1
Q
What are the competence for the PA framework?
A
- Write accurate and legible prescriptions for review and signature by a supervising clinician.
- On commencing IV infusions, write accurate and legible prescriptions for appropriate fluid regimes for review and signature by a supervising clinical.
- USE BNF and local formularies appropriately
- Be familiar with the yellow card system for reporting side effects/drug interactions.
- Recognise the responsibility for facilitating patient concordance.
2
Q
Good prescribing has four elements: what are they?
A
– Maximise effectiveness
– Minimise risk - pharmacovigilance and safety
– Minimise cost
– Respect patient choice
3
Q
What does it mean to administer?
A
- Give a medication by introduction into the body wether by direct contact with the body or not (orally or injected)
- Or by external application (dressing)
- By any suitable trained member of staff when a medication has been prescribed
- Can only be given to that patient.
- In acute trust, the pharmacy will dispense, and the nurse will administer.
4
Q
What are independent prescribers ?
A
- Practitioners are responsible and accountable for assessing a patient’s diagnosed or undiagnosed condition.
- Make decisions about the clinical management required, including prescribing.
- Prescribe generically – except where not clinically appropriate.
- Has a professional register.
- Doctor and dentist
- Nurses and pharmacists
Can prescribe any medicine for any medical condition – within their level of experience and competence.
Can prescribe any schedule 2, 3, 4 or 5 CD
5
Q
What are supplementary prescribers?
A
- Prescribing is a partnership between an independent prescriber (eg doctor or dentist) and a supplementary prescriber.
- There will be a a agreen management plan for an individual patient, with that patients agreement.
- Examples include
- Pharmacists
- Midwives
- Nurses
- Chiropodists
- Podiatrists
- Physiotherapists
- Radiographers
- Optometrists
- Dieticians
