Flashcards in Emergency Supply Deck (14)
What is an emergency supply?
In an emergency and under certain conditions a pharmacist working in a registered pharmacy can supply POMs to a patient without a prescription if requested by a prescriber or the patient.
What does the scotland national PGD mean for the emergency supply?
PGD stands for patient group direction and allows you to supply an emergency supply without a doctor
How is a emergency supply made by a doctor?
1. Phone Call- pharmacist should take the call, confirm what is required, and ask for further details if required
2. Personal Visit
3. Faxing through the prescription- can ask for it via a later date
What prescribers can request an emergency supply?
3. Supplementary prescriber- can do any other medicine, have to work to the treatment plan
4. Community practitioner nurse prescriber
5. Independent prescriber (nurse, pharmacist, optometrist, podiatrist, physiotherapist)- if within field and training they can
6. EEA or Swiss health professional
What must you make sure about the prescriber of the emergency supply if it's by the prescribers request?
1. Must be registered in the UK or EEA/Switzerland
2. Pharmacists must be satisfied that:
the request is made by an appropriate prescriber-CHECK QUALIFICATIONS
For reason of some emergency is unable to provide a prescription
What other rules must you think about if the emergency supply is done at the prescribers request?
1. The prescriber promises to supply a prescription within 72 hours
2. The POM is sold or supplied in accordance with the directions of the prescriber
3. The POM isn't a CD schedule 1, 2, 3 (exception phenobarbital used in epilepsy), but can be schedule 4 or 5
4. EEA/Swiss prescribers request medicines with a marketing authorisation valid in the UK.
5. An entry is made in the POM register on the day of supply or next day
6. Usual labelling requirements apply
What ways can you do to show good practice when it comes to an emergency supply?
1. Validate the emergency supply for a new medicine by checking patient age, dose, PMR, appropriate medication for patient
2. Check patient exemption status- if its private or NHS, you need to make sure that you receive the money and you can fill the back section in.
What should be included in the emergency supply forms?
1. Date the medicine was sold or supplied
2. Name, form, strength, quantity or product
3. Name and address of prescriber
4. Name and address of patient
5. Date on prescription
6. Date prescription received
7. NHS paid/exemption, fee for private Rx*
8. Dosage of medication
What normally happens when the emergency supply is asked at a patients request?
1. Patient asks for a supply of medicine without prescription
2. Usually visits pharmacy in person
3. Rarely gets a phone call from the patient
4. Sometimes a representative is sent (Parents/Guardians, Carers, Relatives/friends)
What must the pharmacist ensure if they are to supply an emergency request to a patient?
1. The responsible pharmacist must interview the patient him/himself and be satisfied that:
- Immediate need for the POM
- Impractical to obtain a prescription without undue delay
- The treatment has previously been prescribed by a UK registered appropriate prescriber for the patient or EEA or Swiss health professional
- It is an appropriate dose for that patient in the circumstances
What rules must be followed if the patient asks for an emergency supply and receives it?
1. No greater than 30 days treatment should be supplied except for:
- ointments, creams, aerosol (use smallest pack)
- Oral contraceptive- give full cycle
- Antibiotics in liquid form give smallest quantity
- Insulin (smallest pack)
2. Controlled Drugs Schedule 2 and 3, cannot be supplied except for phenobarbitone, schedule 4 or 5 CD's too. They cannot be supplied for more than 5 days treatment.
What must the pharmacist do after they supply the emergency request?
1. A record in the POM register must be made on the day (or next day if impractical)
2. Patient of an EEA or swiss health professional is not permitted to obtain schedule 1-3 CD or medicines without UK marketing authorisation
3. There's a certain list of other substances that cannot be supplied
In the event of a pandemic, what must the pharmacist do when it comes to an emergency supply?
1. Do not need to interview the patient in the pandemic
2. Needs to be satisfied that the treatment has been previously prescribed by an appropriate practitioner and the dose is appropriate