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PHAM01 > POMs 2 - emergency supply > Flashcards

POMs 2 - emergency supply Flashcards

1
Q

What does emergency supply mean?

A

the emergency supply of a POM without a valid Rx being present at the time of dispensing

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2
Q

2 types of emergency supply?

A
  1. ES at the request of a patient
  2. ES at the request of a prescriber
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3
Q

request of patient: pharmacist satisfied that…

A
  • ‘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
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4
Q

CDs for ES at request of patient

A

NO Sch 2 or 3 CDs

  • except phenobarbital or phenobarbital sodium for the Tx of epilepsy
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5
Q

max days supply for ES at request of patient

A

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

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6
Q

records for ES at request of patient

A

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)
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7
Q

labelling requirements for ES at request of patient

A

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)

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8
Q

CDs and ES at request of patient for patient from approved country

A

emergency supply is NOT permitted if medication is ANY CD in Schedule 1, 2 or 3

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9
Q

Have to have med dispensed from that pharmacy before?

A

NO

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10
Q

Does patient need evidence to show they take the medication or to confirm their identity?

A

NO

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11
Q

Can you supply ES when Dr surgery is open?

A

YES

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12
Q

Can only give in ‘medical emergency’?

A

NO

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13
Q

Is pharmacy loaning the POM to the patient and can deduct the quantity from next Rx?

A

NO

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14
Q

professional obligations with ES for request of patient

A
  • 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?
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15
Q

conditions apply to ES at the request of a prescriber

A
  • 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
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16
Q

CDs and ES at the request of a prescriber

A
  • NO Sch 1 or 2 CDs
  • Sch 3 NO - except phenobarbital or phenobarbital sodium for Tx of epilepsy
17
Q

CDs and approved country health professionals for ES at supply of prescriber

A

NO CDs Sch 1, 2 or 3

18
Q

records for ES at request of prescriber

A

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)
19
Q

difference if ES in a pandemic

A

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

20
Q

What type of service is the Community Pharmacy Consultation Service?

A
  • 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
21
Q

T/F: The dispensed label for all emergency supplies must contain the words emergency supply’?

A

FALSE

only at request of patient (not prescriber)

22
Q

T/F: All emergency supplies for POMs should be written up in the POM register

A

TRUE

23
Q

T/F: A dentist may not request an emergency supply for a patient of his

A

FALSE

24
Q

T/F: A CD in schedule 2 may only be requested in an emergency by a prescriber but not by a patient

A

FALSE

no Sch 2
phenobarbital = Sch 3

25
Q

T/F: An explanation of the nature of the emergency must be included in the POM register for all emergency supplies

A

FALSE

only at request of patient

26
Q

T/F: A patient’s carer may request an emergency supply for the patient if the patient is housebound or for some other reason is unable to come to the pharmacy

A

TRUE

written/phone consent from pt

27
Q

T/F: For an emergency supply from a prescriber, a prescription should be received withIn 3 working days

A

FALSE

within 72hrs, not working days

28
Q

T/F: A patient who is exempt from NHS prescription charges will be able to claim back any charge made when they request an emergency supply

A

FALSE

it’s a private supply

29
Q

emergency supply for med patient doesn’t take

A

can’t give

30
Q

max duration for CDs at request of prescriber (phenobarbital, Sch 4, Sch 5)

A

max 30 days

not 5 days (patient request)

31
Q

pt needs 3 lisinopril tabs for weekend, forgot to collect Rx, options?

A
  1. emergency supply, charge pt
  2. loan, take of Rx next week
  3. emergency supply through NHS 111

PHAM01 (22 decks)

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