Medicines Management Policy - Dudley Primary Care Trust

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and clinical audit, in order to minimize risk and ensure that patients/clients receive the best quality care. All NMP must be approved and deemed competent by <strong>Dudley</strong> PCT before prescribing for a patient as part of their PCT employment. Registered prescribers now include: • Nurses who have undertaken the supplementary and/or the independent prescribers course and are registered as such with the Nursing and Midwifery Council. • All Registered Pharmacists who have undertaken the independent prescribers course and are registered as such with the Royal Pharmaceutical Society of Great Britain (RPSGB) and approved by the PCT. • Supplementary prescribers are health professionals who have undertaken a further qualification and are registered as such with their professional body. These prescribers can prescribe within a clinical management plan for individual patients, in conjunction with an independent prescriber (currently only applies to medical practitioner/dentist) and the patient. These professionals can be 1 st level nurses, pharmacist, chiropodists/podiatrists, physiotherapists and radiographers (Allied Health Professionals - AHP). All prescribers must comply with current legislation for prescribing and be accountable for that practice. Exceptions to this are as follows: • In areas where there are no resident prescribers and in cases of exceptional clinical urgency a verbal instruction is acceptable. (See section 12) • Certain medicines may be administered following Patient Group Directions approved by the PCT Prescribing Sub Committees. Criteria for supply and administration under a PGD will be defined within the respective PGD. • State registered chiropodists may supply or administer medicines specified in the <strong>Medicines</strong> Act 1968, and in orders made under the Act, providing they also hold a certificate of competence in the use of the medicines, issued by or with the approval of the Chiropodist Board. The supply or administration shall be only in the course of their professional practice. Medical Students or Clinical Attachments are not permitted to prescribe medicines. 2.4.1 What a Nurse or Pharmacist independent prescriber can prescribe 8
Nurse and Pharmacist Independent Prescriber may prescribe any licensed medicine for any medical condition that the nurse or pharmacist is competent to treat. This allows access to virtually the whole of the British National Formulary with the exception of Controlled Drugs and unlicensed medicines. Current legislation allows nurses to prescribe some controlled drugs (see section 10) but at present this does not apply to pharmacists. 2.4.2 What a Community Practitioner Prescriber can prescribe The items that may be prescribed are listed in the British National Formulary (BNF) or Drug Tariff. 2.4.3 Supplementary Prescribing by Nurses, Pharmacists, Chiropodists/Podiatrists, Physiotherapists and Radiographers. Definition of Supplementary Prescribing Supplementary prescribing is a voluntary prescribing partnership between the independent prescriber (doctor or dentist) and supplementary prescriber to implement an agreed patient-specific clinical management plan (CMP), with the patient’s agreement. 2.4.4 What a Supplementary Prescriber can prescribe Following agreement of the CMP, the supplementary prescriber may prescribe any medicine for the patient that is referred to in the plan, until the next review by the independent prescriber. There is no formulary for supplementary prescribing, and no restrictions on the medical conditions that can be managed under these arrangements. This mechanism of prescribing will be helpful for nurse and pharmacist prescribers when they are newly qualified. It will also be appropriate in specific situations, for instance - When working within a team where a doctor is accessible - For specific long-term conditions - For situations involving Controlled Drugs. Supplementary Prescribers can prescribe Controlled Drugs and unlicensed medicines in partnership with a doctor, where the doctor agrees within a patient’s CMP. From July 2006 chiropodists/podiatrists physiotherapists and radiographers are also able to prescribe Controlled Drugs as supplementary 9
Page 1 and 2: Medicines Management Policy Documen
Page 3 and 4: CONTENTS Section Page 1. Introducti
Page 5 and 6: 1. Introduction This policy deals w
Page 7: 2. Prescribing of medicines 2.1 Int
Page 11 and 12: 2.7.1 Clarity The prescription form
Page 13 and 14: 2.7.8 Recognised abbreviations Only
Page 15 and 16: 3. Supply of prescription Pads N.B.
Page 17 and 18: 4.0 Security and Safe Handling of P
Page 19 and 20: 6. Transport of Medicines 6.1 All m
Page 21 and 22: 7.7 All medicines shall be returned
Page 23 and 24: 8. Responsibilities of the person a
Page 25 and 26: vi) vii) viii) ix) The drug is bein
Page 27 and 28: • Insulin injections by District
Page 29 and 30: • Are subject to safe custody req
Page 31 and 32: 10.3 Prescribing Controlled Drugs 1
Page 33 and 34: 10.5.2 Stock held at PCT premises o
Page 35 and 36: 11. Management of errors or inciden
Page 37 and 38: 12. Verbal orders for the Administr
Page 39 and 40: 14 Alcohol 14.1 Patient/client unde
Page 41 and 42: may imply dealing, as breach of con
Page 43 and 44: 17. General Notes on the Handling o
Page 45 and 46: 19. Compliance aids All compliance
Page 47 and 48: 21. Syringe Drivers Please refer to
Page 49 and 50: 23. Prescribing of Oxygen Please re
Page 51 and 52: This policy was produced by Special

Medicines Management Policy - Dudley Primary Care Trust

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