NON MEDICAL PRESCRIBING

SHE Level 3
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code M3B721795
Module Leader Evelyn McElhinney
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)

Pre-Requisite Knowledge

Registered Nurses, AHP Physiotherapists, Podiatrists and Radiographers

Summary of Content

The aim of this module is to enhance care by preparing Registered Nurses, Registered Midwives and Allied Health Professionals (Physiotherapists, Chiropodists/Podiatrists, Paramedics, Therapeutic Radiographers) as Independent/Supplementary Prescribers and Diagnostic Radiographers and Dieticians as Supplementary Prescribers using the British National Formulary. The module incorporates both theoretical principles and a period of supervised practice to ensure prescribing competence.

Syllabus

Pharmacology - General Principles of Pharmacology (pharmokinetics, pharmacodynamics) associated physiology applied to specific drug groups i.e. anti-inflammatory, Botox and analgesia. Adverse reactions, interactions, contraindications Prescribing in a team context Evidenced based practice Clinical Governance Legal and Policy, Liability, indemnity, Ethical Aspects of prescribing Informed consent Consultative Skills - Models of consultation Development of clinical management plan Confirmation of diagnosis - further examination, investigation, referral for diagnosis Prescribe, not to prescribe, non-drug treatment or referral for treatment Prescribing decisions, doses and calculations. Principles of Independent Prescribing applied to Practice Principles of Supplementary Prescribing applied to Practice Clinical Treatment Management Plans Licensing and monitoring of medicines Audit of prescribing practice

Learning Outcomes

On successful completion of this module students should be able to:1. Assess and consult with patients and carers to elicit information to assist diagnosis and safe prescribing decisions.2. Prescribe safely, appropriately and cost effectively from the British National Formulary (BNF) - demonstrating knowledge of the different needs of client groups - e.g children, pregnancy, nursing mothers including the legal, cognitive, emotionaland physical differences between children and adults.3. Apply legal, and professional regulations relevant to the practice of prescribing and how prescribing is subject to audit scrutiny i.e. adverse incident systems. 4. Practice within a framework of professional accountability and responsibility in relation to prescribing and clinical governance agenda.5. Critically appraise the wider influences on prescribing practice.6. Critically appraise central issues in debates about policy and legislative framework for Prescribing.7. Apply knowledge of the pharmacology of medication in prescribing practice including the pharmacological needs of differing client groups e.g. pregnant & lactating women, children.8. Demonstrate cognisance of the teamwork, communication network involved in prescribing.9. Apply the principles of independent (where legally able) and supplementary prescribing to their own area of prescribing practice.10. Review diagnosis and generate treatment options within the clinical management plan.11. Successfully meet the clinical competencies for all prescribers.

Teaching / Learning Strategy

The teaching and learning strategy will enable the students to synthesise and apply knowledge gained from study of the topics within the module. Teaching methods will include lectures, modified lectures, seminars, guided reading, online mock exams. Tutorials will provide opportunities to consider and explore actual and potential evaluation strategies relevant to professional prescribing practice. Students will work with a Designated Medical Practitioner (AHP/nurses until 2020) or a practice assessor and supervisor (Registered Nurses and AHP from January 2020) to develop competence in prescribing practice.

Indicative Reading

Core texts (current update to): Nuttall, D., and Rutt-Howard, J (2015) The textbook for Non Medical Prescribing Wiley-Blackwell Crown, J., Courteney, M and Griffiths, M (2010) Independent and Supplementary Prescribing: An Essential Guide. Cambidge University Press Beckwith, S and Franklin, P (2011) Oxford Handbook of Prescribing for Nurses and Allied Health Professionals OUP Oxford; 2 edition Waller, G, Renwick, A and Hillier K (2013) Medical Pharmacology and Therapeutics, Saunders (W.B.) Co Ltd; 4 th Ed Revised edition edition Hogan - Quigley, B., Palm, M.L., and Bickley, L (2016) Bate's Nursing Guide to Physical Examination and History Taking, Wolters, Kluwer Health LWW: China Other recommended texts: Lapham, R (2015) Drug Calculations for Nurses: A Step-By-Step Approach CRC Press

Transferrable Skills

Develop independent learning by working in a self-directed manner Develop study and IT skills to underpin effective learning Develop critical thinking, decision making and communication skills Work effectively with others Underpin professional practice through reflection and the integration of theory and practice Appreciate the need for a high level of ethical and professional conduct

Module Structure

Activity Total Hours
Lectures (PT) 126.00
Assessment (PT) 40.00
Directed Learning 72.00
Independent Learning (PT) 132.00
Tutorials (PT) 18.00
Practicals (PT) 6.00
Seminars (PT) 6.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (School) 1.00 0.00 100% Class test pass mark 100% Exceptions Case No. 74 (regulatory body stipulation). 30 mins.
Exam (School) 1.00 50.00 40% Class test pass mark 80% (normalised to 40%) Exceptions Case No. 74 (regulatory body stipulation). 2 hours.
Coursework 1 n/a 50.00 40% Portfolio of evidence. Pass mark 40% - Exceptions Case No: 74. 5000 words.