Essay on Independant & Supplementary Prescribing

Supplementary and independent nurse prescribing has taken some years to materialise; this movement was facilitated by Department of Health (DoH), nursing regulators, nursing professional bodies, and general practice (GP) supporters (RCN, 2012). Following the Medicines Act (1992) where only Health Visitors and District Nurses were allowed to prescribe from a limited formulary, over time legislations were subsequently amended allowing non community nurses to prescribe from an extended formulary. In 2003, supplementary prescribing was being recognised and by 2012 The Misuse of Drugs Regulations allowed the nursing formulary to access all of the British National Formulary including controlled drugs. In line with these changes and to ensure that

This report is Part 1 of assignment for Marketing MBA 565-MBOL1 to Dr. Stephen Baglione

This paper will demonstrate the author’s ability to prescribe safely from the Nurse Prescribing Formulary (NPF 2009-2011). A prescribing situation undertaken by myself while supervised by my mentor will be discussed. The patients name, address, date of birth and GP details have been changed to ensure patient confidentiality in accordance with the Nursing and Midwifery Council (NMC)(2004). The patient therefore will be referred to under the pseudonym Prince Charming.

For nurses extending their role to include prescribing there is much to consider. Revelay (1999) states that, accountability involves an individual giving an account of their actions with the rationale and explanation given for these actions. The decisions regarding boundaries of practice are firmly placed in the hands of the individual practitioner (Carlisle 1992). Accountability means being able to justify any actions and accepting responsibility for them, and is an integral part of nursing practice (Rowe 2000) The NMC Code of Professional Conduct (2004) states that a nurse is personally accountable for her practice, has a duty of care to patients and must work within the laws of the country.

In our experience with Pharmasim we learned that Marketing decision making must be very sensitive and responsive to everything going on in the industry which is very complex. Consumer responses to marketing tactics can be volatile and unpredictable and no idea is guaranteed to work well. Marketing is a matter of meticulous research, assumptions, planning, and volatility at times. Overall we took away two major points: 1) that it is important to consider the product lifecycle in evaluating how to promote businesses and, 2) that the “Sweet Spot” as a competitive advantage should be the greatest point of consideration when evaluating how to best gain leverage to beat the competition in the minds of

“Non-medical prescribing is prescribing which is taken by a health professional who is not a doctor” (Non-medical prescribing 2012).To become a non-medical prescriber the relevant training must be undertaken to ensure the patients’ safety is most important. The health care professional who is the non-medical prescribers is only legally allowed to prescribe within their area of expertise and they must remain competent within that area, through maintenance of various continuing education and training programmes.

P3- explain relevant sections of key legislation associated guidelines with regard to the administration of medicines

Nurse prescribing was first recommended, by the RCN, in 1980 and became part of the government’s policy agenda in 1986 with the Cumberlege Report (DH 1986). Further, the Crown Report (DH 1989) advocated prescribing by trained community nurses from a limited formulary. Legislation was introduced in 1992 -The Medicinal Products: Prescription By Nurses Act, 1992 followed by secondary legislation,

1. There are a number of types of materials and equipment needed for the administration of medication via the different routes. They all serve a type and purpose these include:

There are several legislations relevant to the administration of medication in the care home. Although not expected that care staffs have detailed knowledge of the legislations, they do need to be aware of the legal difference between drugs and the legal framework that allows them to handle medicines on behalf of the service user. The Medicines Act 1968 being the umbrella and from this several amendments and legislations have been implemented. The following is a list of legislation that has a direct impact upon the handling of medication within a social care setting.

Prescribing is defined and the process involving information gathering, clinical decision making, communication and evaluation which then results in the initiation, continuation or cessation of medication/s.

Everyday there are children receiving some kind of prescribed drug for psychological problems such as ADHD,anxiety disorder,autism,and many other disorders.However, children that are given prescribed drugs are usually given to them for convenience rather than necessity.Providing a child prescribed drugs at such a young age can lead to problems with their health in the future as well as other harming side effects,also nutrition is often overlooked and drugs prescribed may be doing more harm than good.Further more, children that are diagnosed with a psychological disorder and receive public assistance are more likely to receive off label medication which can be more dangerous. Therefore, children are not capable of sustaining the effects of prescribed medication because some children may be overdiagnosed and drugged for “parent convenience” ,there are dangerous long term side effects to some of

In taking any medication there are always positives and negative side effects. Overprescribing medication and over diagnosing different disease in children has caused these effects to become increasingly prevent in society today. An increasing number of children and teenagers are being prescribed drugs as a “quick fix” rather than treating the root problem.

There are many different types of medications and each of them have different side effects. There was a study conducted on a couple of ADHD medication that are given to children of ages three and under because it was causing serious cardiovascular side effects such as unexpected cardiac arrest, strokes, and acute myocardial infractions which is the medical term for heart attacks (Cooper149). Another study was conducted on children between the ages of two and eleven years old on another medication that was causing several types of hemorrhages that rush blood out due to a ruptured vessel (149). Another side effect was cerebral oedema which is swelling in the brain that is caused by disproportionate amounts of fluids (150). The United States Food and drug Administration made the companies that produce these medications put a different label that would stand out more in order to warn consumers about the risks that these medications may cause (149). Not only was The FDA able to change the labels here in the US but they managed to do it around the world so other consumers may know the severe side effects (149).

1. Identify potential sources of synergy in the proposed acquisition of Star Genomics. Identify a set of problems that the acquisition may create. How can Pills & Co. address them? From the strategic viewpoint, does it appear to be a sensible acquisition for Pills & Co.?