Supporting staff to prescribe effectively barriers and facilitators Sarah Young, Nurse Consultant Cardiology What we will cover Presentation title 2 Barriers Presentation title 3 Facilitators Presentation title 4 Building confidence
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Presentation Transcript
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Supporting staff to prescribe effectively – barriers and facilitators Sarah Young, Nurse Consultant Cardiology<br>
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What we will cover Presentation title 2<br>
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Barriers Presentation title 3<br>
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Facilitators Presentation title 4<br>
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Building confidence Presentation title 5<br>
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Pharmacist prescribing Presentation title 6<br>
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Pharmacist prescribing Post Graduate Foundation Training year
Include a rotation or placement in an appropriate prescribing environment with a view to complete the Independent Prescriber qualification
Demonstrate generic prescribing skills
Aligned to the level of expectation of a newly qualified pharmacist prescriber
Clear understanding of limits of competence
The nominated prescribing area will not limit their future Scope of Practice
Can develop and widen Scope when registered, supported with effective CPD Presentation title 7<br>
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Designated Prescribing Practitioner (DPP) and Designated Supervisor (DS) required Presentation title 8<br>
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Prescribing in Scope Red flags
Warning signs – indicating a situation is outside your scope of practice or poses a potential risk to patient safety requiring referral or further assessment
Outside your expertise
Lack of training or competency
New or unfamiliar conditions Presentation title 9<br>
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Red flags Patient history and assessment
Unclear or incomplete history
Symptoms or conditions suggesting a need for specialist assessment or intervention
Lack of recent test results
Unusual or concerning symptoms
Lack of clear diagnosis Presentation title 10<br>
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Red flags Medication considerations
Potential drug interactions
Medication history discrepancies
Unusual or high doses
Lack of familiarity
Documentation and governance
Inadequate documentation
Failure to follow protocols
Lack of access to patient records
Failure to justify prescribing Presentation title 11<br>
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Expanding Prescribing Scope of Practice Structured approach
Assess yourself against RPS Competency Framework
Consultation
Prescribing governance
Identify learning needs
Evaluate whether Scope can be expanded Presentation title 12<br>
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Improving practice Presentation title 13<br>
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Summary: Effective prescribing Recognise the challenges
Build a support infrastructure
Regular reflection on practice
Effective MDT working
Regular review of Scope
Keep up to date in area of specialism Presentation title 14<br>
