Clinical skills Flashcards
1
Q
What 8 things are required for an FP10 to be legal?
A
- Patient’s name, hospital number, date of birth
- Drug name
- Dose
- Strength
- Route of administration
- Directions if not taken before
- Prescription date
- Prescriber’s signature
2
Q
What are the three steps of the clinical checking process?
A
- Patient characteristics
- Special patient groups
- Patient comorbidities – cautions and contraindications
- Intolerances, allergies and preferences - Medication regimen factors
- Aspects relating to administration and monitoring of medicines
3
Q
What 5 things need to be considered during a clinical check?
A
- Is the drug, dose, route, frequency, timings appropriate
- Is the above appropriate for your patient
- Are there any known allergies
- Are there any known contraindications / cautions
- Are there any drug or patient interactions
4
Q
What are the 3 steps of meds rec?
A
- obtaining drug history
- identifies discrepancies
- clinical screening
5
Q
What 4 things must be considered regarding patient preference?
A
- animal products
- alcohol
- tolerability
- beliefs
6
Q
Which 8 physiological factors can be monitored?
A
- BP
- heart rhythm
- pain score
- RR
- temp
- HR
- stools
- nausea
7
Q
What 6 biochemical factors can be monitored?
A
- creatinine/urea
- LFTs
- C-reactive Protein
- Glucose
- Thyroid function
- Cardiac enzymes
8
Q
What 3 haematological factors can be monitored?
A
- Vitamin B12
- Ferritin
- INR
9
Q
What are the 3 potential problems with transfer of care?
A
- Breakdown of communication between primary and secondary care
- Patient runs out of new medications.
- Formulations of drugs and timings given in hospital may not be appropriate for primary care dispensing
10
Q
What are the 4 principles of MO?
A
- Aim to understand the patient’s experience
- Evidence based choice of medicines
- Ensure medicines use is as safe as possible
- Make medicines optimisation part of routine practice
11
Q
What are the 3 current pharmacy services available?
A
Discharge Medicines Service (DMS)
Community Pharmacist Consultation Service (CPCS)
New Medicines Service (NMS)
