Candidate card · Nursing
You are the nurseTwo 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- Once confirmed, provide the approved current list in large print and separate the superseded display copy with consent.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.