COMMUNITY PRACTITIONER NURSE PRESCRIBING (V100) - 2021/2
Module code: NUR3191
In light of the Covid-19 pandemic, and in a departure from previous academic years and previously published information, the University has had to change the delivery (and in some cases the content) of its programmes, together with certain University services and facilities for the academic year 2020/21.
These changes include the implementation of a hybrid teaching approach during 2020/21. Detailed information on all changes is available at: https://www.surrey.ac.uk/coronavirus/course-changes. This webpage sets out information relating to general University changes, and will also direct you to consider additional specific information relating to your chosen programme.
Prior to registering online, you must read this general information and all relevant additional programme specific information. By completing online registration, you acknowledge that you have read such content, and accept all such changes.
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.
On successful completion of all aspects of the module, the University will inform the NMC that the student is eligible to register their qualification. This must be done within 5 years from the identified start of the programme for those taking the module as part of the SPQ and SCPHN programmes. If there is a need for interrupt, the student’s acquired knowledge and skills need to remain valid in order to allow them to achieve the proficiencies set by the NMC, so where necessary, a repeat of some, or all, of the prescribing preparation and assessment may need to be repeated. For those taking the module outside these programmes, they must register their qualification within one year and may not prescribe until their qualification has been recorded by the NMC.
School of Health Sciences
JONES Felicity (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
Prerequisites / Co-requisites
Students must be qualified Specialist Practice or SCPHN practitioners working in primary care
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
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
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)
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
|Assessment type||Unit of assessment||Weighting|
|Pass/Fail competencies||PRACTICE PRESCRIPTIONS||Pass/Fail|
|Pass/Fail competencies||PRACTICE LOG||Pass/Fail|
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 (1.5 hours)
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.
Practice test papers
Feedback through workshop exercises
Essay plan feedback
Please note that any evidence of unsafe practice or breach of confidentiality will result in an automatic refer for the module.
- 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.
|001||Assess and consult with patients / clients and parents / carers||PT|
|002||Undertake a thorough history, including medication history and current medication (including over-the-counter, alternative and complementary health therapies) to inform diagnosis||KCPT|
|003||Understand and apply the relevant legislation to the practice of nurse / midwife prescribing||KCP|
|004||Critically appraise, use sources of information / advice and decision support systems in prescribing practice||CPT|
|005||Understand the influences that can impact on prescribing practice and demonstrate an understanding of the ethical dimensions of prescribing||KP|
|006||Understand and apply knowledge of drug actions in prescribing practice||KP|
|007||Demonstrate an understanding of the roles and relationships of others involved in prescribing, supplying and administering medicines||KCPT|
|008||Prescribe safely, appropriately and cost effectively||CP|
|009||Practise within a framework of professional accountability and responsibility||KCP|
|010||Accurately completes and routinely checks calculations relevant to prescribing and practical dosing relevant to patient group/filed of practice||KCP|
C - Cognitive/analytical
K - Subject knowledge
T - Transferable skills
P - Professional/Practical skills
Overall student workload
Clinical Placement Hours: 18
Independent Study Hours: 114
Lecture Hours: 18
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
Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.
Upon accessing the reading list, please search for the module using the module code: NUR3191
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 2021/2 academic year.