Prescribing in practice Essay

2269 Words May 10th, 2014 10 Pages
Critical analysis of prescribing episode

Introduction

The following assignment will discuss and analyse a prescribing episode, within practice, furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, 2013-2015).To be able to analyse and reflect on my new role as Community Practitioner Nurse Prescriber (CPNP) I will use Gibbs (1988) reflective model and a structure that will allow the use of a consultation model (Appendix1,Fig1).
The focus on prescribing within nursing profession was first brought into discussion by Royal College of Nursing (RCN) in 1980 but has proven to be cornerstone after was part of the government agenda as a result of Cumberlege report in 1996.This report outlined the need for
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Step 1
Assessment; Consider the patient
The beginning of consultation according to Neighbour,(1987) is connecting with Lisa and building a relationship ,however in a noisy environment like the clinic I found this difficult .Despite this barrier I manage to find a sitting area that appear to be more private and had the opportunity to manage a discussion with Lisa to establish that I needed to do a physical examination on James .As James was under 16 years of age ,consent from parent or guardian was needed ,therefore Lisa give a verbal consent as she was the biological parent (NMC,2013).To proceed further I use mnemonic OLDCARD to asses James with Lisa’s assistance trying to interact with her and find out if any physical or affective changes occurred.

Bryans (2000) suggest that during assessment the practitioner should use knowledge, experience, recognition and prioritisation ,so to proceed further with

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