Prescribing: Doing it yourself

Prescribing

Doing it yourself

Chapter objectives

. Revisit the PReSCRIBER routine described in Chapter 2.

. Practise writing prescriptions with worked answers to reinforce the principles.

Structure of this Section within the PSA

The ‘Prescribing’ section will have 8 questions with 10 marks available per question, so there is a possible total of 80 marks. You will be asked to write a single prescription in each question.

Prescribing Pitfalls

To highlight the common prescribing pitfalls, please complete the scenario in Question 7.1.

This scenario highlights both how complicated prescribing can be, but also how dangerous it is when done incorrectly. You MUST follow a routine when prescribing to ensure you do not fall foul of the common pitfalls encountered in clinical practice and the Prescribing Safety Assessment (PSA), e.g. the PReSCRIBER routine (see Chapter 2 for more details).

Note that in this section of the PSA you will, in fact, only be required to write one prescription (i.e. one prescription for one drug), and the scenarios below reflect this; however, the above scenario (Question 7.1) is much more representative of real life!

This chapter (and section in the PSA) uses the same theory learned in previous chapters but changes the format of questioning. However, note the wealth of marks to be gained from this section of the PSA (80/200 in total): this is a section to master!

Remember PReSCRIBER

P – patient details

Re – reaction (allergy plus the reaction)

S – sign the front of the chart

C – check contraindications to each drug

R – check route for each drug

I – prescribe intravenous fluids if needed

B – prescribe blood clot prophylaxis if needed

E – prescribe antiemetic if needed

R – prescribe pain relief if needed.

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Tags: Pass the PSA

Mar 24, 2017 | Posted by admin in PHARMACY | Comments Off

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