Response 1

I really enjoyed your post! As a nurse in Massachusetts, it is really encouraging knowing that we will essentially have full prescriptive abilities with the proper licenses. We do however need to work under a physician, which can impact the decisions we make in prescribing medications to our patients. This can be a challenging concept for some soon to be nurse practitioners, but as we know each state is different in their prescriptive abilities (Woo et al, 2020). To think that there is a medication error on almost every patient is frightening. This statistic is necessary for future nurse practitioners to read so we can understand the importance of cross checking and triple checking our prescriptions. When we believe that we are being manipulated or a patient is being dishonest about their true symptoms, we need to stand our ground and ensure that drugs are not being prescribed to the wrong patients. With every medication that we prescribe, we must think through all of the rights of the medication and go through our process of defining the patient problem, specifying the therapeutic objective, choosing the treatment that is best for the patient, starting the treatment, educating the patient, and closely monitoring the effectiveness and potential adverse drug reactions of the drug that was started (Woo et al, 2020, p. 35-37). Ostini et al (2002) determined that “Educational outreach as well as audit and feedback continue to dominate research into prescribing interventions. These 2 prescribing interventions also most consistently show positive results” (p. 503). Working closely with our fellow nurse practitioners and doctors will help us determine the protocols for each area that we end up working in. References Ostini, R., Hegney, D., Jackson, C., Williamson, M., Mackson, J. M., Gurman, K., Hall, W., & Tett, S. E. (2009). Systematic Review of Interventions to Improve Prescribing. Annals of Pharmacotherapy, 43(3), 502–513. https://doi.org/10.1345/aph.1L488 Woo, T. M., & Robinson, M. V. (2016). Pharmacotherapeutics for advance practice nurse prescribers. Philadelphia: F.A. Davis Company.

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Response 2

 

Thank you for your thorough post and sample prescription. In our Adult Geriatric population patients who are in the hospital because of slowly progressive disease, or who have a long convalescence, maybe forgotten unless we as the AGNP make it a general rule to periodically evaluate the prescription needs of these long term patients. Other strategies recommended to improve the quality of prescriptions include clinical governance, the use of an electronic computerized system of prescribing, and continuing professional educational programs ( Dyasanoor & Urooge, 2016). Ensuring that a family member or caretaker can read back the prescription to demonstrate an understanding of the prescription when dispensed. Thank you Reference Dyasanoor, S & Urooge, A (2016). Insight into quality prescription writing- an institutional study. Journal of Clinical and diagnostic research,10 ( 3). DOI:10.7860/JCDR/2016/18011.7472

 

 

 

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