Wk 9: POM (Emergency supply, PGDs, POMs in hospitals) Flashcards
What does emergency supply mean?
Supply of POM w/o valid Rx
What are the types of emergency supply?
- At the request of a patient
- At the request of a prescriber
What are the conditions that apply when supplying an emergency supply at the request of a patient?
- Interviewed patient
- impractical to obtain prescription w/o undue delay
- Previously prescribed by doctor
- Dose is appropriate
What is the maximum provision of a CD for an emergency supply?
5 days
What is the maximum provision of a POM for an emergency supply?
30 days
What are the exceptions of the 30 day POM supply in an emergency situation?
- Insulin, ointment, inhaler
- Oral contraceptive - full cycle
- Liquid antibiotic - smallest that will supply full course
What records should be made on the day of supply, or the next day following an emergency supply to a patient?
POM register:
- Date supplied
- Name, quantity, form + strength
- Name + address of person requesting POM
- Nature of emergency
What must be included in the label of an emergency supply medication?
- Date of supply
- Name, quantity, form + strength of POM
- Name of person requesting POM
- Name + address of pharmacy
- ‘Emergency supply’
- ‘Keep out of reach of children’
Which CDs can you supply at the request of a patient/prescriber in an emergency supply?
- Not for CD 1 or 2
- Not CD 3 but phenobarbital or phenobarbital sodium for epilepsy
- Request by patient from approved country health profession = no CD
Give examples of myths surrounding emergency supplies at the request of a patient
- Had med dispensed from same pharmacy before
- Must have evidence to confirm identity
- Can’t provide when surgery is open
- Only in medical emergency
- Quantity deducted from next prescription
What are the conditions that apply when supplying an emergency supply at the request of a prescriber?
- Unable to provide prescription immediately
- Prescription w/in 72 hrs
What records should be made on the day of supply, or the next day following an emergency at the request of a prescriber?
POM register:
- Date supplied
- Name, quantity, form + strength
- Name + address of practitioner requesting POM
- Name + address of patient
- Date on prescription + date when prescription is received
What are the exceptions to emergency supplies?
- Pandemic announced by department of health
- No interview needed
What service in the NHS can provide an emergency supply?
- Community pharmacy consultation service (advanced)
- Referred by NHS 111
What is a PGD?
Written instruction for sale, supply or admin of medicines in identified clinical situation
