News and Updates from today's Non Medical Prescribing in Cardiology Conference
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This important national conference provides essential updates for current and aspiring non medical prescribers in cardiology and cardiovascular care. The conference is chaired by Hannah Waterhouse President Royal British Association for Nursing in Cardiovascular Care.
Jan Keenan - Nurse Consultant in Cardiology & Trust Lead for Non Medical Prescribing, Oxford University Hospitals NHS Foundation Trust and Past President, British Association for Nursing in Cardiovascular Care will ran an extended session on Non Medical Prescribing in Cardiology in which she will cover
- non medical prescribing for cardiology: where are we now?
- what are non medical prescribers prescribing in cardiology?
- the range of cardiology drugs prescribed and new products on the horizon
- improving outcomes
- using the National Prescribing Competency Framework in practice
- issues and challenges around prescribing in cardiology
Alison Pottle Cardiology Nurse Consultant Royal Brompton and Harefield NHS Foundation Trust did a case study led session entitled Developing your skills, confidence and competence as a Nurse/Non Medical Prescriber in Cardiology
Pre conference Abstract
The presentation will explore various issues related to confidence and competence in nurse prescribing in cardiology. It will start with a brief review of the background to non-medical prescribing and will then describe the importance of competence and confidence when prescribing is undertaken by nursing staff. The presentation will look at the importance of making sure that practice is evidence based and methods of keeping knowledge and skills up to date. The need for audit of prescribing practice will also be described.
The remainder of the presentation will focus on my experience of prescribing in a variety of settings at Harefield Hospital. It will demonstrate how I have used non-medical prescribing to enhance and expand my role, the range of medication that I have prescribed and the benefits of this to patients. The talk will also include a case study of one of the patients for whom I have prescribed. The talk will conclude with a discussion of the importance of communication between health care professionals and the impact that taking on this additional role can have.
Sharlene Hogan, Lead Advanced Nurse Practitioner, Guys and St Thomas’ NHS Foundation Trust did a presentation on Nurse/Non Medical Prescribing in the management of arrhythmias
The purpose of this presentation is to discuss and provide examples as an Independent Non-Medical Prescriber (NMP), how one may approach the medication management of patients with arrhythmias based on current evidence to address symptom control and disease management. NMPs have an essential role in supporting patients through communication and education when it comes to decisions about why certain medications have been recommended, the desired effect, potential side effects, the importance of compliance, as well as knowing when to get in touch with health providers if there are issues or concerns around their medication. A recent study has estimated that 237 million medication errors occur in the NHS every year, along with avoidable adverse drug reactions which are responsible for hundreds of deaths (Elliot et al. 2018). The cost to lives and the economic burden to the NHS through hospital readmission or law claims means that we all need to be aware of this in our practice. The importance of good communication and working in partnership with colleagues to try and help reduce these errors is very apparent. Educating patients on common potential side effect, an awareness of how it may impact their lives and having a management plan in place to address this is good practice. The presentation will have a specific focus on education so as to empower patients to help them make informed decisions, encourage medication compliance and providing support when required.
Atrial fibrillation (AF) remains the most common arrhythmia in the elderly and is responsible for significant morbidity and mortality from cardio-embolic complications such as stroke, heart failure and sudden death. In 2015 Public Health England estimated that 1.4 million people in England have been diagnosed with Atrial Fibrillation (AF). The unfortunate fact with our ever ageing population is that the prevalence of this disease increases with age and is predicted to rise as demonstrated by the following statistics: 2.8% in the population age <45 years, 16.6% 45-65 years and 80 % in those aged >65 years.
This presentation is based on hands on experience of prescribing for this patient group in various in-patient hospital settings, supported by cardiology consultant expert opinion as well as current European Society of Cardiology guidance and NICE guidance, current reviews by: Medicineawarness@nice.org.uk, Arrhythmia & Electrophysiology review updates: firstname.lastname@example.org and the Arrhythmia Alliance via email@example.com. The main focus of medicine management in atrial fibrillation is stroke prevention, symptom control through rate and rhythm management. Various tools used to help support decision making and recent updates in this field will be highlighted. At the end of this presentation the hope is that you would gained knowledge in how to approach the care and management of patients with atrial fibrillation.
Helen Gaunt Cardiac Nurse Specialist, Rapid Access Chest Pain Clinic, University Hospitals of Leicester NHS Trust did a session entitled Nurse/Non Medical Prescribing within a rapid access chest pain clinic.
The Rapid Access Chest Pain Clinic started in 2001 at the Glenfield General Hospital University Hospitals of Leicester NHS Trust and was initially a Doctor led service in line with the National Service Framework for Coronary Disease.. In 2005 we became a Nurse Led service. We are very busy growing year on year and in the year 2017-2018 we saw over 2,800 people Staffed by myself, 1 other band seven Cardiac Nurse Specialists and an ANP who combines Rapid Access with Nurse Led follow up Clinics. We run Mon –Fri with clinics am and pm. Exc Bank holidays. The RACPC is very well supported by our medical colleagues and commissioners and have positive patient feedback via our Friends and Family ipad. We are all regularly prescribing approximately our audit reveals 20% on average of our patients each month
Also of Interest:
Nurse Prescribing in Cardiology
A Practical Guide to Effective Non Medical Prescribing in Respiratory Care
A Practical Guide to Effective Nurse Prescribing in Respiratory Care
Effective Nurse Prescribing in End of Life Care
25 June 2018