Non-Medical Prescribing - SP/IP Flashcards

1
Q

What is supplementary prescribing?

A

is a voluntary partnership between an independent prescriber and a supplementary prescriber to implement an agreed patient-specific clinical management plan (CMP) with the patient’s agreement

needs the agreement of:

  • independent prescriber
  • supplementary prescriber
  • patient
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2
Q

What is independent prescribing?

A

prescribing by a practitioner who is responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and for decisions about the clinical management required (including prescribing)

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3
Q

Who can be a supplementary prescriber?

A

nurses, pharmacists, optometrists, radiographers, podiatrists and physiotherapist

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4
Q

What is a clinical management plan (CMP)?

A

an agreement between the patient, independent prescriber and supplementary prescriber for the treatment of a specific condition
- is a patient specific treatment

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5
Q

What are the legal requirements for independent pharmacists prescribers?

A

completion of a GPhC accredited programme
name in the GPhC’s register for pharmacists
name in the GPhC’s supplementary register for prescribers

must only prescribe in relation to their prescribing status

  • have a legal accountability for their decisions
  • cannot delegate accountability to another person
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6
Q

What can/cannot be prescribed by an independent prescriber?

A

can

  • private prescriptions
  • unlicensed medications
  • off label medications
  • veterinary prescriptions

controlled drug
- can only be done by a supplementary prescriber as part of a clinical management plan (CMP)

  • cannot prescribe cocaine, dipipanone or diamorphine for the treatment of addiction
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7
Q

What are the sections of the competency framework?

A
  1. assess the patient
  2. consider the options
  3. reach a shared decision
  4. prescribe
  5. provide information
  6. monitor and review
  7. prescribe safely
  8. prescribe professionally
  9. improve prescribing practice
  10. prescribe as part of a team
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8
Q

What are the training requirements in order to become an independent prescriber?

A

must be taught by a designated prescribing practitioner

  • 26 days of structured learning
  • 90 hours of learning in practice

pharmacists must have at least 2 years of appropriate patient orientated experience post registration in a relevant UK practice setting

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9
Q

What is designated prescribing practitioner? What is their role?

A

a registered healthcare professional with legal independent prescribing rights

their role is to assess and give feedback to those qualifying

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10
Q

What are ethics? How is it used?

A

explores the concept of good and bad, right and wrong

application of ethics involves deciding how moral outcomes can be achieved in specific situations

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11
Q

What are the 4 principles of ethics?

A

respect for autonomy

  • self determination
  • must be allowed to think, decide, take action and make reasonable informed choices
  • patients own beliefs and rights which must be respected

beneficence

  • must act in a way that benefits the patient
  • must balance benefits of treatment vs risks/cost

non-maleficence
- must avoid harming the patient

justice
- patients have the right to be treated fairly and proportionately

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12
Q

What are the sections in a clinical management plan (CMP)?

A

requirements:

  • name of the patient
  • patient number
  • date of birth
  • independent prescriber
  • supplementary prescriber
  • illness/conditions that are being treated
  • aim of treatment
  • class/description of the drug
  • restrictions/limitations on strength, dose and duration
  • date the plan takes effect and the review date
  • known sensitivities/allergies
  • procedure for reporting adverse drug reactions
  • criteria for referral back to independent prescriber
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