Non-medical prescribers Flashcards
1
Q
Who defines who can prescribe?
A
Deperatment of health DH
2
Q
Define an independent prescriber
A
- Can prescribe autonomously
- For any condition within their clinical competence
- With exception of diamorphine, cocaine and dipipanone for the treatment of addiction
3
Q
Steps of framework for all prescribers (RPS 2021)
A
- Assess the patient - history taking, physical exami, diagnosis
- Identify evidence based treatment options
- present options and reach a shared decision
- Prescribe
- Provide info
- Monitor and review
4
Q
Requirements for WRITING a prescription
A
- Legibly in ink
- Name and address of patient
- If under 12 dob
- Type of prescriber and prescriber adress
- Signed in ink
- Valid date
Further recommendations - Dose and frequency
- Duration of course
- Form of med and the route
- Quantity to be supplied
- State weight where its been used to determine dose
- NHS number
5
Q
A
6
Q
What different requirements must schedule 2 and 3 controlled drugs have (e.g. methadone, cannabis, diamorphine)
A
- In addition to the normal six legal requirements
- Form of CD e.g. tablets, modified release
- Strength of preperation
- Quantity or dosage
- Total volume for liquids
- NHS number
7
Q
What key points should you cover when providing information on drug (counselling)
A
- How to take the medicine correctly?
- How will the patent know it is working?
- Monitoring - risk or effects
- When will it stop or is it forever
8
Q
How do we monitor and review after prescribing
A
9
Q
What is deprescribing
A
- Process of tapering or stopping drugs to improve patient outcomes
- Usually done because the drug may be causing harm or no longer helping
- You dont need to be a prescriber to do this but you need clinical expertise
10
Q
What is secondary care
A
- Admissions and discharge prescribing
- Specialist in-patient prescribing
- Specialist out-patient prescribing
