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PHA221 > Patient group directions and non-medical prescribing > Flashcards

Patient group directions and non-medical prescribing Flashcards

1
Q

Define a patient group direction (PGD)

A
  • Written instruction for sale, supply and administration of named medicine in identified clinical situation.
  • Applies to groups who may not be individually identified before presenting for treatment
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2
Q

What medicines can be included on a PGD?

A
  • All POMS, Ps, + GSLs
  • Sched 2 - only diamorphine, morphine + ket
  • Sched 3 - only midazolam
  • Any sched 4 - except anabolic steroids + injectables
  • Any sched 5
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3
Q

What are PGDs best for treating?

A
  • Emergency hormonal contraception
  • Antimicrobial
  • Analgesia
  • Immunisation
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4
Q

What are PGDs least suitable for?

A
  • Diabetes
  • Asthma
  • Hypertension
  • Heart failure
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5
Q

Define non-medical prescribing

A

Prescribing by healthcare professionals who are not doctors or dentists

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6
Q

What are the different types of non-medical prescribers?

A
  • Supplementary prescriber: management of patient assessed + diagnosed by IP
  • Independent prescriber: initial assessment, diagnosis, prescribing + follow up
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7
Q

What criteria applies to supplementary prescribing?

A
  • Extra training
  • Written clinical management plan specific to patient + signed by SP + IO
  • Access to medical records
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8
Q

What is the framework for supplementary prescribing?

A

No legal restrictions on medicines as long as in the CMP

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9
Q

What is included in the clinical management plan?

A
  • Structure not defined by law
  • May refer to national/local guidelines (BNF)
  • Range of meds that may be Rx including limits
  • State date of commencement for patient + date for review
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10
Q

What are the criteria for non-medical independent prescribers?

A
  • Fully trained, accredited + registered
  • Prescribe w/in competence
  • Access to records
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11
Q

What are the 3 types of nurse prescriber?

A
  • Nurse supplementary prescribers
  • Nurse independent prescribers
  • Community practitioner nurse prescribers
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12
Q

What can they prescribe - Nurse independent prescribers?

A
  • Rx any med
  • No restriction on CD
  • Can mix med or direct others to do so
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13
Q

What can they prescribe - Community practitioner nurse prescribers?

A
  • Usually district nurse/health visitor

- Rx from nurse prescribers’ formulary

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14
Q

What can they prescribe - Optometrist?

A
  • Rx med for ocular conditions affecting eye/tissue around eye
  • No unlicensed med
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15
Q

What can they prescribe - Physiotherapist IP?

A
  • Rx med relating to human movement + function
  • Only specified CDs
  • No unlicensed med
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16
Q

What can they prescribe - Podiatrist IP?

A
  • Rx for disorders affecting foot, ankle
  • Certain CDs
  • No unlicensed med

PHA221 (22 decks)

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