Non-Medical Prescribing - SP/IP Flashcards
What is supplementary prescribing?
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
What is independent prescribing?
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)
Who can be a supplementary prescriber?
nurses, pharmacists, optometrists, radiographers, podiatrists and physiotherapist
What is a clinical management plan (CMP)?
an agreement between the patient, independent prescriber and supplementary prescriber for the treatment of a specific condition
- is a patient specific treatment
What are the legal requirements for independent pharmacists prescribers?
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
What can/cannot be prescribed by an independent prescriber?
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
What are the sections of the competency framework?
- assess the patient
- consider the options
- reach a shared decision
- prescribe
- provide information
- monitor and review
- prescribe safely
- prescribe professionally
- improve prescribing practice
- prescribe as part of a team
What are the training requirements in order to become an independent prescriber?
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
What is designated prescribing practitioner? What is their role?
a registered healthcare professional with legal independent prescribing rights
their role is to assess and give feedback to those qualifying
What are ethics? How is it used?
explores the concept of good and bad, right and wrong
application of ethics involves deciding how moral outcomes can be achieved in specific situations
What are the 4 principles of ethics?
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
What are the sections in a clinical management plan (CMP)?
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
