NR511 Differential Diagnosis and Primary Care

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Course Number:	NR511
Course Title:	Differential Diagnosis and Primary Care
Course Credits:	3
Course Prerequisites:	Prerequisite (students enrolled prior to May 2019): NR-500, NR-501, NR-503, NR-505, NR-506, NR-507, NR-508, NR-509, NR-510, NR-512. Prerequisite (effective May 2019): NR-500NP, NR-501NP, NR-503, NR-505NP, NR-506NP, NR-507, NR-509, NR-565, NR-566, NR-599

NR511 Differential Diagnosis and Primary Care Course Description

This course will provide students with the fundamental knowledge needed to formulate a differential diagnosis of individuals within the primary care setting, along with an introduction to critical diagnostic skills to cultivate evidence-based behaviors. An emphasis will be placed on processing client information in a logical, progressive manner and formulating differential diagnoses for individuals across the lifespan. The course will include 125 hours of supervised clinical practicum in primary care.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

Dunphy, L.M., Winland-Brown, J. E., Porter, B.O.  & Thomas, D.J. (2019). Primary care-The art and science of advanced practice nursing-An interprofessional approach. (5th ed.) Philadelphia: F.A. Davis 

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This textbook is available as an e-book and can be accessed from the module view.

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).

If your course has an E-Book, make sure to review .

Program Outcomes

Program Outcomes of Chamberlain nursing programs can be found in the Program Descriptions section of your College Catalog. You can access your College Catalog at http://www.chamberlain.edu/catalog

The MSN program outcomes are aligned with the American Association of Colleges of Nursing publication, The Essentials of Master’s Education in Nursing (2011). Upon completion of the MSN degree program, the graduate will be able to:

1 Provide high quality, safe, patient-centered care grounded in holistic health principles. (Holistic Health & Patient-Centered Care)

2 Create a caring environment for achieving quality health outcomes. (Care-Focused)

3 Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. (Cultural Humility)

4 Integrate professional values through scholarship and service in health care. (Professional Identity)

5 Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. (Extraordinary Nursing)

NR511 Differential Diagnosis and Primary Care Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. The COs that will be covered in detail each week can be found in the Overview page in that particular week. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

1 Develop comprehensive differential diagnoses through analysis of histories, physical findings, and diagnostic studies (PO 5)  1, 2, 5, 6, 7, 8

2 Make appropriate use of diagnostic tools with consideration of costs, risks, and benefits to individuals (PO 5)

1, 2, 3, 5, 6, 7, 8

3 Analyze clinical practice guidelines for application in practice (PO 5)

1, 7, 8

4 Formulate an evidence-based management plan for acute and common health problems based on needs of the patient and family (PO 5)

1, 2, 3, 5, 6, 7, 8

5 Perform and accurately document an appropriate system-focused and comprehensive history and physical exam (PO 5)

1, 2, 3, 4, 5, 6, 7, 8

6 Demonstrate novice level proficiency in prioritizing patient needs (PO 5)

1, 2, 3, 4, 5, 6, 7, 8

Student Attestation

Students are required to complete the Student Attestation for each course you are enrolled. The Attestation will appear in the course, at the top of the Modules page. We ask that you complete the following steps:

Review the Student Handbook
Review the five statements in the item of the Attestation
Next, mark “I accept”
Then submit the Attestation.

You are required to complete the Student Attestation.

NR511 Differential Diagnosis and Primary Care Assignment Summary

Due Date

Details

Sun Jul 12, 2020

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Sun Jul 19, 2020

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Sun Jul 26, 2020

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Sun Aug 2, 2020

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Sun Aug 9, 2020

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Sun Aug 16, 2020

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Wed Aug 19, 2020

Sun Aug 23, 2020

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Wed Aug 26, 2020

Sat Aug 29, 2020

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Assignment
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Late Assignment Policy

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.

In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.

This Policy applies to assignments that contribute to the numerical calculation of the course letter grade.

Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

Late Discussion Policy

Please review the individual discussion board grading rubric for participation requirements within the course.

NR511 Differential Diagnosis and Primary Care Evaluation Methods

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

Graded Item	Points	Weighting
Week 1 Practice Quiz	15	1.5%
Week 1 Discussion Board	10	1.0%
Week 2 Practice Quiz	15	1.5%
Week 2 SNAPPS Assignment	100	10%
Week 3 Practice Quiz	15	1.5%
Week 3 Case Study Discussion	100	10%
Midterm Exam (Weeks 1-3)	200	20%
Week 4 Clinical Hours Validation	N/A	N/A
Clinical VISE Assignment (SNAPPS presentation to instructor due between Weeks 3-5)	Pass/Fail**	Pass/Fail**
Week 5 Practice Quiz	15	1.5%
Week 6 Practice Quiz	15	1.5%
Week 6 Case Study Discussion	100	10%
Week 7 Practice Quiz	15	1.5%
Week 7 CPG Presentation Assignment	100	10%
Week 7 CPG Peer Review Assignment	50	5%
Week 8 Reflection Assignment	50	5%
Week 8 FINAL Exam (Weeks 5-7)	200	20%
MyEvaluations Logs (Weeks 1-8)	Pass/Fail**	Pass/Fail**
Clinical Evaluations (Midterm & Final) from preceptor	Pass/Fail**	Pass/Fail**
Clinical Evaluations (Midterm & Final) from instructor	Pass/Fail**	Pass/Fail**
TOTAL NR511 Differential Diagnosis and Primary Care	1,000	100%

Clinical Practicum

The successful passage of clinical practicum for this course includes satisfactory completion of the specific list of requirements for this course and includes, but is not limited to the following:

125 accurately documented clinical hours that includes appropriate patient encounters by an approved preceptor at an approved site. Appropriate level of student independence for the clinical course. Abiding by all clinical policies found in compliance documents and the practicum handbook.NR511 Differential Diagnosis and Primary Care
Completion of a mid-term evaluation in the time-frame presented by both preceptor and faculty. A satisfactory final clinical evaluation by both preceptor and faculty. Mid-term contact with faculty by both student and preceptor reviewing student progress, goals, and any areas of need. Successful completion of any performance improvement plans (PIP) directly related to clinical if developed during the course of clinical for this course. Demonstration of meeting course objectives through clinical activities.
Successful completion of clinical VISE (Virtual Interactive Student Evaluation) presentation to instructor between weeks 3-5.

MyEvaluations Log & Passing Clinical

Clinical encounters must be posted within 7 days of the office visit. Failure to stay current may result in a “Not Met” on the mid-term and final evaluations.
Students must satisfactorily meet all the clinical requirements noted in the clinical grading rubric to pass clinical.

All of your course requirements are graded using points. At the end of the course, the points are converted to a letter grade using the scale in the table below. Rounding may occur for final grade computation. A final grade of 80% (letter grade C) is required to pass the course.

Letter Grade	Points	Percentage
A	940–1,000	94% to 100%
A-	920–939	92% to 93%
B+	890–919	89% to 91%
B	860–889	86% to 88%
B-	840–859	84% to 85%
C+	820–839	82% to 83%
C	800–819	80% to 81%
F	799 and below	79% and below

Attendance

Attendance is tracked through the Canvas Learning Management System. Students who do not participate in a course for seven (7) consecutive calendar days will be sent an impending attendance dismissal notice advising that he or she must attend within the next seven (7) calendar days or will be withdrawn from the course. Participation is defined as submitting a class assignment, participating in discussions, or completing quizzes and exams. For more information on the attendance policy and how violations of the policy may result in an administrative withdrawal, please see the Attendance and Administrative Withdrawal and Appeal sections of the Academic Catalog.

Clinical Practicum

The successful passage of clinical practicum for this course includes satisfactory completion of the specific list of requirements for this course and includes, but is not limited to the following:

125 accurately documented clinical hours that includes appropriate patient encounters by an approved preceptor at an approved site. Appropriate level of student independence for the clinical course. Abiding by all clinical policies found in compliance documents and the practicum handbook.
Completion of a mid-term evaluation in the time-frame presented by both preceptor and faculty. A satisfactory final clinical evaluation by both preceptor and faculty. Mid-term contact with faculty by both student and preceptor reviewing student progress, goals, and any areas of need. Successful completion of any performance improvement plans (PIP) directly related to clinical if developed during the course of clinical for this course. Demonstration of meeting course objectives through clinical activities.
Successful completion of clinical VISE (Virtual Interactive Student Evaluation) presentation to instructor between weeks 3-5. NR511 Differential Diagnosis and Primary Care.

Example Shadow Health Assessment in this Course:

Focused Exam UTI with Antibiotic Sensitivity Shadow Health Assessment

Subjective Data Collection: 25 of 26 (96.2%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:

Indicates an item that you found.

Available:

Indicates an item that is available to be found.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:

Established chief complaint

Finding:

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

How is your urination?

Finding:

(Found)

Example Question:

Finding:

(Found)

Example Question:

History of Present Illness

Finding:

Asked about onset and duration of symptoms

Finding:

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Finding:

(Found)

Example Question:

Finding:

(Found)

Example Question:

Finding:

Asked about additional symptoms of UTI

Finding:

(Found)

Example Question:

Finding:

(Found)

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Finding:

(Found)

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(Found)

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(Found)

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(Found)

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(Found)

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(Found)

Example Question:

Finding:

Asked about aggravating factors of pain

Finding:

Reports urination makes the pain worse

(Available)

Example Question:

Does urination make the pain worse?

Finding:

Asked about severity of pain

Finding:

Reports pain on urination as 7/10

(Available)

Example Question:

On a scale from one to ten, how bad is the pain?

Past Medical History

Finding:

Asked about relevant past medical history

Finding:

Reports no existing relevant health conditions

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have any health issues?

Finding:

Asked about general allergies

Finding:

(Found)

Example Question:

Finding:

(Found)

Example Question:

Home Medications

Finding:

Asked about home medications

Finding:

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Finding:

(Found)

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(Found)

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(Found)

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(Found)

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(Found)

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(Found)

Example Question:

Finding:

(Available)

Example Question:

Finding:

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Finding:

(Available)

Example Question:

Finding:

(Found)

Example Question:

Finding:

(Found)

Example Question:

How often do you take birth control?

Finding:

Reports 28-pill pack

(Found)

Example Question:

Finding:

(Found)

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Finding:

(Found)

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Finding:

Reports no adverse effects

(Found)

Example Question:

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(Found)

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Finding:

Reports unsure of dosage

(Found)

Example Question:

Finding:

(Found)

Example Question:

Finding:

(Found)

Example Question:

Finding:

Asked about medication allergies

Finding:

(Found)

Example Question:

Finding:

Followed up on reaction to penicillin

Finding:

(Found)

Example Question:

Finding:

Reports nausea and vomiting

(Found)

Example Question:

Social History

Finding:

Asked about substance use

Finding:

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Finding:

(Found)

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Finding:

(Found)

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Finding:

Followed up on alcohol use

Finding:

(Found)

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(Found)

Example Question:

How many drinks do you have a week?

Finding:

Asked about sexual activity

Finding:

(Found)

Example Question:

Finding:

(Found)

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Finding:

(Found)

Example Question:

Family Medical History

Finding:

Asked about relevant family medical history

Finding:

Reports father is healthy

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

How is your father’s health?

Finding:

(Found)

Example Question:

Finding:

(Available)

Example Question:

Review of Systems

Finding:

Asked about general symptoms

Finding:

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Finding:

Asked about review of systems for gastrointestinal

Finding:

(Found)

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(Found)

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(Found)

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Comments

Education & Empathy : 5 of 6 (83.3%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

DEBRIEF

Assessment

The patient suffers from UTI

Model Note

Makayla Henderson is a 21-year-old Biracial woman presenting with an uncomplicated UTI. She is a senior college student. Her UTI symptoms began three days ago, and she has experienced pain during urination, a burning sensation, and increased urgency to urinate. She is also experiencing some cramping in her lower abdominal region

Model Note

I prescribed Ms. Henderson a course of …

Medication Selection Score: 18 out of 18 points

This activity represents how well you were able to synthesize subjective data, objective data, guidelines, interactions, and contraindications to select the most effective medications(s) for the patient’s problems

NR511 Differential Diagnosis and Primary Care

	First Try	Second Try	Third Try
Totals
Combined total points	18 out of 18 points
Total points per column	+ 18 points

Urinary Tract Infection
Medication(s) Selected	nitrofurantoin
Points Earned	✓ + 9 points	✓	✓
Rationale	Congratulations! Nitrofurantoin is the best choice for this scenario. In areas with an antibiotic resistance to a sulfamethoxazole / trimethoprim combination drug, nitrofurantoin is the best first line of defense antibiotic for an uncomplicated UTI. This drug would also not contraindicate with Ms. Henderson’s penicillin hypersensitivity.

Urination Pain and Increased Frequency
Medication(s) Selected	phenazopyridine
Points Earned	✓ + 9 points	✓	✓
Rationale	Congratulations! As a non-opioid analgesic, phenazopyridine is the best choice to provide relief from urinary tract symptoms such as pain, burning, and frequency.

Patient Teaching Score: 9.5 out of 11

Topics priorized for patient teaching

Education Items

Greet the patient and explain why you need to educate them

Greet the patient and explain why you need to educate them

	Hi, I need to educate you the need to understand the medication process and dosage.	Statement 8/7/2020 2:03:21 PM
	Hey, sure thing. [AUDIO COMING SOON]

Model Statement: Hi, Makayla. We’re going to be going over how to safely take your medication.

NR511 Differential Diagnosis and Primary Care

Model Plan

(1 point) Take the full course of antibiotics
(1 point) Take with meals for absorption
(1 point) Take missed doses as soon as possible
(1 point) Drink noncaffeinated liquids

Topics priorized for patient teaching

Education Items

(1 point) Take the full course of antibiotics
(1 point) Take at the same time daily
(1 point) Take missed doses as soon as possible
(1 point) Adverse effects include GI upset

Take the full course of antibiotics

	Take the full course of antibiotics	Statement 8/7/2020 2:03:56 PM
	Ok – but what if I start feeling better?
	You continue taking it until you finish the dose	Statement 8/7/2020 2:04:29 PM
	Oh, ok. That makes sense.

Model Statement: It’s important to finish a full course of antibiotics, even if you start to feel better. Antibiotic resistance can happen if a bacteria is exposed enough times to an antibiotic, but is not completely killed; this means that the stronger, resistant bacteria are able to adapt. Finishing a full course of antibiotics decreases the risk of antibiotic resistance, which helps everyone.

Take at the same time daily

	Take at the same time daily	Statement 8/7/2020 2:04:55 PM
	Oh, ok.

Model Statement: Taking antibiotics at the same time every day ensures that the medication is in your system for the same amount of time, which makes it the most effective.

Take missed doses as soon as possible

	Take as soon as possible to maintain the therapeutic effect of the drug.	Statement 8/7/2020 2:05:50 PM
	I definitely don’t want that to happen. Thanks.

Model Statement: If you miss a dose of your antibiotics, take your dose as soon as you remember, and then take your next dose at its regularly scheduled time.

Adverse effects include GI upset

	The medication has adverse effect which may include causing pain in your stomach	Statement 8/7/2020 2:06:29 PM
	Ew. Thanks for telling me.

Model Statement: Sometimes people experience gastrointestinal issues when they take antibiotics. Some find it helpful to take probiotic supplements to help the “good” bacteria in your system.

Model Plan

(1 point) Take as needed to relieve pain
(1 point) Take with meals to avoid GI upset
(1 point) Continue taking antibiotics while on this drug
(1 point) Bodily fluids may appear orange

Topics priorized for patient teaching

Education Items

(1 point) Take with meals to avoid GI upset
(0.5 points) Contact provider if you experience signs of an allergic reaction rash
(1 point) Bodily fluids may appear orange
(0.5 points) Contact provider if you experience signs of liver problems

Take with meals to avoid GI upset

	Take with meals to ensure that the GI upset is minimized	Statement 8/7/2020 2:06:55 PM
	Ok. Sounds like a good plan.

Model Statement:

Contact provider if you experience signs of an allergic reaction rash

		Statement 8/7/2020 2:09:25 PM
	Got it.

Bodily fluids may appear orange

	.	Statement 8/7/2020 2:07:53 PM
	Weird! Thanks for letting me know.

Model Statement:

Contact provider if you experience signs of liver problems

		Statement 8/7/2020 2:10:32 PM
	Oh, ok. Will do.

Model Statement:

Model Plan

(1 point) Wear loose-fitting, cotton underwear
(1 point) Wipe front to back when you use the restroom
(1 point) Return if you do not improve

Topics priorized for patient teaching

Education Items

(1 point) Urinate before and after sexual intercourse
(0.5 points) Do not rely on cranberry pills or juice to treat UTIs
(1 point) Wipe front to back when you use the restroom

Urinate before and after sexual intercourse

	Urinating before and after sexual contact will clear the urethra.	Statement 8/7/2020 2:11:18 PM
	Oh, I didn’t know. I’ll be sure to do that. [AUDIO COMING SOON]

Model Statement:

Do not rely on cranberry pills or juice to treat UTIs

	Use medications to treat UTIs..	Statement 8/7/2020 2:11:43 PM
	I figured it couldn’t hurt, but I’ll definitely take the medicine you give me. [AUDIO COMING SOON]

Model Statement:

Wipe front to back when you use the restroom

	Wiping front and back will clean the discharges	Statement 8/7/2020 2:12:17 PM
	Oookay. Gotcha. [AUDIO COMING SOON]

Model Statement:

Topics priorized for patient teaching

Education Items

Educate the patient on anything else and say goodbye

Educate the patient on anything else and say goodbye

	Always use condoms when you want to engage in sex. Good bye.	Statement 8/7/2020 2:12:59 PM
	Ok. See you later.

Model Statement: Make sure to follow all of the instructions we discussed. Have a nice day. NR511 Differential Diagnosis and Primary Care

Prescription Writing Score: 20 out of 20

Patient Information: 1 out of 1 point
This section covers the information identifying the patient. Any incorrect answers here could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section.
Field	Student’s Answer	Is Correct?	Feedback
Patient Name	Makayla Henderson	✓
Date of Birth	06/20/1999	✓

Safe and Effective Dosage: 7 out of 7 point
This section measures how well you put together a safe and effective dose for the patient’s problems. Any incorrect answers here could lead to under or overdosing the patient, and therefore you will lose all of the points in this section.
Field	Student’s Answer	Is Correct?	Feedback
Medication Name		✓
Dosage	1 (one) tablet	✓
Strength	100 mg extended release	✓
Frequency	every 12 (twelve) hours	✓
Duration	5 (five) days	✓

Additional Fields: 1 out of 1 point
This section covers the rest of the remaining fields for an accurate prescription. Any incorrect answers here could lead to a legally invalid prescription, and therefore you will lose the point for this sections.
Field	Student’s Answer	Is Correct?	Feedback
Route	mouth	✓
Quantity	10 (ten) tablets	✓
Refills	0	✓
Indication	Urinary Tract Infection	✓

Additional Information
This section covers the additional information and generic substitution fields for the prescription. These are not graded by Shadow Health, but your instructor may choose to do so when inputting your grade.
Field	Student’s Answer
Dispense As Written?	Required
Additional Information	Kindly inform us of any adverse events,..

Signature and Date: 1 out of 1 point
This section covers the information identifying who wrote the prescription and when. Any errors in this section could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section.
Field	Student’s Answer	Is Correct?	Feedback
Signature	Dr.	✓
Date	07/08/2020	✓

NR511 Differential Diagnosis and Primary Care

Patient Information: 1 out of 1 point
This section covers the information identifying the patient. Any incorrect answers here could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section.
Field	Student’s Answer	Is Correct?	Feedback
Patient Name	Makayla Henderson	✓
Date of Birth	06/20/1999	✓

Safe and Effective Dosage: 7 out of 7 point
This section measures how well you put together a safe and effective dose for the patient’s problems. Any incorrect answers here could lead to under or overdosing the patient, and therefore you will lose all of the points in this section.
Field	Student’s Answer	Is Correct?	Feedback
Medication Name		✓
Dosage	1 (one) tablet	✓
Strength	200 mg	✓
Frequency	3 (three) times daily	✓
Duration	2 (two) days	✓

Additional Fields: 1 out of 1 point
This section covers the rest of the remaining fields for an accurate prescription. Any incorrect answers here could lead to a legally invalid prescription, and therefore you will lose the point for this sections.
Field	Student’s Answer	Is Correct?	Feedback
Route	mouth	✓
Quantity	6 (six) tablets	✓
Refills	0	✓
Indication	UTI Pain	✓

Additional Information
This section covers the additional information and generic substitution fields for the prescription. These are not graded by Shadow Health, but your instructor may choose to do so when inputting your grade.
Field	Student’s Answer
Dispense As Written?	Required
Additional Information	Alert you provider when adverse events occur. Be sure to complete the dosage.

Signature and Date: 1 out of 1 point
This section covers the information identifying who wrote the prescription and when. Any errors in this section could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section.
Field	Student’s Answer	Is Correct?	Feedback
Signature	Dr.	✓
Date	07/08/2020	✓

NR511 Differential Diagnosis and Primary Care