Professional and legal issues Flashcards
What are the prescription requirements for POMs?
- Signature
- Address of prescriber
- Particulars: type of prescriber
- Date: valid for 6 months
- Patients name
- Address of patients
- Age if under 12
How many times can you repeat a rx if the number of repeats is not specified?
- repeat once (dispense twice)
- unless oral contraceptive in which case repeat another 5 times (dispense 6)
Are schedule 2 and 3 drugs repeatable?
No
Are schedule 4 drugs repeatable?
yes within 28 days
6 months for sch 5
Which drug groups must have owings completed in a 6 month period?
- POM
- Sch 5
- P
- GSL
owings must be completed within the validity period
Which drug groups must have owings completed in a 28 day period?
- Sch 2, 3, 4
Are faxed prescriptions legally valid?
No but can give as an emergency supply as long as original rx is recieved
What is an instalment rx?
- single rx for a CD to be dispensed in several instalments
How long does a private rx for a POM need to be retained for?
2 years from the date of supply
What are the requirements for military rx?
- 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
What should a POM register include?
- Supply date
- Prescription date
- Medicine details: name quantity, strength, form
- Prescribe details – name and address
- Patient details – name and address
Which class of drug is exempt from the POM register?
- schedule 2 drugs (entry already made in CD register)
- oral contraceptives
What are EEA/Swiss prescribers NOT allowed to prescribe?
- anything unlicensed
- anything that is schedule 1, 2, 3
What are legal label requirements?
- Name of patient
- Name and address of pharmacy
- Dispensing date
- Name of medicine
- Directions for use
- Cautionary labels
What is recommended for a label however is NOT a legal requirement?
- ‘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
If making an emergency supply of medication on a prescribers request, within how many hours must you receive a valid prescription?
72 hours
If a pt requests emergency supply, for a CD what is the max amount of days you can give?
5 days
only applies to sch 4 and 5
If a pt requests emergency supply, for a POM what is the max amount of days you can give?
30 days
What pack size would you give if a pt requested an emergency supply of inhalers/creams etc?
smallest pack size
What pack size would you give to someone who requested oral contraceptives as an emergency supply?
One full cycle of pill
e.g. 21 days or 28 days
What is covert administration of a drug?
medicine is administered in a disguised format without the knowledge or consent of pt
if the pt has capacity this is classed as assault
Under which circumstances would a pharmacist NOT need to interview someone for emergency supply?
in a pandemic
Can non prescribing optoms and podiatrists authorise supplies of POMs?
No but they can request meds using a signed order
When can naloxone be supplied without a prescription?
- 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
What is the max number of days a medicine can be supplied for under the PPP?
30 days
Can you except faxed rx of PPP scripts?
no
telephone only if it is a PPP specialist
Who can authorise the supply of phenobarbital in an emergency?
- Independent prescribers
- Dentist
- Supplementary prescriber
- Nurse IP
Which CDs is a physiotherapist IP allowed to prescribe?
Diazepam (oral), Dihydrocodeine (oral), Lorazepam (oral), Oxycodone (oral), Temazepam (oral),
Oral/IV Morphine,
Transdermal Fentanyl
ONLY
Which CDs is a podiatrist IP allowed to prescribe?
Diazepam, Dihydrocodeine, Lorazepam, Temazepam
If an error has been made, when can ‘The Pharmacy Order 2018’ be applied?
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
People trading in medicine but hold a WDA(H) - under which circumstances is a WDA(H) not required?
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
