POM Flashcards
Why might a medicine be a POM?
- medicine supervision required to prevent damage
- frequently misused
- a new active substance
- parenteral
UK registered POM prescribers
- doctors
- dentists- DPF
- pharmacist IP
- Nurse IP
- supplementary prescriber
What are independent prescribers responsible for?
- assessment of patients with diagnosed / undiagnosed conditions + clinical management- prescribing
- may specialise in a field
Restricted/ limited POM prescribers
- optometrists IP
- paramedic IP
- physiotherapist IP
- podiatrist IP
- ther radiographer IP
- CPN- NPF
Restrictions on IP optometrists?
Any POM- but not CD & parenterals
Restrictions on IP paramedics Rx?
- Any POM
- No CD other than- codeine, fentanyl, mild morphine
Restrictions on IP physiotherapist Rx?
- Any POM
- No CD other than- dihydrocodeine, fentanyl, lorazepam, oxycodone, temazepam- all oral
- morphone- o/ inj
Restrictions on IP podiatrists Rx?
- Any POM
- No CD other than-diazepam, dihydrocodeine, lorazepam, temazepam- all oral
Restrictions on IP therapeutic radiographer Rx?
- Any POM
- No CD other than- codeine, fentanyl, azolam, morphine, oxycodone, temazepam, tramadol
Restrictions on CPN Rx?
- Can only prescribe what’s in the NPF
What is a supplementary prescriber?
partnership between an IP ( doctor or dentist) to implement a patient agreed management plan
- can have GSL, P, POM, CD, parenterals, off label
What are the EEA health professionals?
A person in European state who is a doctor, dentist, nurse, midwife, pharmacist- register to practice in EEA countries & Switzerland- valid in UK
What are the two types of Rx?
Health- NHS
Private- patient pays cost of drug & dispensing fee
What must a valid Rx contain? (7)
- signed in INK so indelible- electronic sign accepted
- particulars of Rx-ers
- address of Rx-er
- Date
- Patient name
- patient address
- Age if under 12
What does the date on the Rx represent?
- usually the Rx-er sing the Rx
- can be a future date- n=do not dispense before that date
How long is a Rx valid for?
6 months from the date on the Rx
How long is Rx for CD schedule 2, 3, 4 drugs valid for?
28 days from the date on the Rx
Are repeat Rx available non NHS?
No, just private Rx
When must they be dispensed for the first time?
within the 6 month period from the date on the Rx
How many times should you dispense if not specified?
once within 6 months then only once more- 2 times in total
How are contraceptive repeat Rx dealt with?
if no of repeats not specified- repeat 5 times before the end of 6 months- 6 in total
How long does a repeat Rx last?
- If dispensed once within the 6 month period- lasts forever!
Do CDs allow repeat Rx?
schedule 4 CD allows repeat Rx- only for 28 days
Are Rx written in foreign language valid?
if EEa/ Swiss prescription- gives enough information & complies with legal reqs:
- patient name, DOB
- Prescriber name, qualifications, contact, address,
- prescribed med details
- signature of Rx-er
- Date- valid for 6 months ( CD 4- 28days)
- confirm reg status- e.g. GMC
Which Act regulated what dentists can prescribe?
Medicines Act 1968 & Humans Medicines Regulations 2012- can prescribe anything in BNF/C
What dos GDC recommend for dentists Rx ?
only prescribe hat is in DPF- NHS won’t pay if not in DPF
Are faxed Rx valid?
Not legally valid as not written in indelible ink and not singed by appropriate prescriber
What to look out for in a forged Rx?
- Large quantity
- Is Rx-er known?
- Is patient known?
- Has Dr been inserted?
- patient behaviour- nervous?
- is med commonly misused?
What to do if you suspect a forged Rx?
- compare the signatures on previous Rx from same Rx-er
- contact the Rx-er
Are electronic Rx valid?
Yes if signed with electronic signature
What is EPS?
Electronic prescription Service- allows prescribers to send Rx electronically to a pharmacy of patients choice
Does hospital Rx need to meet criteria of a normal Rx?
not the same requirements but any written direction to patient must be patient specified-
- patient name
- signed by Rx-er
- don’t need admin instructions but may have
- can keep adding meds- dot need a new Rx for each med
What needs to be added in the POM register?
private POM Rx
- NHS & contraceptive (private and health) Rx don’t need to be in POM register
Do CD need to be added to POM register?
Yes unless a CD register exists
- schedule 2 CD legally not required
Fate of Private Rx after dispensing?
Need to keep for 2 years from date of suppl
- for repeat Rx- the date of last sale
- For CD s 2 & 3 - sent of to relevant agency- not kept
Fate of NHS Rx after dispensing?
Send to NHSBSA for reimbursement
Fate of Rx for oral contraceptives?
should be kept for 2 years
When should the record be made?
On they or immediately on the day after
What must a label contain?
- name of patient
- name and address of pharmacy
- date of dispensing
- name of medicine
- directions for use
- CALs
- Keep out of reach and sight of children
