Prescribing

Question 2

Two types of pharmacist prescribers:

Answer 2

Pharmacist supplementary prescribers (PSPs): Work within a specific clinical management plan (CMP), prescribing under the guidance of a medical or dental practitioner.
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Pharmacist independent prescribers (PIPs): Can prescribe independently for any condition within their scope of practice and competence, except for certain controlled drugs and unlicensed cannabis-based medicinal products

Question 3

Responsibilities in prescribing

Answer 3

Thorough patient assessment: Conduct a full assessment, including physical examination if necessary, to determine the need for treatment and appropriate medication.
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Evidence-based practice: Adhere to clinical guidelines, national and local policies, and evidence-based recommendations when prescribing.
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Clear communication: Effectively communicate with patients, ensuring they understand their treatment, potential risks and benefits, and alternative options.
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Informed consent: Obtain informed consent from patients before prescribing, respecting their autonomy and right to make decisions about their care.
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Documentation: Maintain accurate and comprehensive records of prescriptions, decisions, and communications related to prescribing activities.
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Monitoring and follow-up: Ensure appropriate monitoring of patients’ responses to medications, plan follow-up reviews, and address any concerns or adverse effects.
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Collaboration: Work effectively with other healthcare professionals, sharing relevant information to ensure seamless and coordinated care.

Question 4

Professional Development: Continuously update their knowledge and skills, maintain their competence in their prescribing area, and seek support from peers and mentors

Question 5

Key Considerations for Safe and Effective Prescribing

Answer 5

Prescribing for self, family, and friends: Generally prohibited except in exceptional circumstances, where delaying treatment would pose significant risk to the individual’s health. Clear documentation and justification are essential.
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Prescribing and supplying: Ideally, prescribing and supplying should be separate processes, with a second person performing accuracy and clinical checks. Circumstances might necessitate prescribing and supplying by the same individual, requiring careful judgment and documentation.
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Non-surgical cosmetic products: Require additional safeguards, including appropriate training, physical examination, and ensuring the person understands potential risks and complications. Remote consultations are inappropriate.
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Online prescribing: Poses specific challenges regarding patient safety, particularly for high-risk medicines. Robust procedures for identity verification, communication with regular prescribers, and risk management are crucial.
Addressing

Question 6

Addressing Concerns and Maintaining Professional Standards

Answer 6

Raising concerns: Pharmacist prescribers have a duty to speak up if they have concerns about unsafe prescribing practices, patient safety, or any other issues that could compromise patient care.
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Learning from feedback: Reflect on feedback, complaints, and incidents to identify areas for improvement and prevent recurrence of errors or near misses.
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Continual professional development: Engage in ongoing learning and reflection to enhance prescribing skills, stay updated with current guidelines, and maintain competence.