Clinical Skills 1

Question 1

What is a hospital drug chart?

Answer 1

Instruction to administer signed by a prescriber

Question 2

What does the hospital drug chart give? (2)

Answer 2

• gives a nurse all the details necessary to administer a medication
• gives a pharmacist all the details necessary to understand (what has been prescribed, needs to be supplied, allergies

Question 3

What does a hospital drug chart not need full details for legal supply of medicines as on an FP10? (2)

Answer 3

• quantity
• meet legel CD requirements

Question 4

What is included in a hospital drug chart? (8)

Answer 4

• patient name hospital num, DoB
• drug name
• drug dose
• drug route of admin
• drug freq and times of day to be given
• prescription start date
• prescriber signature
• alergies, intolerances, prefrences

Question 5

What may hospital drug charts be like? (2)

Answer 5

• paper
• electronic
  (No standard format)

Question 6

What does a pharmacist check when screening a prescription/drug chart? (3)

Answer 6

• legal check - all nec. Info for supply?
• clinical check - clinically appropriate?
• contractual check - funded and available locally?

Question 7

What are the three clnical checking process considerations?

Answer 7

• patient characteristics
• med regimen factors
• aspects relating to admin and monitoring of meds

Question 8

What do you need to know/consider in a cinical check? (7)

Answer 8

• drug, dose, route, frequency, timings appropriate
• appropriate for your patient
• known allergies?
• known contraindications / cautions?
• any drug-drug interactions?
• any drug-patient interactions?
• any patient specific factors to consider?

Question 9

What is information used by the pharmacy team - patient factors? (3)

Answer 9

• patient demographics - (med notes, GP records, drug chart, patient)
• past med history (PMH), presenting complaint (PC), social history (SHx) - (med notes, MDT handover, PMR/dispensing record, GP record, patient
• indicators of current clinical status - (lab results, bedside obvs of BP, HR. Patient

Question 10

What is information gathered by the pharmacy team - patient factors? (2)

Answer 10

• drug history
• drug allergies

Question 11

What are useful info sources for references?

Answer 11

• BNF (indication, dosing, cautiong, contraindications, interactions)
• SPC - more detail than in BNF
• special reference sources (renal drug handbook, stockley’s drug interactions, martindale, NEWT guidelines)

Question 12

What is checked in the legal check? (6)

Answer 12

• patient demographics (name, add, DoB/age)
• drug name, form and strength
• drug dose, freq, quantity to supply
• prescribers signature
• date on prescription
• prescriber’s name and contact details