The Independent and Supplementary Prescribing module is suitable for NMC registrants from all fields of nursing practice (adult, mental health, learning disabilities and children’s nursing), midwifery and specialist community public health nursing (SCPHN). It builds on existing physical assessment and clinical reasoning skills, to develop the practitioners’ pharmacology knowledge base, as well as the theory and practice of prescribing to meet the NMC Standards for prescribing programmes (NMC, 2018).The module is delivered using a blended learning approach, which incorporates both face-to-face and online activities. A variety of strategies and techniques are employed, including simulation based learning, to encourage critical enquiry and problem solving, in recognition of the complexities that may be encountered in prescribing practice.
The module forms the second part of the Post- Graduate Certificate in Independent/ Supplementary Prescribing award, with the first part comprising the ‘Clinical reasoning in physical assessment: lifespan perspectives’ module, or equivalent 30 credits at level 7.
The aims of the module are to:
enable participants to develop in-depth knowledge and understanding of clinical pharmacology and prescribing practice;
equip participants to become competent, safe and effective independent/ supplementary prescribers, thereby meeting the standards set by the NMC for nurses and midwives.
Successful achievement of the ‘Clinical reasoning in physical assessment: lifespan perspectives’ 30 credit module, or equivalent certificated learning.
Current nurse (Level 1), midwife or SCPHN with at least 1 year’s post NMC registration clinical experience.
Written confirmation of support to undertake the module from the applicant’s employer and the Prescribing Lead within their organisation, who must confirm all placement areas have a current and satisfactory educational audit
Written confirmation of agreement to provide support from an identified Practice Assessor, who must be an experienced prescriber with suitable equivalent qualifications for the module undertaken, fulfilling criteria in the NMC’s (2018) Standards for student supervision and assessment and the NMC’s (2018) Standards for prescribing programmes.
Self-employed applicants must have an honorary contract in place and agreement of support from a suitably qualified Practice Assessor and the Prescribing lead within that organisation, at the point of application.
Evidence of currently working in the clinical field in which the participant intends to prescribe.
Unseen Written Examination & Practice Portfolio
1. Critically appraises assessment data from a range of sources to formulate, confirm or defend a diagnosis, with in-depth consideration of differential diagnoses.
2. Applies a comprehensive knowledge base and understanding of pharmacology to prescribing scenarios.
3. Accurately completes calculations relating to prescribing and practical dosing.
4. Critically appraises treatment options, drawing on expert knowledge and working in partnership with patients/ carers to negotiate individualised treatment plans.
5. Critically evaluates the effectiveness of medications, working collaboratively to ensure appropriate review and referral in complex and unpredictable situations.
6. Critically examines local and national prescribing frameworks and practices and proposes novel approaches to enhance safe, cost effective management of patients.
7. Critically reflects on and challenges own and others practice, within the context of complex professional/ ethico-legal considerations, to improve prescribing practice.
8. Critically evaluates strategies for effective communication to promote safety, informed choice, self-management, continuity of care and multidisciplinary team working in challenging and unpredictable situations.