prescription requirements Flashcards
can a rx in a different language be accepted?
yes
is a faxed rx legally Valid?
no
when do owing prescriptions expire? [how long are they legally valid for?]
6 months from when it was done [28 days for cd]
what is the form for military prescriptions?
when must they be considered as private prescriptions?
FMED 296
when there is NO dispensing contract with the ministry of defense
what are repeatable prescriptions?
where medicines can be dispensed more than once against the same rx. eg it will say [repeat 3x]
how many times must you dispense a repeatable rx if the number of repeats is not stated?
repeat once
[dispense 2 times in total]
which prescriptions are NOT repeatable?
nhs prescriptions
CD 1,2,3
how many times can oral contraceptives be repeated on a repeatable rx?
5 times
-dispense 6 times in total [within 6 months of expiry]
on repeatable rx , when must the first dispensing be done?
after that when must the other repeats be done?
within 6 months. or 28 days for cd schedule 4
no legal time limit for the other remaining repeats
how must a pharmacy keep an audit trail of the number of repeats dispensed on a repeatable rx?
stamp the rx with the pharmacy name, address and date supplied each time it is dispensed
which is the only cd drug that can be made into an emergency request? who must request it?
phenobarbital when used for epilepsy only
at the request of the prescriber
when must an original rx be sent over to the pharmacy by the doctor after an emergency supply has been made?
within 72 hours
when can you give an emergency supply of a medicine at the request of a patient?
when it has been previously prescribed by a gp
after an emergency supply has been issued, when must the pOM register be filled out by?
the day of the supply or the day after
what must be recorded in the pom register when an emergency supply has been requested by a PRESCRIBER?
3 dates - when rx was recieved, POM supplied, date on rx
medicine details
name and address of prescriber and pt
what must be recorded in the POM register when an emergency supply has been done at the request of the PATIENT?
date pom was supplied
medicine details
name and address of pt
reason for emergency
what is the maximum quantity to supply for the following drugs for an emergency supply at the request of the PATIENT?
cd 4,5 phenobarbital POM oral contracptive inhaler, insulin, creams liquid antibiotic
- 5 days
- 30 days
- full cycle eg 28 days
- smallest pack size
- smallest quantity to complete course
how long should veterinary and responsible pharmacist records be kept?
5 years
how long should private prescriptions records be retained for and from when?
except for which 2 medicines?
2 years from last date of supply
- except for oral contraceptives and schedule 2 cd
are private CD [schedule 2 and 3] prescriptions be retained in pharmacies?
what should happen to them?
sent off to the NHS agency at end of every month
what should be written on a dispensary label of an emergency supply?
‘emergency supply’
what should be written on the dispensary labels of split containers?
name of medicine and ingredients
quantity
handling and storage requirements
expiry date and batch no.
what are the laws surrounding the administration of parenteral poms?
what is the exception to this rule?
you cannot legally administer parenteral poms to another person unless acting in accordance with the directions of a prescriber
except in an emergency eg injecting epimen.
when may there be POM supplies WITHOUT a prescription? [6]
- emergency supplies
- PGD
- pandemic exemptions
- signed orders of salbutamol to school
- supply of naloxone by ppl providing drug treatment services
- optometrist and podiatrist signed orders
do you have to record signed orders from optometrists and podiatrists in the pom register?
yes
for how long should signed orders of salbutamol to a school be kept for?
what are the legal requirements of a signed order for salbutamol to a school?
2 years
principal signature, school name, purpose, total quantity
when can naloxone be suppled without a rx?
to anyone for the purpose of saving a life in an emergency opioid over dose eg family/friend to administer in heroin overdose
if a medicine says ‘expiry date: use by 05/2022’ , up to what date can it still be taken and is not classed as expired?
end of the month
so end of may 2022. then after that it is expired
when is the only time a pharmacy would require a license for waste disposal of medicines?
for pt returns
which CD schedule would require an authorised witness when you denature it?
schedule cd 2
what type of license must a pharmacy have in order to supply chemicals/poisons?
home office license
what mark must ALL medical devices carry?
CE mark
is there a legal age requirement for children to come in and collect prescriptions or medicines?
no pharmacists should just use their professional judgement
