Table Of ContentCPD for Non-Medical
Prescribers
A Practical Guide
Edited by
Marion Waite and Jan Keenan
A John Wiley & Sons, Ltd., Publication
CPD for Non-Medical Prescribers: A Practical Guide Edited by Marion Waite and Jan Keenan
© 2010 Blackwell Publishing Ltd. ISBN: 978-1-405-17885-3
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LibraryofCongressCataloging-in-PublicationData
CPDfornon-medicalprescribers:apracticalguide/editedbyMarionWaiteand
JanKeenan.
p.;cm.
Includesbibliographicalreferencesandindex.
ISBN978-1-4051-7885-3(pbk.:alk.paper)1.Nurses–Prescription
privileges–GreatBritain.2.Drugs–Prescribing–GreatBritain.3.
Medicine–Studyandteaching(Continuingeducation)–GreatBritain.I.Waite,
Marion.II.Keenan,Jan.III.Title:Continuingprofessionaldevelopmentfor
non-medicalprescribers.
[DNLM:1.Education,Pharmacy–methods–GreatBritain.2.Clinical
Competence–GreatBritain.3.DrugPrescriptions–standards–GreatBritain.4.
Education,Continuing–methods–GreatBritain.QV20C8822010]
RT81.8.C632010
610.73–dc22
2009024678
AcataloguerecordforthisbookisavailablefromtheBritishLibrary.
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PrintedinMalaysia
1 2010
Contents
ListofContributors ix
Acknowledgements xi
Introduction xiii
SectionOne:GeneralPrinciplesforContinuingProfessional
DevelopmentforNon-MedicalPrescribers
1 KeepingUptoDatewithLegalandProfessional
FrameworksforNon-MedicalPrescribing 3
MarionWaite
Introduction 3
Thelawasitappliestomedicines 4
Thelawasitappliestonon-medicalprescribingroles 4
Professionalstandardsasappliedtonon-medical
prescribing 7
Conclusion 13
References 15
2 Prescribing Practice from the Employer’s Perspective: The
RationaleforCPDwithinNon-MedicalPrescribing 17
AnneSmithandSanjayDesai
Introduction 17
The organisational importance of continuing professional
development 17
Continuingeducationandcontinuingprofessional
development 18
Themanager’sobligationtoprovidecontinuing
professionaldevelopment 18
Identifyingandmeetinglocallearningneeds 19
Professionalguidance 20
Organisationalresponsibility–theroleoftheTrust’s
non-medicalprescribinglead 21
MeetingorganisationalandindividualneedsforCPD 22
IdentifyingopportunitiesforCPD 23
MonitoringCPDaspartofappraisal 24
iii
iv Contents
Maintainingtheservice 27
Conclusion 28
References 29
Usefulwebsites 31
3 WritingandMaintainingaNon-MedicalPrescribingPolicy
forYourOrganisation 33
MichaelFanning
Introduction 33
Backgroundtoclinicalgovernance 33
Developingthepolicy 34
Clinicalgovernance 42
Patientinformation 42
Selectionofpotentialprescribers 42
Monitoringpractice 43
Organisationalrolesandresponsibilities 43
Usefulcontacts 44
Finalsection 44
Conclusion 44
References 45
4 OrganisingCPDforNon-MedicalPrescribers
ataRegionalLevel 47
FionaPeniston-Bird
Introduction 47
ThestructureoftheNHSwithintheUnitedKingdom 48
The national context for the development of non-medical
prescribing 49
Theroleofaregionalnon-medicalprescribingfacilitator 50
TheroleofTrustNMPleads 54
OrganisingCPDviaalocalforum 55
DeliveringCPDviaalocalforum 56
Reflection:providingCPDfornon-medicalprescribers 56
Wherearewenow? 57
CommissioningCPDfornon-medicalprescribers 59
Conclusion 60
References 61
SectionTwo:SpecificApproachestoCPDforNon-Medical
Prescribers
5 UsingE-learningforCPDwithinNon-MedicalPrescribing 65
MarionWaite
Introduction 65
Background 67
Howcanlearningtechnologiesbeusedinpractice? 69
Contents v
Usingavirtuallearningenvironment(VLE) 71
Planningablendedlearningactivity 71
Whenthingsdonotgowell 74
Web2.0technologies 75
Electronicportfolios 76
ReviewofNationalPrescribingCentreonlineresources
fornon-medicalprescribers 77
Otheronlineresources 78
Buildingandsharingyourowndatabaseofonline
prescribingresources 78
Conclusion 79
References 80
Usefulwebsites 81
6 ActionLearningandLearningSets 83
JanKeenan
Introduction 83
Actionlearning 83
Whowillbenefitfromactionlearning? 84
Whatkindoforganisationmakesactionlearningasuccess? 86
Puttingactionlearningintopractice 87
Practicalexperience–learningsetsinasinglespeciality 90
Additionalbenefitsofactionlearningandlearningsets 91
Conclusion 91
References 93
7 KeepingUptoDatewithPharmacology 95
NicolaStoner
Introduction 95
Backgroundandtheneedtokeepuptodate
withpharmacology 95
Pharmacologyeducationfornon-medicalprescribers 96
Keyelementsofpharmacology 97
Pharmacodynamics 101
Pharmacogenetics 103
Druginteractions 103
Adversedrugreactions 103
Pharmacologyteachingandlearningexercises 104
Resourcestosupportprescribersinkeepinguptodate
withpharmacology 109
Maintainingcurrentawareness 112
Keysourcesofsupportandadvice 112
Theroleofthesupervisoryrelationship 113
Conclusion 113
References 114
vi Contents
8 Organising CPD forNon-Medical Prescribersin aGeneral
PracticeSetting 117
MandyFry
Introduction 117
Thescienceandartofmedicineingeneralpractice 117
Theroleofprofessionalartistryandbuildingcommunity 118
Makingthemostofexistingeducationalopportunities 120
Mentoringandcriticalfriendship 122
Conclusion 126
References 127
9 Organising and Running a Journal Club for Non-Medical
Prescribers 129
DanLasserson
Introduction 129
Whyrunajournalclubandwhatmakesthemeffective? 129
Organisingajournalclub 132
Runningajournalclub 132
Whatskillsdopeopleneedtotakepart? 132
Findingresearchtodiscussinajournalclub 133
Presentinganddiscussingresearchatajournalclub 135
Conclusion 136
References 137
Furtherreading 139
Usefulwebsites 139
SectionThree:KeyResourcesandPracticeExamples
forNon-MedicalPrescribers
Appendix1 KeyResourcesforKeepingUptoDatewithLegal
and Professional Frameworks for Non-Medical
Prescribing 145
1:1 Usefulwebsites 145
1:2 Examplejobdescriptionthatincludes
non-medicalprescribingasakeyelement
oftherole 146
1:3 Acknowledgements 151
1:4 Answers to ‘Test your knowledge about the
law as it applies to non-medical prescribing’
quiz 151
Appendix2 PrescribingPracticefromtheEmployer’sPerspec-
tive:TheRationaleforCPDwithinNon-Medical
Prescribing 153
2:1 Usefulwebsites 153
Contents vii
2:2 Example of a clinical governance tool for
a health-care organisation to support non-
medicalprescribing 153
2:3 Acknowledgements 162
Appendix3 Writing and Maintaining a Non-Medical Pre-
scribingPolicyforYourOrganisation 163
3:1 Usefulwebsites 163
3:2 Examplenon-medicalprescribingpolicy
forahealth-careorganisation 163
3:3 Acknowledgments 189
Appendix4 Organising CPD for Non-Medical Prescribers at
aRegionalLevel 191
4:1 Usefulwebsites 191
4:2 Howtoorganisegroupworkforanon-medical
prescribingCPDevent 191
4:3 Howtofacilitateanetworkingsession
foranon-medicalprescribingCPDevent 192
4:4 Acknowledgements 192
Appendix5 Using E-learning for CPD within Non-Medical
Prescribing 193
5:1 Usefulwebsites 193
5:2 JISCEffectiveE-learningPlanner 194
5:3 Acknowledgements 195
Appendix6 ActionLearningandLearningSets 197
6:1 Makingtheconnections–using
healthcareprofessionalsasprescribers
todeliverorganisationalimprovements 198
6:2 Acknowledgements 202
6:3 Aprescribingcasehistorypresentedduring
anactionlearninggroup 203
6:4 Examplesofgoodpracticeinkeeping
prescribersuptodatewithcurrentevidence
andpractice 205
Appendix7 KeepingUptoDatewithPharmacology 213
7:1 Usefulwebsites 213
7:2 Answerstopharmacologyself-testmulti-choice
questions 214
7:3 Acknowledgements 214
viii Contents
Appendix8 Organising CPDforNon-Medical Prescribersin
aGeneralPracticeSetting 215
8:1 Prescribingpoints 215
Appendix9 OrganisingandRunningaJournalClubforNon-
MedicalPrescribers 231
9:1 ExampleofhowtousePICOtobuildasearch
strategy 231
9:2 Acknowledgements 234
Index 235
List of Contributors
SanjayDesai
MRPharmS,DipComPharm,MSc,
IndependentandSupplementaryPrescriber
PharmaceuticalAdviser
JointNon-MedicalPrescribingLead
NHSBerkshireWest
Lecturer
UniversityofReading
MichaelFanning
RN,DPSN,MSc
DeputyDirectorofNursingandQuality
OxfordRadcliffeHospitalsNHSTrust
MandyFry
MBBS,DCH,DFFP,MPhil,MRCGP
PortfolioGP,Cirencester&SeniorLecturerinPrimaryCare
OxfordBrookesUniversity
JanKeenan
RN,DipHE(Lond),MSc,PGDipEd
Non-MedicalPrescriberConsultantNurse
CardiacMedicineandJointNon-MedicalPrescribingLead
OxfordRadcliffeHospitalsNHSTrust
DanLasserson
MA,MBBS(Hons),MRCP(UK),MRCGP
GPPrincipal,OxfordClinicalLecturer
DepartmentofPrimaryHealthCare
UniversityofOxford
FionaPeniston-Bird
RN,RHV,BSc(Hons)
NurseIndependentPrescriber
IndependentNon-MedicalPrescribingDevelopmentConsultant
LecturerNon-MedicalPrescribing
UniversityofWinchester
ix
x ListofContributors
AnneSmith
RN,BSc(Hons)CommunityHealthCare(D/N),MSc,PGCHE,FPT
DirectorofNursingStudies
UniversityofReading
NicolaStoner
BSc(Hons),MRPharmS,(SPresc&IPresc),DipClinPharm,PhD,ACPP
ConsultantPharmacist
OxfordRadcliffeHospitalsNHSTrust
HonoraryPrincipalVisitingFellow
TheSchoolofPharmacy
UniversityofReading
MarionWaite
RN,RM,RHV,BA,MSc
CommunitySpecialistPractitionerAward
NursePrescriber,PracticeEducator
SeniorLecturerNon-MedicalPrescribing
OxfordBrookesUniversity
VisitingDiabetesSpecialistNurse
Oxford
