 3: Midazolam
- Schedule 4: All except anabolic steroids and injections used for treating addiction
- Schedule 5: All
Can unlicensed medicines be included on a PGD?
No.
May include off-label use if used in clinical practice and clearly states that it is off-label.
True or False: PGDs are best for treating long term conditions.
False. They are best for treating acute conditions.
Give some examples of acute conditions which are best to treat?
- Emergency Hormonal Contraceptive
- Antimicrobials
- Analgesia
- Immunisation
- Antiviral medicines
Who are PGDs usually written by?
Multi-disciplinary team
- Doctor
- Pharmacist
- Representative of professional group
True or False: PGDs have expiry dates
True. Should be no more than 3 years from the date it was authorised.
Should the PGD be signed and if so, by who?
Yes, by each member of the disciplinary team.
How are medicines supplied in a non-pharmacy setting?
In pre-packs made by the pharmacist.
Is there a record system for PGDs?
Yes to monitor how medicines are used.
- Name of healthcare professional supplying/administering treatment
- Patient identifier
- Medicines provide
Can you slightly deviate from a PGD?
No you have to follow it exactly.
True or False: Clinical judgement can be used when you supply a medicine using a PGD?
False. Only the exact medicine on the PGD can be supplied.
When doing a PGD, another healthcare professional can take over.
False. You must complete the whole process.
True or False: The law makes no reference to labelling POMs supplied on a PGD.
True. Normally label it as would on a prescription.
How would a non-pharmacist label a PGD?
Use pre-packs labels. Spaces to fill out information. (dose, name of patient, date of dispensing)
True or False: When administering a drug, you should label the medicine.
False, it is only a single dose of medicine.(e.g. injection)
-> only label if patient supplied with some medication to take away.
What is non-medical prescribing?
Prescribing by healthcare professionals who are not doctors or dentists.
What are the 2 types of prescriber?
- Independent prescribers (IP)
- Supplementary prescribers (SP)
What is a supplementary prescriber?
Can take the responsibility for management of a patient who has been assessed by an independent prescriber.
What is an independent prescribers?
Responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and for the decisions about the clinical management required, including prescribing.
