Define POM
Medicinal product which may only be supplied in accordance with a prescription signed by an appropriate practitioner - listed in POM order
Outline the situations when a POM may be legally supplied without a Rx
- Patient group directions
- Emergency supplies
- Patient specific directions in hospitals
What is a prescription?
A patient specific direction
Define a patient specific direction
Written instruction from a prescriber for a medicine to be supplied/administered to a named patient after the prescriber has assessed the patient on an individual basis
What are the legal requirements for prescriptions for POMs?
Issued by appropriate practitioner:
- Signed in ink by practitioner
- Written in ink/indelible
- Address of practitioner
- Appropriate date
- Indication of ht kind of practitioner
- Name + address of patient
- If under 12, age
- Valid for 6 months
- Practitioner registered in UK
What are the legal requirements for repeatable prescriptions?
Dispensed for 1st time w/in 6 months of date
What information isn’t legally needed on a prescription?
- Name of practitioner
- Drug name, strength, dose + quantity
What is a repeatable prescription?
Prescription that can be dispensed more than once
Are repeats allowed on FP10?
No, unless part of NHS repeat dispensing (FP10RD)
Which prescription is used by dentists?
FP10(D) - yellow
Dentists are only allowed to prescribe medicinal products from what?
Dental practitioners’ formulary
When writing a private prescription, are dentists able to order ANY POM, P or GSL medicine?
Yes
What are the types of community nurses?
- District nurse
- Health visitors
Which prescription is used by community nurses?
FP10P - lilac
Community nurses are only allowed to prescribe medicinal products from what?
Nurse prescribers’ formulary
What are the requirements for electronic prescriptions?
- Signed w/ advanced electronic signature + sent electronically to dispenser
- Electronic signature uniquely linked to signatory + data so change to data is detectable
Define advanced electronic signature
- Uniquely linked to prescriber
- Capable of identifying prescriber
- Created so prescriber can maintain under their sole control
- Linked to data so any change is detectable
What happens to electronic prescriptions?
- Electronic NHS prescription received from NHS spine
- Printed on white paper (dispensing token)
- Can be sent back to spine to be cancelled
- Prescription sitting in NHS spine will expire
A record must be made of every supply of a POM unless…
- Health prescription or Rx for oral contraceptive
- Separate record made in CD register
- Wholesale dealing + invoice retained for 2 years
Do hospital pharmacies need to make POM records?
Only if they are registered as a pharmacy w/ GPhC
What are the requirement for prescription records?
- Records kept 2 years of last entry
- Date of sale/supply
- Name, quantity, form + strength
- Date on Rx
- Name + address of practitioner + patient
- Reference no. (marked on Rx) + typed on dispensing label
What happens to a dispensed NHS prescription?
Send to NHSBSA, PSD at end of month
What happens to a dispensed private (non-repeatable) prescription?
Keep at pharmacy for 2 years
What happens to a dispensed private (repeatable) prescription?
- Repeats outstanding: hand Rx back to patient or offer to retain in pharmacy
- Final repeat dispensed: keep for 2 years from date of final dispensing
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POMs26
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CD schedule24
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CD: Supply37
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CD: installment prescriptions17
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General sales medicine10
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Pharmacy medicines37
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The responsible pharmacist regulations18
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The licensing system37
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Community pharmacy20
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NHS repeat dispensing20
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Emergency supply of a POM15
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Drug interactions15
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Patient group directions and non-medical prescribing16
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Wholesale dealing6
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Veterinary medicines10
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Equality act8
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Confidentiality12
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CPCS, NMS + DMS19
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Clinical Governance + clinical audit15
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GPhC + revalidation8
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Advertising of medicines11
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Labelling + patient information leaflets11
