Textbook of Non-Medical Prescribing (eBook)

Dilyse Nuttall is Senior Lecturer in the School of Nursingand Caring Sciences at The University of Central Lancashire, whereshe is course leader for the Non-medical Prescribing programme. Jane Rutt-Howard is Senior Lecturer in the School ofNursing and Caring Sciences at The University of CentralLancashire, where she is course leader for both MSc ProfessionalPractice (Nurse Practitioner) and BSc (Hons) Nurse Practitionerprogrammes.

Title 5
Table of Contents 7
Contributor List 11
Acknowledgements 13
Introduction 15
Prescribing in context 23
The prescribing journey 23
Defining non medical prescribing 24
The non medical prescribing vision 25
Changes in clinical practice 28
The economic context 30
The private sector 31
The public health context 32
Need and expectations 33
Differentiating between prescribers 34
Nurse non medical prescribers 43
Pharmacist non medical prescribers 47
Allied health professional non medical prescribers 48
Access to education programmes 52
Summary of the context of prescribing 53
Key themes: conclusions and considerations 54
References 55
Professional, legal and ethical issues in relation to prescribing practice 59
Part 1: professional issues the regulatory framework for prescribing 60
The regulatory framework for prescribing 60
Part 2: legal issues the uk legal system 71
The UK legal system 71
Legal aspects of autonomy and gaining consent 83
The importance of consent 88
Part 3: ethical issues 106
Consequentialism 107
Deontology 107
Virtue ethics 107
Doctrine of double effect 110
Conclusion 112
Table of cases 112
References 113
Acts 116
Factors influencing prescribing 117
The prescriber 117
The patient 125
The product 132
Other professionals 139
References 141
Effective consultation and ‘ the consultation umbrella ’ 145
Presenting the consultation umbrella 146
Consultation models in context 147
The value of therapeutic communication 151
The consultation umbrella – explained 159
Clinical decision making 173
Conclusion 180
References 181
Essential pharmacology, therapeutics and medicines management for non medical prescribers 184
Pharmacology as part of prescribing practice 185
Brief introduction to pharmacological terms 186
Guide through processes to build and develop one ’s own formulary, with examples 197
Bnf : practise using this essential resource 202
Prescribing in co-morbidity 203
Management and avoidance of drug interactions 205
Management and avoidance of adverse medicine reactions 207
Drugs with a narrow therapeutic index or range 212
Medicines management 215
Other resources to support your learning 216
References 217
The multidisciplinary p escribing t am 220
Defining ‘ the multidisciplinary prescribing team ’ 220
The benefits to prescribing 222
Understanding roles 226
Non medical prescribing lead 232
The multidisciplinary non medical prescribing team 233
Commissioning and the mdpt 236
Education and learning 238
Conclusion 239
References 241
Clinical skills 244
Vital signs 245
Conscious level 245
Respirations 247
Temperature 249
Pulse 251
Blood pressure 252
Additional vital signs 254
Clinical examination 256
Examination of body systems 258
Numeracy skills 276
Conclusion 279
Prescribing for specific groups 283
Prescribing in liver disease 283
Prescribing in renal disease 289
Prescribing in pregnancy 294
Prescribing for older people 301
Prescribing for children and young people 305
Other groups 313
References 317
Enhancing non medical prescribing 320
Current practice in prescribing 320
Uk history of prescribing 321
Non medical prescribing in other countries 324
The impact of prescribing 324
Issues emerging from the introduction of non medical prescribing 327
Medicines management 342
Conclusion 343
References 344
Patient case studies 349
Case study 1: harold 349
Case study 2: barbara 350
Case study 3: clare 350
Case study 4: julie 351
Case study 5: annette 351
Case study 6: yasmin 351
Case study 7: amy 352
Case study 8: louis 352
Case study 9: callum (with cmp ) 352
Health professional case studies 354
Case study a: debbie 354
Case study b: mark 355
Case study c: rebecca 355
Case study d: gail 356
Case study e: david 356
Case study f: andrew 357
Case study g: andrea 357
Case study h: lisa 358
Case study i: christine 358
Case study j: simon and janice 358
Index 359

"All in all a really informative and applicable book,which is well written by two authors who are also nurses and nurseprescribers." (Nursing Times, 18 July 2012)

"This is an excellent book for nonprescribing healthprofessionals. The authors broadly cover the topics of safe andethical prescribing while providing extensive information aboutfunctioning as part of an interdisciplinary team. This is anexcellent comprehensive book that is well organized and clearlywritten. This is a valuable addition to the library of novicestudents and experienced health professionals." (Doody's, 2 March2012)

"Because of the way in which it is written, it could potentiallybe used as part of undergraduate teaching as well as, of course,for its intended purpose of teaching students on non-medicalprescribing courses ... On a practical level, the book willcertainly be useful to those studying a non-medical prescribingsyllabus that matches the text ... This book certainly has thepotential to grow if future editions incorporate feedback and peerreview." (PJ Online, 16 November 2011)

"A great all encompassing book at the correct level for nurseand non medical prescribers undertaking their course."Jeannette Sandiford, Lecturer, University of Bolton