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PHAM01 > POMs 2 - non-medical prescribing > Flashcards

POMs 2 - non-medical prescribing Flashcards

1
Q

2 types of non-medical prescribing

A

IP - independent prescribers

SP - supplementary prescribers

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2
Q

Who can non-medical prescribers be?

A

nurses
pharmacists
other hc professionals

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3
Q

What is an IP?

A

responsible for the initial clinical assessment and preparation of a plan for clinical management of a patient

  • must be Dr/dentist (can’t be pharmacist)
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4
Q

What is a SP?

A

can take responsibility for management of a patient who has been assessed by the IP

  • nurse, pharmacist etc. undergone extra training
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5
Q

clinical management plan

A

written plan relating to Tx of individual patient

voluntary partnership with patient

specific to the patient and conditon

agreed by pt, Dr/dentist (IP) and SP

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6
Q

restrictions on meds/conditions for non-medical prescribing

A

no legal restriction on range of medicines or on conditions that can be treated

any medicine can be prescribed (including CDs, unlicensed, ‘off label’) as long as the med is in the CMP

no restriction on the location of supplementary prescribing

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7
Q

What must CMP include?

A
  • name of patient
  • illness/conditions to be treated
  • date when it starts and date of review by IP
  • reference to class of meds prescribed
  • restrictions/limitations of prescribing
  • sensitivities of patient
  • how any adverse drug effects should be reported
  • circumstances when SP should refer to/get advice from IP
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8
Q

Where can CMP get guidanace from?

A
  • local guidelines or BNF monographs
  • can refer to guidelines/BNF, don’t need to repeat advice
  • templates available
  • keep as simple as possible
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9
Q

prescribing with competence

A
  • aware of limits of skills, knowledge, competence and work within these
  • seek advice and make referrals where appropriate
  • pharmacists: act within GPhC Standards
  • accountable for own actions
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10
Q

What laws apply to non-medical prescribing?

A

civil and criminal law

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11
Q

3 types of nurse prescriber

A
  1. community practitioner nurse prescribers
  2. nurse supplementary prescribers
  3. nurse independent prescribers
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12
Q

What can nurse independent prescribers prescribe?

A
  • any medicine (licensed, unlicensed, ‘off-label’) as long as within their level of competence
  • no restrictions on CDs
  • can mix medicines prior to administration or get others to
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13
Q

What can PHARMACIST independent prescribers prescribe?

A
  • any medicine (licensed, unlicensed, ‘off-label’) as long as within level of competence
  • no restrictions on CDs
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14
Q

What can OPTOMETRIST independent prescribers prescribe?

A
  • can only Rx licensed medicines (‘off-label’ use allowed) for ocular conditions affecting the eye or tissues around the eye
  • NO CDs or parenteral products
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15
Q

What can PHYSIOTHERAPIST independent prescribers prescribe?

A
  • can only Rx any licensed medicine for any condition within their area of expertise/competence relating to human movement and function
  • CDs – only diazepam, dihydrocodeine, lorazepam, oxycodone and temazepam for oral administration

-> morphine for oral administration or injection
-> fentanyl for transdermal administration

  • can Rx ‘off label’ if good practice
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16
Q

What can PODIATRIST independent prescribers prescribe?

A
  • limited to disorders affecting the foot, ankle and associated structures
  • CDs – only diazepam, dihydrocodeine, lorazepam and temazepam for oral administration
  • can Rx ‘off label’ if good practice
17
Q

What can THERAPEUTIC RADIOGRAPHER independent prescribers prescribe?

A
  • any medicine for any medical condition within their competence
  • can Rx ‘off label’ if good practice
  • CDs: waiting legislation
18
Q

What can PARAMEDIC independent prescribers prescribe?

A
  • any medicine within their competence
  • can Rx ‘off label’ if good practice
  • CDs: waiting legislation
19
Q

Does pharmacist have to check med is included in a CMP on Rx by SP?

A

NO, not responsbility of dispensing pharmacist to check this

20
Q

prescribing for self or family/friends

A

not illegal

but poor professional practice

Drs should avoid this if close personal relationship

21
Q

if Dr Rx CDs that can be abused for self/family/friend, who to notify?

A

local CD Accountable Officer

PHAM01 (22 decks)

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