Prescribing

Question 1

Supplementary prescribing

Answer 1

• specific clinical management plan can’t be prescribed under what circumstance

Question 2

Independant prescriber

Answer 2

• Can prescribe any medication independently for any condition within scope of practice and competence. EXCEPT Cocaine, diamorphine and dipipanone for
  addiction.
• Pharmacist is accountable clinician for care of the patient.

Question 3

Prescribing

Answer 3

• Healthcare practitioner authorises the use of a medicine or treatment for an individual patient
• Enables patient to obtain treatment required for their condition

Question 4

Clinical decision making

Answer 4

• A process that involves gathering and understanding of information e.g. from, patient, diagnostic test
• Application of clinician knowledge
• Provide the most appropriate treatment that will benefit treatment and reduce harm

Question 5

Process of consultation

Answer 5

• History taking
• Observation
• Physical examination
• Diagnostic test
• Clinical experience and decision making

Question 6

Principles of prescribing

Answer 6

• Clear diagnosis
• Benefit vs. risks to the patient
• Concider drug Interactions, Adverse Drug Reactions, Allergies
• Consider factors that might affect benefit & risk of treatment
• Consider patient ideas, concerns, beliefs and expectations - partnership with patient
• Use safe, effective, cost effective, evidence based treatments -saftey licence and appropriate formulation
• Prescribe in accordance with National & Local guidelines/formularies
• Write clear, unambiguous legal prescriptions
• Monitor beneficial & adverse effects of treatment

Question 7

Principles of prescribing

Communicate & document prescribing decisions & reasoning for them

Answer 7

• Clear communication with patient, carers, colleagues
• Provide patient with info. On medicine – how to take, SEs
• Document in patient record
• Document even when deciding not to prescribe treatment

Question 8

Prescribe within limits of knowledge, skills & experience

Answer 8

• Keep up to date with knowledge & skills
• Seek advice & support from qualified colleagues if needed
• Do not prescribe unfamiliar or unlicensed treatments where possible

Question 9

Pharmacist IP Education & Training

Answer 9

• IP course requirement for 90 hours of supervised practice alongside, competency sign off and coursework

Question 10

Scope of practice

Answer 10

• Prescribe any medication for conditions within your scope and competence
• initial scope may be Prescribing anticoagulation therapy but you could expand or change scope to Minor illness/infections

Question 11

Competence

Answer 11

• Ability to do something confidently, successfully and efficiently

Question 12

Millner’s prism of clinical competance

Answer 12

• Fact gatering
• Interpretation
• Demontration of learning
• Performance intergated into practice

Question 13

2 domains of prescribing

Answer 13

• The consultation
• Prescribing Governance

Question 14

Assess the patient

Answer 14

• Undertakes consultation
• Concider patient dignity
• communication and cosultation skills

Question 15

Identify evidence based treatment for clinical dicision making

Answer 15

• Concider pharmalogical treatment approaches
• Assess the risks and benifits
• Concider relevent patient factors