Assignment Prompt & Instructions
**files (1)**
– ## CasestudyRaydel.docx
**## CasestudyRaydel.docx**
Directions: For each of the scenarios below, answer the questions using your required
learning resources, Medscape, and clinical practice guidelines (ie AHA, ACC, ADA,
GINA). When recommending medications, write out a complete prescription for each
medication. What order would you send to a pharmacy? Include drug, dose, route,
frequency, # dispensed (days supply), refills, special instructions etc. Also state if you
would continue, discontinue or taper the patient’s current medications (if
applicable). Use at least 3 sources for each scenario and cite sources using APA
format. LIST REFERENCES AFTER EACH SCENARIO.
Note on Assignment Attempts
Students are expected to review their work and submissions of work carefully prior to
due dates. Unless otherwise approved by the faculty, students are allowed one
submission of graded work per assignment. While the classroom allows for multiple
submissions, once an assignment is graded, submissions will no longer be accepted
unless approved by the faculty. If an assignment is submitted prior to the assignment
deadline and has not yet been graded, then students may submit a revised assignment
prior to the assignment deadline. Once the deadline has passed, resubmission is not
permitted.
Late Assignment Policy
Students are expected to submit assignments by the due dates noted in the course and
welcome announcement. In extenuating circumstances, such as illness, the student
must contact the instructor as soon as possible to discuss the situation. In those
circumstances, faculty will determine the appropriate course of action for the student.
Depending on the situation, these actions may include recommendations to drop the
course (if within the university drop/withdrawal period), acceptance of some or all of the
overdue assignments with or without penalties, or failure to accept assignments.
Assignments submitted late without the prior agreement of the instructor, outside of an
emergency absence, or in violation of agreements for late submission, will receive a
grade reduction for the assignment amounting up to 20%. Each day late will result in a
4% point deduction up to day 5. After 5 days, the assignment will be graded a zero.
However ALL assignments, quizzes, and exams must be completed to pass the
course.
Wishing you much success,
Dr. Ridley
WEEK 2 ASSIGNMENT (covers weeks 1-2)
SCENARIO 1
What are the errors in the following prescriptions (1 per prescription)? Rewrite each
prescription correctly. What is each medication’s classification and mechanism of action
(MOA)?
Repatha 140 mg IV every 2 weeks #1 1 RF
Hyzaar (losartan/hydrochlorothiazide) 50/25 mg PO daily #30 3 RF
digoxin 1.25 mg PO daily #30 1 RF
hydralazine/isosorbide mononitrate (BiDil) 37.5 mg/20 mg PO every 8 hours #90
1 RF
clonidine 0.3 mg patch PO once weekly #4 1 RF
SCENARIO 2
A patient with stable angina is prescribed nitroglycerin. The provider avoids oral tablets
and instead chooses a sublingual or transdermal formulation. Why is oral nitroglycerin
not clinically useful? Discuss how first-pass metabolism affects nitroglycerin’s
bioavailability and define both terms. Identify the route of administration with 100%
bioavailability and explain how alternative routes overcome the first pass effect. Include
a sample prescription for nitroglycerin.
SCENARIO 3
Where are the majority of cytochrome P450 (CYP) enzymes located? Using the
Drugs.com pill identifier, enter the following characteristics to identify the medication
AND strength. What CYP enzyme metabolizes this medication? How can this
information be applied to medication therapy management? Write a sample prescription
for the identified medication and strength.
Imprint (E 137) Shape (Round) Color (Pink) Form (Tablet) Scoring (None)
SCENARIO 4
KU is a 47-year-old male following up on his labs that were drawn last week. He
smokes 1 pack per day. He is currently on lisinopril 40 mg po daily, liraglutide (Victoza)
0.6 mg subcutaneously once daily and St. John’s Wort. Fasting lipid profile shows total
cholesterol 260 mg/dL, LDL 180 mg/dL, HDL 43 mg/dL, and TG 185 mg/dL. He is 5’9”
and weighs 204 lbs. What treatment plan would you implement for KU? What are GOAL
Total Cholesterol (TC), HDL, LDL, and Triglyceride levels for KU? What is his BMI per
Medscape calculator? What patient monitoring and education would you provide? How
many risk factors for coronary artery disease does this patient have? Identify them
specifically.
| | | |
| — | — | — |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
Total Points: 100
**## CasestudyRaydel.docx**
Directions: For each of the scenarios below, answer the questions using your required
learning resources, Medscape, and clinical practice guidelines (ie AHA, ACC, ADA,
GINA). When recommending medications, write out a complete prescription for each
medication. What order would you send to a pharmacy? Include drug, dose, route,
frequency, # dispensed (days supply), refills, special instructions etc. Also state if you
would continue, discontinue or taper the patient’s current medications (if
applicable). Use at least 3 sources for each scenario and cite sources using APA
format. LIST REFERENCES AFTER EACH SCENARIO.
Note on Assignment Attempts
Students are expected to review their work and submissions of work carefully prior to
due dates. Unless otherwise approved by the faculty, students are allowed one
submission of graded work per assignment. While the classroom allows for multiple
submissions, once an assignment is graded, submissions will no longer be accepted
unless approved by the faculty. If an assignment is submitted prior to the assignment
deadline and has not yet been graded, then students may submit a revised assignment
prior to the assignment deadline. Once the deadline has passed, resubmission is not
permitted.
Late Assignment Policy
Students are expected to submit assignments by the due dates noted in the course and
welcome announcement. In extenuating circumstances, such as illness, the student
must contact the instructor as soon as possible to discuss the situation. In those
circumstances, faculty will determine the appropriate course of action for the student.
Depending on the situation, these actions may include recommendations to drop the
course (if within the university drop/withdrawal period), acceptance of some or all of the
overdue assignments with or without penalties, or failure to accept assignments.
Assignments submitted late without the prior agreement of the instructor, outside of an
emergency absence, or in violation of agreements for late submission, will receive a
grade reduction for the assignment amounting up to 20%. Each day late will result in a
4% point deduction up to day 5. After 5 days, the assignment will be graded a zero.
However ALL assignments, quizzes, and exams must be completed to pass the
course.
Wishing you much success,
Dr. Ridley
WEEK 2 ASSIGNMENT (covers weeks 1-2)
SCENARIO 1
What are the errors in the following prescriptions (1 per prescription)? Rewrite each
prescription correctly. What is each medication’s classification and mechanism of action
(MOA)?
Repatha 140 mg IV every 2 weeks #1 1 RF
Hyzaar (losartan/hydrochlorothiazide) 50/25 mg PO daily #30 3 RF
digoxin 1.25 mg PO daily #30 1 RF
hydralazine/isosorbide mononitrate (BiDil) 37.5 mg/20 mg PO every 8 hours #90
1 RF
clonidine 0.3 mg patch PO once weekly #4 1 RF
SCENARIO 2
A patient with stable angina is prescribed nitroglycerin. The provider avoids oral tablets
and instead chooses a sublingual or transdermal formulation. Why is oral nitroglycerin
not clinically useful? Discuss how first-pass metabolism affects nitroglycerin’s
bioavailability and define both terms. Identify the route of administration with 100%
bioavailability and explain how alternative routes overcome the first pass effect. Include
a sample prescription for nitroglycerin.
SCENARIO 3
Where are the majority of cytochrome P450 (CYP) enzymes located? Using the
Drugs.com pill identifier, enter the following characteristics to identify the medication
AND strength. What CYP enzyme metabolizes this medication? How can this
information be applied to medication therapy management? Write a sample prescription
for the identified medication and strength.
Imprint (E 137) Shape (Round) Color (Pink) Form (Tablet) Scoring (None)
SCENARIO 4
KU is a 47-year-old male following up on his labs that were drawn last week. He
smokes 1 pack per day. He is currently on lisinopril 40 mg po daily, liraglutide (Victoza)
0.6 mg subcutaneously once daily and St. John’s Wort. Fasting lipid profile shows total
cholesterol 260 mg/dL, LDL 180 mg/dL, HDL 43 mg/dL, and TG 185 mg/dL. He is 5’9”
and weighs 204 lbs. What treatment plan would you implement for KU? What are GOAL
Total Cholesterol (TC), HDL, LDL, and Triglyceride levels for KU? What is his BMI per
Medscape calculator? What patient monitoring and education would you provide? How
many risk factors for coronary artery disease does this patient have? Identify them
specifically.
| | | |
| — | — | — |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | **15 to >11.0 ptsExcellent** Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.<br> <br>**11 to >7.0 ptsGood** Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.<br> <br>**7 to >3.0 ptsFair** Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.<br> <br>**3 to >0 ptsPoor** Medication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts |
| This criterion is linked to a Learning OutcomeScenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | **3 ptsComplete** Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.<br> <br>**0 ptsPoor** The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts |
| This criterion is linked to a Learning OutcomeScenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | **4 ptsExcellent** References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.<br> <br>**3 ptsGood** References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.<br> <br>**2 ptsFair** References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.<br> <br>**0 ptsPoor** No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts |
| This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **3 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**2 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**1 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts |
Total Points: 100