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Extending Independent Nurse Prescribing within NHSScotland
ADVERSE REACTION REPORTING
How to report a suspected adverse reaction to a medicine prescribed by a nurse
If a patient suffers a suspected adverse reaction to a prescribed, over-the-counter or herbal medicine, it should be reported immediately to the GP or consultant. The Yellow Card Adverse Drug Reaction (ADR) Reporting Scheme is a voluntary scheme through which doctors, dentists, coroners and pharmacists notify the Medicines Control Agency (MCA)/Committee on Safety of Medicines (CSM) of suspected adverse drug reactions. The MCA/CSM encourage the reporting of all suspected adverse drug reactions to newly licensed medicines that are under intensive monitoring (identified by a * symbol both on the product information for the drug and in the BNF and MIMS) and all serious suspected adverse drug reactions to all other established drugs. Serious reactions include those that are fatal, life threatening, disabling, incapacitating or which result in or prolong hospitalisation and/or are medically significant. Following pilot studies of ADR reporting by nurses, the MCA is currently exploring the possibility of extending the Scheme to give nurse and midwife prescribers the responsibility to report.
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