POMs Flashcards

1
Q

Define POM

A

Medicinal product which may only be supplied in accordance with a prescription signed by an appropriate practitioner - listed in POM order

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2
Q

Outline the situations when a POM may be legally supplied without a Rx

A
  • Patient group directions
  • Emergency supplies
  • Patient specific directions in hospitals
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3
Q

What is a prescription?

A

A patient specific direction

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4
Q

Define a patient specific direction

A

Written instruction from a prescriber for a medicine to be supplied/administered to a named patient after the prescriber has assessed the patient on an individual basis

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5
Q

What are the legal requirements for prescriptions for POMs?

A

Issued by appropriate practitioner:

  • Signed in ink by practitioner
  • Written in ink/indelible
  • Address of practitioner
  • Appropriate date
  • Indication of ht kind of practitioner
  • Name + address of patient
  • If under 12, age
  • Valid for 6 months
  • Practitioner registered in UK
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6
Q

What are the legal requirements for repeatable prescriptions?

A

Dispensed for 1st time w/in 6 months of date

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7
Q

What information isn’t legally needed on a prescription?

A
  • Name of practitioner

- Drug name, strength, dose + quantity

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8
Q

What is a repeatable prescription?

A

Prescription that can be dispensed more than once

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9
Q

Are repeats allowed on FP10?

A

No, unless part of NHS repeat dispensing (FP10RD)

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10
Q

Which prescription is used by dentists?

A

FP10(D) - yellow

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11
Q

Dentists are only allowed to prescribe medicinal products from what?

A

Dental practitioners’ formulary

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12
Q

When writing a private prescription, are dentists able to order ANY POM, P or GSL medicine?

A

Yes

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13
Q

What are the types of community nurses?

A
  • District nurse

- Health visitors

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14
Q

Which prescription is used by community nurses?

A

FP10P - lilac

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15
Q

Community nurses are only allowed to prescribe medicinal products from what?

A

Nurse prescribers’ formulary

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16
Q

What are the requirements for electronic prescriptions?

A
  • Signed w/ advanced electronic signature + sent electronically to dispenser
  • Electronic signature uniquely linked to signatory + data so change to data is detectable
17
Q

Define advanced electronic signature

A
  • Uniquely linked to prescriber
  • Capable of identifying prescriber
  • Created so prescriber can maintain under their sole control
  • Linked to data so any change is detectable
18
Q

What happens to electronic prescriptions?

A
  • Electronic NHS prescription received from NHS spine
  • Printed on white paper (dispensing token)
  • Can be sent back to spine to be cancelled
  • Prescription sitting in NHS spine will expire
19
Q

A record must be made of every supply of a POM unless…

A
  • Health prescription or Rx for oral contraceptive
  • Separate record made in CD register
  • Wholesale dealing + invoice retained for 2 years
20
Q

Do hospital pharmacies need to make POM records?

A

Only if they are registered as a pharmacy w/ GPhC

21
Q

What are the requirement for prescription records?

A
  • Records kept 2 years of last entry
  • Date of sale/supply
  • Name, quantity, form + strength
  • Date on Rx
  • Name + address of practitioner + patient
  • Reference no. (marked on Rx) + typed on dispensing label
22
Q

What happens to a dispensed NHS prescription?

A

Send to NHSBSA, PSD at end of month

23
Q

What happens to a dispensed private (non-repeatable) prescription?

A

Keep at pharmacy for 2 years

24
Q

What happens to a dispensed private (repeatable) prescription?

A
  • Repeats outstanding: hand Rx back to patient or offer to retain in pharmacy
  • Final repeat dispensed: keep for 2 years from date of final dispensing
25
Q

When is it legal to administer a parenteral POM?

A
  • Appropriate practitioner

- Acting in accordance to directions of appropriate practitioner

26
Q

Which injectable products can be administered by pharmacist?

A
  • Adrenaline
  • Glucagon
  • Small pox vaccine (under certain conditions)