POMs 2 - emergency supply Flashcards
What does emergency supply mean?
the emergency supply of a POM without a valid Rx being present at the time of dispensing
2 types of emergency supply?
- ES at the request of a patient
- ES at the request of a prescriber
request of patient: pharmacist satisfied that…
- ‘immediate need’ for the POM and it is impractical to obtain a Rx without ‘undue delay’
- the POM has previously been prescribed by a app practitioner (app country health professional)
- the dose would be appropriate for the patient to take
CDs for ES at request of patient
NO Sch 2 or 3 CDs
- except phenobarbital or phenobarbital sodium for the Tx of epilepsy
max days supply for ES at request of patient
max 5 days supply for CDs
max 30 days supply for POMs except
- insulin, cream/ointment, inhaler for asthma –> the smallest pack available should be supplied
- oral contraceptive –> supply a full Tx cycle
- ABX in liquid form for oral administration – the smallest quantity that will supply the full course of treatment should be supplied
records for ES at request of patient
must make entry in POM register on day of supply or, if impractical, the following day stating:
- date which POM was supplied
- name, quantity, except where apparent from name the form and strength of the POM
- name and address of patient
- nature of emergency (why person needs POM and reason Rx cannot be obtained)
labelling requirements for ES at request of patient
container/package must be labelled:
- DATE of supply
- name, quantity, expect where apparent from name, form and strength of POM
- name of patient requesting POM
- name and address of pharmacy
- the words ‘EMERGENCY SUPPLY’
- the words ‘keep out of reach of children’ (or similar warnings)
CDs and ES at request of patient for patient from approved country
emergency supply is NOT permitted if medication is ANY CD in Schedule 1, 2 or 3
Have to have med dispensed from that pharmacy before?
NO
Does patient need evidence to show they take the medication or to confirm their identity?
NO
Can you supply ES when Dr surgery is open?
YES
Can only give in ‘medical emergency’?
NO
Is pharmacy loaning the POM to the patient and can deduct the quantity from next Rx?
NO
professional obligations with ES for request of patient
- make care of your patients your first concern
- consider medical consequences of not making a supply and be satisfied that your decision will not adversely affect the patient
- consider any interval since when last prescribed
- consider quantity you are supplying
- if not supplying, MUST advise pt how to obtain medical care
- must be able to JUSTIFY your actions
- extra info to POM register?
- paymet?
conditions apply to ES at the request of a prescriber
- satisfied that supply has been requested by app practitioner, who is unable to furnish a Rx immediately
- prescriber will provide Rx within 72hrs
- POM sold/supplied in accordance with directions of the appropriate practitioner
CDs and ES at the request of a prescriber
- NO Sch 1 or 2 CDs
- Sch 3 NO - except phenobarbital or phenobarbital sodium for Tx of epilepsy
CDs and approved country health professionals for ES at supply of prescriber
NO CDs Sch 1, 2 or 3
records for ES at request of prescriber
in the POM register on the day of supply or, if impractical, the next day:
- date med was supplied
- name, quantity, except where it is apparent from the name, form and strength of the POM
- name and address of the practitioner requesting the emergency supply
- name and address of the patient
- date on the Rx
- date Rx was RECEIVED (can be entered on day Rx is received)
difference if ES in a pandemic
pandemic has to be officially announced by DoH
conditions for making ES at request of pt relaxed, don’t need to interview pt requesting med
What type of service is the Community Pharmacy Consultation Service?
- advanced service
- patient presents to pharmacy, referred by NHS 111 for an emergency supply -> emergency supply within the NHS
- pt NOT charged for the supply if they get their Rx for free
- NOT emergency supply at request of a patient (outside NHS)
- same legal requirements
T/F: The dispensed label for all emergency supplies must contain the words emergency supply’?
FALSE
only at request of patient (not prescriber)
T/F: All emergency supplies for POMs should be written up in the POM register
TRUE
T/F: A dentist may not request an emergency supply for a patient of his
FALSE
T/F: A CD in schedule 2 may only be requested in an emergency by a prescriber but not by a patient
FALSE
no Sch 2
phenobarbital = Sch 3
