POM - Wholesale supply

Question 1

What are the requirements for people trading in medicines? (3)

Answer 1

• hold a Wholesale Dealer’s Licence
• apply Good Distribution Practice (GDP) standards
• Have a “Responsible Person” named on the licence to ensure that medicines are procured, stored and distributed appropriately

Question 2

Who requires a wholesale dealers license?

Answer 2

Wholesale dealers who supply medicines to other wholesale dealers or people who can supply medicines to the public

• So doesn’t include pharmacy sharing medications or supply to healthcare services e.g. hospital

Question 3

Non-medical prescribers i.e. pharmacist prescribers cannot receive supply of medicines. True or false?

Answer 3

True

Question 4

What Schedule in HMR is used to dictated what persons and organisation can recieve medicines by wholesale?

Answer 4

Listed in Schedule 17 or 22 of HMR

Question 5

Who cannot recieve a wholesale of medicines and why not?

Answer 5

• Non-medical prescribers (e.g. pharmacist prescriber)
• They are not listed in Schedule 22 or 17 of the Human Medicines Regulations 2012 (HMR 2012)

Question 6

Midwives may sell/supply all P and GSL medicines in the course of their professional practice. True or false?

Answer 6

True

Question 7

Midwives may sell/supply POMs containing diclofenac. True or false?

Answer 7

True

Question 8

What can midwives supply to patients in the course of their work?

Answer 8

• All GSL and P medicines
• POMs containing diclofenac, hydrocortisone acetate, miconazole, nystatin and phytomenadione
• Some parenterally administered POMs (e.g. adrenaline and diamorphine)

Question 9

Midwives can administer certain parenteral drugs. True or false?

Answer 9

True

Question 10

Midwives may administer morphine and diamorphine parenterally. True or false?

Answer 10

True

Question 11

Optometrists may supply all P and GSL meds in the course of their professional practice. True or false?

Answer 11

True

Question 12

What can optometrists supply in the course of their work?

Answer 12

• All GSL and P medicines
• In the case of an emergency:
• Eye drops up to 0.5% chloramphenicol (POM)
• Eye ointments up to 1% chloramphenicol (POM)
• POMs containing cyclopentolate HCl, fusidic acid, tropicamide

Question 13

Optometrists can supply certain POMs but not parenterals. True or false?

Answer 13

True

Question 14

Under what circumstance can a pharmacist supply POMs to patients sent by an opthalmic optician?

Answer 14

Signed order

Question 15

What can a pharmacist supply under a signed order from an optometrist? (i.e. administration in their practice but not for sale or supply)

Answer 15

• All P medicines - POMs containing amethocaine HCl, lignocaine HCl, oxybuprocaine HCl and proxymetacaine HCl

Question 16

Which POMs may be supplied or sold to a patient on the presentation of an order signed by an additional supply optometrist?

Answer 16

• In a emergency, certain POMs can be provided such asDiclofenac Na, Polymixin B/ bacitracin

Question 17

When can additional supply optometrists supply POMs?

Answer 17

Emergencies - If provided with a valid signed order pharmacist can supply medicine to patient

Question 18

Registered chiropodists can sell/supply any GSL to patients under what circumstance?

Answer 18

Provided the premises can be locked up and the medicine pre-packed

Question 19

In the course of a registered chiropodist professional practice, i.e. visiting patient which GSLs can they supply?

Answer 19

P medicines for external use

Question 20

In the course of their professional practice, which P meds can registered chiropodists sell/supply?

Answer 20

• Ibuprofen
• Postassium permangenate crystals/solution for external use
• Ointments of heparinoid and hyaluronidase 9.0% borotanic complex
• .Certains medicines containing only one ingredient e.g. Clotrimazole, Croramiton, Econazole.

Question 21

Chiropodists have annotations in HCPC to indicate which medicines they can supply. True or false?

Answer 21

True

Question 22

What can Chiropodist with “POM” annotation in HCPC register supply/ sell?

Answer 22

• Amoxicillin, erythromycin, flucloxacillin
• Co-codamol, Co-dydramol 10/500 tab, Codeine phosphate
• .Amorolfine HCl cream/ lacquer
• Tioconazole 28%
• Silver Sulfadiazine
• Topical hydrocortisone (1%)

Question 23

What can Chiropodist with “local anaesthetic” annotation in HCPC register supply/ sell and what are the conditions?

Answer 23

• These chiropodists may administer: adrenaline, bupivacaine HCl and lignocaine
• The conditons - only original packs may be supplied

Question 24

Paramedics can administer which medicines on their own initiative to sick or injured persons who need immediate treatment?

Answer 24

• Diazepam for injection
• Succinylated gelatin IV infusion
• Certain parenterals

Question 25

Paramedics can administer parenterals containing streptokinase. True or false?

Answer 25

True

Question 26

Paramedics can administer parenterals comtaining amiodarone. True or false?

Answer 26

True

Question 27

Supply to schools can be made against a written order by headteacher and state. True or false?

Answer 27

True

Question 28

What information must be provided in a written order signed by headteacher and state for wholesale supply?

Answer 28

* Name of school * Purpose for which medicinal product * required quant required (no restriction)

Question 29

Does a POM record need to be made for a wholesale supply to a school?

Answer 29

Yes

Question 30

Is it a legal requirement for written order for wholesale supply to a school to be on headed paper?

Answer 30

No

Question 31

For wholesale dealing both the signed order needs to be retained and an entry in the POM register must be made for it to be legal. True or false?

Answer 31

False - either retain signed order or make an entry in POM register

Question 32

If retaining a signed order for wholesale dealing, how long is it kept in pharmacy for?

Answer 32

2 years

Question 33

There is legislation in place that states what needs to be included in signed order. True or false?

Answer 33

False

Question 34

What information needs to be recorded in POM register?

Answer 34

* Date * POM supplied * Medicine info * Name and address of person/business supplied to * Reason for supply

Question 35

What cannot be supplied to a patient directly even with a signed order?

Answer 35

Local anaesthetics