Professional and legal issues: POMs Flashcards

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1
Q

What is a POM?

A

A medicine which can only be supplied according to a prescription from a registered prescriber

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2
Q

Which drugs have just been reclassified from a POM to a P?

A
  • omeprazole
  • orlistat
  • arithromycin
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3
Q

Can POMs only be dispensed against an english prescription?

A

No, if there is a source translator available. If it is from a european country, it can be dispensed in the UK but the prescriber’s status must be checked. Registration number needed

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4
Q

Can medicinal products be dispensed without a MA?

A

no

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5
Q

What is required on a prescription for it to be legal?

A
  • signature of prescriber, in indelible ink or as an electronic signature
  • address of prescriber
  • date of issue, needs to be valid for 6 months
  • prescriber’s particulars (what type of prescriber)
  • details of patient (name, address, if under 12, needs age/DOB.
  • details of the medicinal products are not a legal requirement but must be there for the prescription to be dispensed (drug name, strength, dose, form, quantity)
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6
Q

What can be prescribed on a private prescription?

A

Any medications apart from controlled drugs or schedule 2/3

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7
Q

Can private prescriptions be repeated?

A

Yes, as indicated by prescriber. If number of times to be repeated is not stated, can only be repeated once.

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8
Q

How many times can oral contraception be repeated by private prescription?

A

If number not stated, 5x, as long as prescription says ‘repeatable’

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9
Q

What are other rules around repeating private prescriptions?

A
  • can be dispensed from any pharmacy

- 1st dispense must be within 6 months

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10
Q

What must be included on a private prescription?

A
  • patient details (name, address, if under 12 needs age/DOB)
  • Prescriber details (name, address, particulars)
  • date
  • prescriber signature
  • MA - medicinal details
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11
Q

How long does a private prescription need to be kept? for?

A

2 years

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12
Q

How long does a repeatable private prescription need to be kept for?

A

Last pharmacy must keep for 2 years from last dispensing

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13
Q

What must be done when the prescription must be given back to allow for repeats?

A
  • make a copy of the prescription
  • make a copy in the POM/private register, private preferably (electronic/written), this must be kept for 2 years from last entry
  • must be undertaken on the day that sale or supply took place, or on the following day
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14
Q

What must be entered into the POM register about a returned private prescription?

A
  • supply date
  • prescription date
  • medicine details
  • prescriber details
  • patient details
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15
Q

What can be prescribed on a dental prescription?

A

Only medications which are listed in the dental formulary within the BNF

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16
Q

What can community nurse prescribers prescribe?

A

Anything on their formulary. Same with nurse prescribers

17
Q

What can optometrist independent prescribers prescribe?

A

Can prescribe for ocular conditions and any conditions really surrounding the eye

18
Q

What is a signed order for patients?

A

when you can supply certain POMs direct to patient in accordance with a signed order from an optometrist or a podiatrist. So they are similar to a prescription. And again, you need to make a record in the POM register.

19
Q

What is needed to be able to dispense an NHS repeatable prescription?

A
Need a whole batch of prescriptions.
The original (the top one), and a whole batch which shows repeats can be made
20
Q

When does first dispensing of an NHS repeat need to be made?

A

Within 6 months

21
Q

How long can you continue to dispense repeat NHS prescriptions?

A

For up to a year of being written or expired date

22
Q

Can batch issues be used to dispense against?

A

No, as they are not signed and you cannot dispense against anything that isn’t signed. They can only be used for reimbursement from the authority, should be kept in order to ensure payment for the medicines

23
Q

What must you make sure of when dispensing a repeat prescription?

A
  • is the patient taking and using the medication?
  • how do they apply/ use medicine? is this correct?
  • are they experiencing any side effects?
  • any changes to their therapy?
  • any other changes to their health?
24
Q

Where must a record of dispensing repeats be made?

A

Patients record

25
Q

What must be included in a patients record following repeat dispensing?

A
  • dates and quantity
  • appliance
  • any clinical significant issues, inform prescriber
26
Q

What is the ‘top form’?

A

The repeat authorisation, do not dispense against this. This is used for reimbursment

27
Q

What is the RD form?

A

The repeat dispensing form. It is against this that you would dispense. Will have a number of the batch that it is.

28
Q

Once a medicine is dispensed, what must be included on the container/packaging?

A
  • must be legible and in english
  • name
  • strength
  • pharmaceutical form
  • is it for babies/children/adults?
  • 3 activity substances, with the common name on the label
  • excipients
  • method/route of administration
  • prescribed dose
  • ‘out of reach and sight of children’
  • special warnings
  • expiry date
  • storage
  • disposal
  • name, address MA
  • MA number
  • batch number
  • instructions for use if not a POM
29
Q

What must be included on a blister pack?

A
  • name
  • strength
  • pharmaceutical form
  • whether it is for babies/children/adults
  • 3 active substances
  • expiry date
  • Name of MA holder
30
Q

What must be included on a dispensing label?

A
  • details of medication
  • name
  • strength
  • form
  • quantity
  • instructions
  • patients name, date of dispensing, where it has been dispensed,
  • statement ‘out of reach and sight of children’
  • pharmaceutical/BNF warnings
31
Q

What must be included on the container/outer package? (inhaler eg)

A

Container does not need to be labelled, as long as it is contained on the outer package, however it is good practice to label both.

32
Q

What would be further labelling included on medicines?

A

Black triangles to alert that this medicine is still requiring vigilance and reporting of ADR