POM Flashcards

(44 cards)

1
Q

What are the legal requirements for POM prescriptions?

A

Signed in ink by appropriate practitioner (in UK or from approved country), or an ‘advanced electronic signature’

Address of appropriate practitioner

Date
- Valid for 6 months

indication of kind of appropriate practitioner

Name of patient + Address of patient

Age, if under 12

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2
Q

Can you use carbon copies?

A

Yes as long as signed in ink

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3
Q

How many times can a repeatable prescription be dispensed if a repeat number is not stated?

A

Repeated once (dispensed twice)

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4
Q

How many times can a repeat prescription for an oral contraceptive be dispensed if a number is not stated?

A

Repeated 5 times (dispensed 6 times)

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5
Q

Which CDs are repeatable and which are not?

A
  • Repeatable: CD 4 and 5
  • NOT repeatable: CD 2 + 3
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6
Q

When must the first dispensing of a POM or CD 5 be made and what is the legal time limit for the remaining repeats?

A

First: within 6 months

No legal time limit for remaining repeats

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7
Q

When must the first dispensing of a CD 4 be made and what is the legal time limit for the remaining repeats?

A

First: within 28 days

No legal time limit for remaining repeats

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8
Q

Can the patient have the rest of their repeats dispensed at another pharmacy?

A

Yes, maintain audit trail by marking name + address of pharmacy + date of supply

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9
Q

What is the time frame in which an owed prescription must be supplied?

A

POM, CD 5, P and GSL: 6 months

CD 2, 3 + 4: 28 days

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10
Q

Does both the RA (repeatable prescription) and RD (batch prescription) have to be signed by the GP?

A

No – only RA

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11
Q

How long must a private prescription for a POM be retained?

A

2 years from date of supply

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12
Q

How long must a private repeatable prescription be retained?

A

2 years from date of LAST supply

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13
Q

How long is a POM register kept?

A

2 years from date of last entry

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14
Q

What records must be included in a POM register?

A

Supply date

Prescription date

Med details: name, quantity, formulation, strength

Prescriber name and address

Patient name and address

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15
Q

When must the record for a POM be made?

A

On day of supply, or if not practical, next day

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16
Q

Which prescriptions are exempt from the POM register?

A

Oral contraceptives, ‘health prescription’ + CD 2 (separate register)

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17
Q

Can prisoners have FP10 prescriptions?

A

no

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18
Q

When can prisoners have FP10 prescriptions?

A

About to be discharged from prison without usual methods to ensure continuity of supply of meds

19
Q

What do FP10 forms from prison usually have printed on them?

A

Name + address of prison

Exemption from payment

20
Q

Can FP10D prescriptions have any medicinal product prescribed?

A

No, must be in dental practitioners formulary
- Can be branded or generic

21
Q

Can a dentist order any medication on a private prescription?

A

Yes, however dentist are required by their registration body to restrict to areas they are competent + uses in dentistry

22
Q

Where do you report fraudulent prescriptions to?

A

NHS counter fraud services (for NHS prescriptions only)

Police

23
Q

Can you supply a repeat prescription or emergency supply from another country?

A

Yes, if issued by approved health professional from EEA countries or Switzerland

24
Q

What details are required on a prescription from an approved health professional from an approved country?

A

Patient full name + DOB

Prescriber details:
- Full name
- Professional qualification
- Email address + telephone number
- Work address (inc country they work in)

Medication: name, form, quantity, strength + dosage

Prescriber signature

Date of issue

25
Can you dispense a prescription written in a foreign language?
Yes, however need to use professional judgement if enough information is provided
26
Which medication without UK marketing authorisation may not be prescribed?
CD 1, 2 + 3
27
What prescription form are military prescriptions written on?
FMed 296
28
If in the unusual event that a FMed 296 is presented to a non-contracted pharmacy, how should the prescription be treated as?
Private prescription – must charge patient
29
Can a military schedule 2 + 3 be dispensed if written on a MOD FMed296 from a non-contracted pharmacy?
No, not legal – should be changed to FP10PCD
30
What are the legal requirements needed on a label for a dispensed medicinal product?
Name of patient Name + address of supplying pharmacy Name of med Direction for use Precautions
31
What can a pharmacist change on a label without contacting the prescriber?
Directions for use Name of the medicine Precautions - Good practice to record
32
What are the exceptions when administering parenteral POMs NOT in accordance with directions from an appropriate practitioner?
Naloxone as emergency first aid Adrenaline for anaphylaxis Smallpox vaccine linked to medical exposure
33
Define covert administration
Meds administered in disguise w/o knowledge or consent of person receiving
34
When would you administer covertly?
Actively refuse med Lack mental capacity
35
What criteria applies to supplementary prescribing?
Written clinical management plan in place specific to patient and condition, agreed + signed by SP AND IP - Specify when to refer to IP - Must have date of commencement + date of review IP must be doctor or dentist Communication + access to medical records needed Voluntary partnership
36
What are the criteria for non-medical independent prescribers?
Fully trained, accredited + registered w/ healthcare regulator Prescribe within area of competence Access to patient record Responsible for actions
37
Which medications need a pregnancy prevention programme?
Oral retinoids Valproate Thalidomide
38
What are the legal requirements for oral retinoids under the pregnancy prevention programme?
Valid for 7 days Max 30 day supply (if more, must not be under PPP) Telephone request only accepted if e/s at request of PPP specialist prescriber w/ confirmation of negative pregnancy status
39
What happens if a patient has an unplanned pregnancy whilst on valproate?
Don’t stop taking + arrange urgent review of treatment
40
Can doctors prescribe CD 2 to 5?
Yes – home office licence required for cocaine, diamorphine or dipipanone for treating addiction
41
Which CDs can doctors authorise an emergency supply for?
4 + 5 and phenobarbital
42
Can vets authorise an emergency supply?
no
43
Can a pharmacist prescribe, clinically check, and supply a medicine on the same occasion?
Yes – good practice to take break, maintain audit trail and document reason
44
What does the GPhC say in regards to pharmacists prescribing for close family and friends?
Must not prescribe for themselves or close personal relationship unless exceptional circumstance