Wk 9: POM (Non-medical prescribing + labelling)

Question 1

What are the 2 types of non-medical prescribers?

Answer 1

• Independent prescribers
• Supplementary prescribers

Question 2

Define independent prescribers

Answer 2

Responsible for initial clinical assessment + prep of plan for management of a patient

Question 3

Define supplementary prescriber

Answer 3

Take responsibility for management of patient assessed by IP

Question 4

What criteria applies for supplementary prescribing to occur?

Answer 4

• Undertaken extra period of training
• IP = doctor/dentist
• Patient consent
• Clinical management plan specific to patient + condition - signed by both prescribers

Question 5

What is the framework for supplementary prescribing?

Answer 5

• No legal restrictions on range of med or condition treated
• Any med prescribed as long as on CMP
• No restriction on location of supplementary prescribing

Question 6

What must a CMP (clinical management plan) include?

Answer 6

• Name of patient
• Illness + condition treated
• Start date + review by IP
• Class of med prescribed
• Restriction or limitations
• Patient sensitivities
• Adverse effects
• Circumstances SP should refer to IP or seek IP advice

Question 7

What are the criteria for IP?

Answer 7

• Fully trained + accredited
• Prescribe w/in area of competence
• Access to patient record

Question 8

What are the different type of nurse prescribers?

Answer 8

• Community practitioner nurse prescribers
• Nurse supplementary prescribers
• Nurse IP (no CD restrictions)

Question 9

What are the regulations when self-prescribing or prescribing for family or friends?

Answer 9

Not illegal but poor practice:

• Unable to conduct proper clinical assessment
• Judgement impaired or influenced
• When refusing supply, must inform person concerned

Question 10

When labelling a container, it must include:

Answer 10

• Name of person med is administered to
• Name + address of person selling
• Date of dispensing
• Product name
• Directions for use
• ‘Keep out of site of children’
• Good practice: BNF cautionary labels

Question 11

What is the human medicines regulation 2012?

Answer 11

Removes requirement for pharmacist to contact prescriber before making changes to dispensing label

Question 12

In terms of the human medicines regulation, what can be changed to use more appropriate wording?

Answer 12

• Direction for use
• Name of med
• Precautions relating to use

Question 13

When breaking down bulk containers into smaller quantities, labels on the pack must state:

Answer 13

• Name of product
• Appropriate quantitative particulars
• Quantity
• Special handling
• Exiry date
• Batch references