Democracy in action.
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Biomedical subjects
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Remember. Good communication Safe and effective practice Nurse prescribing relies on nursing skills Detailed assessment Non-drug options Check the patient's understanding Reflect and learn.
Remember... Use no drug 'before its time. Think before recommending alternatives to prescription drugs. Conduct a thorough risk/benefit analysis before prescribing. Do not be coerced into prescribing a particular drug. Always pratice in accordance with professional guidelines.
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Remember ... Prescribe within your qualifications. Write clear, legible and complete prescription. You are responsible for your prescription. Good record keeping is essential. Keep prescription pads secure.
Remember... Mistakes happen. Know the common medication errors. Take active steps to avoid them in your practice. Know the procedures for reporting errors and near misses. Reflect and learn from mistakes and near misses. Know about your local compliants procedures.
There is a lot of information available for nurses to help monitor and develop prescribing practice. The most important of these include: Prescribing Analysis and CosT reports National Institute for Clinical Excellence National service frameworks PRODIGY Pharmaceutical information Local prescribing committees Colleagues Yourself
The independent prescriber (doctor) is responsible for the diagnosis and setting the parameters of the clinical management plan. The supplementary prescriber decides on the product, dosage, frequency, and other variables within the confines of the management plan. The patient's progress must be regularly reviewed by the independent prescriber. The independent prescriber may at any time review the patient's treatment and/or resume full responsibility for the patient's care. The independent and supplementary prescriber must share a common patient record. There must be a good working relationship between the prescribers. Nurse prescribers need to be clear at all times which prescribing regime they are working under--district nurse/health visitor prescriber, extended formulary nurse prescriber or supplementary prescriber.
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