Questions and Answers
List synonyms of 'prescription kardex':
Prescription and Administration Record = Synonym 1 Drug kardex = Synonym 2
What are the main aims of the 'prescription kardex'?
To ensure safe, effective and patient centred prescribing; to maintain accurate records.
How does the 'prescription kardex' maximize patient safety?
By allowing prescribers to follow standard prescribing principles and guidelines.
Where does responsibility for prescribing lie?
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What does NHS Fife's main drug kardex incorporate?
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What is the supplementary prescription sheet of a 'drug kardex' used for? (Select all that apply)
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What are the general principles of using a hospital 'prescription kardex'?
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Why must all patients have a 'prescription kardex' regardless of active drug prescriptions?
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In emergency and life-threatening situations, do all drugs need to be prescribed?
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Why is prescribing done in English?
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What does the Latin abbreviation 'BD' mean?
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Why is legibility of prescriptions essential?
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Which drugs are recommended to be prescribed using their brand name? (Select all that apply)
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When are modified release preparations prescribed using their brand name?
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In relation to drug prescription, define 'start date'.
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Why should prescribers print their name beside the prescription?
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How many times should prescribers print their name next to prescriptions?
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Outline acceptable kardex abbreviations for the following routes of administration.
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Why isn't the 'oral' administration route abbreviated?
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Outline acceptable kardex abbreviations for the following doses - grams and milligrams.
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What are the unacceptable abbreviations relating to dosage and why?
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Study Notes
Prescription Kardex Overview
- Synonyms for 'prescription kardex' include Prescription and Administration Record and Drug kardex.
- Main aims are to ensure safe, effective, patient-centered prescribing and to maintain accurate records.
Patient Safety
- Maximizes safety by allowing prescribers to adhere to standard prescribing principles and guidelines.
- All patients, regardless of active prescriptions, should have a kardex to inform healthcare providers about drug allergies.
Responsibility and Legal Aspects
- Responsibility for prescribing rests with the Doctor, Dentist, or Non-medical prescriber who signs the prescription.
- All administered drugs must be prescribed and signed before administration, including oxygen and complementary medicines.
- Prescribing is performed by registered medical or dental practitioners, and non-medical prescribers can prescribe POMs (prescription-only medicines).
NHS Fife and Drug Kardex
- NHS Fife's drug kardex includes the prescription and administration record for drugs.
- A supplementary prescription sheet is used for IV fluids and high-risk drugs such as warfarin and insulin.
General Principles of Prescription Kardex Usage
- Universality: All in-patients and day patients receive a kardex.
- Legibility: Prescriptions should be in block capitals with a black ballpoint pen, with the prescriber's name printed beside it.
- Nomenclature: Generic drug names are generally used; brand names may be specified in particular instances.
- Timing: Each drug must have a start date, and administration times must use a 24-hour clock.
- Administration: The kardex is part of clinical records and is filed in patient's notes upon hospital discharge.
Emergency Situations
- In emergencies, some drugs can be administered without prior prescription, with prompt follow-up for documentation.
Language and Abbreviations
- Prescriptions must be written in English to maximize patient safety, as Latin abbreviations may lead to misunderstandings.
- Legibility is essential; nurses cannot administer drugs with errors or ambiguities.
- Certain drugs like insulins, combination inhalers, modified release preparations, and specific epilepsy drugs should be prescribed using brand names.
Modified Release Preparations
- Prescribed by brand name if there are differences in bioavailability, such as with Lithium.
Name Printing
- Prescribers must print their name beside the prescription to facilitate queries, but should only do this once per patient's kardex.
Administration Routes and Abbreviations
- Acceptable kardex abbreviations include:
- Intravenous - IV
- Sublingual - SL
- Nasogastric - NG
- Per vagina - PV
- Topical - TOP
- Intramuscular - IM
- Subcutaneous - SC
- Per rectum - PR
- Inhalation - INH
- 'Oral' is not abbreviated to avoid potential dosing errors.
Dosage Abbreviations
- Acceptable abbreviations for doses include:
- Grams - g
- Milligrams - mg
- Unacceptable dosage abbreviations include:
- Micrograms and nanograms, as mcg, µg, or ng can cause confusion and jeopardize patient safety.
- 'U' for units is discouraged to prevent misinterpretation, especially in insulin dosing.
General Rules for Prescription Dosages
- Prescribing practices must be clear to avoid errors; precise doses and routes of administration are crucial for patient safety.
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Description
Test your knowledge about the prescription kardex, its synonyms, aims, and its role in maximizing patient safety. This quiz covers key concepts that are essential for effective and safe prescribing practices. Perfect for nursing and healthcare professionals!
