Non-medical prescribing in nurse-led community leg ulcer clinics.
Over the past decade, nurse prescribing in the community has improved clinical care, providing timely access to many products required for patients to receive appropriate treatment. Until recently, nurses who have qualified as nurse prescribers have only been able to prescribe from a limited list of products. Within the leg ulcer clinic environment, the majority of prescriptions written have been related to wound care. This article describes the introduction of extended independent prescribing (now known as non-medical prescribing) and how this type of prescribing has scope for revolutionizing clinical practice in all healthcare settings. There are, however, many contentious issues for clinicians prescribing in this new role, including systems for communication, clinical governance, and attitudes of other professionals.
Walsh
Julia
J
Stockport Primary Care Trust, Cheshire, UK.
D000553:Ambulatory Care / Q000458:organization & administration; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology; D002983:Clinical Competence; D003142:Communication; D003151:Community Health Centers / Q000458:organization & administration*; D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration*; D003877:Dermatitis, Contact / Q000188:drug therapy / Q000209:etiology; D004282:Documentation; D011307:Drug Prescriptions; D004739:England; D006297:Health Services Accessibility; D006801:Humans; D007400:Interprofessional Relations; D007871:Leg Ulcer / Q000150:complications / Q000188:drug therapy / Q000451:nursing*; D024802:Nurse's Role; D009730:Nursing Assessment; D009737:Nursing Records; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D010602:Pharmacopoeias as Topic; D017009:Professional Autonomy