OSCE – Drug Chart

Question 1

Is the following a problem or an endorsement?

Missing patient name on chart

Answer 1

Endorsement

Question 2

Is the following a problem or an endorsement?

Adjusting dosing times according to
requirements of the drug or patient. This includes crossing out days of the week when medicine should not be administered for once-weekly medicines

Answer 2

Endorsement

Question 3

Is the following a problem or an endorsement?

Adding a missing dosing time

Answer 3

Endorsement

Question 4

Is the following a problem or an endorsement?

Adding administration directions e.g.
with or after food; swallow whole, etc.

Answer 4

Endorsement

Question 5

Is the following a problem or an endorsement?

Adding the generic drug name when a
brand has been prescribed

Answer 5

Endorsement

Question 6

Is the following a problem or an endorsement?

Medicine missing strength or
concentration; includes inhalers, oral
liquids, eye drops, creams, patches etc.

Answer 6

Endorsement

Question 7

Is the following a problem or an endorsement?

Adding additional formulation
information e.g. dispersible, chewable,
MR

Answer 7

Endorsement

Question 8

Is the following a problem or an endorsement?

Allergy information i.e. drug and nature
of allergy

Answer 8

Endorsement

Question 9

Is the following a problem or an endorsement?

Writing units in full e.g. micrograms,
units

Answer 9

Endorsement

Question 10

Is the following a problem or an endorsement?

Writing max dose for PRN drug when
appropriate

Answer 10

Endorsement

Question 11

Is the following a problem or an endorsement?

Reconstitution instructions for
injectable drugs when appropriate

Answer 11

Endorsement

Question 12

Is the following a problem or an endorsement?

Incorrect frequency of drug

Answer 12

Problem

Question 13

Is the following a problem or an endorsement?

Missing prescriber signature

Answer 13

Problem

Question 14

Is the following a problem or an endorsement?

Overdose/underdose identified – recommend to prescriber what the dose should be changed to whatever is appropriate as per the BNF

Answer 14

Problem

Question 15

Is the following a problem or an endorsement?

Drug interactions – for severe interactions only (these are the most clinically significant ones) recommend to prescriber a dose reduction, discontinuation of one medicine or alternative therapy

Answer 15

Problem

Question 16

Is the following a problem or an endorsement?

Drug contraindication

Answer 16

Problem

Question 17

Is the following a problem or an endorsement?

Drug in drug history missing from chart and no reason for it to be stopped

Answer 17

Problem

Question 18

Is the following a problem or an endorsement?

Spelling mistakes of any kind

Answer 18

Problem

Question 19

Is the following a problem or an endorsement?

Therapeutic duplication – suggest
which drug should be stopped

Answer 19

Problem

Question 20

Is the following a problem or an endorsement?

Dose adjustments due to renal or liver impairment

Answer 20

Problem

Question 21

Is the following a problem or an endorsement?

Wrong route on chart

Answer 21

Problem

Question 22

Is the following a problem or an endorsement?

Withholding/ stopping drug due to complaint, patient being nil NBM, or other valid reasons

Answer 22

Problem