POM Flashcards
What are the legal requirements for POM prescriptions?
Signed in ink by appropriate practitioner (in UK or from approved country), or an ‘advanced electronic signature’
Address of appropriate practitioner
Date
- Valid for 6 months
indication of kind of appropriate practitioner
Name of patient + Address of patient
Age, if under 12
Can you use carbon copies?
Yes as long as signed in ink
How many times can a repeatable prescription be dispensed if a repeat number is not stated?
Repeated once (dispensed twice)
How many times can a repeat prescription for an oral contraceptive be dispensed if a number is not stated?
Repeated 5 times (dispensed 6 times)
Which CDs are repeatable and which are not?
- Repeatable: CD 4 and 5
- NOT repeatable: CD 2 + 3
When must the first dispensing of a POM or CD 5 be made and what is the legal time limit for the remaining repeats?
First: within 6 months
No legal time limit for remaining repeats
When must the first dispensing of a CD 4 be made and what is the legal time limit for the remaining repeats?
First: within 28 days
No legal time limit for remaining repeats
Can the patient have the rest of their repeats dispensed at another pharmacy?
Yes, maintain audit trail by marking name + address of pharmacy + date of supply
What is the time frame in which an owed prescription must be supplied?
POM, CD 5, P and GSL: 6 months
CD 2, 3 + 4: 28 days
Does both the RA (repeatable prescription) and RD (batch prescription) have to be signed by the GP?
No – only RA
How long must a private prescription for a POM be retained?
2 years from date of supply
How long must a private repeatable prescription be retained?
2 years from date of LAST supply
How long is a POM register kept?
2 years from date of last entry
What records must be included in a POM register?
Supply date
Prescription date
Med details: name, quantity, formulation, strength
Prescriber name and address
Patient name and address
When must the record for a POM be made?
On day of supply, or if not practical, next day
Which prescriptions are exempt from the POM register?
Oral contraceptives, ‘health prescription’ + CD 2 (separate register)
Can prisoners have FP10 prescriptions?
no
When can prisoners have FP10 prescriptions?
About to be discharged from prison without usual methods to ensure continuity of supply of meds
What do FP10 forms from prison usually have printed on them?
Name + address of prison
Exemption from payment
Can FP10D prescriptions have any medicinal product prescribed?
No, must be in dental practitioners formulary
- Can be branded or generic
Can a dentist order any medication on a private prescription?
Yes, however dentist are required by their registration body to restrict to areas they are competent + uses in dentistry
Where do you report fraudulent prescriptions to?
NHS counter fraud services (for NHS prescriptions only)
Police
Can you supply a repeat prescription or emergency supply from another country?
Yes, if issued by approved health professional from EEA countries or Switzerland
What details are required on a prescription from an approved health professional from an approved country?
Patient full name + DOB
Prescriber details:
- Full name
- Professional qualification
- Email address + telephone number
- Work address (inc country they work in)
Medication: name, form, quantity, strength + dosage
Prescriber signature
Date of issue
Can you dispense a prescription written in a foreign language?
Yes, however need to use professional judgement if enough information is provided
Which medication without UK marketing authorisation may not be prescribed?
CD 1, 2 + 3
What prescription form are military prescriptions written on?
FMed 296
If in the unusual event that a FMed 296 is presented to a non-contracted pharmacy, how should the prescription be treated as?
Private prescription – must charge patient
Can a military schedule 2 + 3 be dispensed if written on a MOD FMed296 from a non-contracted pharmacy?
No, not legal – should be changed to FP10PCD
What are the legal requirements needed on a label for a dispensed medicinal product?
Name of patient
Name + address of supplying pharmacy
Name of med
Direction for use
Precautions
What can a pharmacist change on a label without contacting the prescriber?
Directions for use
Name of the medicine
Precautions
- Good practice to record
What are the exceptions when administering parenteral POMs NOT in accordance with directions from an appropriate practitioner?
Naloxone as emergency first aid
Adrenaline for anaphylaxis
Smallpox vaccine linked to medical exposure
Define covert administration
Meds administered in disguise w/o knowledge or consent of person receiving
When would you administer covertly?
Actively refuse med
Lack mental capacity
What criteria applies to supplementary prescribing?
Written clinical management plan in place specific to patient and condition, agreed + signed by SP AND IP
- Specify when to refer to IP
- Must have date of commencement + date of review
IP must be doctor or dentist
Communication + access to medical records needed
Voluntary partnership
What are the criteria for non-medical independent prescribers?
Fully trained, accredited + registered w/ healthcare regulator
Prescribe within area of competence
Access to patient record
Responsible for actions
Which medications need a pregnancy prevention programme?
Oral retinoids
Valproate
Thalidomide
What are the legal requirements for oral retinoids under the pregnancy prevention programme?
Valid for 7 days
Max 30 day supply (if more, must not be under PPP)
Telephone request only accepted if e/s at request of PPP specialist prescriber w/ confirmation of negative pregnancy status
What happens if a patient has an unplanned pregnancy whilst on valproate?
Don’t stop taking + arrange urgent review of treatment
Can doctors prescribe CD 2 to 5?
Yes – home office licence required for cocaine, diamorphine or dipipanone for treating addiction
Which CDs can doctors authorise an emergency supply for?
4 + 5 and phenobarbital
Can vets authorise an emergency supply?
no
Can a pharmacist prescribe, clinically check, and supply a medicine on the same occasion?
Yes – good practice to take break, maintain audit trail and document reason
What does the GPhC say in regards to pharmacists prescribing for close family and friends?
Must not prescribe for themselves or close personal relationship unless exceptional circumstance
