OM VERMA
ASSOCIATE PROFESSOR
GRACIOUS COLLEGE OF NURSING RAIPUR CG
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GRACIOUS COLLEGE OF NURSING
ABHANPUR RAIPUR C.G
STEPS OF PRESCRIBING
AND PRESCRIBING COMPETENCIES
PRESENTED BY
OM VERMA
ASSOCIATE PROFESSOR
Steps of prescribing
Patient Assessment:
Gather relevant medical history,
includingallergiesandpreviousmedications.
Conductathoroughphysicalexamination.
Consideranyexistingconditionsorcontraindications.
Diagnosis:
Clearly identify the patient's medical
condition
.
condition
.
Usediagnostictools,tests,andclinicaljudgment.
Considerdifferentialdiagnoses.
SetTreatmentGoals
Definethedesiredoutcomesoftheprescribedtreatment.
Tailorgoalstothepatient'sspecificconditionandneeds.
•Select Appropriate Medication: Choose a drug based on the diagnosis and
treatment goals.
Consider efficacy, safety, and patient-
specific factors (e.g., age, co morbidities).
Determine Dosage:
Calculate
the correct dosage based on
Calculate
the correct dosage based on
factors like patient weight, age, and
renal/hepatic function.
Adjust dosage for specific populations (e.g.,
pediatric, geriatric).
•Route of Administration: •Select the appropriate route (oral,
intravenous, intramuscular, etc.).
•Consider patient preferences, adherence, and
the drug's pharmacokinetics.
•
Frequency and Duration
:
•
Frequency and Duration
:
Prescribe the frequency of medication
administration.
Define the duration of the treatment course.
•Patient Education: •Provide clear instructions on how to take the
medication.
•Explain potential side effects and what to do if
they occur.
•Emphasize the importance of adherence.
•
Monitoring and Follow
-
up
:
•
Monitoring and Follow
-
up
:
•Establish a plan for monitoring treatment
effectiveness.
•Schedule follow-up appointments to assess the
patient's response and adjust treatment if
needed.
•Documentation: •Record the prescription details in the patient's
medical records.
•Include the diagnosis, prescribed medication,
dosage, frequency, and any special
instructions
.
instructions
.
•Consider Interactions: •Assess potential drug interactions with other
medications the patient may be taking.
•Adjust the prescription to minimize risks.
•Review and Revise: •Regularlyreassessthepatient'sconditionand
adjusttheprescriptionasnecessary.
•
Stay
informed
about
updates
in
medical
•
Stay
informed
about
updates
in
medical
literature and adjust treatment plans
accordingly.
PRESCRIBING COMPETENCIES
•Clinical Knowledge:
Possesses in-depth
knowledge of medical conditions,
pharmacology, and treatment options.
•
Diagnostic
Skills
:
Demonstrates
proficiency
in
•
Diagnostic
Skills
:
Demonstrates
proficiency
in
accurately diagnosing patients through
comprehensiveassessments.
•Communication:
Effectively communicates
withpatients,explainingdiagnoses,treatment
plans,andaddressingconcerns.
•Empathy:
Displaysempathytowardspatients,
understandingtheiremotions,andfosteringa
positivedoctor-patientrelationship.
•EthicalDecision-Making:
Adherestoethical
standards, making decisions in the best
interest
of
patients
and
their
well
-
being
.
interest
of
patients
and
their
well
-
being
.
•Collaboration:
Works collaboratively with
healthcare teams, specialists, and other
professionalstooptimizepatientcare.
•ContinuousLearning:
Commits to ongoing professional development,
staying updated on medical advancements and
bestpractices.
•CulturalCompetence:
Respects and considers diverse cultural backgrounds
when
interacting
with
patients,
backgrounds
when
interacting
with
patients,
adaptingcareaccordingly.
TechnologyIntegration: Utilizes modern healthcare technologies for
efficient record- keeping, communication, and
diagnosis.
•LegalCompliance:
Ensurescompliancewith
medical regulations, maintaining patient
confidentialityandprivacy.