POMS: DENTAL & OTHER RX’S,PRESCRIBING IN HOSPITALS,RECORDS & LABELLING Flashcards

1
Q

What act and regulation allows dentists to prescribe (2)?

  • What can they prescribe?
A
  • Under Medicines Act 1968
  • Human Medicines Regulations 2012
  • Dentist can prescribe ANY POMs (GDC advises dentists to prescribe drugs used in dentistry)
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2
Q

What can dentists prescribe under the NHS?

A
  • Restricted to prescribing the drugs in the dental practitioners formulary (DPF)
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3
Q

Who uses the GREEN Prescription Form (5) and what is the form type?

A
  • Form Type: FP10NC
  • It is used by:
    • GP
    • Community practitioner nurse prescriber
    • Independent prescriber
    • Supplementary prescriber
    • Hospital unit
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4
Q

Who uses the BLUE Prescription Form (4) and what is the form type?

A
  • FP10MDA (instalment dispensing form)
  • It is used by:
    • GP
    • Independent Prescribers
    • Supplementary Prescribers
    • Hospital Unit
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5
Q

Who uses the LILAC prescription form (3) and what is the form type?

A
  • FP10P
  • It is used by:
    • Community practitioner nurse prescriber
    • Nurse independent prescriber
    • Nurse supplementary prescriber
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6
Q

Which prescribers use the YELLOW Rx forms, and what is the form type?

A
  • FP10D
  • It is used by:
    • Dentists in primary care (only items on the DPF)
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7
Q

Which prescribers use the PINK Rx forms, and what is the form type?

A
  • FP10PCD
  • Private prescribers issuing Schedule 2 and 3 CDs dispensed by community pharmacy
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8
Q

Are faxed prescriptions legally valid?

A

No, it isn’t written in indelible ink and it’s not signed by appropriate practitioner

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9
Q

Why are faxed prescriptions used?

A
  • Can confirm that a valid Rx is in existence
  • It’s used when there’s emergency supply at request of prescriber
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10
Q

What are SIX signs to check that a prescription isn’t forged?

A
  1. Large or excessive quantity Rx-ed and its appropriateness
  2. Prescriber known? (is it like the Rx-er usual style)
  3. Patient known?
  4. Title Dr inserted before (or after signature)
  5. Behaviour of patient?
  6. Medicine known to be commonly misused?
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11
Q

Are electronic prescriptions valid (2)?

A
  1. Yes if it’s signed with an advanced electronic signature
  2. And sent to person dispensing it as an electronic communication
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12
Q

Can CDs be prescribed using Electronic Form?

A

Yes, Schedule 2 & 3 CDs can be prescribed using the Electronic Prescription Service

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13
Q

What must an advanced electronic signature be? (4)

A
  • Uniquely linked to Rx-er giving Rx
  • Capable of identifying Rx-er
  • Created so Rx-er can maintain under sole control
  • Linked so that any subsequent change is detectable
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14
Q

What is the purpose of the electronic prescription service? (2)

A
  • Allows prescribers to send Rx’s electronically to a dispenser of patient’s choice e.g pharmacy
  • Makes prescribing and dispensing more efficient and convenient for patients and staff
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15
Q

How are POMs supplied in hospitals?

A

Supplied via a PSD (Patient Specific Direction) of a prescriber (instead of prescription)

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16
Q

What are the requirements for a PSD (3)?

A
  • Written direction must be patient specific (specific to patient’s bed card or patient notes)
  • Doesn’t need to follow usual Rx writing requirement
  • Needs to be given by appropriate practitioner
17
Q

What are the rules behind administration of POMs in hospitals?

A
  • Directions don’t need to be in writing (good practice)
18
Q

What are the exceptions to a POM not being recorded in the POM register?

A
  1. If Rx is a ‘health’ one (NHS)
  2. If Rx is for oral contraceptive
  3. A separate record is kept i.e CD register for CD drugs
  4. It’s wholesale dealing: an order/invoice is retained for 2 years
19
Q

What Rx’s are usually recorded in the POM register (2)?

A
  1. Private Rx
  2. Signed Orders
20
Q

What are the requirements for POM sale/supply records (3)?

A
  1. Entry can be a written or computerised record
  2. Entry must be made on day of sale/supply or on day following that day
  3. Record must be kept for a period of two years on which POM was supplied/sold
21
Q

What details must be noted in a POM record? (5)

A
  1. Date of supply/sale
  2. Date on prescription
  3. Medicine details (name/quantity/form/strength)
  4. Prescriber details (name and address)
  5. Patient details (name and address_
22
Q

How long must the record for a POM be kept for (2)?

A
  • For two years from day which POM was sold/supplied
  • For repeatable Rx, the date from which the last supply was made
23
Q

Where can you find out what needs to be recorded in POM records (2)?

A
  • MEP
  • Human Medicine Regulations 2012
24
Q

When do prescriptions for POM not need to be kept?(2)

A
  • For NHS Rx’s
  • Private Rx for CD Schedule 2 & 3
25
Q

What are the requirements for labelling of dispensed medicines on Rx? (6)

A
  1. Name of patient
  2. Name and address of pharmacy
  3. Date of dispensing
  4. Name of medicine
  5. Directions for use
  6. Precautions for medicine
26
Q

What can a pharmacist change on a prescription?

A
  • Name of product/ common name
  • Directions for use of product
  • Precautions for use
27
Q

How should assembled medicines be labelled? (6)

A
  1. Name of medicine
  2. Quantity of medicine
  3. Quantitative particulars of medicine e.g strength
  4. Handling and storage requirements if needed
  5. Expiry date
  6. Batch reference number
28
Q

What does “use by” or “use before” mean and an example?

A
  • product should be used before end of previous month
  • e.g use by 04/2019, product shouldn’t be used after 31st March 2019
29
Q

What does expiry date (MHRA guidance) mean?

A
  • The product should not be used after the last day on the stated month
  • e.g. expiry date of 12/2019, product shouldn’t be used after 31st December 2019
30
Q

Which things are good practice to note down in the POM register? (4)

A

Pharmacist name, directions, reference no (label), price

31
Q

When should wholesale deals be recorded?

A

If signed order/invoice isn’t kept for 2 years