POMs 3 - Emergency Supply Flashcards
What does emergency supply mean? (1)
Process of which a POM supply is made without a valid Rx being present at the time of dispensing.
What are the 2 types of emergency supply? (2)
Patient
Prescriber
What conditions apply for the emergency supply at the patient’s request? (4)
Pharmacist has interviewed the patient and is satisfied:
- That there’s an immediate need for the POM and is impractical to obtain a Rx without undue delay.
- That the POM has on a previous occasion been Rxer by an appropriate prescriber e.g. doctor, dentist etc.
- As to the dose that it would appropriate for the patient to take.
What type of medicines can/can’t be supplied as an emergency supply at the request of a patient? (3)
CD Schedule 1, 2 or 3 except for phenobarbital or phenobarbital sodium for treatment of epilepsy.
What is the maximum treatment duration for CD’s when dispensing under an emergency supply at the patient’s request? (1)
5 days.
What is the maximum treatment duration for POM’s when dispensing under an emergency supply at the patient’s request? (4)
30 days for other POMs except where the preparation is:
- Insulin, ointment/cream, inhaler for asthma relief - smallest pack available should be supplied.
- Oral contraceptive - full treatment cycle.
- An antibiotic in liquid form for oral administration - smallest quantity that will give a full treatment course.
What records are made for an emergency supply at the request of a patient? (5)
Pharmacist must make an entry in the POM register on the day of supply or if impractical the next following day stating:
- POM Supply date
- POM name, strength, form, quantity (dose = good practice)
- Patient’s name and address.
- Nature of emergency (why the patient needs the POM and reason she a Rx can’t be obtained.)
What particulars needs to be present on packaging of the supplied medicine when making an emergency supply at the patient’s request? (6)
Supply date
POM name, quantity, form, strength (dose = good practice)
Patient’s name
Pharmacy name and address
Words ‘Emergency supply’
Words ‘Keep out of reach of children’
What are your professional obligations when making an emergency supply? (1)
Each emergency supply must be considered individually using professional judgement to decide which course of action will be in the best interest of the patient.
What are the conditions that apply to an emergency supply at a prescriber’s request? (3)
The pharmacist who is supplying the POM is satisfied that the supply is requested by an appropriate prescriber e.g. doctor, dentist or an approved country health professional who by reason by some emergency is unable to furnish a Rx immediately.
The appropriate prescriber has undertaken to provide the person lawfully conducting a retail pharmacy business with a Rx within 72 hrs.
That the POM is sold or supplied in accordance with the directions of the appropriate practitioner.
Can you emergency supply a CD at the request of a prescriber? (5)
Not allowed for Schedule 1 or 2.
Schedule 3 can’t be supplied except for phenobarbital or phenobarbital sodium if it’s for use in epilepsy treatment.
Good practice requirement relating to maximum recommended duration on a Rx still apply.
Approved country HCP aren’t allowed to request any CD’s Schedule 1-3.
If prescriber is an approved country HCP, any medicine supplied to the patient must have a UK MA.
What records are made for an emergency supply at prescriber’s request? (6)
An entry is made in the POM register in the day of supply or if impractical, the next following day, stating:
- Supply date
- POM Name, quantity, form and strength (dose = good practice)
- Practitioner’s name and address
- Patient’s name and address.
- Rx date, Rx date received
What are the main features of emergency supplies in a pandemic? (3)
Pandemic is officially announced by DofH.
Conditions for making an emergency supply at patient’s request is relaxed that the pharmacist will not need to interview the person who request the medicine.
All other legal requirements still apply.
What are the main features of Pharmacy first? (3)
Advanced service under the NHS community pharmacy contract.
Patient who present in the pharmacy have referred by NHS 111 for an urgent supply (pharmacist can refer patients to NHS 111 if they just present in the pharmacy.)
If patient is exempt for their NHS Rx, you will treat it as an NHS supply because they won’t pay for the medicine..
