Remote prescribing and medication access — formative SAQs · Paeds SAQs

Prompt

Remote prescribing and medication access: definition, escalation and equity

SAQ 1 (10)

A remote nurse requests ongoing antibiotics and a new anticonvulsant for a child when the nearest pharmacy is closed for the weekend. [1] [2]

a) Define the problem in one sentence and state the first safety priorities. (3 marks) [1]

b) Classify the situation using urgency, setting and equity axes. (3 marks) [1] [2]

c) List red flags that force immediate escalation or retrieval. (2 marks) [1]

d) Document the handover elements you would include in an SBAR call. (2 marks) [2]

Local capability is limited and the family faces transport and cultural barriers. [1] [3]

a) Explain how you adapt the pathway honestly to local resources without delaying essentials. (3 marks) [1]

b) Describe cultural safety and interpreter actions you would take. (3 marks) [2]

c) Outline the stay-versus-go decision framework. (2 marks) [1]

d) Give safety-net and follow-up instructions for the family. (2 marks) [3]

[1]Downing J et al. Striving for Equity, Justice, and Access to Palliative Care Through Cancer and Palliative Nursing in Uganda: A Narrative Review. Semin Oncol Nurs, 2026.PMID 42173745
[2]Haimi M et al. Challenging assumptions: a tripartite assessment of medical quality, resource utilization, and equity concerns in pediatric telemedicine. BMC Med Inform Decis Mak, 2025.PMID 40796835
[3]Ciminelli AL et al. Digital health intervention to optimise heart failure management after hospital discharge in Brazil (OPT-HF): a randomised clinical trial protocol. BMJ Open, 2025.PMID 40250873
[4]Bwimba JM et al. Cost analysis of implementing community-based mass drug administration for schistosomiasis control among adult individuals using community drug distributors in Ukerewe district council, North-Western Tanzania. PLoS Negl Trop Dis, 2026.PMID 42406797
[5]GBD 2023 TB HIV Collaborators et al. Global, regional, and national burden of tuberculosis and multidrug-resistant tuberculosis by HIV status, 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023. Lancet Infect Dis, 2026.PMID 42385762
[6]Țuțuianu AV et al. Socio-Behavioral Characteristics of Parents/Guardians Associated with Child Dental Neglect: A Retrospective Cross-Sectional Analytical Study. Children (Basel), 2026.PMID 42353971