Summative Workbook Assessment
Expected total word count 1500 +/- 10%
This workbook contains a mixture of short answer and longer scenario-based questions. A suggested word count is indicated for each section and the potential maximum mark available. Where indicated, support with relevant references.
Section A: Medication management role
(Suggested word count for this section is 250, with a total of 14 marks)
Please outline your role in relation to Medicines Management for patients/clients/service users (10 marks)
When a handwritten prescription is used, what should the nurse do if part or all of a written prescription is illegible. Explain your suggested actions giving references. (2 marks)
What is the main regulatory agency for medicinal products in the UK, give one of the bodies roles? (2 marks)
Section B: Practice Specific Section
(Suggested word count is 310 with a total of 18 Marks)
Discuss the following questions with regards to your area of practice. Support all your answer with references.
A patient is being discharged from your care on a course of medications. What factors would you consider in preparing the patient to manage their medication at home and what is the process for discharging patients with medication?
What are the ‘rights’ of medication administration and discuss their important in managing risks?
Two nurses are doing the daily check of the CD cupboard and discover a discrepancy between the CD register and the stock amount counted out. What action should be taken?
Section C: Medication errors
(Suggested word count 350 with a total of 18 marks)
Please support answer with references, where indicated
What is a ‘medication error’ and discuss potential factors which may lead to errors or incidents in the administration of medicines? Support your answer with references.
What is meant by the term ‘near miss incident? Support with a reference.
What actions should you take if you suspect you have committed a medication error? Support your answer with references.
Section D: Scenario-based section
Please select and answer two of the below scenarios; one from your area of practice and one from another area of practice to demonstrate wider awareness of medication management and optimisation of care in the scenario, please use the BNF/BNFc, and other appropriate resource to help you answer providing intext references and a reference list.
(Maximum 25 marks per scenario and suggested words count of 300 per scenario):
Scenario 1: Older adult
Debra Usifoh aged 74 years is an in-patient on a medical ward recovering from a chest infection. She has a history of Parkinson’s Disease. While doing the lunchtime drug round, the nurse discovers there is no stock of Debra’s prescribed Co-Careldopa. Debra is very anxious about not being able to take this medication on time.
What are the indications for, usual doses, side effects and cautions/contra-indications of Co-Careldopa?
How does it work?
Why is it important for Debra to take this medication on time?
What action does the nurse need to take?
Scenario 5: A child presenting with an acute illness
Rihanna is 7 years old who has a nasty cough and have been taking amoxicillin paediatric suspension, 3 times each day. She is feeling very cross because she has had to miss lots of ballet classes as she is on a week’s intensive course over half term, and she tells you her friends will all learn the steps better than her now. She is in a bad mood and will not take her amoxicillin anymore as she says it tastes horrible. Her Mum and Dad are cross that she is not taking her medicine and do not know what to do? Her parents tell you that they suspect she feels that she will ‘lose face’ if she agrees to take it now. Rihanna says she thinks she can get better by herself. Rihanna verbalises that she is missing her friends and she says she is worried because she overheard her dad say he would lose his job if he had to take any more time off. Considering this situation
What are the usual dose indication and side effects of amoxicillin?
How does amoxicillin work?
What are the risks of stopping the antibiotic before the course has finished?
How would you approach this child/parents to encourage concordance with the regime?