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Supplementary Prescribing by Nurses within NHSScotland: A Guide for Implementation
ANNEX A
The Council's requirements for Extended independent nurse prescribing and supplementary prescribing
Standard of programme
1. The standard of the programme should be no less than first degree level, such as to enable the registered nurse, midwife or health visitor, from parts 1, 3, 5, 8, 10, 11, 12, 13, 14 and 15, to acquire the competencies which are set out in section 8 of this paper.
2. A variety of assessment strategies should be employed to test knowledge and the application of theory to practice.
3. Assessment should focus upon the principles and practice of prescribing and, professional accountability and responsibility of the practitioners on the Council's register undertaking the role.
Kind of programme
4. The post-registration programme should be free-standing to meet the required competencies in practice.
5. Arrangements must be in place for teaching, supervision, support and assessment of the student prescriber in practice.
Content of the programme
6. Pre-programme preparation:
6.1 each individual registered nurse's, midwife's or health visitor's previous education, training and experience will influence the amount of pre-programme preparation required before embarking on the prescribing programme at academic level 3.
6.2 institutions may offer assessment of prior (experiential) learning (AP(E)L) to accommodate those who are currently prescribing or, who may be able to demonstrate learning that is appropriate, to meet some of the competencies required of this standard.
7. Content of the programme:
7.1 the content of the programme should reflect that prescribing is a competence based professional activity. The underpinning knowledge requirements and competencies are outlined in Section 8 of this paper.
7.2 the content should reflect the requirements of local commissioners across the four countries of the United Kingdom in addition to those specified in this standard.
8. The principal areas, knowledge and competencies required to underpin the practice of prescribing.
Principal areas | Knowledge | Competence |
Principles | | Works within the legislative framework relevant to the area of practice and locality Understands the principles behind supplementary prescribing and how they are applied to practice Able to use the adverse reaction reporting mechanisms
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| Awareness of the impact of prescribing in the wider delivery of care Able to work and communicate as part of a multidisciplinary prescribing workforce Reviews diagnosis and generates treatment options within the clinical treatment management plan
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Practice | | |
| Able to prescribe safely, appropriately and cost effectively Understands how medicinesare licensed, monitored
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| Able to work with patients and clients as partners in treatment Proactively develops dynamic clinical management plans Able to assess when to prescribe or make appropriate referral Able to refer back to a medicalpractitioner when appropriate
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| Aware of policies that have an impact on public health and influence prescribing practice Able to articulate the boundaries of prescribing practice in relation to the duty of care to patients and society
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Accountability | | |
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| Able to write and maintain coherent records of prescribing practice Able to communicate effectively with patients, clients and professional colleagues
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Responsibility | | |
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