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Good afternoon
GP commenced resident on PRN antibiotics as per resident request for COPD, what action do I need to take? Please guide me.
Thank you
Anonymous
Hello there,
I assume we are discussing a resident who experiences recurrent bacterial respiratory infections. Based on their lack of knowledge, they assumed that having antibiotics available PRN (in stock at the RCAF) would expedite the start of treatment. This is speculative, but it’s the only explanation I can think of.
However, I’m unsure about the doctor’s expectations. Nurses cannot legally diagnose, so how would the antibiotics be started? The GP still needs to assess the resident and make the diagnosis.
If the doctor is informed of the situation described above, they may consider removing the PRN antibiotics.
Hi Anonymous,
Without knowing much about this resident. The fact that they have asked for this means that previously they have had a COPD action plan in the community. They may have previously had Prednisolone and antibiotics as part of that rescue plan. It would be worth investigating this, looking at the COPD Action Plan with the Lung Foundation of Australia, and having a robust discussion around management with this resident, partners in care and GP.
Fiona Morrison
Quality Coordinator
Southern Cross care
