Week 25: Prescription Only Medicines (POMs) Lecture Quiz
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Questions and Answers

What is the legal definition of a POM?

  • Any medicine bought with a prescription
  • Any medicine listed in the marketing authorization as POM
  • Any medicine listed in the POM Order (correct)
  • Any medicine prescribed by a pharmacist

Who is authorized to prescribe POMs?

  • Nurses and paramedics
  • Pharmacists only
  • Veterinarians and dentists
  • Appropriate practitioners (correct)

Where can the legal classification of a POM be found?

  • On the patient's prescription
  • On the medication label
  • In the pharmacist's register
  • In the POM Order or marketing authorization (correct)

What details must be recorded in the POM register?

<p>Medicine name and quantity dispensed (C)</p> Signup and view all the answers

When must a record be made in the POM register?

<p>When a prescription is dispensed (D)</p> Signup and view all the answers

What are the legal requirements for the dispensing of forged prescriptions?

<p>The pharmacist should contact the prescriber for validation (C)</p> Signup and view all the answers

What must repeatable prescriptions be marked with?

<p>Name and address of the pharmacy and date of dispensing (B)</p> Signup and view all the answers

How long must prescription records be kept from the date of the last entry in the book?

<p>2 years (D)</p> Signup and view all the answers

What is the fate of a non-repeatable private prescription after it has been dispensed?

<p>Keep at the pharmacy for 2 years (A)</p> Signup and view all the answers

What should pharmacists do if they suspect a prescription is a forgery?

<p>Inform the prescriber and contact the police if necessary (D)</p> Signup and view all the answers

What should be included on a repeatable prescription if there are still repeats outstanding?

<p>Hand Rx back to patient or offer to retain at the pharmacy (D)</p> Signup and view all the answers

What is considered good practice for the transposition of written directions by a pharmacist in a hospital setting?

<p>To transcribe and check by a pharmacist (D)</p> Signup and view all the answers

What is required for online or digital copies of prescriptions to be considered legally valid?

<p>A signed original copy (D)</p> Signup and view all the answers

What should be recorded for second and subsequent supplies on a repeat prescription?

<p>Date and original reference number of the first supply (D)</p> Signup and view all the answers

What is the fate of an NHS prescription after it has been dispensed?

<p>Send to NHS Business Services Authority at the end of the month (C)</p> Signup and view all the answers

What is considered good practice for retaining prescription records electronically?

<p>With all particulars and adequate backups (A)</p> Signup and view all the answers

What should be recorded when making an entry on the same day as the sale or supply?

<p>Date of sale or supply, name, quantity, pharmaceutical form, strength, date on Rx, name and address of practitioner giving Rx, name and address of person for whom medicine prescribed, and a reference number. (D)</p> Signup and view all the answers

Which of the following is a legal requirement for prescriptions for POMs?

<p>The practitioner issuing the prescription must be registered in the UK or an approved health professional in an approved country (B)</p> Signup and view all the answers

What is the validity period of a repeatable prescription?

<p>6 months from the appropriate date (C)</p> Signup and view all the answers

What is an 'advanced electronic signature'?

<p>A uniquely linked signature to the person giving the prescription, capable of identifying the signatory, and created using means that the signatory can maintain under his/her control (C)</p> Signup and view all the answers

What is the main challenge with electronic prescriptions?

<p>The signature of the prescriber must be uniquely linked to the signatory and to the data which it relates to (D)</p> Signup and view all the answers

What can be prescribed on private prescriptions?

<p>There are no restrictions on what can be prescribed on private prescriptions (C)</p> Signup and view all the answers

Who can issue private prescriptions?

<p>Any 'appropriate practitioner' (A)</p> Signup and view all the answers

What is the legal definition of a Prescription Only Medicine (POM)?

<p>A medicine listed in the POM Order or with a marketing authorisation as POM (D)</p> Signup and view all the answers

Which of the following is a legal requirement for prescriptions for POMs?

<p>Prescriptions must be issued by a registered practitioner (B)</p> Signup and view all the answers

What can be considered an exception to the requirement of a prescription for a POM?

<p>Receiving the medicine as part of a clinical trial (D)</p> Signup and view all the answers

Where can the legal classification of a Prescription Only Medicine (POM) be found?

<p>In the POM Order or the medicine's marketing authorisation (A)</p> Signup and view all the answers

What must be recorded in the POM register?

<p>Details of the medicine dispensed and the prescriber (B)</p> Signup and view all the answers

Who is authorized to prescribe Prescription Only Medicines (POMs)?

<p>Registered medical practitioners, dentists, and non-medical prescribers (B)</p> Signup and view all the answers

Which of the following is true regarding retaining prescriptions between repeats?

<p>The final repeat pharmacy may retain the prescription (B)</p> Signup and view all the answers

What should be recorded in the POM register for every supply of a POM?

<p>Date of sale or supply, name, and quantity of the medicine (B)</p> Signup and view all the answers

What should pharmacists do with a private prescription (non-repeatable) after it has been dispensed?

<p>Keep it at the pharmacy for 2 years (C)</p> Signup and view all the answers

What is the legal fate of a non-repeatable private prescription after it has been dispensed?

<p>Keep it at the pharmacy for 2 years (A)</p> Signup and view all the answers

What is considered good practice for retaining prescription records electronically?

<p>Having a facility for inspectors to examine without disrupting the dispensing process (A)</p> Signup and view all the answers

What is required to consider online or digital copies of prescriptions legally valid?

<p>Digital signature from the prescriber (A)</p> Signup and view all the answers

What is the main challenge with electronic prescriptions?

<p>Legal validity issues (B)</p> Signup and view all the answers

Which professionals are authorized to prescribe POMs?

<p>(Doctors) Practitioners and independent prescribers (B)</p> Signup and view all the answers

What defines good practice for transposing written directions by a pharmacist in a hospital setting?

<p>Transposition done by a pharmacist or checked by a pharmacist (B)</p> Signup and view all the answers

When should an entry be made in the POM register?

<p>On the same day as the sale or supply (D)</p> Signup and view all the answers

What is an absolute requirement for repeatable prescriptions if there are still repeats outstanding?

<p>Reference number from previous supply must be included (A)</p> Signup and view all the answers

How long must prescription records be kept from the date of the last entry in the book?

<p>2 years (A)</p> Signup and view all the answers

What is the legal validity period for repeatable prescriptions?

<p>6 months (A)</p> Signup and view all the answers

Which of the following professionals is NOT authorized to prescribe POMs?

<p>Community Practitioner Nurse (B)</p> Signup and view all the answers

What is the fate of a non-repeatable private prescription after it has been dispensed?

<p>It must be canceled by the GP (B)</p> Signup and view all the answers

What is considered good practice for retaining prescription records electronically?

<p>Encrypting the records for security (B)</p> Signup and view all the answers

What is the main challenge with electronic prescriptions?

<p>Inability to detect changes made after signing (D)</p> Signup and view all the answers

What is the legal requirement for prescriptions for POMs?

<p>Containing particulars like address of the appropriate practitioner and indication of the kind of appropriate practitioner giving it (C)</p> Signup and view all the answers

When must a record be made in the POM register?

<p>Only when a controlled drug is dispensed (A)</p> Signup and view all the answers

What is an 'advanced electronic signature'?

<p>'Uniquely linked to the person giving the Rx' and 'Capable of identifying the signatory' (A)</p> Signup and view all the answers

What details must be recorded in the POM register?

<p>Details of controlled drugs supplied and/or administered (A)</p> Signup and view all the answers

Which of the following professionals is NOT authorized to prescribe POMs?

<p>Community Practitioner Nurse (A)</p> Signup and view all the answers

What is required for online or digital copies of prescriptions to be considered legally valid?

<p>They must bear an advanced electronic signature and maintain data integrity. (C)</p> Signup and view all the answers

What should be included on a repeatable prescription if there are still repeats outstanding?

<p>The number of repeats remaining. (A)</p> Signup and view all the answers

What is the legal definition of a POM?

<p>Legally defined as a medicine listed in the POM Order or if the medicine’s marketing authorisation lists the classification as POM</p> Signup and view all the answers

Where can the legal classification of a Prescription Only Medicine (POM) be found?

<p>The legal classification of a POM can be found in the POM Order or in the medicine’s marketing authorisation</p> Signup and view all the answers

What are the legal requirements for the dispensing of forged prescriptions?

<p>When a pharmacist suspects a prescription is a forgery, they should not dispense the medicine and should inform the prescriber and the police</p> Signup and view all the answers

Who is authorized to prescribe Prescription Only Medicines (POMs)?

<p>Authorized practitioners, such as doctors, dentists, and nurse independent prescribers, are authorized to prescribe POMs</p> Signup and view all the answers

What details must be recorded in the POM register?

<p>The details to be recorded in the POM register include the date of the supply, the name and address of the patient, the prescriber’s name, and the name, quantity, and form of the medicine supplied</p> Signup and view all the answers

What should be recorded for second and subsequent supplies on a repeat prescription?

<p>For second and subsequent supplies on a repeat prescription, the date of the supply and the quantity of the medicine supplied should be recorded</p> Signup and view all the answers

What is the legal definition of a 'patient specific direction' (PSD) for a Prescription Only Medicine (POM)?

<p>A written instruction from a prescriber for a medicine to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis.</p> Signup and view all the answers

What are the legal requirements for repeatable prescriptions in terms of the number of repeats allowed, and any exceptions?

<p>Repeatable prescriptions must be dispensed for the first time within 6 months of the appropriate date and in accordance with directions contained on the prescription. Repeatable prescriptions that do not specify the number of repeats may be repeated only once, unless it is a prescription for an oral contraceptive, in which case it can be dispensed a total of six times (i.e., 5 repeats).</p> Signup and view all the answers

What are the additional requirements for the supply of medicines under the legal validity of the prescription, and what should be done if the full quantity cannot be supplied?

<p>Medicines must be supplied fully to the patient within the legal validity of the prescription. If unable to supply the full quantity, an owing slip for the remainder should be given to the patient, and the remainder must be collected by the patient within the legal validity of the prescription.</p> Signup and view all the answers

What are the requirements for dispensing a medicine exactly as it is written on the prescription for a Prescription Only Medicine (POM)?

<p>The medicine must be dispensed exactly as it is written on the Rx in terms of form, strength, dose, frequency, and quantity. If a medicine is prescribed by brand name, only this branded product may be dispensed. A therapeutically equivalent generic product must not be dispensed, and an alternative brand must not be dispensed.</p> Signup and view all the answers

What professionals are considered 'Appropriate Practitioners' authorized to issue prescriptions for Prescription Only Medicines (POMs)?

<p>Doctor (‘registered medical practitioner’), Dentist, Community Practitioner Nurse Prescribers, Supplementary prescribers, Nurse independent prescriber, Pharmacist independent prescriber, Optometrist independent prescriber, Physiotherapist independent prescriber, Podiatrist independent prescriber, Therapeutic Radiographer independent prescriber, Paramedic independent prescriber.</p> Signup and view all the answers

What is the requirement for electronic prescriptions in terms of the signature of the prescriber and the method of transmission?

<p>Electronic prescriptions must be signed with ‘an advanced electronic signature’ and sent electronically to the person who is dispensing it (whether through one or more intermediaries).</p> Signup and view all the answers

What is the definition of an 'advanced electronic signature' required for electronic prescriptions?

<p>An 'advanced electronic signature' means it must be uniquely linked to the person giving the Rx, capable of identifying the signatory, created using means that the signatory can maintain under his/her control, and linked to the data to which it relates in such a way that any subsequent change of the data is detectable.</p> Signup and view all the answers

What are the characteristics of private prescriptions in terms of legal requirements and restrictions?

<p>Private prescriptions follow the same legal requirements as NHS prescriptions, can be written on anything, and can be written by any ‘appropriate practitioner’. There are no restrictions on what can be prescribed (so long as the prescriber is competent to do so).</p> Signup and view all the answers

What is the definition of a repeatable prescription and are there any legal limits on the number of times it can be repeated?

<p>A repeatable prescription allows for multiple dispensing, and the number of repeats will be specified on the prescription. There is no legal limit on the number of times a prescriber may request it to be repeated.</p> Signup and view all the answers

What are the legal requirements for retaining electronic prescriptions and what is the process for handling undispensed or erroneous prescriptions?

<p>NHS electronic prescriptions are sent from the prescriber to the pharmacy via the NHS spine, and the pharmacy prints out the electronic prescription on a ‘dispensing token’. Undispensed tokens or tokens containing any prescribing errors can be sent back to the NHS spine for cancellation by the GP.</p> Signup and view all the answers

What are the legal requirements for private prescriptions in terms of the date, authenticity, and repetition?

<p>Private prescriptions can be written on anything, can be repeated, and the date on private prescriptions is the date when it was signed. Like any Rx, it must be satisfied it’s genuine.</p> Signup and view all the answers

What is the legal validity period for repeatable prescriptions and are there any exceptions to the number of repeats allowed?

<p>Repeatable prescriptions must be dispensed for the first time within 6 months of the appropriate date, and repeatable prescriptions that do not specify the number of repeats may be repeated only once, unless it is a prescription for an oral contraceptive, in which case it can be dispensed a total of six times (i.e., 5 repeats).</p> Signup and view all the answers

What is the fate of a non-repeatable private prescription after it has been dispensed?

<p>Keep at the pharmacy for 2 years</p> Signup and view all the answers

What should be recorded when making an entry on the same day as the sale or supply?

<p>Date of sale or supply, Name, quantity, pharmaceutical form and strength, Date on Rx, Name and address of practitioner, Name and address of person for whom medicine prescribed, Reference number</p> Signup and view all the answers

What is the legal fate of a non-repeatable private prescription after it has been dispensed?

<p>Keep at the pharmacy for 2 years</p> Signup and view all the answers

What is required for online or digital copies of prescriptions to be considered legally valid?

<p>The signed original copy</p> Signup and view all the answers

What should pharmacists do if they suspect a prescription is a forgery?

<p>Contact the NHS Counter Fraud Service and possibly the police, and inform the prescriber</p> Signup and view all the answers

What is the main challenge with electronic prescriptions?

<p>Ensuring all particulars, adequate backups, and a facility for inspectors to examine them without disrupting the dispensing process</p> Signup and view all the answers

What is the legal definition of a Prescription Only Medicine (POM)?

<p>Medicine which is subject to legal control as to the manner in which it is distributed, supplied, and sold</p> Signup and view all the answers

What is an 'advanced electronic signature'?

<p>An electronic signature that is uniquely linked to the signatory, capable of identifying the signatory, created using means that the signatory can maintain under their sole control, and linked to the data to which it relates in such a manner that any subsequent change of the data is detectable</p> Signup and view all the answers

What is the legal requirement for prescriptions for POMs?

<p>A record must be made of every supply of a POM unless exempt, and details such as date, name, quantity, pharmaceutical form and strength, practitioner details, and reference number must be recorded</p> Signup and view all the answers

What defines good practice for transposing written directions by a pharmacist in a hospital setting?

<p>The transposition should be made by a pharmacist or checked by a pharmacist</p> Signup and view all the answers

What is considered good practice for retaining prescription records electronically?

<p>All particulars, adequate backups, and a facility for inspectors to examine them without disrupting the dispensing process</p> Signup and view all the answers

What must be recorded in the POM register?

<p>Details such as date of sale or supply, name, quantity, pharmaceutical form and strength, date on Rx, name and address of practitioner, name and address of person for whom medicine prescribed, and reference number</p> Signup and view all the answers

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