INDICATIVE CONTENT OF THE PRESCRIBING COMPONENT OF THE MODULE

Transcription

1 MODULE DESCRIPTOR TITLE Nurse Prescribing (V100) SI MODULE CODE S/C CREDITS 15 LEVEL 7 JACS CODE B790 SUBJECT GROUP H&WB DEPARTMENT Nursing and Midwifery MODULE LEADER Sharon Frankland NOTIONAL STUDY Tutor-led Tutor-directed Self-directed Total Hours HOURS BY TYPE MODULE AIM(S) To provide you with the knowledge, skills and support that will enable you to prescribe safely, appropriately and cost-effectively from the community practitioner formulary for nurse prescribers (NMC 2006). MODULE LEARNING OUTCOMES By engaging successfully with this module you will be able to: 1. Interpret some of the key principles of pharmacology as applicable to practice 2. Judiciously apply assessment and consultation models to practice. 3. Critically appraise key principles needed to prescribe safely, appropriately and cost-effectively from the community practitioner formulary in accordance with the NMC standards of proficiency for Nurse prescribing (NMC 2006). INDICATIVE CONTENT OF THE PRESCRIBING COMPONENT OF THE MODULE Consultation, Assessment and decision-making skills Developing consultation skills, use of the CAIIN tool Clinical pharmacology, including the effects of co-morbidity Ethical, Legal and policy issues applied to nurse prescribing Influences on, and psychology of, prescribing Evidence based practice and Clinical Governance Professional Accountability and responsibility; Risk management Consent/Concordance Medicines management; Drug calculations Team working and prescribing; Prescribing in the public health context CPD and requirements for recording the qualification within the timescale set out by the NMC (2006) A more detailed outline of the module content as per NMC (2006) Standards

2 for Nurse Prescribers is as follows: Consultation, decision-making and therapy, including referral accurate assessment, history taking, communication and consultation with patients/clients and their parents/carers development of a management plan diagnosis prescribe, not to prescribe, non-drug treatment or 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 or colleagues patient/client partnership 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

3 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 and 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 Professional 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 patient/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 provisions and medicines LEARNING AND TEACHING METHODS You will be supported in your learning, to achieve the above outcomes, in the following ways. The variety of teaching and learning strategies will include: Lectures, to introduce the module, key concepts and topics of the module and introduction to the assessment task Student directed study will allow you to work on your own personal exploration of issues relevant to the module and to undertake extra work in areas that you find challenging. It will be used to prepare for and follow-up from lectures and for the preparation of your summative assessment.

4 Tutorials by personal and electronic contact to facilitate critical assessment and reflection of your skills in relation to the learning outcomes of the module, and, to provide support for the completion of the assessed work Directed learning opportunities through use of electronically delivered learning materials and a Prescribing Workbook aimed to guide you to appropriate resources, research and evidence and to facilitate a critical exploration of the key areas of the module s curriculum. Mentors / Practice Teachers to facilitate learning from practice The module Blackboard site will provide online support of your learning including supplementary information, links to internet based resources and discussion boards which will run across the duration of the programme, allowing you to give and gain peer support and prepare for face-to-face sessions. If a registrant fails to correctly answer any question that may result in direct harm to a patient/client they must be referred, eg. failure to ask about medication history, allergies, any over the counter medication, or incorrect dosage/prescribing of an unlicensed product. ASSESSMENT STRATEGY AND METHODS Task No. Short Description of Task SI Code EX/CW /PR 1 Exam EX - 2 Prescribing Workbook Scenario ASSESSMENT CRITERIA Task Weighting % Word Count or Exam Duration** 1 hour + 10 mins reading Inmodule retrieval available CW 100% 2500 Y 50% N Percentage Pass Mark or Pass/Fail 80% Pass/ Fail To achieve a pass you must: meet all the module-learning outcomes and achieve the following: Nurse Prescribing Exam - PASS MARK OF 80% Nurse Prescribing Workbook Scenario- PASS MARK OF 50% Assessment Tasks 1. Prescribing Exam Nurse Prescribing Exam This is an unseen exam that will consist of 20 short answer questions and multichoice questions to test pharmacological knowledge and its application to practice. You need to achieve a mark of 80% or more to pass this. 2. Prescribing Workbook Scenario Nurse prescribing Workbook Scenario You will need to demonstrate the critical application to prescribing practice of ethical, legal, professional, psychological, public health, team working and record keeping issues. These will be evidenced through a prescribing workbook scenario.

5 To pass the scenario you need to be able to: Judiciously apply assessment / consultation models through the assessment of a patient using a recognised framework and in reference to the evidence base Critically analyse ethical, legal and professional, public health and psychological issues Critically evaluate the team working context and communication between health care professionals. Demonstrate client-centred approaches and informed choice for decision making Explain accurate, safe and cost-effective prescription writing Justify arguments and clinical decision making with pertinent, appropriate and correctly formatted references To fulfil the Standards of proficiency for community nurse prescribers (NMC 2006) the following is also required; Numeracy assessment which includes drug calculations with a 100% pass mark will be undertaken in practice and signed off by your Mentor / Practice Teacher. The record of your achievement of the maths calculations and testimony concerning the achievement of prescribing proficiencies signed off by your Mentor / Practice Teacher will need to be included in the Practice Learning Placement Assessment Document. Please Note: All educational preparation for prescribing programmes must be completed in no longer than one academic year (or two years part-time). FEEDBACK You will receive feedback on your performance in the following ways: The feedback you receive on your work provides a further learning opportunity. You will receive comments on assessment tasks to encourage self-reflection and feed forward to your assessments for grading. The comments you receive may be verbal, via audio feedback files, in an audio-visual format or in writing. The feedback will be constructive, timely and aimed at further developing your learning. The feedback will: provide information about your performance in relation to each assessment criterion indicate what you may need to do to address particular issues encourage dialogue and collaboration to enhance your learning assist in the development of self-assessment and reflection in learning provide information that can be used to help shape your further academic work aim to be encouraging and motivating and provide opportunities to close the gap between current and desired performance Assessment for Learning Formative assessment activities will include lecturer feedback on individual work and ongoing feedback by your mentor in practice. Throughout your practice placement, you will have the opportunity for patient assessment and consultation skills to be formatively assessed by your mentor with guidance and supportive feedback provided. You will also be given the opportunity to undertake examination

6 preparation in relation to nurse prescribing by utilising Shuspace resources and receiving appropriate feedback and guidance on this activity. Assessment for grading To pass this module you must pass two Assessment Tasks. To pass the Workbook Scenario, you need to critically analyse the assessment of a patient / client using a recognised framework. You need to provide analysis of the ethical, legal, professional, psychological and public health issues relevant to the chosen patient / client study in relation to nurse prescribing and your role as a community practitioner. You will also need to evaluate the mechanisms in place within Health Care Organisations to promote team working and communication between health care professionals, using an appropriate range of literature to support evidence based practice. In addition you must achieve a pass mark of 80% for the prescribing exam. To meet the NMC (2006) standards, you additionally need to be signed off as having achieved the prescribing competencies in practice by your placement mentor including the practice-based numeracy assessment. LEARNING RESOURCES ADAMS, C. (2000) Clinical Effectiveness - a Practical Guide for the Community Nurse. CPHVA. ANDERSON, P. (Ed.) (2000) Nurse Prescribing Handbook E Map Healthcare. ANDERSON, E. (2000) Issues surrounding record keeping in district nursing practice. British Journal of Community Nursing. Vol, 5 no 6, BECKWITH S & FRANKLIN P (2007) Oxford Handbook of Nurse Prescribing Oxford University Press BROWN M & MULHOLLAND J (2007) Drug Calculations: Process & Problems for Clinical Practice 8th Edition Mosby DIMOND, B. (2004) Accountability and medicinal products 1: civil law. British Journal of Nursing. Vol 13, no 3, DIMOND, B. (2004) Accountability and medicinal products 2: civil law. British Journal of Nursing. Vol 13, no RUSHFORTH H (2009) Assessment made incredibly Easy! Lippincott Williams & Wilkins BOLTON G (2010) Reflective Practice: Writing and Professional Development 3 rd EditionSage BROWN M & MULHOLLAND J (2007) Drug Calculations: Process & Problems for Clinical Practice 8 th Edition Mosby COTTRELL S (2005) Critical Thinking Skills: Developing Effective Analysis and Argument Palgrave Study Guides COURTENAY M & GRIFFITHS M (2010) Independent and Supplementary Prescribing: An Essential Guide Cambridge University Press DIMOND, B. (2004) Accountability and medicinal products 1: civil law. British Journal of Nursing. Vol 13, no 3, DIMOND, B. (2004) Accountability and medicinal products 2: civil law. British Journal of Nursing. Vol 13, no DOWELL J, WILLIAMS B & SNADDEN B (2007) Patient-centered Prescribing: Seeking concordance in Practice (Patient-centered Care) Radcliffe Publishing Ltd

7 DOUGLAS G, NICOL F & ROBERTSON C (Eds) (2009) Macleod's Clinical Examination 12th Edition Elsevier Churchill Livingstone ECKMAN M & LABUS D (Eds) (2008) Clinical Pharmacology made Incredibly Easy! Lippincott Williams & Wilkins HASTINGS A & REDSELL S (Eds) (2006) The Good Consultation Guide for Nurses Radcliffe Publishing Ltd HUTTON M (2005) Continuing Professional development Calculations for new prescribers Primary Health Care. Vol 15, no1, LAPHAM R & AGAR H (2009) Drug Calculations for Nurses: A Step-by-Step Approach 3rd Edition Hodder Arnold MCKINNON J (Ed) (2007) Towards Prescribing Practice Wiley MCGAVOCK H (2009) Pitfalls in Prescribing: and How to Avoid Them Radcliffe Publishing NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE (2012) A single Competency Framework for all Prescribers NICE / NPC NATIONAL PRESCRIBING CENTRE (2007) A competency framework for shared decision-making with patients- Achieving concordance for taking medicines NPC Plus, Keele University, Staffordshire NMC ((2006) Standards of proficiency for nurse and midwife prescribers NMC (2008) The Code: Standard of conduct, performance and ethics for nurses and midwives NMC (2008) Standards for Medicine Management NMC Circular 02/2009 Annexe 1 [PDF] First Published: 18 February 2009 Standards of educational preparation for Prescribing from the Community Nurse Prescribers Formulary for nurses without a Specialist Practitioner Qualification V150 (Replaced NMC Circular 38/2007) NEIGHBOUR R (2004) The Inner Consultation 2nd Edition Radcliffe NEIGHBOUR R (2004) The Inner Consultation: How to Develop an Effective and Intuitive Consulting Style Radcliffe SODHA M & DHILLON S (Eds) (2009) Non-medical Prescribing Pharmaceutical Press WAITE M & KEENAN J (Eds) (2009) CPD for Non-medical Prescribers: A Practical Guide Wiley Blackwell Journals (available via LitSearch) include: BMC Pharmacology British Journal of Community Nursing International Journal of Pharmacology Journal of Community Nursing Journal of Wound Care Nurse Prescribing

8 SECTION 2 MODULE INFORMATION FOR STAFF ONLY MODULE DELIVERY AND ASSESSMENT MANAGEMENT INFORMATION MODULE STATUS - INDICATE IF ANY CHANGES BEING MADE NEW MODULE Y EXISTING MODULE - NO CHANGE Title Change Level Change Credit Change Assessment Pattern Change Change to Delivery Pattern Date the changes (or new module) will be implemented 09/2013 MODULE DELIVERY PATTERN - Give details of the start and end dates for each module. If the course has more than one intake, for example, September and January, please give details of the module start and end dates for each intake. Module Begins Module Ends Course Intake 1 02/09/ /01/2014 Course Intake 2 20/01/ /06/2014 Course Intake 3 12/05/ /09/2014 Is timetabled contact time required for this module? Are any staff teaching on this module non-shu employees? If yes, please give details of the employer institution(s) below Y N What proportion of the module is taught by these non-shu staff, expressed as a percentage? MODULE ASSESSMENT INFORMATION Indicate how the module will be marked *Overall PERCENTAGE Mark of 50% Y *Overall PASS / FAIL Grade N *Choose one only module cannot include both percentage mark and pass/fail graded tasks SUB-TASKS Will any sub-tasks (activities) be used as part of the assessment strategy for this module? FINAL TASK According to the Assessment Information shown in the Module Descriptor, which task will be the LAST TASK to be taken or handed-in? (Give task number as shown in the Assessment Information Grid in Section 1 of the Descriptor) N Task No. 2 NON-STANDARD ASSESSMENT PATTERNS MARK 'X' IN BOX IF MODULE ASSESSMENT PATTERN IS NON STANDARD, eg MODEL B, ALL TASKS MUST BE PASSED AT 50%. X NB: Non-standard assessment patterns are subject to faculty agreement and approval by Registry Services - see guidance. notes. Date June 2013 April 2016 Reason Minor Modification Checked against SI