question from pre-reg sample paper

[stefg123]

it's saturday afternoon and mrs g visits your pharmacy to ask for your help. her husband has lost his salbutamol inhaler and as he usually needs to use it once or twice a day she wonders if you could let him have a replacement to use over the weekend. you are aware that he is regularly prescribed a salbutamol inhaler by his doctor at the dose requested and feel that there is an immediate need for the medication. your pharmacy is not authorised to use a pgd in this situation

1. it would be unlawful to provide the emergency supply
2. salbutamol is a selective beta2 adrenoreceptor agonist

so ive answered this months ago and got it right :
the first statement was true and the second true but not an explanation of the first


now im lookin at it-and im unsure of how the first statement is right-how is it right

its pbly so easy but im ?
i thought even if we didnt do it under pgd we could still supply it
we can interview a patient's rep yeah?

[Pharmanaut]

Re: question from pre-reg sample paper

it's saturday afternoon and mrs g visits your pharmacy to ask for your help. her husband has lost his salbutamol inhaler and as he usually needs to use it once or twice a day she wonders if you could let him have a replacement to use over the weekend. you are aware that he is regularly prescribed a salbutamol inhaler by his doctor at the dose requested and feel that there is an immediate need for the medication. your pharmacy is not authorised to use a pgd in this situation

1. it would be unlawful to provide the emergency supply
2. salbutamol is a selective beta2 adrenoreceptor agonist

so ive answered this months ago and got it right :
the first statement was true and the second true but not an explanation of the first


now im lookin at it-and im unsure of how the first statement is right-how is it right

its pbly so easy but im ?
i thought even if we didnt do it under pgd we could still supply it
we can interview a patient's rep yeah?

1. Is not correct. It is your discretion whether or not to provide emergency supply.
2. Is correct.

[johnep]

Re: question from pre-reg sample paper

No problem. Ventolin is the most frequent emergency supply. I have a standard form whivh I get the pt/carer to fill in. Keeps them busy and stops them expecting just to be handed a Ventolin there and then.

Emergency Supply of Medication

Date:-…………………….

Patient's Reason for request:…………………………………..

Patient Name:-…………………………………………………
(Block Capitals)
D.O.B:-…………………….. Post Code:-…………………….

Address:-……………………………………………………….

Item(s) Required:-……………………………………………..
(Name, Strength,Dosage etc)

…………………………………………………………………
NB: There is NO provision for Emergency Supply under the NHS. Any supplied medicine will have to be paid for.

Patient Doctor Details:-

Name:-…………………………………………………………

Address:-………………………………………………………

…………………………………………………………………


Patient or representative signature:-……………………………
(Block capitals as well for representative)

……………………………………….

Prescription Book Ref:-…………………………..


johnep

[Pharmanaut]

Re: question from pre-reg sample paper

No problem. Ventolin is the most frequent emergency supply. I have a standard form whivh I get the pt/carer to fill in. Keeps them busy and stops them expecting just to be handed a Ventolin there and then.

Emergency Supply of Medication

Date:-…………………….

Patient's Reason for request:…………………………………..

Patient Name:-…………………………………………………
(Block Capitals)
D.O.B:-…………………….. Post Code:-…………………….

Address:-……………………………………………………….

Item(s) Required:-……………………………………………..
(Name, Strength,Dosage etc)

…………………………………………………………………
NB: There is NO provision for Emergency Supply under the NHS. Any supplied medicine will have to be paid for.

Patient Doctor Details:-

Name:-…………………………………………………………

Address:-………………………………………………………

…………………………………………………………………


Patient or representative signature:-……………………………
(Block capitals as well for representative)

……………………………………….

Prescription Book Ref:-…………………………..


johnep

Nice one John,
Send it to cegedim and ask if they will put it into Pharmacy Manager as a standard leaflet.

[N.T]

Re: question from pre-reg sample paper

1. it would be unlawful to provide the emergency supply

Shoudl only supply to patient when patient is present. Should only supply to a representative if there's no other option. In this siuation I would query the following:

(a) What time in the afternoon is it? If it's near closing I may want to go home on time and thus supply. If not, I would get Mr G to walk to the pharmacy. The walk will probably do him good and will be less likely to 'forget' his prescription in the future if he has to make an effort with emergency supply.

(b) Is Mrs G usually ungrateful or rude? If so I would then ask for Mr G.

[Titch]

Re: question from pre-reg sample paper

First statement true ie illegal to supply as it is a third party request. Page 14 of current MEP states must be person requesting the medication so although wife requesting it is not for her and hence pharmacist cannot assess if need is urgent etc.

In practice 3rd party supplies are made in the interest of the patient for those who are housebound etc but exam is for by the book answers.

[Pharmanaut]

Re: question from pre-reg sample paper

First statement true ie illegal to supply as it is a third party request. Page 14 of current MEP states must be person requesting the medication so although wife requesting it is not for her and hence pharmacist cannot assess if need is urgent etc.

In practice 3rd party supplies are made in the interest of the patient for those who are housebound etc but exam is for by the book answers.

OOps, forgot that - so used to knowing everyone who comes in the shop around here for the last "N" years and checking the PMR for supply patterns and gaps.
Textbook answers only from now on.

Can I admonish myself - it saves a trip to London, especially as its snowing there today.

[stefg123]

Re: question from pre-reg sample paper

thanks
because ive been watching my tutor and everyone give em supplies to representatives then thats why i thought it would be ok

but have to go by the book-tutor could have told me this!!!!

same with giving otc to pregnant women-my tutor refuses blank to give anything to a pregnant women-anything!!!!-so all along ive been ok they cant have this-even though i check the bnf-but an exam q popped up and i didnt give the patient anything


tutor told me afterwards

[stefg123]

Re: question from pre-reg sample paper

also if its a child with an inhaler and his mum comes in
then although we pbly supply
the correct answer would be that its still unlawful right

[johnep]

Re: question from pre-reg sample paper

Often get pregnant women asking if so and so OK.
Usually, Amoxicillin, paracetamol and gaviscon have been given to thousands of pregnant women without recorded ill effects. All new drugs would have caution on pack.
johnep

[Titch]

Re: question from pre-reg sample paper

also if its a child with an inhaler and his mum comes in
then although we pbly supply
the correct answer would be that its still unlawful right

Gray area - as such highly unlikely to come up on the exam.

It would technically depend if child deemed competent or not.

[N.T]

Re: question from pre-reg sample paper

Gray area - as such highly unlikely to come up on the exam.

It would technically depend if child deemed competent or not.

Yup, stick with what's laid down in the MEP in an exam.

But just remember that real
life is somewhat different. I, may, allegedly have known a pharmacist who supplied an ES of Ventolin for a child whilst only the mother was present. Additionally, the mother/child were not from outside of the UK and had never seen a UK doctor.

Nuffin' to do with me tho

[Zoggite]

Re: question from pre-reg sample paper

Yup, stick with what's laid down in the MEP in an exam.

But just remember that real
life is somewhat different. I, may, allegedly have known a pharmacist who supplied an ES of Ventolin for a child whilst only the mother was present. Additionally, the mother/child were not from outside of the UK and had never seen a UK doctor.

Nuffin' to do with me tho

Yeah, right.
And you always stick to the speed limit on the motorway, too.

[BOBPHARM]

Re: question from pre-reg sample paper

Yeah, right.
And you always stick to the speed limit on the motorway, too.

And what about your responsibility to the welfare of the patient. ie if the patient dies and you hadnt supplied the inhaler. I feel in a court of law if you can justify your actions and show that in the same situation another pharmacist would do the same thing you should be OK (wouldnt like to test it though)
And as for the exam - go by the book.

What about the scenario of an anaphylactic shock within or outside the pharmacy do you supply and administer the epipen (POM) or watch the person die? or call an ambulance?

[Steve G]

Re: question from pre-reg sample paper

And what about your responsibility to the welfare of the patient. ie if the patient dies and you hadnt supplied the inhaler. I feel in a court of law if you can justify your actions and show that in the same situation another pharmacist would do the same thing you should be OK (wouldnt like to test it though)
And as for the exam - go by the book.

What about the scenario of an anaphylactic shock within or outside the pharmacy do you supply and administer the epipen (POM) or watch the person die? or call an ambulance?

Adrenaline isn't a POM if it's used for saving life in an emergency, so not a problem.
http://www.rpsgb.org/pdfs/LEBadrenemergency.pdf