Essay on Independant & Supplementary Prescribing

1066 Words Mar 22nd, 2011 5 Pages
Statement of Awareness in the Differences in Child and Adult Prescribing

‘Only nurses with relevant knowledge, competence, skills and experience in nursing children should prescribe for children. This is particularly important in primary care (e.g. out of hours, walk-in clinics and general practice settings). Any one prescribing for a child in these situations must be able to demonstrate competence in prescribing for children and refer to another prescriber when working outside their level of expertise or level of competence.’ The Nursing and Midwifery Council standards of proficiency for nurse and midwife prescribers’ (NMC, 2006)

This would be a time when I as a prescriber would consider myself as working outside of my level of
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It replaces the Committee on Safety of Medicines (CSM) Paediatric Medicines Working Group (PMWG) which was established in July 2000. Its remit is to advise the CHM on the safety, quality and efficacy of medicines for paediatric use, and on the implementation of the Department of Health/MHRA paediatric strategy, the EU paediatric worksharing project, and the European regulation on medicines for paediatric use (Regulation (EC) No 1901/2006).
The National Prescribing Centre recognize some fundamental differences in the absorption, distribution and excretion of medicines between adults and children. The differences are published in the National Prescribing Centre’s bulletin, produced by
MeReC Bulletin Volume 11, Number 2, 2000.
Over many years, there has been debate upon debate about the responsibility in child prescribing. Is it their age, intelligence /understanding, law, the parent/legal guardian? The Gillick test was passed in 1985, this test was widely used to determine when a child, irrespective of age and mental capacity is capable of making a decision about their treatment. Lord Fraser debated the use of this test with regard to prescribing contracecptives for the under 16’s. The Fraser guidelines were introduced and work alongside the Gillick test as a framework in prescribing for children. Lord Scarman was involved in the passing of these policies, he stated, "...whether or not a child is capable of giving the necessary consent will depend on the child’s

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