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 course is to enhance care by preparing Nurses and Midwives and Allied Health Professionals (Physiotherapists, Chiropodists and Podiatrists) as Independent/Supplementary Prescribers and Radiographers as Supplementary using the British National Formulary. The module incorporates both theoretical principles and a period of supervised practice to ensure prescribing competence, generally completed over a 20 week period . This module meets the following KSF Dimensions and Levels: Core1 Level 3, Core 5 Level 3, HWB2 Level 3, HWB4 Level 3, HWB6 Level 3, HWB7 Level 3 .

Syllabus

Pharmacology General Principles of Pharmacology (pharmokinetics, pharmacodynamics) Adverse reactions, interactions Pharmacology and associated physiology applied to specific drug groups i.e. anti inflammatory, Botox and analgesia. Pharmacy Prescribing in a team context Clinical Pharmacology Evidenced based practice Clinical Governance Legal Policy, Ethical Aspects Holistic Care Accountability Legal Aspects Liability, indemnity Informed consent Consultative Skills Models of consultation Accurate assessment, communication and consultation with patients and their carers Concepts of working diagnosis for best formulation Development of 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 Supplementary Prescribing applied to Practice Clinical Treatment Management Plans Licensing and monitoring of medicines Principles of Supplementary Prescribing applied to Practice Clinical Treatment Management Plans

Learning Outcomes

By the end of the module the learner should be able to:-Assess and consult with patients and carers to elicit information to assist diagnosis.-Prescribe safely, appropriately and cost effectively from the British National Formularly (BNF) - demonstrating knowledge of the different needs of client groups - e.g children, pregnancy, nursing mothers including the legal, cognitive, emotional and physical differences between children and adults.-Apply the Regulations relevant to the practice of nurse prescribing.-Use sources of information, advice, and decision support appropriately in prescribing practice.-Critically evaluate the influences on prescribing practice.-Apply knowledge of the pharmacology of medication in prescribing practice.-Integrate new knowledge into practice.-Differentiate the pharmacological needs of differing client groups e.g. pregnant & lactating women, children.-Demonstrate cognisance of the teamwork, communication network involved in prescribing, supply and administering medicine.-Practice within a framework of professional accountability and responsibility in relation to nurse prescribing and clinical governance agenda and how prescribing is subject to audit scrutiny i.e. adverse incident systems.-Apply the principles of supplementary prescribing to their own area of prescribing practice.-Review diagnosis and generate treatment options within the clinical treatment management plan.-Successfully meet the clinical competencies of the module.

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 and 'e' learning. Tutorials will provide opportunities to consider and explore actual and potential evaluation strategies relevant to their nursing practice. Students will work with a Designated Medical Practitioner to develop competence in prescribing practice.

Indicative Reading

Core texts (curent update to): Nuttall, D., and Rutt-Howard, J (2011) 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 (2009) Medical Pharmacology and Therapeutics, Saunders (W.B.) Co Ltd; 3rd Revised edition edition Hogan - Quigley, B., Palm, M.L., and Bickley, L (2012) Bate's Nursing Guide to Physical Examination and History Taking,Wolters, Kluwer Health LWW: China Other recommended texts: Jones, M. (1999) Non-medical prescribing: Politics to Practice, London: Bailliere TindallProsser, Worster, MacGregor, Dewar, Runyard and Fegan (2000), Applied pharmacology, MosbyDrugs and Pharmacology for Nurses 13E, by Hopkins and Kelly (2000), Churchill Livingstone Coben, D., Atere-Roberts, E. (2005) Calculations for Nursing and Healthcare (2nd ed.) Palgrave Macmillan. Courtenay, M., Griffiths, M. (eds) (2004) Independent and Supplementary Prescribing. An Essential Guide. Greenwich Medical Media. Downie, Mackenzie and Williams (2000) Pharmacology and Drug Management for Nurses, Churchill Livingstone Galbraith A., Galbraith A. (1999), Fundamentals of Pharmacology: a text for Nurses & Health Professionals, Addison Wesley Longman Hendrick, J. (2000) Law and Ethics in Nursing and Health Care. Nelson Thornes Ltd, UK. Prosser, Worster, MacGregor, Dewar, Runyard and Fegan (2000), Applied pharmacology, Mosby Hopkins and Kelly (2000), Drugs and Pharmacology for Nurses, Churchill Livingstone Humphries, J., Green, J, (2002) Nurse Prescribing (2nd ed), Basingstoke: Palgrave McKinnon, J. (ed) (2007) Towards Prescribing Practice. Wiley & Sons. Page, Curtis, Sutter, Walker and Hoffman (2002) Integrated pharmacology 2E, Mosby. Standards for Prescribing (2013) HCPC <http://www.hpc-uk.org/assets/documents/10004160Standardsforprescribing.pdf> www.scotland.gov.uk/Topics/Health/NHS-Scotland/non-medicalprescribing/policy http://www.nurse-prescriber.co.uk http://www.npc.co.uk http://www.who.int/en/ http://www.powerpak.com http://journals.cambridge.org/action/displayJournal?jid=NPRwww.npc.co.uk http://www.jiscmail.ac.uk/lists/nurse-prescribing.html http://www.pharma-lexicon.com http://www.druginfozone.org http://bnf.org http://npa.co.uk

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

Assessment Methods

Component Duration Weighting Threshold Description
Exam (School) 1.00 0.00 n/a Numeracy Class test - 100%. Exceptions Case No: 74
Coursework 1 n/a 50.00 40% Portfolio of evidence. Pass mark 40% - Exceptions Case No: 74
Exam (School) 1.00 50.00 40% Examination - pass mark 80 (but normalised to 40).- Exceptions Case No: 74