Remote Prescribing Flashcards
(17 cards)
What is a remote consultation?
A type of consultation between a patient and healthcare professional that involves a complete episode of care without face-to-face contact.
It includes history, consultation, and treatment.
What does the CONSULT guide help determine?
Whether a remote consultation is appropriate.
The guide includes steps like consider, organise, necessary, start, undertake, listen, and terminate.
What does the PACE mnemonic stand for?
- Probe
- Alert
- Challenge
- Escalate
It is used to manage challenging emotions during a remote consultation.
What are the benefits of remote prescribing?
- Saves patients time
- Reduces travel needs
- Easier for patients with social interaction difficulties
- Allows for discussing sensitive issues without immediate judgment
Patients who are digitally literate may prefer remote consultations.
What are some pitfalls of remote prescribing?
- Inadequate training may hinder care
- Missed diagnoses
- Over or under investigation of patients
- Reduction in therapeutic relationships
Subtle cues may be missed without face-to-face interaction.
What does the NHS Long-Term Plan commit to?
Offering online and video consultations.
As of July 2022, 26 million appointments were delivered, with a significant portion being remote.
What is the first step in the CONSULT guide?
Consider whether the consultation is remote or not.
This involves assessing if the consultation can be done effectively without a face-to-face meeting.
What should be organised and checked before a remote consultation?
- Technology setup
- Connection stability
- Confidentiality measures
Ensure both the healthcare professional and the patient have the necessary tools for the consultation.
What is necessary information that should be available before starting a remote consultation?
- Patient history
- Additional paperwork
- Consultation notes
Having this information ready can facilitate effective communication.
What is the importance of identity checks during a remote consultation?
To ensure the patient’s safety and verify their identity.
This includes confirming the patient’s name, age, and date of birth.
What should be done if a patient becomes upset during a remote consultation?
Give them time and use silence as needed.
Acknowledge their emotions and be honest about the consultation process.
What is the first principle of remote prescribing?
Make patient safety the first priority.
This includes assessing if remote prescribing is appropriate.
What should clinicians do to protect vulnerable patients during remote consultations?
Understand how to identify them and address any safeguarding concerns.
This ensures that remote consultations are suitable for all patients.
What must be obtained from patients before prescribing remotely?
Informed consent.
Clinicians must follow relevant mental capacity laws and codes of practice.
What should be documented after a remote consultation?
Notes that explain and justify the decisions made.
This includes reasons for refusing to prescribe if further assessment is needed.
What is a key challenge of delivering personalized care remotely?
It can be more challenging than in-person consultations.
This includes addressing health inequalities and ensuring all patient needs are met.
What does the term ‘digital exclusion’ refer to?
Barriers to care created by lack of access to technology.
It can replace existing barriers such as transportation issues.
