POM Flashcards
Define POM
it is a medicine listed in the POM order or a medicine where the marketing organisation is classified as a POM
WORKING DEFINITION: a medicinal product which can only be prescribed with the signature of an authorised prescriber
name 3 exceptions to the POM i.e without RX
Patient Group Directions
Emergency supplies
Patient specific directions in hospitals
what is patient specific direction?
No legal definition of a PSD but it is generally accepted to mean a written instruction from a prescriber for a medicine to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis -this is the safest way to supply a POM
what are the 5 legal requirements?
1- Signed in ink by prescriber
2- Must be written in ink- EXEPTION: carbon paper- written between 2 sheets of paper, when take away second sheet it appears on both (1968)- doesn’t happen a lot today
3- Must contain :address/ appropriate date/ indication/ name and address of patient/ person is under 12 , that persons age.
4- Valid for 6 months
5- Practitioner must be registered in UK
what are the 2 legal requirements for repeat prescriptions?
- must be dispensed within 6 months of the date on the prescription
- no specific number of repeats unless oral contraceptive (5 repeats but 6 times)
- must be all dispensed within the time its legally valid
which prescriptions can be can post-dated?
NHS prescriptions
what information isn’t legally needed on a prescription?
Name of practitioner (but……)
•Drug name, strength, dose and quantity
do not confuse repeat prescriptions with
•NHS Repeat Dispensing (see separate lecture)•
Instalment dispensing for addicts (see separate lecture)•
Patients ordering medicines which are on a ‘repeat list’ from their GP
what colour are dentists prescriptions?
yellow
what colour are nurses prescriptions?
purple or green
what can dentists prescribe?
medicinal products ordered are in the Dental Practitioners’ Formulary (DPF) (found in BNF)
A private prescription written by a dentist can order anyPOM, P or GSL medicine- only medicines used in dentistry though
where can you find the list of drugs that practitioner nurse prescribers can prescribe?
Nurse Prescribers’ Formulary for Community Practitioners (NPF) (found in BNF)
why would you post date a prescription?
antibiotic resistance
misuse of medicine
what are the requirements of electronic prescription
-all the legal requirements must apply
-must be signed with an advanced electronic signature and sent to whoever is dispensing it(via NHS spine)
-
