Signed order Flashcards
Signed orders
- Communication between a purchaser and a pharmacist to request a medication
Signed orders: Record keeping
Keep the invoice (or a copy) relating to the supply of POM; or make an entry in POM register
- date POM was supplied
- strength, quantity, name, form
- name and address of trade, business or profession of person to whom med is supplied
- purpose of which it was sold or supplied
How long should signed order records be kept
Records and or signed orders need to be kept for TWO YEARS following date of supply
Entry for signed order of CD
- where supply involves a CD 2 a separate entry needs to be made in CD register
- for audit purposes, include how much you charged
Can optometrists and podiatrists authorise the supplies of POMs?
- Optometrists and podiatrists cannot authorise supplies of POMs by writing prescriptions unless they are additionally qualified as independent or supplementary prescribers.
- However they can with signed order
- Medicine requested has to be one which can be legally sold or supplied by the optometrist or podiatrist
Is the signed order a Rx?
The signed patient order is not a prescription; therefore the usual prescription requirements would not be needed.
Supply of medicines to schools
- Schools can obtain supplies of adrenaline auto-injectors (AAIs) and/or salbutamol inhalers from a pharmacy on a signed order.
- These can then be administered in an emergency, by persons trained to administer them, to pupils previously prescribed such medication and where parental consent has been received.
School: What information should be included on the signed order?
- Name of the school
- Product details (including spacer if relevant)
- Strength (if relevant)
- Purpose for which the product is required
- Total quantity required
- Signature
School: Brands of AAIs and salbutamol?
- Different brands of AAIs and salbutamol are available, and each brand may have different instructions for administration.
- The Department of Health advises schools to hold appropriate quantity of a single brand of AAI device to avoid confusion in administration and training.
School: How many can be ordered?
- The number that can be obtained by individual schools is not specified in legislation.
- Schools can purchase salbutamol inhalers and/or AAIs from pharmacies provided it is for small quantities, on an occasional basis and not for profit.
School: What should a pharmacist consider when responding to requests from schools?
- School size and number of sites it is comprised of
- Number of children known to be affected
- Past experiences e.g. of children not having access to an AAI or inhaler
School: What additional advice can I provide?
- Explain how to use and store correctly
- Advise on the most appropriate spacer device for the different age groups and how to use them correctly
- Advise on correct storage, care and disposal
- Advise importance of record keeping, regular date checking and when to replace
What is naloxone licensed for?
- The treatment of suspected acute opioid overdose.
- Naloxone is an opioid /opiate antagonist which can completely or partially reverse CNS depression, caused by opioids
SUPPLY OF NALOXONE BY INDIVIDUALS EMPLOYED OR ENGAGED IN THE PROVISION OF RECOGNISED DRUG TREATMENT SERVICES
- Naloxone remains a POM but the HMR 2015 allow staff engaged or employed in “lawful drug treatment services” to obtain naloxone from a wholesaler and make direct supplies to patients without Rx, PGD or PSD
- From February 2019 this included nasal naloxone
Naloxone: Lawful drug treatment services is defined as:
“Persons employed or engaged in the provision of drug treatment services provided by, on behalf of or under arrangements made by one of the following bodies:
(a) an NHS body
(b) a local authority
(c) Public Health England, or
(d) Public Health Agency”.
