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Nurse/Non-Medical Prescribing for Wound Care: Speaker Presentation

Today’s national conference provided an essential update for current and aspiring nurse/non-medical prescribers on prescribing for wound care.

Wound care is a growing area of non-medical prescribing and one of the most common areas, in a 2010 survey of the Association for Prescribers members found that it was the third most common prescribing area after pain and minor ailments (Karen Stenner, University of Surrey). This makes it essential that nurse prescribers maintain the competence and skills to prescribe for wound management in an effective way, working with patients to improve wound management outcomes.

Chaired by Teresa Kearney Association for Prescribers Committee Member this conference provided national updates and practical case studies from community, district nursing, tissue viability in hospital, pressure ulcer management and heel ulcer management presentations looked at how to develop and maintain prescribing competence, and how to develop effectiveness in post qualification practice, with extended sessions on developing prescribing competence and confidence, assessing and evaluating prescribing decisions to demonstrated effectiveness, the use of Patient Group Directions in Wound Care and how these can supplement wound care management.

Teresa Kearney Association for Prescribers Committee Member opened the conference with a national update on Nurse/Non-Medical prescribing and discussed:

  • national developments in nurse/non medical prescribing
  • developing confidence and competence in your ability to prescribe
  • demonstrating compliance with the NMC Code for revalidation
  • the benefits of nurse prescribing for wound care

In her presentation Teresa Kearney Association for Prescribers Committee Member stated: 

"The New competency framework is under development"

"How will this impact on us? From April we will have revalidation"

"Clinical supervision- extremely valuable, reflect , gain support in a protective learning environment"

"Sessions in complex cases, capture importance with your portfolio’s"

Teresa Kearney Association for Prescribers Committee Member Full Presentation Click Here

Prof Jackie Stephen-Haynes, Professor & Consultant Nurse in Tissue Viability, Worcestershire Health and Care NHS Trust, Chair, Wound Care Alliance UK continued the conference and looked in-depth at nurse/non-medical prescribing in wound care and discussed:

  • non medical prescribing for wound care: where are we now?
  • what are nurses prescribing for wound care?
  • the range of wound care management prescribed and new products on the horizon
  • improving wound care outcomes
  • issues and challenges around prescribing for wound care

Jackie Stephen-Haynes is a professor of Wound Healing at Birmingham City University Wound Healing Practice Development Unit and also provides a strategic and operational role in Tissue Viability across the Worcestershire Health Care Trust. This includes education and clinical care for patients in their own homes, community hospitals and hospices across Worcestershire.

In her presentation Professor Jackie Stephen-Haynes stated: 

"It is vital to have access to dressings at the right time for the right patient"

"Patients have different expectations nowadays - patients are more willing to speak out to what they want"

"Issues and challenges around prescribing for wound care - cost for prescribers is an issue"

"Challenge for us now - where are we going in prescribing as we have a narrow range of products"

Prof Jackie Stephen-Haynes Professor & Consultant Nurse in Tissue Viability Worcestershire Health and Care NHS Trust Chair Wound Care Alliance UK Full Presentation Click Here

Following the morning tea break Tina Chambers, Vice Chair, Tissue Viability Society and Clinical Nurse Specialist in Tissue Viability delivered an extended session on ‘Improving Wound Care Outcomes: Developing, demonstrating and maintaining continued competence in Nurse Prescribing for Wound care’ and discussed:

  • wound management competencies
  • developing, demonstrating and maintaining continued competence in nurse medical prescribing for wound management
  • developing your skills in providing a more effective wound management plan
  • ensuring your practice is evidence based: guidelines and evidence
  • developing and using a wound care prescribing framework
  • keeping your prescribing knowledge up-to-date: accessing education, training and resources

Tina Chambers was Chair of the Tissue Viability Society 2013-2015 is currently the vice chair. The Tissue Viability Society is a National Charity which aims to provide expertise in wound management to all healthcare professionals , to disseminate information, promote research and increase awareness of all aspects of good clinical practice in wound prevention and management, to advance multidisciplinary partnership to achieve excellent patient outcomes. As Co-chair of the Consensus working group she assisted in the development of the “ Achieving consensus in pressure ulcer reporting”.

In her presentation Tina Chambers stated: 

"Vast array of wound management competencies"

"Patient feedback in regards to competency is very important- we need to ask more to patients about pain and dressings"

"How do we monitor outcomes? Do we?"

"Developing and using wound care prescribing framework- guidelines, formulary’s, national wound formulary"

"Very valuable and making my own guidance, the short and sweet version was better on the wards for the nurses"

"There is some concern on tissue viability courses as there is not enough nurses being able to attend the course, trusts are now encouraged to fund their own"

"2018 we will have our new second level of nurses in training, trained in clinical practice too"

Tina Chambers, Vice Chair, Tissue Viability Society and Clinical Nurse Specialist in Tissue Viability Full Presentation Click Here

Following the lunch break the conference continued with case studies session on Commissioning of New Wound care Therapies in the NHS - How do we value Innovation?, Community and district nursing prescribing for wound care and Nurse prescribing for heel pressure ulcers.

Linda Nazarko OBE, Consultant Nurse Physical Healthcare, West London Mental Health NHS Trust continued the conference with a presentation on ‘The nurse prescribers role in managing venous eczema and treating infected venous eczema’, followed by Marion Russell, Independent Medicines Management Advisor with a presentation on ‘Assessing and evaluating prescribing competence and effectiveness’.

Future events of interest:

Eliminating Heel Pressure Ulcers
Wednesday 10 February 
Hallam Conference Centre, London


Eliminating Avoidable Pressure Ulcers
Thursday 19 May 
Colmore Gate Conference Centre, Birmingham


19 January 2016


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