lecture 13 - pharmacist prescribing Flashcards
(6 cards)
what is the difference between an independant prescriber and a supplementary prescriber?
an independent prescriber is a practitioner who is responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and can make prescribing decisions to manage the clinical condition of the patient.
a supplementary prescriber is a practioner who prescribes within an agreed patients specific written clinical management plan, agreed in partnership with a doctor or dentist
describe the summary of competencies by the GpHc
Domain 1: the consultation (competencies 1-6)- looks at the competencies that the prescriber should demonstrate during the consultation. assess the patient, consider the options, reach a shared decision, provide information, monitor and review
Domain 2: prescribing governance (competencies 7-10) - focuses on the competences that the prescriber should demonstrate with respect to prescribing governance. prescribe safely, prescribe professionally, improve prescribing practice, prescribe as part of a team
what are the advantages of being a prescriber ?
make a difference for patients,
person centred care, job satisfaction,
expand and use clinical skills - increase breadth of practice, medicine expert, responsibility,
own patient cohort
how does beign a prescriber impact others?
patient access to pahramceitcal care and support - faster access to medication/ treatment, easy access to prescriber (extended hours), efficient and cost effectiveness
better use for doctors time, better, concern over being deskilled, support form MDT
what should always be considered when prescribing?
relevant and adequate information about the patients current and past medical history.- allergy, clinical assessment, past medical and drug history.
patient consent, patient wishes
costs
follow up
interactions and contraindications