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Non-medical prescribing: current and future contribution of pharmacists and nurses.

机译:非医学处方:药剂师和护士当前和将来的贡献。

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摘要

The role of pharmacists and nurses in prescribing medicines for patients has been expanding in a number of countries in recent years. The UK is at the forefront of this - the current model of non-medical prescribing in operation is widely regarded as one of the most extensive anywhere in the world. 'Supplementary' prescribing was first introduced in the UK in 2003, to enable pharmacists and nurses to prescribe in partnership with an independent prescriber (doctor or dentist) and within a patient-specific clinical management plan, in agreement with the patient.' A supplementary prescriber is able to prescribe any medicine, including controlled drugs, for any condition within their competence. The scope of supplementary prescribing is an issue that is agreed in the patient's clinical management plan, and is for the medical judgement of the independent prescriber. Following further legislation in 2006, appropriately qualified pharmacists can prescribe independently within their competence any medicine for any condition, with the exception of controlled drugs. Nurses are able to prescribe independently some controlled drugs for specified conditions. These independent non-medical prescribers are able to diagnose and/or manage a range of medical conditions within a variety of healthcare settings. The national policy drive behind expansion of this initiative was to increase patient choice and access to medicines, and make best use of healthcare professionals' skills, whilst maintaining patient safety.
机译:近年来,在许多国家,药剂师和护士在为患者开药方面的作用正在扩大。英国处于这方面的最前沿-当前运作中的非医疗处方模式被广泛认为是世界上任何地方最广泛的模式之一。 “补充”处方于2003年在英国首次引入,以使药剂师和护士能够与独立的处方者(医生或牙医)合作,并在患者特定的临床管理计划中与患者达成一致。补充处方者可以在其权限范围内为任何情况开任何药物,包括受控药物。补充处方的范围是患者临床管理计划中商定的一个问题,用于独立处方者的医学判断。根据2006年的进一步立法,具有适当资格的药剂师可以在其职权范围内独立开出任何药物,用于任何情况,但受控药物除外。护士可以为特定情况开一些处方药。这些独立的非医学处方者能够诊断和/或管理各种医疗环境中的一系列医疗状况。扩大该计划的国家政策驱动力是增加患者选择和获得药物的机会,并充分利用医护专业人员的技能,同时保持患者安全。

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