POM - supplying/sale without a prescription Flashcards
What are the exemptions that allow POMs to be sold or supplied without a prescription?
PGD
PSD
Emergency supply
Optometrist/podiatrist signed patient orders
Supply of salbutamol inhalers and adrenaline autoinjector to schools
Supply of naloxone by individuals providing recognised drug treatment services
When can you supply naloxone without a prescription?
Person employed/engaged in provision of drug treatment services (needle exchange + drug treatment services)
What is a patient specific direction?
Written instruction by prescriber for a medicine to be supplied/administered to name patient
What are the legal requirements for a PSD?
None – but must have sufficient info
When administering a PSD, is it possible for the directions to be verbal/telephoned?
Yes – doesn’t specify it needs to be in writing
What medicines can be included on a PGD?
All POMs, Ps + GSL
CD:
- 2: ONLY diamorphine and morphine (only registered nurses + pharmacist for immediate treatment of sick + injured person) and ketamine
- 3: ONLY midazolam
- 4: all EXCEPT anabolic steroid + injections for treating addiction
- 5: ALL
What are the requirements for an emergency supply at the request of a prescriber?
Pharmacist is satisfied the request is by a relevant prescriber
Prescription cannot be provided immediately due to an emergency
Prescription is sent within 72 hours
Which medications cannot be given as an emergency supply?
Schedule 1, 2 + 3 (EXCEPT phenobarbital for the treatment of epilepsy)
What record is kept/made when supplying an emergency supply at the request of a prescriber?
POM register made on day of supply, or if impractical, next day (THREE dates)
- Date of supply
- Name + quantity of medicine
- Name + address of prescriber requesting emergency supply
- Name + address of patient
- Date on prescription
- Date prescription is received
What is the maximum length of treatment for an emergency supply?
CD: 5 days
Other POM: 30 days
Insulin, ointment, cream, inhaler: smallest pack
Oral contraceptive: full treatment cycle
Antibiotic liquid: smallest quantity that will provide full course of treatment
What are the requirements for an emergency supply at the request of a patient?
Interview
Immediate need for POM + impractical to obtain prescription without undue delay
Previous treatment
Appropriate dose
What record is kept/made when supplying an emergency supply at the request of a patient?
POM register made on day of supply, or if impractical, next day
- Date of supply
- Name + quantity of medicine
- Name + address of patient
- Information on nature of emergency (why they need POM + reason why prescription cannot be obtained)
What are the labelling requirements for an emergency supply at the request of a patient?
‘emergency supply’ needs to be added
What are the differences between an emergency supply at the request of a patient vs at the request of a practitioner?
Quantity:
- Practitioner: No limit (good practice for CDs)
- Patient: 30 days (CD 5 days)
Prescription:
- Practitioner: w/in 72hrs
- Patient: None
Label:
- Practitioner: no requirements
- Patient: ‘emergency supply’
POM register:
- Practitioner: must record details of practitioner
- Patient: don’t legally have to record details of practitioner
Interview:
- Practitioner: not required
- Patient: required
Medication
- Practitioner: can be new medication
- Patient: must have been previously prescribed
What information should be included on a signed order from a school for adrenaline autoinjectors and/or salbutamol inhalers?
Name of school
Product detail
Strength
Purpose for requirement
Total quantity
Signature of headteacher
