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Questions and Answers
Under what circumstances can a pharmacist supply Prescription Only Medications (POMs) in an emergency without a prescription?
Under what circumstances can a pharmacist supply Prescription Only Medications (POMs) in an emergency without a prescription?
According to the Human Medicines Regulations 2012, what is the primary legislation that covers emergency supply of medicines?
According to the Human Medicines Regulations 2012, what is the primary legislation that covers emergency supply of medicines?
Which of the following is NOT a recognized way a prescriber can initially contact a pharmacy to request an emergency supply?
Which of the following is NOT a recognized way a prescriber can initially contact a pharmacy to request an emergency supply?
What is a key difference in the conditions for emergency supply when a request comes from a prescriber versus from a patient?
What is a key difference in the conditions for emergency supply when a request comes from a prescriber versus from a patient?
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What is the specific term in a national PGD in Scotland that allows pharmacists to provide a supply for current repeat medicines?
What is the specific term in a national PGD in Scotland that allows pharmacists to provide a supply for current repeat medicines?
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What action should a pharmacist take if they are unable to supply a medicine requested under emergency supply?
What action should a pharmacist take if they are unable to supply a medicine requested under emergency supply?
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Which of the following controlled drugs (CDs) can NOT be supplied to an EEA/Swiss patient, even if they have a prescription from an EEA/Swiss health professional?
Which of the following controlled drugs (CDs) can NOT be supplied to an EEA/Swiss patient, even if they have a prescription from an EEA/Swiss health professional?
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According to the provided list, which substance is NOT permitted for supply under emergency supply at a patient's request?
According to the provided list, which substance is NOT permitted for supply under emergency supply at a patient's request?
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During a pandemic, what is one key requirement for a pharmacist when supplying an emergency supply of medicine?
During a pandemic, what is one key requirement for a pharmacist when supplying an emergency supply of medicine?
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Under what condition might a pharmacist supply Schedule 2 or 3 controlled drugs (CDs) during a pandemic as an emergency supply?
Under what condition might a pharmacist supply Schedule 2 or 3 controlled drugs (CDs) during a pandemic as an emergency supply?
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Which piece of information is a legal requirement when recording an emergency supply of a prescription-only medicine (POM) in the POM register?
Which piece of information is a legal requirement when recording an emergency supply of a prescription-only medicine (POM) in the POM register?
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According to the provided information, what is a mandatory entry when an emergency supply of a POM is provided?
According to the provided information, what is a mandatory entry when an emergency supply of a POM is provided?
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In the provided scenario, what does 'HMR 2012 (Schedule 23)' refer to?
In the provided scenario, what does 'HMR 2012 (Schedule 23)' refer to?
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What is the significance of the 'POM register reference number' in the context of emergency supply?
What is the significance of the 'POM register reference number' in the context of emergency supply?
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Which of the following is not legally required to be recorded in a POM register when an emergency supply is dispensed?
Which of the following is not legally required to be recorded in a POM register when an emergency supply is dispensed?
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When recording an emergency supply at a prescriber's request in the POM register, which of the following is NOT a mandatory legal requirement?
When recording an emergency supply at a prescriber's request in the POM register, which of the following is NOT a mandatory legal requirement?
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Regarding emergency supplies at a prescriber's request, what is the latest time for recording specific details in the POM register?
Regarding emergency supplies at a prescriber's request, what is the latest time for recording specific details in the POM register?
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Which of the following details is NOT explicitly stated as a legal requirement for a POM register entry regarding an emergency supply at a prescriber's request according to the content provided?
Which of the following details is NOT explicitly stated as a legal requirement for a POM register entry regarding an emergency supply at a prescriber's request according to the content provided?
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A doctor requests an emergency supply of medication over the phone. According to the good practice guidelines, which of these details would be recorded in the POM register?
A doctor requests an emergency supply of medication over the phone. According to the good practice guidelines, which of these details would be recorded in the POM register?
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According to the provided content, which detail is good practice to include in the POM register but is not a legal requirement when documenting an emergency supply at a prescriber's request?
According to the provided content, which detail is good practice to include in the POM register but is not a legal requirement when documenting an emergency supply at a prescriber's request?
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A pharmacist receives a faxed prescription from an out-of-hours doctor for oxycodone for a patient in severe pain at the weekend. Based on the information provided, is it legal to supply?
A pharmacist receives a faxed prescription from an out-of-hours doctor for oxycodone for a patient in severe pain at the weekend. Based on the information provided, is it legal to supply?
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A dentist telephones requesting a supply of tramadol 50mg capsules for a patient on a Saturday. How should this request be treated?
A dentist telephones requesting a supply of tramadol 50mg capsules for a patient on a Saturday. How should this request be treated?
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A doctor requests an emergency supply of phenobarbital 60mg tablets over the phone, promising to send the prescription later. In this situation, how should this request be handled?
A doctor requests an emergency supply of phenobarbital 60mg tablets over the phone, promising to send the prescription later. In this situation, how should this request be handled?
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A patient requests an emergency supply of medication. What is a mandatory label requirement?
A patient requests an emergency supply of medication. What is a mandatory label requirement?
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A patient needs an emergency supply of flucloxacillin for a rash, having had the same rash previously. What is the MOST important factor to consider before supplying?
A patient needs an emergency supply of flucloxacillin for a rash, having had the same rash previously. What is the MOST important factor to consider before supplying?
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A patient requests a supply of sildenafil, stating they have run out. What is MOST relevant to the decision to supply?
A patient requests a supply of sildenafil, stating they have run out. What is MOST relevant to the decision to supply?
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A regular patient needs a few simvastatin tablets until Monday. The prescription wasn't collected from the surgery. What is the MOST important consideration?
A regular patient needs a few simvastatin tablets until Monday. The prescription wasn't collected from the surgery. What is the MOST important consideration?
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A patient on supervised methadone consumption needs an emergency supply because the clinic is closed and their prescription wasn't collected. What question is crucial?
A patient on supervised methadone consumption needs an emergency supply because the clinic is closed and their prescription wasn't collected. What question is crucial?
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A patient visiting relatives forgot to bring their aspirin 75mg tablets. What should a pharmacist assess before an emergency supply?
A patient visiting relatives forgot to bring their aspirin 75mg tablets. What should a pharmacist assess before an emergency supply?
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A patient requests codeine tablets, having received an emergency supply last month. What should a pharmacist consider before supplying?
A patient requests codeine tablets, having received an emergency supply last month. What should a pharmacist consider before supplying?
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A patient with an allergy is having an anaphylactic reaction from a wasp sting. They usually carry an Epipen. What is the most urgent action?
A patient with an allergy is having an anaphylactic reaction from a wasp sting. They usually carry an Epipen. What is the most urgent action?
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A patient requests an emergency supply of warfarin as they've forgotten it while on holiday. Which action MUST a pharmacist take before supplying the medication?
A patient requests an emergency supply of warfarin as they've forgotten it while on holiday. Which action MUST a pharmacist take before supplying the medication?
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What is the maximum duration of an emergency supply that can be provided for a non-controlled Prescription Only Medicine (POM), such as an antibiotic, upon a patient's request?
What is the maximum duration of an emergency supply that can be provided for a non-controlled Prescription Only Medicine (POM), such as an antibiotic, upon a patient's request?
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According to the regulations, under what circumstance would a pharmacist be permitted to supply a Schedule 3 Controlled Drug (CD) as an emergency supply to a patient?
According to the regulations, under what circumstance would a pharmacist be permitted to supply a Schedule 3 Controlled Drug (CD) as an emergency supply to a patient?
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A patient with a prescription from a Swiss doctor requires an emergency supply of medication. What is the pharmacist’s legal restriction regarding Controlled Drugs?
A patient with a prescription from a Swiss doctor requires an emergency supply of medication. What is the pharmacist’s legal restriction regarding Controlled Drugs?
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In addition to standard dispensing label requirements, what additional wording is MANDATORY on the label of an emergency supply medication?
In addition to standard dispensing label requirements, what additional wording is MANDATORY on the label of an emergency supply medication?
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A patient contacts a pharmacy via the Community Pharmacist Consultation Service (CPCS) for an emergency supply. How should the pharmacist treat the payment for the medication?
A patient contacts a pharmacy via the Community Pharmacist Consultation Service (CPCS) for an emergency supply. How should the pharmacist treat the payment for the medication?
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According to the process of emergency supplies, what record-keeping procedure MUST be followed after providing a supply in an emergency?
According to the process of emergency supplies, what record-keeping procedure MUST be followed after providing a supply in an emergency?
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A patient requests a one-month emergency supply of a POM, but the pharmacist cannot determine their previous dose. What would be the pharmacists's best course of action?
A patient requests a one-month emergency supply of a POM, but the pharmacist cannot determine their previous dose. What would be the pharmacists's best course of action?
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Study Notes
Emergency Supply
- Pharmacists can supply prescription-only medicines (POMs) to patients in emergency situations without a prescription.
- The request must be made by a relevant prescriber or patient.
- Each request is considered on a case-by-case basis, using professional judgment in the best interests of the patient.
- The supply must meet legal requirements and follow proper recording procedures.
Aim
- To detail the legal framework for pharmacist emergency supplies of prescription-only medications (POMs).
Learning Outcomes
- Define types of emergency supplies.
- Describe legal requirements and necessary records.
- Evaluate ethical issues.
Underpinning Legislation
- Human Medicines Regulations (HMR) 2012 (Part 12 Regulations 224 & 225).
- Community Pharmacist Consultation Service (CPCS) (effective 29/10/2019 onwards).
- Included in the new NHS Community Pharmacy Contractual Framework 2019-24 (CPCF) as part of Advanced services.
- Scottish national Patient Group Directions (PGDs) allow supply for urgent provision of current repeat medicines.
Emergency Supply - Request Made by Prescriber
- Prescriber can contact via phone, personal visit, or fax/email.
- Pharmacist should be clear on what is required.
- Provide details and requirements if needed.
- Prescribers must be registered in the UK or EEA/Switzerland and their qualifications must be confirmed before supplying the medication.
Prescribers who can Request Emergency Supply
- Doctor
- Dentist
- Supplementary prescriber
- Community practitioner nurse prescriber
- Independent prescriber (e.g. nurse, pharmacist, optometrist, podiatrist, physiotherapist)
- EEA or Swiss health professional (defined in EU Directive 2005/36/EC)
Emergency Supply at Prescriber's Request - Request
- Prescriber must be registered and their qualifications must be confirmed.
- The request must be made for a reason that the usual procedures cannot be followed.
- The prescriber will need to provide enough details to complete the clinical check, label, dispense, supply and inform the customer regarding the required procedures. Ensure that the appropriate POM register documentation is completed.
Emergency Supply at Prescriber's Request - Records
- The POM register will need to include the date of sale or supply, details about the medicine, the customer's name and address, the prescriber's name and address, the prescription date and any fees.
- Include the emergency supply request details, NHS payment or exemption details, and medication dosage.
- Record the POM register reference number on the dispensing label.
Emergency Supply at Patient's Request
- Typically involves a patient visit to the pharmacy.
- The pharmacist needs to interview the patient.
- Immediate need must be shown.
- The medication must have been previously prescribed by a UK registered professional (or EEA-Swiss).
- It must be an appropriate dose.
Emergency Supply at Patient's Request - Labelling Requirements
- The container or packaging must include normal labelling and include the words "EMERGENCY SUPPLY".
- The label will need details about the medicine and the customer's information, including the name, form, strength, quantity, date of supply, and pharmacy details.
Emergency Supply at Patient's Request - Record
- Record in the POM register information on date of sale/supply, name, form, strength, the quantity, customer's name and address, and details about the emergency situation.
- Include the patient's GP name and address, the dosage of medication, if any payment/exemption was made, and reference number of POM for dispensing.
Emergency Supply at Patient's Request - Substance Restrictions
- A list of substances that cannot be supplied in an emergency is available.
Emergency Supply at Patient's Request - (Pandemic)
- During a pandemic, pharmacists don't need to interview patients unless the treatment is not previously prescribed.
- The treatment should've been prescribed by an appropriate practitioner, and the dose has to be appropriate.
- The government secretary makes declarations of what regions are affected by a pandemic. Specific timeframes can be included in the declarations.
Community Pharmacist Consultation Service (CPCS)
- 111 services refer requests to pharmacies.
- Patients can contact pharmacies directly.
- Patients can visit pharmacies and pharmacists supply depending on the appropriate HMR 2012 regulation.
- Fees are applicable for dispensing as usual and may vary depending on the circumstances.
References/Further Reading
- Includes the medicines, ethics and practice guide from July 2019.
- Details about relevant pharmacy law and ethics texts.
- Details of relevant legislation and services.
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Description
Test your knowledge on the emergency supply of Prescription Only Medications (POMs) as per the Human Medicines Regulations 2012. This quiz covers the circumstances under which a pharmacist can dispense medications without a prescription and key legislative aspects surrounding emergency supplies. Challenge yourself and understand the regulations governing pharmacists in emergency situations.
