MODULE DATA MODULE TITLE Community Practitioner Prescribing (V150) MODULE LEVEL 6 MODULE CREDIT POINTS 10 SI MODULE CODE (if known) 66-6869-00S MODULE JACS CODE SUBJECT GROUP Nursing and midwifery MODULE DELIVERY PATTERN ( as applicable or give dates for non-standard delivery) NB "Semester 3" ends on 31 July each year LONG (2 semesters) SHORT (1 semester) NON-STANDARD DELIVERY Sem 1 & 2 Sem 1 Start Date Sem 2 & 3 Sem 2 End Date Sem 3 MODULE ASSESSMENT PATTERN ( as applicable - also complete Table A, Section 5, below) Single Module Mark with Overall Module Pass Mark of 40% Single Module Mark - Pass/Fail only Up to Three Assessment Tasks with Pass Mark of 40% for each Task and Overall Module Pass Mark of 40% Up to Three Assessment Tasks - Pass/Fail only Other : TASK 1 Case Study - Pass mark 40% pass (100%) TASK 2 Exam - 80% pass mark (Pass / Fail) TASK 3 Placement Assessment Document (Pass / Fail) 1 assessment Task with a pass mark of 40% plus 2 assessment Tasks Pass / Fail Overall Module Pass Mark if other than 40% (subject to approval) MODULE INFORMATION ( as applicable - also complete Table A, Section 5 Is a timetabled examination required for the assessment of this module? Is a timetabled examination required for the reassessment of this module? Is the module delivered wholly by Distance Learning (ie. not timetabled at SHU) Are any staff who are responsible for teaching on this module non-shu employees? no MODULE STATUS ( as applicable to status of module in the context of current proposal) Unchanged: an existing module, presented as unchanged from previous years Modified: an existing module being modified as a result of this validation, eg. changes to delivery or assessment pattern, title, credit weighting etc New: new module to be approved through current validation process If status is 'Modified', please give date when modified version is to be available from Breakdown of notional study hours by type (Typically requires 10 hours of notional study time for 1 CATS credit) Tutor-Led (Contact Hours) Tutor- Directed Study COURSES FEATURING THIS MODULE (please list below) BA (hons) Health and Social Care Practice Modified Version Available from Self-Directed Study TOTAL STUDY HOURS for this Module 40 30 30 100 1 AIM OF THIS MODULE
This module aims to prepare you to prescribe safely, appropriately and cost-effectively from the community practitioner formulary for nurse prescribers. 2 BY ENGAGING SUCCESSFULLY WITH THIS MODULE YOU WILL BE ABLE TO: 2.1 Interpret some of the key principles of pharmacology as applicable to prescribing practice. 2.2 Critically appraise the ethical and legal issues involved in prescribing safely in practice. 2.3 Critically evaluate consultation models and how they can be applied to practice. 2.4 Articulate the key principles needed to prescribe safely, appropriately and cost-effectively from the community practitioner formulary for nurse prescribers in accordance with the NMC Standards (Standards of proficiency for nurse prescribers without a Specialist Qualification to prescribe from the Community Practitioner Formulary, NMC 2009) 3 THESE ARE EXAMPLES OF THE CONTENT 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 This is a more detailed outline of the module content as per NMC (2006) Standards for Nurse Prescribers without a specialist qualification to prescribe form the Community Practitioner Formulary: 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 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 4 THESE ARE THE MAIN WAYS YOU WILL BE SUPPORTED IN YOUR LEARNING TO ACHIEVE THESE OUTCOMES The module will run throughout one semester integrating theory and practice through mentorship in your practice area. Interactive Sessions will be used to Introduce the theoretical principles of consultation, decision-making and evidence-based practice Review the principles of prescribing, which will include legal, policy, ethical, team working and record keeping, pharmacology and their application to practice. Examine the influences on and psychology of prescribing Lecturer- directed study will centre on Preparation and follow up arising from lectures Application of the evidence base and theory to the practice setting Student- directed study will allow you time to Undertake further work in areas you find challenging Complete the written assignment Prepare for the nurse prescribing exam Practice drug calculations and prescription writing Reflect upon the application of key prescribing principles to the practice setting
5 THESE ARE THE WAYS THAT WILL BE USED TO ENABLE YOU TO DEMONSTRATE YOU HAVE MET THE LEARNING OUTCOMES 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 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 three Assessment Tasks. To pass the Case Study, you need to critically analyse the assessment of a patient / client using a recognised framework. You need to provide critical analysis of the ethical, legal and psychological 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 critically 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 exam and 100% for the numeracy assessment and be signed off as having achieved the prescribing competencies in practice by your placement mentor. Assessment Task 1 A case study on nurse prescribing- 40% pass mark (100% weighting) You will demonstrate through a case study an understanding and application to prescribing practice of consultation / assessment, ethical, legal, team working and record keeping issues. The case study should be a reflective account based on your practice experience. (Word limit 2000 words) This addresses Learning outcomes: 2.2 and 2.3 Assessment Task 2 - Nurse Prescribing Exam - (Pass / Fail) You will undertake an unseen exam. This will consist of a total of twenty short answer and Multi Choice Questions to test pharmacological knowledge, its application to practice and prescription writing. You must achieve a minimum 80% in this paper. This addresses Learning outcome 2.1 Assessment Task 3 Placement Assessment Document (Pass / Fail) You will be required to complete a Placement Assessment Document in which your mentor signs off all NMC Specific Standards of Proficiency. The proficiencies to be achieved in practice include a numeracy assessment with drug calculations. A 100% pass mark must be achieved for the numeracy assessment. This will be assessed by the Practice Teacher / Mentor who assesses performance as pass or fail on the basis of direct observation, question and answer. At the end of the 10-week practice period, all proficiencies must have been achieved. The Placement Assessment Document signed off by your mentor will be required as evidence of the achievement of the learning outcomes in practice. This addresses Learning outcome: 2.4 PLEASE NOTE: The NMC (2006) standards state: If a student fails to correctly answer any question that may result in direct harm to a patient / client they will be referred. Please note this applies to the nurse prescribing exam, the case study and the PAD. An example would be the prescribing of a drug not on the Nurse prescribers' formulary or a wrong dosage.
ASSESSMENT TASK 1. Essay (Case Study) Learning Outcomes % weighting of overall module mark Duration of task/ word count/ length of exam In-module retrieval available? Individual task pass mark ONLY IF OVER 40%** 2.2 and 2.3 100% 2000 No - 2. Exam 2.1 Pass / fail 3. Placement Assessment Document 1 hour + 10 minutes No 2.4 Pass / fail n/a No 80% MCQ Includes Numeracy Assessment Task 1 A case study on nurse prescribing Word Limit: 2,000 words The student s work will be judged on the: Critical analysis of the assessment of a patient/client using a recognised framework. Critical analysis of the ethical, legal and psychological issues relevant to the chosen patient/client study in relation to nurse prescribing and the community specialist practitioner role. Critical evaluation of the mechanisms in place within Health Care Organisations to promote team working and communication between health care professionals. Appropriateness in use of a range of literature to support evidence based practice 30% 30% 30% 10% 6 THIS IS HOW YOU WILL BE GIVEN FEEDBACK ON YOUR PERFORMANCE Learning will be consolidated in practice where your consultation skills will be formatively assessed by your mentor. Written feedback for course work will normally be within 4 weeks of the submission date. The feedback you receive on the results of your work provides a further learning opportunity. You will receive comments on assessment activities and the comments you receive may be verbal or in writing. The feedback you receive 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 The types of assessment and related methods of feedback that will be used in this module include: Case study- enabling you to discuss and evaluate theory and practice; feedback will be provided on your assessment for grading work, usually within 4 weeks of the submission date. Individual feedback is provided as requested in one to one tutorials.
Practice Placement feedback that discuss issues emerging from your practice experience; oral feedback will be provided on an ongoing basis by your mentor. A tripartite meeting will be arranged between your lecturer and the mentor if further support is required. 7 THESE ARE EXAMPLES OF THE KEY LEARNING RESOURCES YOU WILL USE 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, 352-356 Dimond, B. (2004) Accountability and medicinal products 1: civil law. British Journal of Nursing. Vol 13, no 3, 161-164. Dimond, B. (2004) Accountability and medicinal products 2: civil law. British Journal of Nursing. Vol 13, no 4. 217-219. Department of Health (1989) Report of the Advisory Group on Nurse Prescribing. London: HMSO. Department of Health (1999) Review of Prescribing, Supply and Administration of Medicines London: HMSO. Department of Health (2002) Liberating the talents of nurses: helping primary care trusts and nurses deliver the NHS Plan. London. The Stationary Office. Department of Health (2005) Commissioning a Patient- led NHS. London. The Stationary Office. Department of Health (2006) Our health, our care, our say: health and social care working together in partnership. London. The Stationary Office. Hutton, M, (2005) Continuing Professional development. Calculations for new prescribers. Primary Health Care. Vol 15, no1, 44-55. NMC (2006) Standards of proficiency for nurse and midwife prescribers http://www.nmcuk.org/aframedisplay.aspx?documentid=1645 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) CHECKED Date Feb 2013 Reason Checked Against SI