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MEP > POM > Flashcards

POM Flashcards

1
Q

What are the legal requirements for POM prescriptions?

A

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

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2
Q

Can you use carbon copies?

A

Yes as long as signed in ink

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3
Q

How many times can a repeatable prescription be dispensed if a repeat number is not stated?

A

Repeated once (dispensed twice)

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4
Q

How many times can a repeat prescription for an oral contraceptive be dispensed if a number is not stated?

A

Repeated 5 times (dispensed 6 times)

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5
Q

Which CDs are repeatable and which are not?

A
  • Repeatable: CD 4 and 5
  • NOT repeatable: CD 2 + 3
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6
Q

When must the first dispensing of a POM or CD 5 be made and what is the legal time limit for the remaining repeats?

A

First: within 6 months

No legal time limit for remaining repeats

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7
Q

When must the first dispensing of a CD 4 be made and what is the legal time limit for the remaining repeats?

A

First: within 28 days

No legal time limit for remaining repeats

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8
Q

Can the patient have the rest of their repeats dispensed at another pharmacy?

A

Yes, maintain audit trail by marking name + address of pharmacy + date of supply

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9
Q

What is the time frame in which an owed prescription must be supplied?

A

POM, CD 5, P and GSL: 6 months

CD 2, 3 + 4: 28 days

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10
Q

Does both the RA (repeatable prescription) and RD (batch prescription) have to be signed by the GP?

A

No – only RA

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11
Q

How long must a private prescription for a POM be retained?

A

2 years from date of supply

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12
Q

How long must a private repeatable prescription be retained?

A

2 years from date of LAST supply

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13
Q

How long is a POM register kept?

A

2 years from date of last entry

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14
Q

What records must be included in a POM register?

A

Supply date

Prescription date

Med details: name, quantity, formulation, strength

Prescriber name and address

Patient name and address

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15
Q

When must the record for a POM be made?

A

On day of supply, or if not practical, next day

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16
Q

Which prescriptions are exempt from the POM register?

A

Oral contraceptives, ‘health prescription’ + CD 2 (separate register)

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17
Q

Can prisoners have FP10 prescriptions?

A

no

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18
Q

When can prisoners have FP10 prescriptions?

A

About to be discharged from prison without usual methods to ensure continuity of supply of meds

19
Q

What do FP10 forms from prison usually have printed on them?

A

Name + address of prison

Exemption from payment

20
Q

Can FP10D prescriptions have any medicinal product prescribed?

A

No, must be in dental practitioners formulary
- Can be branded or generic

21
Q

Can a dentist order any medication on a private prescription?

A

Yes, however dentist are required by their registration body to restrict to areas they are competent + uses in dentistry

22
Q

Where do you report fraudulent prescriptions to?

A

NHS counter fraud services (for NHS prescriptions only)

Police

23
Q

Can you supply a repeat prescription or emergency supply from another country?

A

Yes, if issued by approved health professional from EEA countries or Switzerland

24
Q

What details are required on a prescription from an approved health professional from an approved country?

A

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

25
Q

Can you dispense a prescription written in a foreign language?

A

Yes, however need to use professional judgement if enough information is provided

26
Q

Which medication without UK marketing authorisation may not be prescribed?

A

CD 1, 2 + 3

27
Q

What prescription form are military prescriptions written on?

A

FMed 296

28
Q

If in the unusual event that a FMed 296 is presented to a non-contracted pharmacy, how should the prescription be treated as?

A

Private prescription – must charge patient

29
Q

Can a military schedule 2 + 3 be dispensed if written on a MOD FMed296 from a non-contracted pharmacy?

A

No, not legal – should be changed to FP10PCD

30
Q

What are the legal requirements needed on a label for a dispensed medicinal product?

A

Name of patient

Name + address of supplying pharmacy

Name of med

Direction for use

Precautions

31
Q

What can a pharmacist change on a label without contacting the prescriber?

A

Directions for use

Name of the medicine

Precautions
- Good practice to record

32
Q

What are the exceptions when administering parenteral POMs NOT in accordance with directions from an appropriate practitioner?

A

Naloxone as emergency first aid

Adrenaline for anaphylaxis

Smallpox vaccine linked to medical exposure

33
Q

Define covert administration

A

Meds administered in disguise w/o knowledge or consent of person receiving

34
Q

When would you administer covertly?

A

Actively refuse med

Lack mental capacity

35
Q

What criteria applies to supplementary prescribing?

A

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

36
Q

What are the criteria for non-medical independent prescribers?

A

Fully trained, accredited + registered w/ healthcare regulator

Prescribe within area of competence

Access to patient record

Responsible for actions

37
Q

Which medications need a pregnancy prevention programme?

A

Oral retinoids

Valproate

Thalidomide

38
Q

What are the legal requirements for oral retinoids under the pregnancy prevention programme?

A

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

39
Q

What happens if a patient has an unplanned pregnancy whilst on valproate?

A

Don’t stop taking + arrange urgent review of treatment

40
Q

Can doctors prescribe CD 2 to 5?

A

Yes – home office licence required for cocaine, diamorphine or dipipanone for treating addiction

41
Q

Which CDs can doctors authorise an emergency supply for?

A

4 + 5 and phenobarbital

42
Q

Can vets authorise an emergency supply?

A

no

43
Q

Can a pharmacist prescribe, clinically check, and supply a medicine on the same occasion?

A

Yes – good practice to take break, maintain audit trail and document reason

44
Q

What does the GPhC say in regards to pharmacists prescribing for close family and friends?

A

Must not prescribe for themselves or close personal relationship unless exceptional circumstance

MEP (16 decks)

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