Law Quick Fire

Question 1

Conditions for an emergency supply at prescriber request?

Answer 1

• Appropriate prescriber
• Emergency
• A prescription can be obtained in 72 hours
• Directions
• NOT for controlled drugs except phenobarbital (schedule 3)
• Record kept in POM register

Question 2

What needs to be in the POM register for emergency supply?

Answer 2

• Patient details (name and address)
• Medicine details (name and quantity)
• Prescriber details (name and address)
• Date supplied
• Date on prescription
• Date prescription received

Question 3

What prescribers are allowed on an emergency supply at request of prescriber?

Answer 3

Doctors, dentists, supplementary prescribers, all independent prescribers, practitioner nurse prescribers and EEA/Swiss Prescribers.

HCP’s outside EEA/Switzerland = not recognised as relevant in the UK

Question 4

Emergency supply at request of patient conditions:

Answer 4

• Emergency/ Immediate need
• Interview
• Satisfied it has been used before - SCR (with permission), old bottles etc.
• Dose confirmation
• Not for CD’s except phenobarbital
• Length of treatment - no more than 5 days for phenobarbital or 30 days for POM –> unless abx, pill, inhaler

Question 5

When does an emergency supply at request of a patient need to go in the register?

Answer 5

on the day of supply or next day

Question 6

What needs to do in the POM register for emergency supply at request of a patient?

Answer 6

• Date POM supplied
• Medicine details - dose, quantity etc
• Patient details - including address
• Information on nature of Rx

Question 7

How long is a CD 2,3,4 script valid for?

Answer 7

28 days

Question 8

Maximum quantity for 2,3,4 CD scripts?

Answer 8

30 days

Question 9

What needs to be on a dental CD script?

Answer 9

For dental treatment only

Question 10

When is a standardised CD form required?

Answer 10

Only for s2 and s3 CD’s

Question 11

Does a sch3 drug need to be recorded in the CD register?

Answer 11

No - 1 and 2 only

Question 12

Conditions for CD register?

Answer 12

Must be: chronological, in indelible ink and unaltered

Question 13

The CD’s that need to be kept in safe custody are

Answer 13

Sch 1
Sch 2 - except some liquid preps
Some Sch 3 - temazepam, buprenorphine, common exemptions = phenobarbital, midazolam, tramadol,

Question 14

Does sativex need to be in a register and what schedule is it?

Answer 14

Yes and 4 (stored in fridge)

Question 15

CD requisition requirements?

Answer 15

Signature, name, address and profession of recipient, total quantity of drug and purpose of requisition

Question 16

When is an approved form (cd requisition) not required?

Answer 16

Request of hospice/prison

Question 17

Can EEA prescribers prescribe Sch 2 or 3 drugs?

Answer 17

No - 4 and 5 only

Question 18

What CD’S can a podiatrist prescriber NOT prescribe

Answer 18

OH MY FEET

Oxycodone
Morphine
Fentanyl

Question 19

Can a physio authorise an emergency supply for phenobarbital?

Answer 19

No

Question 20

Can physio and podiatrist IP’s Rx unlicensed medicine?

Answer 20

No - only off label

Question 21

Can schools purchase adrenaline without a prescription?

Answer 21

Yes - in small quantities and if on an occasional basis

Question 22

What records need to be kept and made in the pharmacy?

Answer 22

Signed order (keep for 2 years)
Enter in POM register:
Date POM supplied
Name, quantity and strength of medicine 
Name and address, trade, business and profession 
Purpose for which it was sold

Question 23

Maximum day supply and validity of Isotretinoin rx’ions?

Answer 23

7 days validity

30 days supply - only can be dispensed more if patient isn’t under PPP

Question 24

prescription requirements for Vet RX?

Answer 24

• Name, address, telephone number, qualification and signature of prescriber (If CD, registration number must be there)
• Name and address of owner
• Identification and species of animal
• Date - valid for 6 months and 28 days for CD2, 3, 4
• Name, quantity, dose and admin instructions
• Any necessary warnings
• Use under cascade if necessary
• For sch 2 and 3 - a declaration that item has been prescribed for an animal or herd under the care of a veterinarian
• If it is repeatable - the number of times it can be repeated needs to be on there

Question 25

Are standardised forms required for Vet sch2 and 3 drugs?

Answer 25

No - just the statement item has been prescribed for an animal or herd under the care of a veterinarian

Question 26

Is the physical presence of a pharmacist required to supply vet medicines?

Answer 26

Yes unless transaction has been authorised by pharmacist

Question 27

Do vet prescriptions need to be kept?

Answer 27

Yes for 5 years

Question 28

Do vet prescription records need to be kept?

Answer 28

Yes for POMV and VPS

Question 29

What needs to go in the vet script record?

Answer 29

Name of medicine
Date of receipt or supply
Batch number
Quantity 
Name and address of supplier or recipient

Question 30

Label requirements for Vet product?

Answer 30

Name and address of animal owner
name of prescribing vet surgeon 
Name and address of pharmacy
Identification and species of animal 
Date of supply 
The words keep out of reach of children and for animal treatment only 
Expiry date of product
Name/description of product
Dosage and admin instructions 
Any necessary warnings
Any applicable withdrawal period

Question 31

Max amount of paracetamol and aspirin that can be sold?

Answer 31

100 non effervescent (includes soluble/disperible)

no limit on effervescent

Question 32

Max amount of codeine/dihydrocodeine that can be sold?

Answer 32

32 dose units

If more, Rx needed and needs to state can cause addiction and for three day use only

Question 33

What CPD requirements are needed

Answer 33

4 CPD records
Minimum of 2 planned
1 peer discussion and 1 reflective account