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20 Cards in this Set

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Nurse independent prescribers can write out prescriptions for patients assessed by the nursing colleagues who are not prescribers
Technically this could happen. However, the NMC standards of proficiency for nurse and midwife prescribers 2006 states wherever possible. This should be avoided, so that any nurse or midwife who decides to prescribe others is accountable for this prescribing
Prescribing a prescription only medicine POM as a supplementary prescriber outside of an agreed clinical management plan CMP constitutes a criminal offence
This agreement can be in the form of a signature or electronic record of agreement. The independent prescriber may agree verbally to CMP providing is confirmed by secure email or fax before prescribing occurs and informally agreed within two working days NMC 2006
Dieticians can become supplementary prescribers
At present the only professionals who can become supplementary prescribers nurses, pharmacists, optometrists, physiotherapists, rapid, podiatrists and radiographers
Midwives can become independent prescribers
Midwives are governed by the same regulatory body as other nurses NMC and the same standards of proficiency NMC 2006 and are thus able to train as independent prescribers
The national prescribing centre (NPC) is the governing body that regulates all prescribers in the UK
The NPC was an agency that support the NHS and those working within it the national prescribing centre is now part of nice and has been since 2011, from 2012 the NPC formed NICE medicines and prescribing centre
Once an independent prescribers qualified. They should no longer work from patient group directives (PGD)
There is nothing to stop independent prescribers working from PGDs, although there is little need to do so once qualified
Pharmacists have always been able to prescribe independently
Traditionally doctors prescribe nurses administered and pharmacists dispensed. This changed in 2003 when pharmacists became eligible to train a supplementary prescribers.
In 2009 the law changed again, and Francis were then able to prescribe as independent prescribers pharmacist independent prescribers can prescribe unlicensed medications for their patients on the same basis as doctors and provided they are competent and take responsibility for doing so
Dentists can authorise supplementary prescribers to prescribe the named patients
Dentists are independent prescribers and can therefore authorised supplementary prescriber to prescribe for a named patient. NHS regulations define which drugs can be prescribed on the NHS until 2004 dentists treating NHS patients were expected to prescribe from the dental practitioners formulary, this has now been incorporated into the BNF. Dentists are still able to prescribe outside of their formulary, but only on private prescription and within their area of expertise and competence
Supplementary prescribers are able to issue private prescriptions
Supplementary prescribing independent prescribers can prescribe private prescriptions. For supplementary prescribers, these must be for medication is covered by the CMP. For independent prescribers. These can be prescriptions of any medicine within their competence, including some controlled drugs specified medical conditions
Nurse independent prescribers are able to give directions to non-prescriber for the administration of a medicine
Independent prescribers are able to give directions for administration of any product. He or she is legally allowed to prescribe, i.e. a medicine for the condition within his or her competence. The prescribing nurse needs to be satisfied that the person he or she gives the instructions is competent to administer medication
First document that made recommendations for nurses to take on the role of prescribing was?
A) the Department of Health report on the review of prescribing. Supply and administration's of medicines

B) the Cumberlege report

C) the first Crown report

D) the Department of Health NHS plan
B, the Cumberlege report

Cumberlege report, neighbourhood nursing; focus for care , 1986 recommended that community nurses should be able to prescribe, as part of the everyday nursing care for a limited list of items
The first Crown report was published in
The first Crown report was published in 1989

it also nurse prescribing and highlighted the circumstances in which it could occur, and a successful private members bill led to the primary legislation (medicinal products; prescription by nurses etc act 1992) provided power for nurses to prescribe
Once the nurse has become an independent prescriber, he or she can act as independent prescriber on a clinical management plan to;
The independent prescriber for a clinical management plan CMP be a Dr or a dentist prescriber cannot fulfil this role
Clinical management plans need to be updated
A) yearly
B) every six months.
C) every three months.
D) monthly
B) the clinical plan should be updated at the least every six months however, with any consultation treatment is reviewed.
Supplementary prescribing is most useful for:
1) long-term conditions.
2) family planning services
3) out of our services
4) sexual health clinics
1) supplementary prescribing can be used any indication is generally more useful review the conditions required does long-term conditions benefit greatly from this type of prescribing when it's used
Who is responsible and liable for the actions of supplementary prescribers?
1) supplementary prescriber alone.
2) supplementary prescriber and their employer through Vicarious liability
3) the independent prescriber.
4) all of the above
2) supplementary prescriber and their employer through vicarious liability
Nurse independent prescribers can prescribe unlicensed medication only;
1) by means of a clinical management plan.
2) provided they are competent and take responsibility for doing so.
3) with support from their manager.
4) provided medical practitioner deems them competent and is within their area of practice and in the best interest of the patient
2) independent prescribers can prescribe unlicensed medication provided they are competent and take responsibility for doing so. As with all prescribing nurses should work within their boundaries of their competence and in accordance with the NMC guidance
Nurse independent prescribers can prescribe;
1) anything from the British national formulary BNF, including controlled drugs.
2) anything from the BNF, including controlled drugs the palliative care only
3) anything from the BNF, including some controlled drugs for specific indications
4) anything from the BNF, including a limited list of controlled drugs for any indications
1) nurse independent prescribers can prescribe anything from the BNF, including controlled drugs from April 2012, nurse and pharmacist independent prescribers are allowed to prescribe schedule 2-5 controlled drugs all of the medications from the BNF provided they work in their clinical competence
4). non-medical prescribers must be a to demonstrate recognition of the unique differences between neonates children and young people
1). This applies to all independent and supplementary prescribers only if they work with children in their area of practice.
2). This applies only to nurses.
3). This applies only to independent prescribers
4). This applies to all independent and supplementary prescribers
4). This applies to all independent and supplementary prescribers
The two important pieces of legislation that cover the sale use and production of medicines, including prescribing rights are
1) the medicines act 1968 and the prescription only medicines (human use) order 1997
2) to Crown report's new line 3) the medicines act 1968 and Cumberlege report
4 the prescription only medicines (human use) order 1997 and the first Crown report
1) the medicines act 1968 and the prescription only medicines (human use) order 1997