non-prescription Flashcards
(37 cards)
6 ways you can supply POM without RX
- Emergency supply
- Wholesale dealing
- Patient Group Directions
- Signed orders (restricted list of people – not directly to patients)
- Urgent repeat medicine supply- covered elsewhere
- NHS referrals for minor illness-
what is wholesale supply 3
Selling or supplying, or procuring or holding or exporting medicines to a person who receives it for purposes of:
* selling or supplying the product (to anyone other than a member of public);
* administering it or causing it to be administered to one or more human beings
is wholesale only for lisenced meds
for both
what lisence do you get and who from, and for CD and how do both last
MHRA and WDA and continious unless fail inspection, CD home office and every year
4 Keep records of receipt and dispatch
- Date of receipt and dispatch
- Name of products
- Quantity received or dispatched
- Name and address of the person from whom, or to whom, the products are sold or supplied
10 who can be sold by way of wholesale dealing
Practitioners
Midwives
Chiropodists/podiatrists
Optometrists,
Paramedics
Owners and master of ship
retail pharmacist conducting their own business
Hospitals, clinics,
government departments
A person who carries on a pharmacy business for or on behalf of the police force
what is a signed order
signed/written order is a formal document from an authorised person (e.g., a healthcare professional) requesting the supply of specific medicines
5 instances when signed order is needed
Prescription-Only Medicines (POMs) in some cases.
Controlled Drugs (CDs) (e.g., Schedule 2 & 3 CDs).
Emergency Supplies for certain professionals.
Medicines for Schools/Institutions (e.g., adrenaline auto-injectors, salbutamol inhalers).
Pharmacy (P) Medicines to professionals for use in their practice.
9 details on a written order
- name
- address
- quantity
- purpose of medication
- name of medication
- strength of medication
- form of medication
- signature of person
- date of supply
record keeping for written orders
keep order/invoice for POM or make POM register entry and keep for 2 yrs and CD do CD entry
10 things to record in POM record
Date the POM was supplied
Name, quantity and where it is not apparent, formulation and strength of the POM supplied
Name and address, trade, business or profession of the person to whom the medicine was supplied
The purpose for which it was sold or supplied
how much was charged
what is a patient signed order and what record keeping
A signed patient order merely allows a podiatrist or optometrist to issue to a patient a medicine currently on their exemption lists via a pharmacist, without the need to hold a stock of the medicine at their practice
make POM entry, make sure they can give that medicine
what is a CD requisition
formal written request to obtain 2,3 CD
healthcare professionals, care homes, or organisations to request CDs for stock or patient care purposes.
legal requirment
8 ppl/ places who use CD requsition
Doctors
Dentists
Veterinary Surgeons (for their practice).
Hospitals
Hospices.
Care Homes (with or without nursing).
Ambulance Trusts.
Other Pharmacies/ Wholesalers
3 exemptions of CD requisition
Dispensing against a prescription for a named patient.
Supply to practitioners in hospitals or prisons
Schedule 4 & 5 CDs
legal requirments of CD reqisition 8
recipient’s Name, Address & Profession
Drug Details (name, form, strength, quantity).
Purpose (e.g., for stock or practice use).
Signature of the Requester.
Date the requisition was signed
3 steps to processing CD requisition and how long keep
mark the requisition with suppliers name and address and when received
send original requisition to the relevant NHS agency
retain a copy of the requisition for 2 years from the date of supply.
Against veterinary requisitions (the original requisition should be retained for 5 years)
POM entry for CD requisiton and which sch need
- Date the POM was supplied
- Name, quantity and where it is not apparent, formulation and strength of the POM supplied
- Name and address, trade, business or profession of the person to whom the medicine was supplied
- The purpose for which it was sold or supplied
3 legal, 2 good practice
6 things in a midwife supply order
- Name of the midwife
- Occupation of the midwife
- Name of the person to whom the CD is to be administered or supplied
- Purpose for which the CD is required
- Total quantity of the drug to be obtained
- Signature of an appropriate medical office
narcan name and who can get
NALOXONE
Staff engaged or employed in lawful drug treatment services can obtain naloxone from a wholesaler and make direct supplies to patients without a prescription
what is a PGD, patient group directive
written instructions for the supply or administration of medicines to a pre-defined group of patients who may not be individually identified before presentation for treatment by named, authorised, registered health professionals
4 times PGD are useful
medicines use follows a predictable pattern
patients seek unscheduled care
supplying or administering a medicine for a discrete treatment episode
there is a homogeneous patient group
3 benefits of PGD
Increases access to medications,
improves efficiency in patient care, and allows
timely treatment without waiting for a doctor’s prescription.
3 limmitations of PGD
- Requires strict adherence to protocols,
- potential for misuse or errors if not properly managed
- and not suitable for all clinical situations.
