Prescribing Reflection

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Prescribing Reflections. During the reflective pieces used for this portfolio I will use components of the Gibbs (1988) reflective cycle for analysis of situations in practice. Using this process of reviewing an experience to describe analyse and evaluate practice. All names of people and place are kept anonymous in accordance with confidentiality guidance from the Nursing and Midwifery Council (NMC 2008) and following local policy within the organisation I work in. Principles of Prescribing In an immunisation session held in a school, nurses were administering a (working within patient group directive) vaccine for Human Papilloma Virus. During the session a pupil became ill after having the vaccine. All nurses are required to be up…show more content…
The Practice of Prescribing During a well-baby clinic a client attended with a 6 month old baby with bad nappy rash. The nurse prescriber (NP) made an assessment of the baby and mother through discussion whilst the baby was being weighed. I observed history taking throughout the discussion, this helps to build a summary of medical and social history and establish any allergies. During the assessment it was established mother had been using very cheap nappies which are not as absorbent and then mother was continually washing the baby. The NP recommended using another brand as it was not cost effective using cheaper nappies and then changing them more frequently, the more the baby was changed and had urine close to the skin the more likely of increased nappy rash. It was agreed with mother for her to use a barrier cream sparingly on the babies’ skin and try some more absorbent nappies, also the NP encouraged mother to attend clinic for review in a weeks’…show more content…
During time spent with the community pharmacist I observed how prescribing and the supply process work. The Pharmacist receives the prescription and checks the prescription for correct documentation of the patient and details of drug required with dose and frequency. The drug is dispensed with the correct label of dose and information is given to the patient on the medication. The Pharmacist discussed contacting the prescriber if there is a discrepancy on the script, the need for a contact number provided on the prescription is a necessity. The Pharmacist will also contact prescriber if there is the possibility of misuse of the prescription (in the case of stolen prescription pads) Medicines should only be prescribed that are necessary, and benefits out way the risks of the medicine involved. (BNF 2010) An agreement should be made with the patient on care plan and course of action and this should be reviewed. (Robotham and Frost 2010) The prescription should be written legibly in black ink, the full name of patient, address and age and date of birth should be on the prescription. The medicine should be clearly stated and dosage and dose frequency clearly written. (NPF

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