Nurse prescribing has an important contribution to make in improving the service to patients clients within the primary health care setting, its benefits was highlighted in the crown report (DOH, 1989 ) in that patient condition will be managed more effectively , a better use of patient and practitioner’s time with minimum delays, overall improving patient care. Furthermore, the Crown Report published in 1989 (DOH, 1989) suggested that suitably qualified nurses with Health Visitor qualification should be given the authority to prescribe from the most recent Nurse Prescriber’s Formulary (NPF). The National Prescribing Centre (NCP) initiated a tool to aid prescribers in the process of making clinical decisions, also known as ‘The 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
By carrying out an assessment nurses can identify the causes of problems that require medical involvement. Nettina (2006)
Nurse prescribing has an important contribution to make in improving the service to patient’s clients within the primary health care setting, its benefits was highlighted in the crown
It should be made mandatory for the nurses to read back the documented prescription to the doctor. It should be signed by the doctor for confirmation after been reviewed by the druggist.
Nurse prescribing was first suggested by the Royal Collage of nursing (RCN) in 1980, it was to take another six years for it to become part of the government’s agenda with the Cumberlege Report in 1986 (Department of Health and Social Security (DHSS)(1986). These two report
In the UK, nurse prescribing was born out of the need to increase efficiency in the NHS by making best use of its resources. Nurse-led services are one means of improving healthcare provision and a string of legislative change has gradually broadened the scope of nurse prescribing in the UK. (Courtenay et al 2007).
In the following case study, the author will discuss the issues surrounding a seventy-year-old female with a chronic neuropathic ulcer on the sole of her right foot and the rationale and implications of
1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001
I feel it is important for the purpose of my scenario to acknowledge the new skills which I have acquired whilst undertaking the V150 and explain the background to Nurse Prescribing. The Cumberledge Report (DHSS, 1986) made the initial recommendations for nurses to
The scope of practice for non-medical prescribers (NMP) has expanded greatly over the last 2 decades, with legislation now allowing NMP’s to prescribe from the whole BNF (with the exception of treatment in addiction and within the prescribers competency). Since the introduction of the Medicines Act in 1986 there have been over 15 different governmental reports and legislative changes (see Appendix 1 timeline) that have allowed for the development and growth of the NMP role. Initiated by The Cumberledge report of 1986 and followed by advisory group report in 1989 legislation was introduced with the Medicinal products: Prescription by nurses act of 1992 which allowed primary care nurses to prescribe from a limited formulary (V100 & V200). This advancement in legislation recognised previous recommendations and placed the improvement of patient care and effective use of resources at the core of its practice. However these acts did not reflect on other areas like secondary care or pharmacist and it wasn’t until 1998 The Crown Report and its second report published a year later that led to supplementary and independent prescribing (V300). In 2003 legislation was passed allowing some prescribing of controlled drugs in palliative care with restricted circumstances (amendment to Misuse of drugs Act 1971). In May 2006 nurses were empowered to prescribe from the whole BNF with the exception of some controlled drugs, and in 2009 further legislative changes were made to include the
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.
Ellenbeck et al. (2004) conducted a study to identify nurses’ experiences and perceptions regarding medication and associated adverse outcomes related to polypharmacy. This non-experimental, descriptive study containing quantitative and qualitative data was used to determine the nurses’ observations and experiences. The sample included 101 home health care nurses from 12 agencies, who reported on 1467 patients. The collection of data was from the nurses’ responses to the questionnaire and surveys regarding medication management. The results of the study revealed 78% of the patients were at risk for medication error and 5% of the patients reported adverse effects of medications due to polypharmacy. In addition to lack of medication education, nurses reported that 5% of the patients were taking medications in which they did not have an order for, 9% of the medications were prescribed by more than one provide, and 5% of the patients medication orders were not updated in their records. The study also revealed that the nurses’ observations included older
Deglin, J.H., & Vallerand, A.H. (2005). Davi’s Drug Guide for Nurses 9th Edition. Philadelphia, PA: F.A. Davis Company.
Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.
Historically prescribing has taken many years to develop. In the early 1970’s nurses began to explore the potential for prescribing, beginning with dress packs. In 1978 the Royal College of Nursing proposed and claimed that nurses should have the au-thority to prescribe dressings and topical treatment (mheducation, 2015). By 1986 the government considered this claim and acknowledged that it was an opportunity to highlight the argument for change and create legislation that allowed a nurse to prescribe. This was finally conducted in 1992 fourteen years after the first written report in support of nurse prescribing.