Topic 7 - Prescribing practice: Royal Pharmaceutical Society (2021)

Question 1

What are RPS prescriber specific competencies?

Answer 1

Domain 1: the consultation
Assess the patient
Identify evidence-based treatment options
Reach a shared decision
Prescribe
Provide information
Monitor and review

Domain 2: prescribing governance
Prescribe safely
Prescribe professionally
Improve prescribing practice
Prescribe as part of a team

Question 2

What is the purpose of the framework?

Answer 2

• Set up what good prescribing looks like,
• Demonstrate the skills and characteristics, qualities and behaviours, needed for safe and effective prescribing,
• Also provides a generic framework for all prescribers

Question 3

What do you need to consider, using the 10 RPS competencies, for safe and effective prescribing of a drug?

Answer 3

o Undertakes a full medical, social and medication history including allergies and intolerances.
o Undertakes a clinical assessment.
o Full understanding of the condition
o Understands the mode of action and pharmacokinetics of the medication and how these may be altered with age/development
o Takes into account any relevant patient factors: Compliance, experience of pain, understanding
o Ensures that the patient knows what to do if there are any concerns about the management of their condition if the condition deteriorates or if there is no improvement in a specific time frame.
o Prescribes within own scope of practice and recognises the limits of own knowledge and skill.