Preview

Prescribing in practice

Best Essays
Open Document
Open Document
2261 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Prescribing in practice
Critical analysis of prescribing episode

Introduction

The following assignment will discuss and analyse a prescribing episode, within practice, furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, 2013-2015).To be able to analyse and reflect on my new role as Community Practitioner Nurse Prescriber (CPNP) I will use Gibbs (1988) reflective model and a structure that will allow the use of a consultation model (Appendix1,Fig1).
The focus on prescribing within nursing profession was first brought into discussion by Royal College of Nursing (RCN) in 1980 but has proven to be cornerstone after was part of the government agenda as a result of Cumberlege report in 1996.This report outlined the need for nurse to become a prescriber especially in community settings to provide clients with better care, safe and practical access to medication (Nuttal, 2008). Furthermore “The Medicinal Product Prescribing Act “1992 outlined changes in circumstances including nurses as prescribers, followed by recommendations made by Crown Reports1999 that suggest that health visitors (HV)) should be authorised to prescribe from a limited list, identified as the nurse prescriber’s formulary (NPF). (DH,2004).
Scenario
For the purpose of this assignment all names has been changed to maintain confidentiality according to NMC (2008).The following scenario it is in relation to a situation experienced while on the morning baby clinic working alongside my mentor .A mother Lisa come for a regular weight check for her 4 month old infant called James .While discussing with Lisa her son weight progress ,she mentioned about her son having very dry scaly skin on scalp since birth moreover Lisa explained that sometimes skin on the scalp become like a patchy crusty rash and James feel uncomfortable , at times not settling. Edwards (2010) suggest that using a holistic assessment it is very important when coming in contact with the client as the problem presented

You May Also Find These Documents Helpful

  • Good Essays

    M.S. is a 35-year-old female who came into urgent care at Kaiser Permanente Riverside. She presented with a sore ankle that was causing her problems after accidently twisting it by missing a step in going down a set of stairs. The only prior medical history that M.S. has is a history of asthma that is currently managed with appropriate medications. Even though she has a history of asthma, she reports smoking cigarettes and often drinks alcohol. She also reported not having a very healthy diet. Upon examination of M.S. ankle, it is concluded that she minors sprained. During normal examination, her vitals signs are obtained which showed a respiratory rate of 16, pulse of 100, temperature 97.2OF, blood pressure of 151/91, pulse oximetry of 99%. Since it was noted that her blood pressure and heart rate where both high, it is assessed on the opposite arm and it showed a blood pressure…

    • 973 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Some factors that can influence medication administration include patient acuity, staffing levels, shift length, and workloads. Nurses need to adhere to the “seven rights” when preparing and dispensing medications. Furthermore, nurses should feel compelled to use an evidence-based approach in collecting data to make decisions in their practice considering human lives at risk (Marquis & Huston, 2017). Propose two solutions the nurse manager could consider.…

    • 469 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Current legislation, guidelines policies and protocols relevant to the administration of medication we use is is mainly The Medicines Acts 1968. While we are not expected to have detailed knowledge of the legislation, we do need to be aware of the legal difference between types of drugs and the legal framework that allows them to handle medicines on behalf of the service user. The following is a list of legislation that has a direct impact upon the handling of medication within a social care setting are:…

    • 1814 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Nurse Prescribing

    • 2137 Words
    • 9 Pages

    National Prescribing Centre (1999) Signposts for prescribing nurses-general principles of good prescribing. London, Prescribing Nurse Bulletin.…

    • 2137 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    In the social care sector practitioners are often responsible for supporting service users with their medication. This support can take a variety of forms from the administration of the medication to a timely reminder. Practitioners in social care settings need to have an awareness of how the safe use of medication can contribute to positive wellbeing for individuals. This unit provides the knowledge…

    • 2407 Words
    • 10 Pages
    Powerful Essays
  • Powerful Essays

    1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001…

    • 1544 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    The world of today and the Brave New World may be more alike than some would have thought. After reading the book and studying the elements within it, I see one thing that is getting us closer to a society like the Brave New World; drugs. Now some people would say I’m crazy for saying this, that there is no way that people of 2017 are that deep into drugs for me to be comparing us to citizens of the brave new world, but those types of people are ones whose minds are not open to new ideas.…

    • 517 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Task 1 : Identify current legislations, guidelines policies and protocols relevant to the administration of medication…

    • 1531 Words
    • 7 Pages
    Better Essays
  • Better Essays

    The Medicines Act (1968) requires that the pharmacist and dispensing doctor is responsible for supplying medication. They can only dispense on the receipt of a signed prescription form an authorised person.eg doctor, nurse practitioner.…

    • 1461 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Nurse Prescribing

    • 2608 Words
    • 11 Pages

    According to Luker et al (1997), in 1985 the Royal College of Nursing (RCN) made a case for the prescribing rights for nurse. The Cumberledge Report (1986) acknowledged that the government recognised that nurses should be eligible to prescribe. Nurse prescribing has an important contribution to make in the service to patients and clients and the advantages were acknowledged in the Crown Report 1 (1989). Thomas (2000) informs us that in this review, it recommended that nurses with either a Health Visitor or a District Nurse qualification should be allowed to prescribe from a limited nurses prescribers’ formulary (NPF). In 1999 following a review of prescribing, it was suggested that prescribing right extend to include other groups of nurses and healthcare professionals (Crown Report 2 1999). The government endorses this in the National Health Service Plan (NHS) (2000).…

    • 2608 Words
    • 11 Pages
    Powerful Essays
  • Satisfactory Essays

    Safe Medication Error

    • 270 Words
    • 2 Pages

    Through the literature I have read, I have learned the various ethical, social, economic and safety considerations that must be taken into account before administering any medication and the interventions that are being put into place. In my future practice I will ensure to follow the 10 rights of medication administration, no matter how many barriers there are. Patient safety should always be the priority around any nursing care as the literature…

    • 270 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Reducing Medication Errors

    • 1613 Words
    • 7 Pages

    Duncan, D., & Mayo, A. M.(2004). Nurse Perception of Medication Errors: What we need to know for patient safety. Journal Nurse Care Vol. 19. (3) pp. 209-217.…

    • 1613 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Prescription Medications

    • 608 Words
    • 2 Pages

    People, adults and young alike, experiment with prescription drugs for various reasons. They think that it will make them have more fun, lose weight, fit in, and even be more efficient in their everyday lives. Prescription drugs are only safe for the person that they are prescribed to because a doctor has examined these people and they are being treated for a specific ailment or condition.…

    • 608 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    This governs the manufacture and supply of medicines. This requires that the local pharmacist or dispensing doctor is responsible for supplying medication. He or she can only do this on the receipt of a prescription from an authorised person e.g. a doctor. According to the law (The Medicines Act 1968) medicines can be given by a third party, e.g. a suitably trained care worker, to the person that they were intended for when this is strictly in accordance with the directions that the prescriber has given.…

    • 2818 Words
    • 12 Pages
    Powerful Essays
  • Powerful Essays

    In my role as a specialist nurse I am involved with caring for patients within a community setting and providing a holistic assessment of their needs. This can involve assessing patients as a result of a supported discharge from secondary care or referral from General Practitioners (GP’s) for issues related primarily to their cardiac condition, their general overall health and any other health related issues. These assessments can take place within the patient’s home or within a clinic setting. These assessments are quite commonly carried out with very little prior knowledge regarding the patient and this is currently an area under review. For the purpose of this case study I will look at a lady who attended a clinic session within a GP’s practice.…

    • 6153 Words
    • 25 Pages
    Powerful Essays