Candidate card · Nursing

You are the nurse

Two medicine lists after discharge

Setting: A community nursing visit

A patient has a current discharge medicine list and an older list on the refrigerator. You must check understanding and contact the prescriber about any discrepancy; you cannot independently alter the regimen.

Task

  • Explore which list the patient uses and why.
  • Acknowledge the confusion without blame.
  • Explain the checking process and limits of your role.
  • Agree a practical way to identify the current plan and check understanding.
Medicine-list clarification process
  • The current discharge list and the older display copy must be compared with the medicines available at home.
  • Any discrepancy goes to the prescriber for clarification; no candidate is asked to choose a dose or medicine.
  • Until clarification, the nurse must not advise an independent prescription change.
  • Once confirmed, provide the approved current list in large print and separate the superseded display copy with consent.
  • Patient wants to retain responsibility; daughter may help identify the current list, with permission.

Fictional scenario information supplied by the treating team; not medical guidance for real patients.