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A Practical Guide to Effective Nurse Prescribing in Respiratory Care

Wendy PrestonWendy Preston

Chaired by Deborah Robertson, Consultant Editor, Nurse Prescribing, Lecturer, University of Salford
Dr Deborah Robertson joined the School of Health and Society at the University of Salford, Manchester in March 2018 to teach across pre and post registration programmes. Before this she worked in the faculty of Health and Social Care at University of Chester since 2004, to help teach NMP, as a Senior Lecturer in the Department of Public Health and Wellbeing. Deborah would describe herself as an RGN first and foremost but she also holds a BSc (Hons) and a PhD in Pharmacology. She worked for 3 years as a postdoctoral research fellow in the Department of Psychiatry at the University of Dundee and published her work in the area of stress and depression. 

Full powerpoint presentation

Nurse/Non Medical Prescribing in Respiratory Care
Wendy Preston, Clinical Chair, The Association of Respiratory Nurse Specialists (ARN), Head of Nursing Practice, Royal College of Nursing, Honorary Nurse Consultant, George Eliot Hospital
Since qualifying as RGN in 1992 Wendy has continued studies, achieving MSc in Respiratory Care with post graduate certificates in prescribing and higher education and practices clinically as an Advanced Nurse Practitioner and Honorary Respiratory Nurse Consultant.

Wendy speaking from the conference today says:
“Nurse pre registration training is changing on a  big scale”
“a nurses role will include chest oscillation  – which is a real skill – this will be a game changer”
“for the first time in the health assessment there is a whole section on respiratory”
“Smoking cessation is THE most important treatment in respiratory care”

Full powerpoint presentation

Developing your skills, confidence and competence as a Nurse/Non Medical Prescriber in Respiratory Care
Heather Randle, England Lead, Association of Respiratory Nurse Specialists

Heather says:
“Really good practice to have peer views”
“Clinical supervision is vital”
“If you are prescribing make sure it is in your job description”

Nurse/Non Medical Prescribing within a Respiratory Clinic Setting
Mrs Terry Robinson, Respiratory Nurse Consultant, Harrogate District Hospital NHS Foundation Trust
I am a respiratory nurse consultant based in a secondary care setting. My role is 50% clinical, where I oversee the care of patients with pulmonary fibrosis, bronchiectasis, difficult asthma and unexplained cough.
My non-clinical role is in managing a team of respiratory nurses across intermediate and secondary care. I am responsible for developing guidelines for the management of chronic respiratory conditions across primary and secondary care and initiating new drugs onto the joint formulary.
I am currently a principle investigator on studies involving inhaler devices and adherence to therapies and in pulmonary fibrosis. I have a First Class Honours degree in respiratory disease and a Masters degree in Respiratory Disease Management. I have co-written and edited the Oxford University Press Handbook of Respiratory Nursing and am currently writing the second edition. I became a non-medical prescriber in 2008 and have prescribed almost daily since I qualified!

Full powerpoint presentation

Pre event abstract
This presentation will discuss the role of the respiratory nurse specialist in running nurse-led clinics. It will focus on the extended role of non-medical prescribing within a clinic setting and the importance of a holistic assessment of each patient.

Nurse/Non Medical Prescribing in the management of Asthma
Sam Prigmore,
Respiratory Nurse Consultant, St Georges Hospital NHS Foundation Trust
Sam has specialised in cardio respiratory nursing in since qualifying over 25 years ago, and was one of the first respiratory nurse specialist to be appointed In the UK. 
She is passionate about providing holistic care for people with respiratory disease and has been instrumental in developing respiratory nursing teams in the both the acute and community setting. She has extensive experience in nursing patients with asthma (in particular, severe and difficult asthma, transitional services and asthma in pregnancy), COPD and patients requiring ventilatory support.  
She has worked closely with CCG’s to develop and redesign respiratory services and nationally, representing nursing in the development of the National Clinical Strategy for COPD and Asthma. Following this, she was seconded to NHS London, as a member of the London Respiratory Team.  
She is actively involved in the British Thoracic Society, representing nursing on several committees, Primary Care Respiratory Society- UK and Association of Respiratory Nurse Specialists.  She has previously been a Trustee for the British Lung Foundation. 
She has held a honorary lecturer role with Imperial College and the Royal Brompton Hospital, and is a Trainer for Education for Health. 
She is currently studying for a PhD in Nursing at the University of Manchester. 

Pre event abstract
Asthma affects I in 12 adults and 1 in 11 children in the UK. Despite evidence-based guidelines, The National Review of Asthma Deaths (2014) highlighted that the majority deaths were avoidable, with poor adherence to guidelines and recommended treatment, being identified as areas for improvement.  

Full powerpoint presentation

Medicines optimization and medicines adherence 
Hetal Dhruve
, Specialist Pharmacist, Respiratory Medicine, City and Hackney CCG
Hetal Dhruve is a specialist respiratory pharmacist with experience of working across the interface in primary, secondary and tertiary care. She is currently based in City and Hackney CCG, reviewing high risk asthma and COPD patients. Her MSc investigated adherence in patients with difficult-to-treat asthma and she continues to work with Prof Rob Horne to identify barriers to adherence and influence change. Additionally, she is an honorary lecturer at the University College London and teaches at the East of England NHS pharmacist pre-registration training scheme. She has published articles in peer reviewed journals and presented her work at national conferences.

Pre event abstract
The NHS spends over £1bn on both asthma and COPD medication and yet we continue to see poor control, frequent exacerbations and hospitalisations. Identifying non-adherence and discussing barriers to adherence can go a long way in supporting patients with respiratory disease and provide significant cost savings to the NHS in both direct and indirect costs. Smoking cessation is an example of a high value, low cost intervention that can support a patient with respiratory disease.  

Full powerpoint presentation

Related events

Effective Nurse Prescribing in End of Life Care
Monday 16 July 2018, De Vere West One Conference Centre, London


Demonstrating & Improving Nurse Prescribing Competence & Practice: Implementing the National competency framework for all prescribers
Monday 10 September 2018, De Vere West One Conference Centre, London




2 July 2018


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