Introduction to prescribing Flashcards
Principles of prescribing - 7
1) consider the patient
2) which strategy
3) consider the choice of product
4) negotiate a contract
5) review
6) Record keeping
7) Reflect
which legislations have defined which professional are able to legally prescribe
The Medicines act 1968
The Human Medicines Regulation 2012
Supplementary prescribing defined
“A voluntary prescribing partnership between the Independent Prescriber and supplementary prescriber, to implement an agreed patient-specific Clinical Management Plan (CMP) with the patient’s agreement” (DoH, 2005)
Supplementary prescribing: eligible professions
2003: Nurses, Midwives, Specialist Community Public Health Nurses and Pharmacists
2005: Podiatrists, Physiotherapists, Radiographers*, Optometrists
2016: Dieticians
* Therapeutic radiographers now able to do IP, but diagnostics radiographers SP only
2018: Paramedics
SP: Aim and practicalities
Aim
Provide quicker access to medicines
Make the best use of the skills of the MDT and eligible HCPs
Support patients to see the right person for right condition
Doctors to review complex cases
Practicalities
SP can only start after a specified point in the patient episode
Specifically, after the assessment and diagnosis by the IP to inform the creation of the CMP that is agreed between the IP, SP and patient
Commonly used for long tern conditions
Can include GSL< P, P, POM and CDs which can be prescribed at the NHS expense and the prescriber has the legal right to prescribe
Unlicensed medicines can be prescribed- must include the status of the medicine in CMP
SP: Responsibilities
SP
Prescribing for the patient in accordance with the CMP
Altering the prescriptions in line with the CMP as indicated by the patients condition, parameters etc
Monitoring and assessing progress
IP responsibilities
IP
Initial assessment and diagnosis
Setting the scope of the CMP
Follow the DoH templates
SP and IP together
Together
Communication
Shared access to information, the patient record, the CMP etc
Agree the schedule for reviews, assume specific responsibilities
Gain the patients consent
