Independent and Supplementary Prescribing for Nurses and Midwives
| Code | School | Level | Credits | Semesters |
| NURS3099 | Nursing | 3 | 40 | Autumn UK, Spring UK, Summer UK |
- Code
- NURS3099
- School
- Nursing
- Level
- 3
- Credits
- 40
- Semesters
- Autumn UK, Spring UK, Summer UK
Summary
This course considers:
- Law, accountability and ethics of prescribing;
- Prescribing in a public health context;
- Psychology of, and influences on, prescribing;
- Prescribing in a team context;
- Consultation, decision making and therapy including referral;
- Pharmacology and therapeutics;
- Organisational leadership in relation to prescribing;
- Continuing professional development.
Target Students
NMC registered nurses and midwives with more than 1 year clinical experience.
Classes
Lead lectures: 30 hours Group work: 10 hours Tutor directed distance learning: 140 hours Independent learning: 220 hours
Assessment
- 30% Assessment: 1,500 word critical application of the principles of law, accountability and ethics to a patient prescribing scenario from supervised practice
- 30% Presentation: Presentation of the evidence base, pharmacology and therapeutics and related continuing professional development of the prescription of a single drug within a specified client group
- 20% Assessment: Assessment of Prescribing Competency Standards (RPS 2021) by Practice Assessor. Evidence of 78 hours recorded within a learning log and assessment of a prescribing consultation
- Assessment: Prescription (Pass/Fail)
- Assessment: Clinical Management Plan (Pass/Fail)
- Exam 1: Assessment of numeracy skills relating to prescribing
- 20% Exam 2: Unseen pharmacology exam
Assessed by end of designated period
Educational Aims
This course aims to prepare students to prescribe safely and knowledgeably from the British National Formulary and legal framework of Independent and Supplementary Prescribing for nurses and midwives. The course will prepare students to lead the implementation and strategic development of prescribing in their clinical area.Learning Outcomes
Discuss the legal, ethical and professional framework for accountability and responsibility in relation to the legal parameters of independent and supplementary Non-Medical prescribing. Reflects, is aware of own limitations and works within professional competence.
Outline the pharmacodynamics and pharmacokinetics of drug groups which they intend to prescribe.
Understand the conditions being treated and the impact of co-morbidities, altered physiology and drug-drug interactions as well as social and environmental factors on drug response.
Critically analyse information obtained from the various dimensions of clinical assessment. Formulate a differential diagnosis and discuss how the findings of clinical assessments support clinical decision making in prescribing situations applying relevant national frameworks.
Take and present a systematic clinical history to include medical history and detailed medication history which includes: allergy status, prescribed and over the counter medicines, complementary and herbal remedies.
Critically consider the options when prescribing including; non-pharmacological and pharmacological treatments, de-prescribing, patient factors, clinical evidence, cost effectiveness and public health including antimicrobial stewardship.