Professional and legal issues Flashcards

1
Q

What are the prescription requirements for POMs?

A
  1. Signature
  2. Address of prescriber
  3. Particulars: type of prescriber
  4. Date: valid for 6 months
  5. Patients name
  6. Address of patients
  7. Age if under 12
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2
Q

How many times can you repeat a rx if the number of repeats is not specified?

A
  • repeat once (dispense twice)

- unless oral contraceptive in which case repeat another 5 times (dispense 6)

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3
Q

Are schedule 2 and 3 drugs repeatable?

A

No

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4
Q

Are schedule 4 drugs repeatable?

A

yes within 28 days

6 months for sch 5

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5
Q

Which drug groups must have owings completed in a 6 month period?

A
  • POM
  • Sch 5
  • P
  • GSL

owings must be completed within the validity period

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6
Q

Which drug groups must have owings completed in a 28 day period?

A
  • Sch 2, 3, 4
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7
Q

Are faxed prescriptions legally valid?

A

No but can give as an emergency supply as long as original rx is recieved

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8
Q

What is an instalment rx?

A
  • single rx for a CD to be dispensed in several instalments
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9
Q

How long does a private rx for a POM need to be retained for?

A

2 years from the date of supply

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10
Q

What are the requirements for military rx?

A
  • has to be on a FMed 296 rx
  • Some pharmacies have a ministry of defence contract that invoice them directly
  • if presented to a non-contracted pharmacy, they should be treated as a private rx and pt should be charged
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11
Q

What should a POM register include?

A
  • Supply date
  • Prescription date
  • Medicine details: name quantity, strength, form
  • Prescribe details – name and address
  • Patient details – name and address
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12
Q

Which class of drug is exempt from the POM register?

A
  • schedule 2 drugs (entry already made in CD register)

- oral contraceptives

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13
Q

What are EEA/Swiss prescribers NOT allowed to prescribe?

A
  • anything unlicensed

- anything that is schedule 1, 2, 3

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14
Q

What are legal label requirements?

A
  1. Name of patient
  2. Name and address of pharmacy
  3. Dispensing date
  4. Name of medicine
  5. Directions for use
  6. Cautionary labels
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15
Q

What is recommended for a label however is NOT a legal requirement?

A
  • ‘Keep out of reach of children’
  • ‘Use this medicine only on your skin’ where applicable
  • NPSA recommend labelling actual product as opposed to the packaging but it is not illegal
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16
Q

If making an emergency supply of medication on a prescribers request, within how many hours must you receive a valid prescription?

A

72 hours

17
Q

If a pt requests emergency supply, for a CD what is the max amount of days you can give?

A

5 days

only applies to sch 4 and 5

18
Q

If a pt requests emergency supply, for a POM what is the max amount of days you can give?

A

30 days

19
Q

What pack size would you give if a pt requested an emergency supply of inhalers/creams etc?

A

smallest pack size

20
Q

What pack size would you give to someone who requested oral contraceptives as an emergency supply?

A

One full cycle of pill

e.g. 21 days or 28 days

21
Q

What is covert administration of a drug?

A

medicine is administered in a disguised format without the knowledge or consent of pt

if the pt has capacity this is classed as assault

22
Q

Under which circumstances would a pharmacist NOT need to interview someone for emergency supply?

A

in a pandemic

23
Q

Can non prescribing optoms and podiatrists authorise supplies of POMs?

A

No but they can request meds using a signed order

24
Q

When can naloxone be supplied without a prescription?

A
  • lawful drug treatment services
    e. g. can be supplied in emergency to a family member etc that uses heroin or to an outreach worker for a homelessness service which includes heroin pts
25
Q

What is the max number of days a medicine can be supplied for under the PPP?

A

30 days

26
Q

Can you except faxed rx of PPP scripts?

A

no

telephone only if it is a PPP specialist

27
Q

Who can authorise the supply of phenobarbital in an emergency?

A
  • Independent prescribers
  • Dentist
  • Supplementary prescriber
  • Nurse IP
28
Q

Which CDs is a physiotherapist IP allowed to prescribe?

A

Diazepam (oral), Dihydrocodeine (oral), Lorazepam (oral), Oxycodone (oral), Temazepam (oral),
Oral/IV Morphine,
Transdermal Fentanyl

ONLY

29
Q

Which CDs is a podiatrist IP allowed to prescribe?

A

Diazepam, Dihydrocodeine, Lorazepam, Temazepam

30
Q

If an error has been made, when can ‘The Pharmacy Order 2018’ be applied?

A

When the error has been:

  • Dispensed in registered pharmacy
  • Dispensed by or under the supervision of a registered pharmacist
  • Supplied against a prescription, PGD or direction from prescriber
  • Patient promptly notified once pharmacy team are aware of the error
31
Q

People trading in medicine but hold a WDA(H) - under which circumstances is a WDA(H) not required?

A

If:

  • It takes place on an occasional basis
  • Quantity of medicines supplied is small
  • Supply is made on non-profit basis
  • Supply not for onward wholesale distribution