Effective Nurse/Non Medical Prescribing in End of Life Care: Speaker news and updates
This important national conference provides an essential update for current and aspiring non medical prescribers on prescribing at the end of life. It is widely recognized that pain and symptom control at the end of life is not always optimal, the development of non medical prescribing has a key role in improving pain and symptom control for patients at the end of life.
Marion Russell Medicines Management Advisor & Member Association for Prescribers opened the conference with a national update on developments in nurse / non medical prescribing and will cover:
- developing confidence and competence in your ability to prescribe
- demonstrating compliance with the NMC Code for revalidation
- the benefits of nurse / non medical prescribing in end of life care
Pre conference abstract:
The number of professions now able to register as non-medical prescribers is expanding as the demands made on the NHS and other Health Care providers continues to increase.
This brings with it the need to ensure that medicines are not only prescribed safely but those who undertake this task are capable and competent to do so.
The new NMC Code for nurses and midwives sets out quite clearly that patient safety is the registrant's responsibility.
This presentation seeks to link all of these facets together and help to set the scene for the conference.
Since her retirement from the NHS in November 2013 Marion Russell has been working as an independent medicines management advisor. This includes running training days on medicines management for nurses, midwives and allied health care professionals as well as writing and reviewing medicines management related documents.
She was employed from 2003 -2013 at Guys and St Thomas NHS Foundation Trust as the Clinical Development Nurse: Medicines Management and was the Non Medical Prescribing Lead for the Trust. In this role she developed learning programmes for nurse/midwives and allied health professionals relating to medicines management, as well as writing and monitoring the development of patient group directions and supporting nurses in non medical prescribing.
Her career in nursing spans over 50 years. She has worked in both the secondary and independent sector and held senior positions in the adult setting.
In 1980 she moved into mainstream education and qualified as a teacher. After this she worked in further education with students following social care courses.
In 1984 she entered Nurse Education and remained in this field until 2003 progressing from nurse tutor to managing education.
She was a member of the steering group working with the NMC on the development of the Standards for Medicines Management which was launched in February 2008.
She was the initiator and founder member of the Nurses Working In Pharmacy Network Group set up to support nurses who work in pharmacy.
She is a committee member of the Association for Prescribing.
This was followed by a presentation from Sheila Dawson Member National Nurse Consultant in Palliative Care Group & Nurse Consultant in Palliative Care St Theresa’s Hospice who looked at current issues for nurse / non medical prescribers in end of life care including;
- why are nurse / non medical prescribers who are trained to prescribe in end of life care not prescribing?
- difficult issues in end of life care prescribing
- experience: tips and advice
Pre conference abstract:
Independent non-medial prescribing has been instrumental in improving end of life care by facilitating timely access to medication and effective symptom management. However, symptom management and prescribing for end of life care is complex. It requires knowledge and skills used simultaneously, such as communication, and pharmacology in conjunction with patients’ physiological, psychological, social and existential influences, in order to meet the concurrent multiple needs of individual patients/families.
Factors which impact on the non-medical prescriber and can be particularly daunting for newly qualified non-medical prescribers include providing safe care for patients which is acceptable to both patients and their significant others against a backdrop of relatively little quantitative evidence.
This presentation will look at the principles of prescribing for people with end of life diagnoses diagnosis at the end of their lives. It will consider how the challenges impact on practice and the non-medical prescriber and highlight the complexities of prescribing for this patient group
I have been a nurse prescriber for fifteen years, seven of which as an Independent non-medical prescriber (NMP) in specialist palliative care. My first post in 2006 was a Community Macmillan CNS in Central Manchester. In 2009 I joined Wigan and Leigh Hospice, also as a Palliative Care CNS, where I was heavily involved in implementing Independent Non-medical Prescribing among the CNSs. In May 2012 I attended the European Palliative Care Conference in Lisbon where I presented a poster relating to the process.
I have also published in the Nurse Prescriber 2013 11(5) investigating the time taken for community palliative patients to receive their medication when prescribed by GP compared to when prescribed by myself.
Currently I am employed as a Nurse Consultant in Palliative and End of Life Care at St Teresa’s Hospice, Darlington, which is a nurse-led facility. I am one of three non-medical prescribers there and I lead in symptom management for patients on the six bedded in-patient unit, Day Hospice and some community patients.
Future events of interest:
Electronic Prescribing in Mental Health
Non-Medical Prescribing for Pain
Reducing Medication Errors National Summit 2018
Demonstrating & Improving Prescribing Competence & Practice: Implementing the National competency framework for all prescribers
Revalidation for Pharmacy Professionals
Controlled Drugs Summit: Ensuring the Safer Management of Controlled Drugs: Diversion & Abuse, Prescribing & Use
Non Medical Prescribing in Cardiology
26 February 2018