Counselling Session 2: Missed-Dose Question

1. Aim

To practise counselling 2 of 4 using an explicitly assumed teaching scenario or a supervised de-identified case. An actual patient session must be entered in the student record.

2. Requirements

Assumed teaching scenario or consented de-identified clinical record, verified medicine and laboratory sources, local policy, observation form, supervisor, and private setting. Actual patient details, medicine strengths, dose instructions, laboratory intervals, and software must be entered in the student record.

3. Theory

Missed-dose advice is medicine-specific and can vary with timing, formulation, indication, and safety risk. A generic double-dose rule should not be substituted for product guidance. The student should ask when the dose was due and what was actually taken, then use a verified source.

4. Procedure

Confirm this session number, teaching or actual status, consent and privacy requirements, and supervisor.
List verified facts separately from assumed scenario details and missing information.
Perform the supervised reasoning or communication task: In an assumed role-play, collect the medicine identity, schedule, missed time, and current symptoms. Find the official advice and rehearse a supervisor-reviewed explanation.
Record exact source titles and dates, any limitation, and the supervisor feedback.
Do not give a patient-specific instruction from an assumed case; seek qualified clinical review before any recommendation.
Document the learning outcome and whether a real supervised encounter occurred.

5. Observation and calculation

Student record field	Entry
Case or product	Record here
Method	Record here
Observation	Record here
Inference	Record here
Supervisor check	Record here
Outcome	Record here

Assumed teaching scenario only: An assumed patient says one dose was missed but the medicine is unspecified. No missed-dose instruction is given; it is specified in your college lab manual and instructor's method sheet. Every invented fact and observation is assumed. This is not a real patient encounter or clinical recommendation.

6. Output or final result

Submit a labelled missed-dose question map and a supervisor-reviewed learning record. Actual session completion and patient outcome: Record here.

Teaching-lab safety: Protect patient confidentiality, use consent and local supervision, and escalate urgent or uncertain clinical questions through the responsible care team. Do not enter assumed details into a patient chart.

This page is a supervised-activity guide; it does not report a completed case.

7. Sources

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Theory notes: Pharm D Year 4, 4.3 Clinical Pharmacy