Prescription exemptions Flashcards
(24 cards)
Describe the terms of a patient specific direction (PSD)?
Supply/administration of a medicine or medicines for a specific named patient after the prescriber has assessed the patient individually
Describe the terms of a patient group direction (PGD)?
Supply/administration of specified medicine or medicines for a well-defined group of patients for a specific condition by a named HCP
What can Pharmacists offer for the immediate treatment of sick/injured people under a PGD?
Diamorphine/Morphine
Can pharmacy technicians supply/administer under a PGD?
Yes- as of 2024
POM register requirements for an emergency supply at the request of the prescriber
Date POM was supplied.
Name, strength, form, and quantity of medicine supplied.
Name and address of prescriber requesting supply.
Name and address of patient
Date on the prescription (Can be added to the entry when script is received)
Date prescription received (add to entry when received)
When must a written prescription be sent following an emergency supply of medicine at the request of a prescriber
Within 72 hours.
Which CDs cannot be supplied as an emergency suppy?
Schedule 1,2,3 (With the exception of phenobarbitone)
Can emergency supplies be provided to animals?
No- just humans
Can an emergency supply be made if the patient’s doctors surgery is open?
Yes
What is the maximum supply that can be made for an emergency supply (Excluding schedule 4 + 5 CDs or phenobarbitone)
30 days
What is the maximum supply that can be made for an emergency supply of schedule 4 + 5 CDs or phenobarbitone?
5 days
How many days supply should be provided for an emergency supply of oral contraceptives?
Full cycle
When should the smallest pack available be supplied against an emergency supply?
If the emergency supply is for insulin, cream, ointment, or an inahler for asthma
How much liquid antibiotic should be supplied for an emergency supply?
Smallest quantity that willl provide a full course of treatment
How do records differ between emergency supply at the request of a prescriber and emergency supply at the request of a patient?
The same, but at request of a patient doesn’t need prescriber details and must give a reason for the emergency supply.
How do label requirements differ between emergency supply at the request of a prescriber and emergency supply at the request of a patient?
At the request of a patient- must have ‘emergency supply’ printed on label.
Is a signed order by a podiatrist/ optometrist classed as a prescription?
No- but pharmacists can supply POMs against a signed order by optometrist/podiatrist
Do prescription requirements apply to a signed order?
No
Do labelling requirements apply to a POM supplied against a signed order by optometrist/ podiatrist?
Yes
Does a record in the POM register need to be made against a signed order by podiatrist/ optometrist?
Yes
Signed order for schools legal requirements
Name of the school
Headteacher/ principal signature
Purpose for use
Quantity
Strength if applicable
Product details
What is not a legal requirement for a signed order from a school, but is preferred?
Appropriately headed paper
Is there a limit on quantity supplied of a medicine to a school via a signed order?
No- professionak judgement should be used
Does a POM entry need to be made for a signed order for a school?
No- it is good practise. However, if POM register entry not made then signed order must be retained for 2 years from date of supply.
