MEP 3.3 - Professional and legal issues: POMs

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How do the legal requirements of private prescriptions relate to NHS prescriptions?
They are the same
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In what circumstance are carbon copies of prescriptions permissable?
If they're signed in indelible ink
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How many times can a repeatable prescription (except oral contraceptives) be repeated if it is not stated by the prescriber?
Once
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How many times can an oral contraceptive prescription be repeated?
Five times
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Which CD prescriptions can be repeated?
Schedule 4 and 5
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Which CD prescriptions can't be repeated?
Schedule 2 and 3
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Within what time period can a repeatable prescription be dispensed? Including CDs
The first dispensing must be within 6 months of the date (within 28 days if schedule 4 CD), then no time limit for remainder
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What needs to be recorded on a repeatable prescription at each dispensing?
Where the supply took place, and the date of supply
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Can owings be supplied after the prescription is out of date if the original supply occurred while in date?
No, all owings must be supplied while the prescription is in date
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How long do private prescriptions need to be retained?
Two years from the date of supply, or from the date of last dispensing if a repeat prescription
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What should the pharmacy do with private prescriptions for CD's schedule 2 or 3 once dispensed?
Submit to relevant NHS agency
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How long is a POM register retained?
2 years from the last entry
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What details must be recorded in the POM register? 5 things
Supply date, prescription date, medicine details, prescriber details (name and address), patient details (name and address)
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When should a record in the POM register be made?
On the date of sale or supply or the next day if not practical
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Which prescriptions types are exempt from record keeping in the POM register? (2 types)
CD schedule 2's (where an entry in the CD register has been made)
Oral contraceptives
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If a decision is made to dispense against a faxed prescription, what should be recorded?
The decision-making process and reasons for supply - written on the prescription
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What can a dentist prescribe on an NHS prescription?
Only drugs listed in the dental prescribers formulary
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What can a dentist prescribe on a private prescription?
Anything
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What prescription requirements are needed for prescriptions from the EEA or Switzerland? 5 things
Patient's details (name and DOB), prescriber's details (name, professional qualifications, email address and telephone or fax number, work address (including country they work in)), prescribed medicine details, prescriber signature and date of issue (same
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What medicines can't be dispensed on a prescriptions from the EEA or Switzerland?
Schedule 1, 2 or 3 CD's and medicinal products without a UK marketing authorisation
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What emergency supplies can be made for EEA and Switzerland?
Anything except CD's schedule 1, 2 or 3 (including phenobarbital) - need the prescription for whatever is prescribed within 72 hours
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What type of prescription are military prescriptions written on?
FMed296 (similar in appearance to FP10)
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How do pharmacies treat a military prescription?
Treated as a private prescription unless the pharmacy has a contract with the Ministry of Defence
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On what form must a military CD prescription be written on?
A pink FP10PCD form, if written on FMed296, cannot be dispensed
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Is the statement 'Keep out of the reach and sight of children' on a label a legal requirement or good practice?
Good practice
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What legal requirements are there on a label? 6 things
Patient name, name and address of supplying pharmacy, date of dispensing, name of medicine, directions for use, precautions
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Is it lawful to label the outer container, inner container or both?
Just the outer, but it's good practice to also label the inner container
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What should be on a label for a split pack? 6 things
Name of medicine, quantity, quantitative particulars (i.e. ingredients), handling and storage requirements where appropriate, expiry date and batch reference number
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Which CD's can be given as an emergency supply?
Schedule 4 and 5, or phenobarbital for the treatment of epilepsy
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In what time frame must a prescription be received by the pharmacy following an emergency supply?
Within 72 hours
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What requirements must be met to give an emergency supply at the request of a patient? (6 things, excluding max supply, covered in a separate card)
Interview the pt, immediate need, previous prescription, satisfied with the dose, the patient needs to be registered under a UK prescriber to get phenobarbital and the label must include 'emergency supply'
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What is the max supply that can be given for an emergency supply for regular POMs and for CD's?
Maximum 30 days for a regular POM and 5 days for a CD
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What requirement can be relaxed during a pandemic for emergency supplies?
The pharmacist doesn't need to interview the patient
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What can pharmacists do for optometrists and podiatrists in regards to supplying POMs without a prescription?
They can supply POMs in accordance with a signed patient order if it can legally be sold or supplied by the optometrist/podiatrist
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Who can sign a signed order for salbutamol inhalers/adrenaline auto-injectors for a school?
Only the principal or headteacher
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What needs to be included on a signed order for salbutamol inhalers/adrenaline auto-injectors? (3 things)
Name of school, the purpose for which it's required and the total quantity required
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How long should a signed order for salbutamol inhalers/adrenaline auto-injectors be retained at the pharmacy?
2 years
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Is it a legal requirement or good practice to enter a signed order for salbutamol inhalers/adrenaline auto-injectors into the POM register?
Good practice
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Who can obtain naloxone without a prescription, PGD or PSD, and then who can they supply it to?
Staff working at a lawful drug treatment service, who can supply it to patients or anyone who may witness an opioid overdose
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How long is a prescription for a retinoid valid for for a person of child-bearing age under the PPP?
7 days
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How many days' supply can be given of a retinoid for a person of child-bearing age under the PPP?
Maximum 30 days
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If a pharmacist has to clinically check, dispense and then accuracy check a prescription, what should happen?
A full audit trail should be made, documenting reasons why
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What are the requirements to make an emergency supply at the request of a prescriber? 5 things
Relevant prescriber, emergency, prescription within 72 hours, supplied in accordance with the direction given by the prescriber, not for CDs 1-3 (except phenobarbital)
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Other cards in this set

Card 2

Front

In what circumstance are carbon copies of prescriptions permissable?

Back

If they're signed in indelible ink

Card 3

Front

How many times can a repeatable prescription (except oral contraceptives) be repeated if it is not stated by the prescriber?

Back

Preview of the front of card 3

Card 4

Front

How many times can an oral contraceptive prescription be repeated?

Back

Preview of the front of card 4

Card 5

Front

Which CD prescriptions can be repeated?

Back

Preview of the front of card 5
View more cards

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