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Surgery - Fundamentals of effective prescribing
Optimal prescribing practices The UK GMC delineates the principles of effective prescribing practice (% Duties of a doctor): Stay informed on current laws and regulations. Operate within the boundaries of your expertise—administer treatment solely when you possess sufficient understanding of the patient's condition.
• Deliver effective treatment grounded in the most reliable evidence available. Ensure that the care or treatment you administer aligns with any other therapies the patient is undergoing. Utilize the resources at your disposal, such as the British National Formulary (BNF) app/book, hospital-wide policies (e.g., antibiotic prescribing policy), the ward pharmacist, and the ward intravenous (IV) drug guide. Collaboration In the hospital, numerous healthcare specialists are often consulted for specialized prescribing guidance. Key domains pertinent to surgery encompass the prescription of:
• Analgesics:
• Acute pain team—beneficial for complex pain management requirements following surgery.
Anaesthetists possess proficiency in patient-controlled analgesia (PCA), epidural treatment, and perioperative symptom management.
• Palliative care team— for terminal symptoms.
• Antiemetics (as already mentioned). Antibiotics: for infection care, adhere to hospital antibiotic guidelines as the primary approach; for complex infections, consult with microbiologists or infectious disease specialists.
• Anticoagulants—consult a haematologist for guidance on patients with bleeding issues and the administration of perioperative anticoagulation; utilize the local anticoagulation service for long-term anticoagulation recommendations.
• Intravenous medications—ward nurses (or intensive care unit nurses). General guidance, such as medication reconciliation and interaction advisories, is provided by the ward pharmacist.
• Additional specialty-specific guidance—senior colleagues, advanced nurse practitioners.
Optimal prescribing practices The UK GMC delineates the principles of effective prescribing practice (% Duties of a doctor): Stay informed on current laws and regulations. Operate within the boundaries of your expertise—administer treatment solely when you possess sufficient understanding of the patient's condition.
• Deliver effective treatment grounded in the most reliable evidence available. Ensure that the care or treatment you administer aligns with any other therapies the patient is undergoing. Utilize the resources at your disposal, such as the British National Formulary (BNF) app/book, hospital-wide policies (e.g., antibiotic prescribing policy), the ward pharmacist, and the ward intravenous (IV) drug guide. Collaboration In the hospital, numerous healthcare specialists are often consulted for specialized prescribing guidance. Key domains pertinent to surgery encompass the prescription of:
• Analgesics:
• Acute pain team—beneficial for complex pain management requirements following surgery.
Anaesthetists possess proficiency in patient-controlled analgesia (PCA), epidural treatment, and perioperative symptom management.
• Palliative care team— for terminal symptoms.
• Antiemetics (as already mentioned). Antibiotics: for infection care, adhere to hospital antibiotic guidelines as the primary approach; for complex infections, consult with microbiologists or infectious disease specialists.
• Anticoagulants—consult a haematologist for guidance on patients with bleeding issues and the administration of perioperative anticoagulation; utilize the local anticoagulation service for long-term anticoagulation recommendations.
• Intravenous medications—ward nurses (or intensive care unit nurses). General guidance, such as medication reconciliation and interaction advisories, is provided by the ward pharmacist.
• Additional specialty-specific guidance—senior colleagues, advanced nurse practitioners.
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