POM - Wholesale supply Flashcards

1
Q

What are the requirements for people trading in medicines? (3)

A
  • hold a Wholesale Dealer’s Licence
  • apply Good Distribution Practice (GDP) standards
  • Have a “Responsible Person” named on the licence to ensure that medicines are procured, stored and distributed appropriately
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2
Q

Who requires a wholesale dealers license?

A

Wholesale dealers who supply medicines to other wholesale dealers or people who can supply medicines to the public

  • So doesn’t include pharmacy sharing medications or supply to healthcare services e.g. hospital
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3
Q

Non-medical prescribers i.e. pharmacist prescribers cannot receive supply of medicines. True or false?

A

True

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4
Q

What Schedule in HMR is used to dictated what persons and organisation can recieve medicines by wholesale?

A

Listed in Schedule 17 or 22 of HMR

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5
Q

Who cannot recieve a wholesale of medicines and why not?

A
  • Non-medical prescribers (e.g. pharmacist prescriber)
  • They are not listed in Schedule 22 or 17 of the Human Medicines Regulations 2012 (HMR 2012)
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6
Q

Midwives may sell/supply all P and GSL medicines in the course of their professional practice. True or false?

A

True

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7
Q

Midwives may sell/supply POMs containing diclofenac. True or false?

A

True

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8
Q

What can midwives supply to patients in the course of their work?

A
  • All GSL and P medicines
  • POMs containing diclofenac, hydrocortisone acetate, miconazole, nystatin and phytomenadione
  • Some parenterally administered POMs (e.g. adrenaline and diamorphine)
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9
Q

Midwives can administer certain parenteral drugs. True or false?

A

True

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10
Q

Midwives may administer morphine and diamorphine parenterally. True or false?

A

True

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11
Q

Optometrists may supply all P and GSL meds in the course of their professional practice. True or false?

A

True

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12
Q

What can optometrists supply in the course of their work?

A
  • All GSL and P medicines
  • In the case of an emergency:
  • Eye drops up to 0.5% chloramphenicol (POM)
  • Eye ointments up to 1% chloramphenicol (POM)
  • POMs containing cyclopentolate HCl, fusidic acid, tropicamide
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13
Q

Optometrists can supply certain POMs but not parenterals. True or false?

A

True

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14
Q

Under what circumstance can a pharmacist supply POMs to patients sent by an opthalmic optician?

A

Signed order

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15
Q

What can a pharmacist supply under a signed order from an optometrist? (i.e. administration in their practice but not for sale or supply)

A
  • All P medicines - POMs containing amethocaine HCl, lignocaine HCl, oxybuprocaine HCl and proxymetacaine HCl
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16
Q

Which POMs may be supplied or sold to a patient on the presentation of an order signed by an additional supply optometrist?

A
  • In a emergency, certain POMs can be provided such asDiclofenac Na, Polymixin B/ bacitracin
17
Q

When can additional supply optometrists supply POMs?

A

Emergencies - If provided with a valid signed order pharmacist can supply medicine to patient

18
Q

Registered chiropodists can sell/supply any GSL to patients under what circumstance?

A

Provided the premises can be locked up and the medicine pre-packed

19
Q

In the course of a registered chiropodist professional practice, i.e. visiting patient which GSLs can they supply?

A

P medicines for external use

20
Q

In the course of their professional practice, which P meds can registered chiropodists sell/supply?

A
  • Ibuprofen
  • Postassium permangenate crystals/solution for external use
  • Ointments of heparinoid and hyaluronidase 9.0% borotanic complex
  • .Certains medicines containing only one ingredient e.g. Clotrimazole, Croramiton, Econazole.
21
Q

Chiropodists have annotations in HCPC to indicate which medicines they can supply. True or false?

A

True

22
Q

What can Chiropodist with “POM” annotation in HCPC register supply/ sell?

A
  • Amoxicillin, erythromycin, flucloxacillin
  • Co-codamol, Co-dydramol 10/500 tab, Codeine phosphate
  • .Amorolfine HCl cream/ lacquer
  • Tioconazole 28%
  • Silver Sulfadiazine
  • Topical hydrocortisone (1%)
23
Q

What can Chiropodist with “local anaesthetic” annotation in HCPC register supply/ sell and what are the conditions?

A
  • These chiropodists may administer: adrenaline, bupivacaine HCl and lignocaine
  • The conditons - only original packs may be supplied
24
Q

Paramedics can administer which medicines on their own initiative to sick or injured persons who need immediate treatment?

A
  • Diazepam for injection
  • Succinylated gelatin IV infusion
  • Certain parenterals
25
Q

Paramedics can administer parenterals containing streptokinase. True or false?

A

True

26
Q

Paramedics can administer parenterals comtaining amiodarone. True or false?

A

True

27
Q

Supply to schools can be made against a written order by headteacher and state. True or false?

A

True

28
Q

What information must be provided in a written order signed by headteacher and state for wholesale supply?

A
  • Name of school
  • Purpose for which medicinal product
  • required quant required (no restriction)
29
Q

Does a POM record need to be made for a wholesale supply to a school?

A

Yes

30
Q

Is it a legal requirement for written order for wholesale supply to a school to be on headed paper?

A

No

31
Q

For wholesale dealing both the signed order needs to be retained and an entry in the POM register must be made for it to be legal. True or false?

A

False - either retain signed order or make an entry in POM register

32
Q

If retaining a signed order for wholesale dealing, how long is it kept in pharmacy for?

A

2 years

33
Q

There is legislation in place that states what needs to be included in signed order. True or false?

A

False

34
Q

What information needs to be recorded in POM register?

A
  • Date
  • POM supplied
  • Medicine info
  • Name and address of person/business supplied to
  • Reason for supply
35
Q

What cannot be supplied to a patient directly even with a signed order?

A

Local anaesthetics