Characteristics of
Prescribing for Non-depressant Indications
To prescribe, RNs must have had three years' experience in the area in which they will be prescribing, completed a postgraduate diploma in RN
prescribing for long-term and common conditions, completed a practicum with an authorised prescribes ie a nurse practitioner or a doctor, and have been assessed as competent by that authorised prescriber.
A recent evaluation of
prescribing for inpatients in two specific scenarios (urinary tract infections in patients without indwelling catheters and treatment with intravenous vancomycin) identified that antibiotic use could have been improved in 37% of cases (9).
This Act enables
prescribing for two classes of prescriber: authorised prescribers (medical practitioners, nurse practitioners, dentists, optometrists and midwives); and designated prescribers (nurses working in diabetes health, pharmacists and dietitians).
Research has focused on identifying barriers to
prescribing for health visitors, including:
This concept is regulated by Good practice in prescribing and managing medicines and devices of the British Medical chamber that represents the core guidance for drug
prescribing for all registered doctors.
In the June 1, 2011 Federal Register, CMS announced changes in the regulations for implementing the penalty phase of the program to encourage electronic
prescribing for Medicare patients.
That changes the workflow, because prescribing to a chronically ill person is different from
prescribing for a patient who goes to primary care for a one-time prescription.
While most issues that challenge our professional boundaries are either ignored until they ebb away, or are passively managed, the issue of
prescribing for psychologists may be an issue that we want to manage more actively.
Earlier this year Health Minister Dr Brian Gibbons supported the introduction of independent
prescribing for pharmacists and nurses in Wales.
"These standards will allow Medicare, physicians, hospitals, group practices, other health providers, and prescription drug plan sponsors and Medicare Advantage organizations to take advantage of e-prescribing technology to improve medication
prescribing for Medicare beneficiaries that participate in the new prescription drug program," said Mike Leavitt secretary of the Department of Health and Human Services.
A group of health plans in Massachusetts has joined forces to cover the costs of electronic
prescribing for physicians interested in integrating the technology into their practices.
The need for a more rational approach to drug
prescribing for elderly people in nursing homes.
It may be that there is an argument, for example, for interprofessional education in
prescribing for all health professionals.