1 / 13

Non Medical Prescribing – Making a Difference Karen Selwood Advanced Nurse Practitioner

Non Medical Prescribing – Making a Difference Karen Selwood Advanced Nurse Practitioner. 2 ANP’s in the late 1990’s Role development over the last 10 years Moved to a new unit 2 more ANP’s – wider service. ANP’s in paediatric oncology. Group protocols

keon
Download Presentation

Non Medical Prescribing – Making a Difference Karen Selwood Advanced Nurse Practitioner

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Non Medical Prescribing – Making a Difference Karen Selwood Advanced Nurse Practitioner

  2. 2 ANP’s in the late 1990’s Role development over the last 10 years Moved to a new unit 2 more ANP’s – wider service ANP’s in paediatric oncology

  3. Group protocols Written instruction for the supply and/ or administration of medicines in an identified clinical situation. Prescribing before the V300

  4. PATIENT GROUP DIRECTION FOR NURSE PRESCRIBING OF ANTIBIOTICS IN ONCOLOGY 11.2.1 AIMS OF TREATMENT To treat neutropenic pyrexia following chemotherapy 11.2.2 POLICY & PROCEDURE STATEMENT The policy and procedures on the nurse or HCP administration of drugs according to prescribing exemptions are followed. 11.2.3 ADDITIONAL CRITERIA FOR ROLE EXPANSION Oncology ANP or clinician 11.2.4 DRUGS Piperacillin, Netilmicin, Ceftazidime, Amikacin, Teicoplanin. 11.2.5 EXCEPTIONS See guidelines relating to infection control in oncology. Patients allergic to one of the drugs or who have shown a previous ADR. 11.2.6 CONTRAINDICATIONS, PRECAUTIONS OR SPECIAL CONSIDERATIONS Consider previous anti-infective therapy, renal function adverse reactions, and aminoglycoside levels. 11.2.7 ASSESSMENT & ADMINISTRATION PROCEDURES Refer to guidelines on the use of anti-infectives in oncology. Document administration on the patient's nursing and medical notes. 11.2.8 FOLLOW UP All children will be assessed within 24 hours by a doctor. 11.2.9 DRUG DETAILS Administration and side effects - see guidelines. 11.2.10 REFERENCES Guidelines on the use of anti-infectives in oncology

  5. Group protocols Written instruction for the supply and/ or administration of medicines in an identified clinical situation. Transcription on admission/ discharge Prescribing before the V300

  6. Issues Adult orientated Practical aspects from paediatric perspective A means to an end! V300

  7. Within scope of practice Licensed medicines Off label use Limitations of an Independent prescriber The use of unlicensed medicines Controlled drugs Prescribing in paediatrics

  8. Independent Prescriber Clinical management plans Partnership between independent/ supplementary prescriber Can prescribe all medicines Written care plan Needs a diagnosis Shared records Now in practice

  9. Cover all areas of oncology unit Nurse led day care Leukaemia clinics Advantages for families Holistic approach to care Seen in more timely manner See small team who know the child and their history Now in practice

  10. Controlled drugs Awaiting changes in legislation Unlicensed medicines Issues for the future

  11. Thank you for listening Any Questions? Karen.selwood@alderhey.nhs.uk

More Related