POMS: DENTAL & OTHER RX’S,PRESCRIBING IN HOSPITALS,RECORDS & LABELLING Flashcards
(31 cards)
What act and regulation allows dentists to prescribe (2)?
- What can they prescribe?
- Under Medicines Act 1968
- Human Medicines Regulations 2012
- Dentist can prescribe ANY POMs (GDC advises dentists to prescribe drugs used in dentistry)
What can dentists prescribe under the NHS?
- Restricted to prescribing the drugs in the dental practitioners formulary (DPF)
Who uses the GREEN Prescription Form (5) and what is the form type?
- Form Type: FP10NC
- It is used by:
- GP
- Community practitioner nurse prescriber
- Independent prescriber
- Supplementary prescriber
- Hospital unit
Who uses the BLUE Prescription Form (4) and what is the form type?
- FP10MDA (instalment dispensing form)
- It is used by:
- GP
- Independent Prescribers
- Supplementary Prescribers
- Hospital Unit
Who uses the LILAC prescription form (3) and what is the form type?
- FP10P
- It is used by:
- Community practitioner nurse prescriber
- Nurse independent prescriber
- Nurse supplementary prescriber
Which prescribers use the YELLOW Rx forms, and what is the form type?
- FP10D
- It is used by:
- Dentists in primary care (only items on the DPF)
Which prescribers use the PINK Rx forms, and what is the form type?
- FP10PCD
- Private prescribers issuing Schedule 2 and 3 CDs dispensed by community pharmacy
Are faxed prescriptions legally valid?
No, it isn’t written in indelible ink and it’s not signed by appropriate practitioner
Why are faxed prescriptions used?
- Can confirm that a valid Rx is in existence
- It’s used when there’s emergency supply at request of prescriber
What are SIX signs to check that a prescription isn’t forged?
- Large or excessive quantity Rx-ed and its appropriateness
- Prescriber known? (is it like the Rx-er usual style)
- Patient known?
- Title Dr inserted before (or after signature)
- Behaviour of patient?
- Medicine known to be commonly misused?
Are electronic prescriptions valid (2)?
- Yes if it’s signed with an advanced electronic signature
- And sent to person dispensing it as an electronic communication
Can CDs be prescribed using Electronic Form?
Yes, Schedule 2 & 3 CDs can be prescribed using the Electronic Prescription Service
What must an advanced electronic signature be? (4)
- Uniquely linked to Rx-er giving Rx
- Capable of identifying Rx-er
- Created so Rx-er can maintain under sole control
- Linked so that any subsequent change is detectable
What is the purpose of the electronic prescription service? (2)
- Allows prescribers to send Rx’s electronically to a dispenser of patient’s choice e.g pharmacy
- Makes prescribing and dispensing more efficient and convenient for patients and staff
How are POMs supplied in hospitals?
Supplied via a PSD (Patient Specific Direction) of a prescriber (instead of prescription)
What are the requirements for a PSD (3)?
- Written direction must be patient specific (specific to patient’s bed card or patient notes)
- Doesn’t need to follow usual Rx writing requirement
- Needs to be given by appropriate practitioner
What are the rules behind administration of POMs in hospitals?
- Directions don’t need to be in writing (good practice)
What are the exceptions to a POM not being recorded in the POM register?
- If Rx is a ‘health’ one (NHS)
- If Rx is for oral contraceptive
- A separate record is kept i.e CD register for CD drugs
- It’s wholesale dealing: an order/invoice is retained for 2 years
What Rx’s are usually recorded in the POM register (2)?
- Private Rx
- Signed Orders
What are the requirements for POM sale/supply records (3)?
- Entry can be a written or computerised record
- Entry must be made on day of sale/supply or on day following that day
- Record must be kept for a period of two years on which POM was supplied/sold
What details must be noted in a POM record? (5)
- Date of supply/sale
- Date on prescription
- Medicine details (name/quantity/form/strength)
- Prescriber details (name and address)
- Patient details (name and address_
How long must the record for a POM be kept for (2)?
- For two years from day which POM was sold/supplied
- For repeatable Rx, the date from which the last supply was made
Where can you find out what needs to be recorded in POM records (2)?
- MEP
- Human Medicine Regulations 2012
When do prescriptions for POM not need to be kept?(2)
- For NHS Rx’s
- Private Rx for CD Schedule 2 & 3
