Wk 10: POM Flashcards
What are the exceptions to when a POM may be legally supplied without a Rx?
- Patient group directions
- Emergency supplies
- Patient specific directions in hospitals
What is the difference between a supply and a sale when dispensing a POM?
- Supply = NHS prescription
- Sale = private prescription
What are some examples of products that are always POMs?
- Parenteral products
- CD
- Cyanogenic substance
- Meds that emit radiation
- New chemical entities
What are legal requirements for POMs?
- Signed in ink
- Valid for 6 months from date
- Practitioner must be registered in UK or by approved health professional in approved country
What must a prescription for a POM include?
- Address + indication of practitioner
- Date
- Name + address of patient
- If under 12, the age
When must repeatable prescriptions be dispensed within?
First time within 6 months of appropriate date
What happens if a repeatable prescription does not specify the number of repeats?
Repeat once
What is exempted from repeatable prescriptions not specifying the number of repeats?
- Oral contraceptives
- Can be dispensed 6 times
What is not allowed on normal NHS prescriptions?
Repeats unless on NHS repeat dispensing scheme
What is an approved health professional in an approved country?
Countries from EEA + Switzerland
What is needed clinically, to dispense a prescription?
- Name of drug
- Form
- Strength
- Dose
- Frequency
- Quantity
What are the legal requirements of private prescriptions?
- Written on anything
- Can be repeated
- No restrictions on prescribed med
- Date = date signed
What can’t be done when exercising due diligence?
Can’t amend if info is present, only if missing
What are the rules regarding dispensing by brand name?
If med prescribed by brand name, only branded product must be dispensed, otherwise owing slip used
Is dispensing a CD Rx from a fax a criminal offense?
Yes
What happens if a faxed prescription is dispensed?
Ensure original RX is in possession ASAP
What are the rules regarding electronic prescriptions?
- Signed by appropriate practitioner
- Signed with advanced electronic signature
What is an advanced electronic signature?
- Uniquely linked to person giving Rx
- Able to identify signatory
- Created to maintain under his/her control
- Any subsequent change of data is detectable
What are the legal requirements for a non-uk prescription?
- Patient full name + DOB
- Prescriber full name, qualification, contact details (email , number + work address)
- Name of med, form, quantity, strength + dose
- Prescriber signature
- Date issued
What are the exceptions when making a record for a supply of a POM?
- On health prescription or for oral contraceptive
- Record made in CD register
- Whole sale dealing + order retained for 2 yrs
When do hospital pharmacies need to make records when supplying a POM?
Registered as pharmacy w/ GPhC
What must be included when making prescription records?
- Date of sale
- Name, quantity, form + strength
- Date on Rx
- Name + address of practitioner
- Name + address of patient
How long must records be kept?
2 years from date of last entry
What happens to an NHS prescription at the end of the month?
Sent to NHSBSA
What happens to a private prescription that is non-repeatable?
Kept for 2 years
What happens to a private prescription that is repeatable?
Kept at pharmacy 2 yrs from date of final dispensing
What are the 2 proposed models of hub + spokes?
- Rx handed at spoke, sent to hub, hub sends med to spoke, spoke supplies
- Rx handed at spoke, sent to hub, hub supplies to patient
What are the advantages of dispensing from a hub?
- Efficient
- Lower cost
- Free up pharmacist time
What are the disadvantages of dispensing from a hub?
- Accountability + liability
- Confidentiality
- Not suitable if urgent
- Operational faults
A supply of a different medicine to that specified on a RX can only be done if..
In accordance to serious shortage protocol
What are the 4 legal actions that can be done when following serious shortage protocol?
- Dispense smaller quantity
- Dispense alternative form or strength
- Dispense generic equivalent
- Dispense alternative drug w/ similar effect
When must the GP NOT be informed if a switch of medicine has occurred under serious shortage protocol?
Diff. form or quantity
What needs to be carried out when undergoing serious shortage protocol?
- Patient consent - if not then refer back
- OG prescription no longer valid tf no further supply
- Dispensing label indicates supply made under SSP + reference no.
- If receiving smaller quantity = exempt from payment
