Prescribing in Practice Part 2a

Hospital, Non-NHS & AHP nurses

AIMS and OBJECTIVES

To inform non medical prescribers about:-

• Types of prescribing in Hospitals

• Prescriptions for non-NHS and AHPs

• Potential areas for error in prescription writing

At the end of the session students will understand all the above issues and have had practical experience of writing prescriptions using their BNF.

Hopital Based Nurses

Hospital based nurses may use one of three methods to prescribe:

1)Ward order

to be used for inpatients and discharge supplies only. A prescription charge is not levied on inpatients.

Hospital Nurses (Cont.)

2) Internal hospital prescription form-

To be used for outpatients – but only in cases where the hospital pharmacy will dispense the prescription.

A prescription charge may be payable, unless the patient is exempt from prescription charges.

For this reason these types of form often resemble an FP10

Hospital Nurses (Cont.)

3) FP10HP prescription form

to be used where the prescription will be dispensed by a community pharmacist.

Managers of hospital based nurses should order FP10HP which will be supplied ready for hand stamping with nurse and hospital details:

Non Medical PRESCRIBER NMC No. or other registration number

Non NHS Nurses & AHPs

• A Non NHS Nurse Prescriber cannot issue a FP10 type out-patient prescription, unless the organisation they work for has an arrangement with the NHS provider (e.g. Primary Care Trust)

• AHPs: A mechanism is in place for the Health Professions Council to record the supplementary prescribing qualification after AHPs have qualified as prescribers.

Who knowsWhat the new

system will be in primary care

Changes of NMP details

• Employers will need to keep a database of Nurse Prescriber details and inform the NHSBSA of changes as soon as possible. At least five days is needed between changes of details and re-ordering of prescription pads.

• Hospital based nurses will not need to do this but if names or numbers are changed then hand stamps will need to be changed accordingly.

This work was produced as part of the TIGER project and funded by JISC and the HEA in 2011. For further information see: http://www.northampton.ac.uk/tiger.

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