Wk 10: POM Flashcards
(33 cards)
What are the exceptions to when a POM may be legally supplied without a Rx?
- Patient group directions
- Emergency supplies
- Patient specific directions in hospitals
What is the difference between a supply and a sale when dispensing a POM?
- Supply = NHS prescription
- Sale = private prescription
What are some examples of products that are always POMs?
- Parenteral products
- CD
- Cyanogenic substance
- Meds that emit radiation
- New chemical entities
What are legal requirements for POMs?
- Signed in ink
- Valid for 6 months from date
- Practitioner must be registered in UK or by approved health professional in approved country
What must a prescription for a POM include?
- Address + indication of practitioner
- Date
- Name + address of patient
- If under 12, the age
When must repeatable prescriptions be dispensed within?
First time within 6 months of appropriate date
What happens if a repeatable prescription does not specify the number of repeats?
Repeat once
What is exempted from repeatable prescriptions not specifying the number of repeats?
- Oral contraceptives
- Can be dispensed 6 times
What is not allowed on normal NHS prescriptions?
Repeats unless on NHS repeat dispensing scheme
What is an approved health professional in an approved country?
Countries from EEA + Switzerland
What is needed clinically, to dispense a prescription?
- Name of drug
- Form
- Strength
- Dose
- Frequency
- Quantity
What are the legal requirements of private prescriptions?
- Written on anything
- Can be repeated
- No restrictions on prescribed med
- Date = date signed
What can’t be done when exercising due diligence?
Can’t amend if info is present, only if missing
What are the rules regarding dispensing by brand name?
If med prescribed by brand name, only branded product must be dispensed, otherwise owing slip used
Is dispensing a CD Rx from a fax a criminal offense?
Yes
What happens if a faxed prescription is dispensed?
Ensure original RX is in possession ASAP
What are the rules regarding electronic prescriptions?
- Signed by appropriate practitioner
- Signed with advanced electronic signature
What is an advanced electronic signature?
- Uniquely linked to person giving Rx
- Able to identify signatory
- Created to maintain under his/her control
- Any subsequent change of data is detectable
What are the legal requirements for a non-uk prescription?
- Patient full name + DOB
- Prescriber full name, qualification, contact details (email , number + work address)
- Name of med, form, quantity, strength + dose
- Prescriber signature
- Date issued
What are the exceptions when making a record for a supply of a POM?
- On health prescription or for oral contraceptive
- Record made in CD register
- Whole sale dealing + order retained for 2 yrs
When do hospital pharmacies need to make records when supplying a POM?
Registered as pharmacy w/ GPhC
What must be included when making prescription records?
- Date of sale
- Name, quantity, form + strength
- Date on Rx
- Name + address of practitioner
- Name + address of patient
How long must records be kept?
2 years from date of last entry
What happens to an NHS prescription at the end of the month?
Sent to NHSBSA
