COMMUNITY PRACTITIONER NURSE PRESCRIBING (V100) - 2017/8

Module code: NUR3191

Module provider

School of Health Sciences

Module Leader

CROSS CE Mrs (Health Sci.)

Number of Credits

15

ECTS Credits

7.5

Framework

FHEQ Level 6

JACs code

B714

Module cap (Maximum number of students)

N/A

Module Availability

Year long

Overall student workload

Independent Study Hours: 96

Lecture Hours: 16

Seminar Hours: 9

Assessment pattern

Assessment type Unit of assessment Weighting
Examination CALCULATION PAPER Pass/Fail
Examination GENERAL PAPER Pass/Fail
Coursework CRITICAL ACCOUNT 100
Pass/Fail competencies PRACTICE PRESCRIPTIONS Pass/Fail
Pass/Fail competencies PRACTICE LOG Pass/Fail

Alternative Assessment

N/A

Prerequisites / Co-requisites

Students must be qualified Specialist Practice or SCPHN practitioners working in primary care

Module overview

This module is intended for nurses with Specialist Practitioner Qualifications (SPQ) and registered Specialist Community Public Health Nurses (SCPHN) to equip them with the principles of prescribing to enable them to be safe, effective and cost-effective prescribers (from the Nurse Prescribers’ Formulary), in a primary care setting.

Module aims

This module is intended for nurses with specialist practitioner qualifications (SPQ) and registered Specialist Community Public Health Nurses (SCPHN) and those studying for these qualifications, to equip them with the principles of prescribing to enable them to be safe, effective and cost-effective prescribers (from the Nurse Prescribers' Formulary), in a primary care setting.

The module also aims to enable students to understand the principles of good prescribing, the law relating to prescribing, their accountability in prescribing and to understand the pharmacokinetics and pharmacodynamics of drugs. It will also enable participants to become familiar with the nurse prescribing formulary and to be aware of current developments in nurse prescribing in the UK.

Successful candidates will attain the NMC recorded qualification Community Practitioner Nurse Prescriber when their SCPHN or SPQ appears on the NMC register.

Learning outcomes

Attributes Developed
1 Assess and consult with patients / clients and parents / carers
2 Undertake a thorough history, including medication history and current medication (including over-the-counter, alternative and complementary health therapies) to inform diagnosis
3 Understand and apply the relevant legislation to the practice of nurse / midwife prescribing
4 Critically appraise, use sources of information / advice and decision support systems in prescribing practice
5 Understand the influences that can impact on prescribing practice
6 Demonstrate an understanding of the ethical dimensions of prescribing
7 Understand and apply knowledge of drug actions in prescribing practice
8 Demonstrate an understanding of the roles and relationships of others involved in prescribing, supplying and administering medicines
9 Prescribe safely, appropriately and cost effectively
10 Practise within a framework of professional accountability and responsibility
11 Demonstrate knowledge and skills in prescribing for children

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Module content

Indicative content includes:

Consultation, decision making and therapy, including referral



Assessment, history taking, communication and consultation with patients/clients and their parents/carers


Developing management plans


Diagnosis


Prescribing and not prescribing, non drug treatment and referral for treatment


Numeracy and drug calculations

 

Influences on and psychology of prescribing


Patient/client demand and preference vs patient/client need – knowing when to say, “No”


External influences eg companies and colleagues


Patient/client partnerships in medicine-taking, including awareness of cultural and ethnic needs


Concordance as opposed to compliance

 

Prescribing in a team context


Rationale, adherence to and deviation from national and local guidelines local formularies, protocols, policies, decision support systems and formulae


Understanding the role and functions of other team members


Documentation, with particular reference to communication between team members, including electronic prescribing


Auditing, monitoring and evaluating prescribing practice


Interface between multiple prescribers and management of potential conflict


Budgets and cost effectiveness


Dispensing practice issues

 

Clinical pharmacology, including the effects of co-morbidity


Anatomy and physiology as applied to prescribing practice and community practitioner formulary


Basic principles of drugs to be prescribed- absorption, distribution, metabolism and excretion, including adverse drug reactions (ADR)


Interactions and reactions


Patient/client compliance, concordance and drug response


Impact of physiological state on drug responses and safety eg in elderly people. Neonates, children and young people, pregnant or breast feeding women

 

Evidence-based practice and clinical governance in relation to nurse prescribing


Rationale, adherence to and deviation from national and local guidelines, protocols, policies, decision support systems and formulae


Continuing professional development – role of self and role of the organisation


Management of change


Risk assessment and management, including safe storage, handling and disposal


Clinical supervision


Reflective practice/peer review


Critical appraisal skills


Auditing practice and scrutinising data, systems monitoring


Identify and report adverse drug reactions and near misses and learn from mistakes

 

Legal, Policy and ethical aspects


Sound understanding of legislation that impacts on prescribing practice


Legal basis for practice. Liability and indemnity


Legal implications of advice to self-medicate including the use of alternative therapies, complementary therapy and over the counter (OTC) medicines


Safe-keeping of prescription pads, action if lost, writing prescriptions and record keeping


Awareness of reporting of fraud (recommendations from the Shipman Inquiry, Fourth Report)


Drug licensing


Yellow Card reporting to the Committee of Safety on Medicines (CSM) and reporting patient/client safety incidents to the National Patient Safety Agency (NPSA)


Prescribing in the policy context


Manufacturer’s guidance relating to literature, licensing and off-label


Ethical basis of intervention


Informed consent, with particular reference to client groups in learning disability, mental health, children, critically ill people and emergency situations

 

Personal accountability and responsibility


The NMC code of professional conduct, standards for conduct, performance and ethics


NMC Standards for prescribing practice


Ethical recommendations from the Shipman Inquiry, Fourth Report


Accountability and responsibility for assessment, diagnosis and prescribing


Maintaining professional knowledge and competence in relation to prescribing


Accountability and responsibility to the employer



 

Prescribing in the public health context



Duty to patients/clients and society


Inappropriate use of medication including misuse, under-use and over-use


Inappropriate prescribing, over-prescribing, and under-prescribing


Access to health care provision and medicines


Methods of Teaching / Learning

The learning and teaching strategy is designed to bring together all elements of learning in University and practice settings building on their existing professional skills to achieve the knowledge and skills required to ensure that students are adequately prepared for their role as Nurse Prescribers.

 

 

The learning and teaching methods include:

 



Lectures, discussion groups, workshops, seminars, case studies, pre and post session study, virtual learning approaches.



Observation of practice, experience in clincal practice

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate the integration of evidence based theory and principles of prescribing with the acquisition of practice skills.

Thus, the summative assessment for this module consists of:



Examinations in calculation of medicines (pass mark 100%) and multiple choice questions (pass mark 80%) with a minimum of 20 questions


A 2000 word critical account of a prescribing incident, following the principles of good prescribing


A log of 18 prescribing related, practice hours & two prescriptions one relevant to the critical incident and one relevant to practice should be included.

Formative assessment





Practice test papers


Feedback through workshop exercises


Essay plan feedback



Feedback



As above



Please note that any evidence of unsafe practice or breach of confidentiality will result in an automatic refer for the module.

Reading list

Reading list for COMMUNITY PRACTITIONER NURSE PRESCRIBING (V100) : http://aspire.surrey.ac.uk/modules/nur3191

Programmes this module appears in

Programme Semester Classification Qualifying conditions
Primary and Community Care (Community Children's Nursing) MSc(YEAR LONG) Year-long Core Each unit of assessment must be passed at 50% to pass the module
Primary and Community Care (District Nursing) MSc(YEAR LONG) Year-long Core Each unit of assessment must be passed at 50% to pass the module

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2017/8 academic year.