medicine management Flashcards
what is the medicine act 1968
- governs the control of use
- classification of medicines
what is the yellow card scheme
it is where you report any issues with medication of medical device
what is the difference between and independent and a supplementary prescriber
indepented prescriber = can prescribe any medication
supplementary prescriber = can only prescribe medication within their scope
what are patient group directions
legal framework that allows some registered health professionals to supply and/or administer specified medicines to a pre-defined group of patients, without them having to see a prescriber (such as a doctor or nurse prescriber)
what is included in a PGD
- date of effect
- class of drug
- if theres restrictions on quantity
- criteria for eligibility of use of med
- any circumstance to reach out for professional
- strength/max strength of med
- how to prescribe
- frequency of medication
- warnings
- follow up actions if needed in circumstances
- details of records that need to be kept etc
what type of drugs require an accountable officer
controlled drugs
what role does the HCPC play on prescribing of medication
- ensure that you up to date knowledge, training and competency assessment
- engage in local medicine management policy development
- engage in CPD in regards to medications PDG
What are patient specific directions
- traditional written instruction signed by a doctor, dentist or non-medical prescriber for medicine to be supplied and or administered to name patient after prescriber has assessed patient
what are patient group directions
written instructions to help supply/administer medicines to patents usually in planned circumstances
what is supplementary prescribing
- voluntary prescribing partnership between independent prescriber and supplementary prescribe to implement agreed patient-specific clinical management plan with patients agreement
what is independent prescribing
- responsible and accountable for the assessment of patients with undiagnosed and diagnosed conditions and for decisions about the clinical management required, including prescribing.
- can instruct another person to administer medicine under terms of PSD
radiographers who are registered with HCPC and have undergone and passed validated course of education and training in either supplementary or independent prescribing are eligible to have HCPC entry annotated to describe their status as a supplementary and or independent prescriber.
what is the role of human medicines regulations 2012
- supply/administration
- exemptions
what is the role of medicines and healthcare products agency (MHRA)
- independent.supplementary prescribing
- PGD
- PSD
- drug and device alerts
- drug safety update
- yellow card reports
- safety and blood regulations public assessment reports
- medical device regulation and safety etc
what is the royal pharmaceutical society framework prescribing in imaging
- competency framework for all prescribers
- generic framework for any prescriber regardless of background
in what year did radiographers become legally entitled to train as supplementary prescribers
2005
give some examples of independent and supplementary prescribers
independent = medical staff, optometrist, physiotherapist, paramedics, pharmacist, medical staff
supplementary = radiographers, registered nurses and midwives, dieticians, optometrists,
what is the advantage of patient specific directions
- can be used for wide range of meds
- any authorised person can administer medicine
- local governance can define format of PSD
what are some disadvantages of patient specific directions
- require direct input from independent prescriber who has assessed patietn
- restrictive when access to prescriber is problematic
- organisations may limit local who is authorised to supply.administer with PSD
- difficult if medicine, dose, route needs changing
pros of using PGD
- standardises procedure
- good access for patients
- can apply to number of health professionals at same time
- robust governance arrangements
- pros can administer medicine without doctor
cons of pgd
- delegation not allowed
- only use by certain regulated professionals
- time consuming to produce
- multiple documents for staff to reference
- must be kept up to date
- restriction on which medicines can be included
