120 likes | 229 Views
From the Nurses Perspective. Clare Saunders Non-Medical Prescribing Lead for Bedfordshire Gilbert Hitchcock House Annexe 3 Kimbolton Road Bedford MK40 2NT clare.saunders@bedford-pct.nhs.uk. Who prescribes what?. Independent prescribers (DN/HV) Extended prescribers
E N D
From the Nurses Perspective Clare Saunders Non-Medical Prescribing Lead for Bedfordshire Gilbert Hitchcock House Annexe 3 Kimbolton Road Bedford MK40 2NT clare.saunders@bedford-pct.nhs.uk
Who prescribes what? • Independent prescribers (DN/HV) • Extended prescribers • Supplementary prescribers • (PGD)
Nurse Prescribing • An essential skill of the nurse of the future • Prescribing enhances the care of clients • Concordance • Improved access
Why me? • Legitimize what you are already doing!!! • Empower yourself • Autonomy • Time
The nurse who say’s…. • You need to see……………… • You need your xapine increasing to 10mg and if you take it three times the side effect of laughing will be better, the yapine needs to stop as I think that is causing you to……………..
Mini-doctor syndrome • Who is doing the nursing? • Do we want the responsibility? • What about financial recompense?
What’s the hold up? • Perceptions • Mentors • Time • Pay
Is it working? • Parkinson’s Disease Service • CMHT Well Person’s Clinic • Macmillan team
The Future • Other AHP’s • Extended/independent status for pharmacists and AHP’s • Extending the formulary
The nurses perspective ‘the majority of nurses felt strongly that extended independent prescribing had had a positive impact on quality of patient care, patient access to medicines and had enabled them to make better use of their skills and had made them less dependant on doctors.’ Latter et al (2005)
Win, win, win • Client wins • Nurse wins • Doctors win