Critically appraise your reflections and 5 user feedback on your role as an independent prescriber showing your expertise and accountability. This should address professionalism and how you maintain your skills and reflect upon your user feedback and include continuous professional development plan. Please use as much as possible UK references such as British national formulary (BNF), electronic medicines compedium (EMC), Nursing and midwifery (NMC), Royal pharmaceutical society (RPS) a competency framework, NICE clinical guidelines, General medicine council, Royal college of nursing, etc. Introduction: introduction of myself. experienced clinical site coordinator (CSC) and a nurse team leader intensive care unit. working in an island hospital which is a consultant led. We have no junior doctors. consultant doctors are not readily available when you need them, treatment and patient access to medicines are often delayed. discuss the roles of a non-medical prescriber or independent prescriber, does it make a difference to the patient? improve patient care? what way? Easy access to treatment? reduce hospital admission? any benefits to organization/hospital? or colleagues/doctors? (REFERENCES). As NMP, should be aware of my limitations and work within my competencies (REFERENCE/S). Within the essay, discuss the issues of safe prescribing, including deprescribing (when not to prescribe medicines) and social prescribing e.g. physiotherapist, diabetes specialist nurse, pain specialist team, etc.. between the prescriber and the patient and family Consultation 2 Service user’s Feedback: Patient was not informed of the drug Interactions that he was on which resulted to the increased of his blood sugar. REFLECTION: Reflected on importance of full physical examination, knowledge of drug prescribed, safe prescribing, involving multidisciplinary team ie diabetes specialist nurse, dietician, good communication, professionalism. leadership was demonstrated by involving the multidisciplinary team, encouraging the patient to live a healthy lifestyle Consultation 3 Service user’s feedback: An elderly patient was prescribed with opiate for post operative pain. The patient stated that she worries about her husband who was frail and living on his own at home. Reflection: cautious when prescribing in special group ie. elderly, importance of safety in prescribing, physical examination, hollistic patient approach (worries and concerns of patient needs to be addressed), involving health care agencies such as social worker, community nursing, etc. Consultation 4 Service user’s feedback: Patient with fast irregular heart rate prescribed with amiodarone. Patient did not provide any negative feedback.
