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28 | Community Practitioner April 2013 Volume 86 Number 4
PROFESSIONAL AND RESEARCH: PEER REVIEWED
Christina Brooks RN (Adult) RM SCPHN (HV)
BSc(Hons) Community Practitioner Nurse Prescriber
Clinical Team Leader for Health Visiting and
School Nursing
Leicestershire Partnership Trust
Correspondence:
[email protected]
Key words
Non-medical prescribing, health visitors, clinical
updates, support, V100, Call to Action
Abstract
Prescribing is an essential element of the health
visitor’s role. However, in one inner-city locality
prescribing in practice was evaluated to be at
a low level. A number of barriers to prescribing
were identified through a focus group. A project
to support health visitors was planned and
delivered. The project involved clinical updates
and improvement to the registration process,
thereby reducing delays for practitioners in
getting prescribing pads. The result was that
prescribing confidence improved and prescribing
activity increased.
Community Practitioner, 2013; 86(4): 28–30.
Conflict of interest: none
Developing health visitor prescribing
Background
Non-medical prescribing (NMP), specifically
the V100 qualification, has been an inherent
part of health visitor and district nurse
training since 1999 (While and Biggs, 2004). It
is also an important element of the specialist
community public health nursing (SCPHN)
course for health visitors and school nurses.
However, evidence, both anecdotal and
through a data activity report taken from the
online prescription services database ePact,
demonstrated that prescribing activity in
the health visiting service was at a low level.
Therefore, a project to develop non-medical
prescribing in the health visiting and school
nursing services in an inner city locality
was planned.
Background and context
NMP was first proposed in the Crown Report
(Department of Health (DH), 1989). The
benefits to clients identified in the report
included better use of time for clients and
nurses, and improved patient care.
NMP has evolved to allow allied health
professionals and nurses to prescribe from
the whole British National Formulary (BNF)
within their specialty. This has been evaluated
as beneficial for clients, nurses and their
organisations (Courtenay, 2010). This form
of prescribing is known as independent
prescribing and the qualification is called
V300; however, this project focused on
community practitioner nurse prescribers
who have the V100 qualificati
Impacting Factors Tool Resource
Instructions: Use this tool to document your assessment of the factors impacting the capstone project. Be sure to cite and reference necessary sources according to APA format, using the last page for your reference list.
Name: ______________________________________________________________________
Stakeholder Identification and Engagement Strategies to Secure Support ( |
Stakeholder- anyone person or organization affected by or through the changed process. · Patients · Patients family members · Organizational departments · Co-workers · Physicians Engagement Strategies to secure support- · Communicate plan clearly and consistently · Acquire management buy in · Background research to support proposal |
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SWOT Analysis-is used to complete an objective analysis of the capstone project. Strengths and Opportunities and Threats are external factors to the organization that cannot be controlled by the organization. Opportunities not acted upon can become threats. |
Strengths– · Co-workers knowledgeable of the ACA · Strong unit manage supportive of project · Robust organization reputation |
Weaknesses– · Chief medical officer unreceptive to change · Weak internal communication process · Cash flow problems · Poor organizational morale |
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Opportunities · The ACA requires the Hospital Readmissions Reductions Program · Loyal customers · Protect hospital income |
Threats · Failure to meet discharge readmission rates mandated will result in loss of income. · Other organizations have decreased discharge readmission rates. · Loss of income could result in employee lay offs |
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Financial Implications of the Capstone Project |
· What is the cost of the project to the organization and the patient? · Is there any Impacting Factors Tool Instructions: Use this tool to document your assessment of the factors impacting the capstone project. Be sure to cite and reference necessary sources according to APA format, using the last page for your reference list. Name: ______________________________________________________________________
References
1 IMPACTING FACTORS TOOL students name institution affiliation date Impacting Factors Tool Instructions: Use this tool to document your assessment of the factors impacting the capstone project. Be sure to cite and reference necessary sources according to APA format, using the last page for your reference list. Name: ______________________________________________________________________
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