General (consent, consulation, legal, ethical, history) Flashcards
Responsible for the initial assessment of the patient and drawing up a treatment plan. Have the authority to prescribe the medicines required.
Independent prescribers
Authorised to prescribe for patients whose condition had been diagnosed or assessed by an independent prescriber.
Supplementary prescriber.
Those who can train as supplementary prescribers include: [6]
- Pharmacists
- Chiropodists
- Optometrists
- Physiotherapists
- Podiatrists
- Radiographers
Pharmacist and nurse independent prescribers can prescribe:
Any drug, including controlled drugs, within their competency.
Podiatrists and physiotherapists can prescriber:
Any drug, excluding controlled drugs, within their competency.
What is a CMP?
CMP is a clinical management plan. It is a legal requirement that supplementary prescribing is carried out in accordance with an agreed and valid clinical management plan.
What information does a CMP need to contain, other than:
Patient name, illness/conditions covered and date of start?
- Date of review by IP
- Class of medicines covered
- Any restrictions/limits on dosing
- Duration of treatment
- Warnings and Yellow card info
- When the SP should contact IP
- Incidences that may lead to death.
What roles do pharmacists play in GP team? [4]
- Provide clinical services
- Manage prescriptions
- Audit and education
- Manage medicines
By 2020, GP forward view suggests that we should have ____ pharmacists working in GP practices and extra funding of ____ will be made for this.
By 2020, GP forward view suggests that we should have 1500 pharmacists working in GP practices and extra funding (£112mn) will be made for this.
In terms of consent, how do IP-patient and SP-patient relationships differ?
IP, no need for consent.
SP, need for consent.
What are the five sections to the CCG? (I,G,P,E,C)
- Initiating the session
- Gathering information
- Physical examination (can be missed sometimes)
- Explanation and planning
- Closing the session
What are the counselling points for the taking of alendronic acid? [3]
- Swallow whole with plenty of water
- Sit or stand for 30 mins
- Empty stomach
What is commonly prescribed in conjunction with alendronic acid?
Calcium and vitamin D tabs.
Taste like shit/chalky tho.
What, in relation to reliever asthma use, is a general ‘rule of thumb’ that asthma is out of control?
Using blue inhaler more than 2-3 times per week.
Does there need to be a signed record of the IP-SP-Patient care agreement?
No, needs to be dated though and one does need to exist.
What are the 7 principles of good prescribing?
- Examine holistic needs of patient.
- Consider appropriate strategy
- Consider choice of product
- Negotiate a contract and achieve concordance with the patient
- Review reg
- Accurate records
- Reflection
Which legislation initially set out who can prescribe POMs and what is it now consolidated into?
Med act 1968,
HMR 2012
What can SPs prescribe?
All GSL, P medicines, foods and other borderline substances approved by the advisory committee on borderline substances; all POMs including CDs.
But NOT Sch 1, which no one can.
What are the 3 key principles that underpin SP?
- Important of communication between prescribing partners.
- The need to access shared records.
- Patient IS a partner in their own care and involved at all stages.
NRT should include products to treat:
Short term cravings AND long term mainenance therapy
What 4 things would normally be written up in a patient’s consultation notes?
- any new meds
- Agreed outcome and actions
- Date
- Name of person carried out consultation
