Getting the Right Medicine to the Right Person

Question 1

Dispensing prescriptions from Switzerland & EEA

Answer 1

• Legally recognised in the UK
• Not part of the approved list then use proffesional judgement to refer to GP

Question 2

Switzerland & EEA - requirements

Answer 2

• Patient’s full first name surname and date of birth
• Prescriber’s full first name surname, professional qualifications, direct contact details including email address and telephone or fax number & work address (Country they are in)
• Prescriber signature
• Date of issue

Question 3

Can the prescription be accepted if in a foriegn language

Answer 3

• Still legally acceptable - need enough infromation for safe supply of medicines

Question 4

Private Prescriptions

Answer 4

• Patient is charged the cost of each item + mark up fee by pharmacist for dispensing

Question 5

Requirements for private prescription

Answer 5

• the patient’s details
• details of the medication to be supplied
• the signature of the prescriber
• the address of the prescriber
• an indication of the prescriber type
• an appropriate date

Question 6

Private Prescriptions documentation

Answer 6

It is a legal requirement to record the sale or supply of all
prescription-only medicines

Question 7

Repeat Prescriptions

Answer 7

• Valid for up to 1 year Repeat autherising signed by doctor
• Associated Repeat dispensing also issued
• Pharmacists keep autherising form after the first repeat is issued

Question 8

Repeat Prescriptions private

Question 9

Repeat prescription private

Answer 9

• Written statement on prescription
• First dispensing takes place within 6 months of the date on prescription
• They can only be repeated once or dispenced twice
• For oral contraceptives which can be repeated 5 times
• No time limits use professional judgement

Question 10

Repeat Prescriptions Private when and where can it be dispensed

Answer 10

• Repeats dispensed from different pharmacies and can retain the prescription
• Audit trail mark on the prescription the name and address of the pharmacy and date of supply

Question 11

Military Prescriptions

Answer 11

• Dispensing for Ministry of
  Defence
• Not covered by the contract will not
  routinely handle military prescriptions
• Military prescriptions are written on a military form FMed 296
• Invoice directly to MOD
• Non contracted the prescription should be treated as private charge as required

Question 12

Optometrist and Podiatrist Signed
Orders

Answer 12

• POMs can be given directly to patients in accordance with a signed patient order from any registered optometrist or podiatrist
• Legally sold or supplied by practioner list from MHRA
• Additional supply optomertrist extended range of meds

Question 13

Patient Group Directions

Answer 13

• Written directions that allow the supply or adminstration of specific medicines by named autherised health professionals well defined group of of patients requiring treatment for specific condition
• Advance patient care without comprimising patient safety
• POM supplied under PGD sgould be labelled in the same way as supplied with prescription

Question 14

Patient specific direction

Answer 14

• Not defined in legislation
• Traditional instruction and signed by prescriber
• Supplied or administered by named patient
• Route of administration, dose, frequency, date of treatment
• Name form and strength of medicine
• Name of patient and patient identifiers

Question 15

School supply of medicines

Answer 15

• Schools obtain Adrenaline auto injectors and salbutamol inhalers from signed order
• Person trained to administer and pupils consent recieved
• signed order needs to be retained for two years
  from the date of supply and entry in POM register

Question 16

School supply requirements

Answer 16

• Name of the school
• Product details (including spacer if relevant)
• Strength (if relevant)
• Purpose for which the product is required
• Total quantity required
• Signature of the principal or head teacher

Question 17

Supply of Naloxone

Answer 17

• Provision of
  recognised drug treatment services
• Under arrangement made by:
• an NHS body
• a local authority
• Public Health England
  Groups of people that can be supplied to family members, peers and staff

Question 18

Wholesaling

Answer 18

• MHRA is hte regulatory body that oversees wholesale distribution of medicines

Question 19

Wholesaler Licence requirements

Answer 19

• Anyone trading medicines need wholesaler licence - wholesale distribution autherisation
• Comply with good distribution practice standards
• Responsible person

Question 20

WDA Exemptions

Answer 20

• Pharmacy supplying stock to another pharmacy within same legal enity (same boots)
• If legal entity does hold a WDA the pharmacy supplying the medicine for the purpose of wholesaling must be named on WDA
• In Medicines Act 1968

Question 21

Wholesale and medicine shortages

Answer 21

• Measures in place to minimise medicines shortage
• Limiting those medicines which can be traded/exported
• Legal and ethical issues

Question 22

Serious Shortage Protocols

Answer 22

• Pharmacist makes amendments to prescriptions and supply an alternative medicine to those in short supply - specific to each country

Question 23

Written requisitions

Answer 23

• Supply the medication to patient to GP or practice
• Requests something for use during home
  visits or an optician requests a medicinal item for use during eye examinations
• Signed orders - dont require sign not legal requirement

Question 24

Written requisition not concidered as a wholesale distribution if

Answer 24

• The transaction takes place on an occasional basis
• The quantity of medicines supplied is small
• The supply is made on a not for profit basis
• The supply is not for onward wholesale distributio

Question 25

Written requisitions requirements

Answer 25

- No legally defined details as to the content required - Local SOP followed - Date - Name, quantity and, where it is not apparent, formulation and strength - Name and address, trade, business or profession of the person - Purpose for which it was sold or supplied. - Signature of prescriber

Question 26

Written requisitions supply

Answer 26

- Only complete packs - No need for label on medication - Good practice to make an entry in the POM register at the time of supply - Requisition is retained within the pharmacy for 2 years from the date of supply

Question 27

Emergency Supply

Answer 27

- In an emergency a pharmacist working in a registered pharmacy can supply POMs to a patient without a prescription - By relevant prescriber - By patient

Question 28

Emergency supply with request of prescriber

Answer 28

- Relevant prescriber * Emergency * Prescription within 72 hours * Directions * Record kept * Correctly labelled

Question 29

Emergency Supply at the Request of a Patient

Answer 29

- Must interview the patient - Immediate need and not practical for patient to obtain prescription - May supply up to 30 days treatment - Insulin ointment and inhaler smallest pack size - Satisfied must be satisfied by the dosage

Question 30

Records

Answer 30

- Include information on the nature of the emergency - Why the patient needs POM and why a prescription cannot be obtained - Added Emergency supply on label

Question 31

Choose Pharmacy

Answer 31

- EMS module enables you to access relavent medicines info from welsh GP records - View info on allergy, repeat medicine, acute meds precribed, medicines being discontinued

Question 32

Fax prescription

Answer 32

- Not legally valid prescription definition of a legally valid prescription within human medicines legislation because it is not written in indelible ink - Supply medicines using fax make an informed decision and take steps to safeguard patient safety

Question 33

Prescribing and dispensing to the same person

Answer 33

- Should remain seperate function improved by a second healthcare professional check - Limit errors use audit trails - Document reasons

Question 34

Dispensing self-prescribed prescriptions and prescriptions for close friends and family

Answer 34

- Fulfil the usual legal requirements - Exceptional circumstances life saving - Refuse to suply clearly and calmly

Question 35

Recording supplies

Answer 35

- Medication supply via a non-NHS (private) prescription * Supply of medication via a written requisition * Emergency supply of medication at the request of a practitioner * Emergency supply of POM at the request of a patient - oral contraceptives are exempt from record keeping

Question 36

POM Register

Answer 36

- Records must be made in the POM register and retaine din premisis for 2 yrs - Supply date * Prescription date * Name, quantity, formulation and strength of medicine supplied * Prescriber details * Patient details * Reason for supply