20 credits at level HE7
The aim of the module is:
• For students to identify their own personal development needs (PDP) in relation to the module.
• To critique applied therapeutics and methods of assessing and monitoring effectiveness of treatment.
• To master relevant physical examination skills, and become familiar with the principles of patient monitoring, including equipment familiarisation
• Adopt a reflective approach to continuing professional development of prescribing practice
Legislation relating to range of medicines, items and appliances prescrible by non medical prescribers
Formulation of personal drug formulary (p-list)
Update on relevant aspects of applied therapeutics
Review of drug calulations
Changes in physiology and drug response, for example the elderly, young, pregnant or breast feeding women and ethnicity
Adverse drug reactions and interactions
Pathophysiology of defined conditions to which prescribng practice relates.
Natural history and progression of defined conditions.
Impact of co-morbidities on prescribing and patient management
Assessment of clients
Physical examination skills relevant to the conditions for which prescribing practice will be developed.
Selection of drug regimen
Principles and methods of monitoring
Principles and methods of patient monitoring
Chemical and biochemical methods for monitoring the treatment of the conditions relevant to own area of practice
Assessing responses to medicines against the objectives of the treatment plan or clinical management plan.
Patient compliance and concordance
Identifying and reporting adverse drug reactions
Development of porfolio, PDP and learning contracts
Learning and teaching will include a variety of methods including lectures, Clinical skills demonstration, workshops, group discussions, case studies, E-learning and Web-CT based materials.
Assessment strategies include:
a) Two examination papers.
b) A portfolio of evidence demonstrating achievement of the student’s own personal development needs and the learning outcomes for the module and CPD needs by utilising the relevant National Prescribing Centre’s competency frameworks for non medical prescribers (NPC, 2003a; NPC 2003b; NPC, 2004).
c) Completion of 12 days in practice and verification by designated medical supervisor of competent prescribing in own area of practice.
It is imperative that students are safe and effective prescribers. Any major failure to identify a serious problem or an answer that would cause a patient harm would result in overall failure.
when you have successfully completed this module you will:
to demonstrate that you have achieved the learning outcome you will:
|1.||Evaluate key pharmacological factors and principles affecting therapeutic interventions in relation to Clinical Management Plan (CMP).||
a) Identify medicines / appliances and conditions relevant to your area of practice and formulate personal drug formulary (p-list).
b) Demonstrate knowledge of medicines and safe prescribing of medicines from p-list as identified in a).
c) Discuss and formulate clear arguments to justify the prescribing decision-making process.
d) Demonstrate the utilisation and application of knowledge of clinical pharmacology including the effects of co-morbidity to underpin safe prescribing.
|2.||Perform relevant physical examination of patient with those conditions for which you may prescribe.||
a) Identify own learning needs in relation to physical examination skills.
b) Be able to undertake relevant physical examinations competently, utilising clinical equipment/recording devices as appropriate.
c) Complete of clinical skills log, verified as competent by relevant clinical assessor in practice.
|3.||Demonstrate competence to monitor response to therapy and modify treatments.||
a) Critically analyse the evidence to support prescribing in own area of practice.
b) Be able to assess, review and evaluate patient care and monitor response and effectiveness of treatments.
c) Identify adverse reactions and report adverse reactions through appropriate channels.
d) Demonstrate initiative and creativity in achievement of the NPC competencies related to prescribing, evidenced and verified in portfolio.
|4.||Demonstrate comprehensive, effective and competent assessment and consultation skills.||
a) Critically analyse and justify the use of appropriate assessment tools, consultation models and decision making tools.
b) Justify using a rationale, the decision-making process supporting prescribing.
|5.||Demonstrate numeracy skills and accuracy when undertaking drug calculations||
a) Demonstrate numeracy by undertaking accurate drug calculations.
b) Write accurate prescriptions, including a prescription that demonstrates an accurate drug calculation.
|6.||Evaluate key pharmacological factors and principles affecting therapeutic interventions in relation to prescribing practice for children.||
) If working with children in practice, be able to undertake an accurate history and assessment of a child, having considered the legal, cognitive, emotional and physical differences between children and adults.
b) Be able to undertake relevant physical examinations competently, utilising clinical equipment/recording devices appropriate for children, verified as competent by an appropriate clinical assessor in practice.
|7.||Demonstrate a reflective approach to continuing professional development of prescribing practice||Reflect and evaluate upon the transformation of knowledge and skills and need for CPD evidenced in portfolio.|
Your achievement of the learning outcomes for this module will be tested as follows:
|Description||Examination paper consisting of Part i) Multiple choice / short answer examination paper (80% pass mark). Part ii) An essay question relating to own area of practice. (40% pass mark).||Numeracy examination paper consisting of Part i) Four questions relating to drug calculations (100% pass mark). Part ii) Written prescription involving a drug calculation (100% pass mark).||Completion of log demonstrating 12 days (90 hours) relevant prescribing experience in practice and verification as competent in prescribing practice by appropriate medical assessor. (Pass / Fail)||Completion of a portfolio of evidence demonstrating achievement of learning outcomes for the module and completion of a Clinical Assessment Tool, utilising the National Prescribing Centres outline Framework competencies for pharmacist Supplementary Prescribers (NPC, 2003). (Pass / Fail)|
There are no prerequisites for this module.
and/or be taking the following corequisite modules:
No restrictions apply.
Bickley, L. S, (2003) Bates’ Guide to Physical Examination and History Taking (8th Edition). Lippincott, Williams and Wilkins : Philadelphia.
Coben, D; Atere-Roberts, E. (2005) Calculations for Nursing and Healthcare (2nd edition). Palgrave Macmillan:New York
National Prescribing Centre. (2003) Maintaining Competency in Prescribing : An outline framework to help pharmacist supplementary prescribers. (Available from the NPC website www.npc.co.uk )
National Prescribing Centre. (2006) Maintaining Competency in Prescribing : An outline framework to help pharmacist prescribers. (Available from the NPC website www.npc.co.uk )
Nowak, T. J. (1999) Essentials of pathophysiology : concepts and applications for health care professionals (2nd edition). WCB McGraw-Hill: Boston.
Shulman, R; Montgomery, H; Ng, J; Keady, S. (2007) Surviving Prescribing: A Practical Guide. Remedica: London.
Stevens, A., Gillam, S. (1998) Needs assessment: from theory to practice. British Medical Journal. 316: pp 1448 – 52.
Walker, R., Edwards, C. (Eds) (2002) Clinical Pharmacy and Therapeutics (3rd edition). Churchill Livingstone : Edinburgh.
Wong, I.C. K. (1999) Pharmacovigilance resources in the United Kingdom. Pharmaceutical Journal. 263: pp 285-288.
Woolf, S., Grol, R., Hutchinson, A., Eccles, M., Grimshaw, J. (1999) Clinical Guidelines: Potential benefits, limitations, and harms of clinical guidelines. British Medical Journal. 318: pp 527-30.
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