Application for Full Prescriptive Authority

As at last Augusts, the El Paso County jail Colorado Springs houses a total of 1,839 inmates promised of 364 women and 1475 men. The prisons demographics is quite interesting as a larger parentage (50%) of the population is adult between age 30 and 50. The youth bellow 30 years of age account for approximately 30% and the elderly population above 50 years account for 20% of the population.

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During my mentorship at the prison, I was in charge of prescription I and attended to a total of 600 inmates from adolescents through adult ages and into advanced age. On average, I could attend to 20 elderly inmates per day. The ailments ranged from chronic conditions such as STD, ear, nose and throat infection, minor injuries, dental, problem, eye infection. Polypharmacy is a major problem in the elderly inmates and this affects them. I realized that the most prescribed medication in prison includes Insulins and Metformin for Diabetes Type 1 & 2, Ace Inhibitor, Lipitor, Calcium Channel Blocker, and Beta Blocker for high blood pressure. For pain, only Ibuprofen and Tylenol are prescribed. Because all of the inmates who previously used hard drugs were being helped to withdraw from hard drugs, no narcotics were allowed or prescribed. Antibiotics are also given for skin infections, sinusitis. I had two competent and understanding mentors were also ENT specialists with adequate ER and primary care experience. All acute cases were referred to the mentors who determined if the cases were serious enough to be sent to the ER.

My mentors had a great impact on my learning, work ethics, and performance at the prison. For example, during my mentorship, I shadowed Dr. Geoffrey Wright an ENT-otolaryngologist and learn a lot in relations to Otorhinolaryngology and general medicine of adult population. I observed Dr. Wright treat ear, nose, and throat (ENT) infection and help inmates suffering from diseases of the ear, nose, throat, and base of the skull. He also provided me with basic theoretical knowledge on the surgical management of cancer, and benign tumors. He particularly taught me the best practices of prescription in adult-gerontology primary care and practically shadowed me prescribing medicine to the inmates during my mentorship. I also worked under Dr. Randolph Maul who is a critical care specialist in Monument, Colorado with subspecialties in emergency care medicine and adult-gerontology primary care. He taught me how to effectively evaluate patients, diagnose diseases, order diagnostics tests and interpret the same, initiate and manage treatment which includes prescribing medications. I learned a lot on critical care diagnosis and treatment especially the life-threatening conditions such as heart attack, drug overdose, massive bleeding. Being an intensivist, I learned how to prescribe in a high-pressure environment and under minimal supervision. I was glad that Dr. Geoffrey Wright and Dr. Randolph Maul were both pleased with my competence in prescription and adult-gerontology primary care.

Conclusion

I believe that my experiences at the prison and competences in Adult-gerontology primary care and prescription inadequate proof that I am fit for full prescriptive authority. I can prescribe without limitation legend and controlled drugs, and devices. I can also prescribe adjunct health/medical, as well as other equipment and supplies. I learned and employed the best practices of prescription and I am sure I can demonstrate the same competency in nursing homes or long-term care homes.

I hope my humble request shall meet your kindest consideration

Yours Sincerely

Signed

Gareth Steve