Prescription Kardex Overview Quiz
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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?

<p>With the Doctor, Dentist or Non-medical prescriber who signs the prescription.</p> Signup and view all the answers

What does NHS Fife's main drug kardex incorporate?

<p>The prescription and administration record for drugs.</p> Signup and view all the answers

What is the supplementary prescription sheet of a 'drug kardex' used for? (Select all that apply)

<p>IV fluids</p> Signup and view all the answers

What are the general principles of using a hospital 'prescription kardex'?

<ol> <li>Universality: all in-patients/day patients should have a kardex regardless of active prescriptions; 2. Legality: all administered drugs should be prescribed and signed by a prescriber; 3. Authority: only qualified practitioners can prescribe POMs; 4. Language: prescriptions should be in English; 5. Writing: legible and in block capitals; 6. Nomenclature: generally use generic drug names; 7. Timing: required start date and use of a 24-hour clock; 8. Administration: must be filed in clinical records.</li> </ol> Signup and view all the answers

Why must all patients have a 'prescription kardex' regardless of active drug prescriptions?

<p>To inform about drug allergies in case the patient requires new drugs.</p> Signup and view all the answers

In emergency and life-threatening situations, do all drugs need to be prescribed?

<p>False</p> Signup and view all the answers

Why is prescribing done in English?

<p>To maximize patient safety as many people do not understand Latin.</p> Signup and view all the answers

What does the Latin abbreviation 'BD' mean?

<p>'Bis in die' - twice daily.</p> Signup and view all the answers

Why is legibility of prescriptions essential?

<p>Nurses are not allowed to administer drugs when there is any error or ambiguity.</p> Signup and view all the answers

Which drugs are recommended to be prescribed using their brand name? (Select all that apply)

<p>Combination inhalers</p> Signup and view all the answers

When are modified release preparations prescribed using their brand name?

<p>When there may be differences in bioavailability between brands.</p> Signup and view all the answers

In relation to drug prescription, define 'start date'.

<p>The date a prescriber signs the prescription.</p> Signup and view all the answers

Why should prescribers print their name beside the prescription?

<p>To allow for any queries to be directed to them.</p> Signup and view all the answers

How many times should prescribers print their name next to prescriptions?

<p>Only once on a particular patient's kardex.</p> Signup and view all the answers

Outline acceptable kardex abbreviations for the following routes of administration.

<ol> <li>IV, 2. SL, 3. NG, 4. PV, 5. TOP, 6. IM, 7. SC, 8. PR, 9. INH.</li> </ol> Signup and view all the answers

Why isn't the 'oral' administration route abbreviated?

<p>Erroneous tenfold dose increase if misread as a zero.</p> Signup and view all the answers

Outline acceptable kardex abbreviations for the following doses - grams and milligrams.

<ol> <li>g, 2. mg.</li> </ol> Signup and view all the answers

What are the unacceptable abbreviations relating to dosage and why?

<ol> <li>Micrograms &amp; nanograms: mcg, µg or ng could cause ambiguities; 2. Units: 'U' could lead to inaccurate dosages.</li> </ol> Signup and view all the answers

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 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!

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