[dave777]

http://uk.altermedia.info/general/nu...posed_431.html

[Galadriel724]

That kind of thinking really irritates me. MD's are good at what they do... not saying that. But nurses have a different viewpoint and they bring a completely different perspective to the table when prescribing. As a psych nurse, my experience working w/ nurse presribers has been that the nurse tends to take into account ALL the ramifications that a drug regime would have on a pts life, not just medical. Things like whether the pt can afford the med, whether they can take it as prescribed (example: a 4x a day med vs a more expensive but convenient long acting version), and what types of side effects they'll have and how they'll deal w/ them are so soooo important when it comes to compliance. I myself had to choose whether to see a psych CNS or a psychiatrist when I had panic attacks. I saw both and picked the nurse. She made me feel like part of a team, vs the MD who just ordered me around. She knows her meds as well as any MD I've ever worked with too. I really feel that both MD's and nurses have different and complimentary things to offer... and we need them both!

[Silverdragon102]

here is another spin on this

http://www.nursingtimes.net/nav?page...source=3607943

[sirI]

I'm just wondering here, since this is a UK issue. Are the nurses in the UK, lobbying for prescription privileges?

I know in the U.S., the advanced practice nurses, NP and CNS, have prescription privileges in most all states and this is governed by the individual state BON.

Just wondering?????

[geekgolightly]

Originally Posted by siri

I'm just wondering here, since this is a UK issue. Are the nurses in the UK, lobbying for prescription privileges?

I know in the U.S., the advanced practice nurses, NP and CNS, have prescription privileges in most all states and this is governed by the individual state BON.

Just wondering?????

I'm curious too. Also, it states in the nursing times article that the extra training is 38 days. Does this mean that after receiving a nursing degree, you only need 38 days of training? In America, to be Nurse Practitioner and receive the right to prescribe the RN goes through a master's program, usually about two years.

[Silverdragon102]

Originally Posted by geekgolightly

I'm curious too. Also, it states in the nursing times article that the extra training is 38 days. Does this mean that after receiving a nursing degree, you only need 38 days of training? In America, to be Nurse Practitioner and receive the right to prescribe the RN goes through a master's program, usually about two years.

Training is done at university and here is a link from my local university explaining the training and requirements for the course

http://www.hud.ac.uk/hhs/courses/pro...re/hmh1032.htm

[Silverdragon102]

Originally Posted by siri

I'm just wondering here, since this is a UK issue. Are the nurses in the UK, lobbying for prescription privileges?

I know in the U.S., the advanced practice nurses, NP and CNS, have prescription privileges in most all states and this is governed by the individual state BON.

Just wondering?????

me personally don't think it is a much as nurses lobbying, although I do agree with doing the course as long as it is a benefit for the patient, but the government putting more and more onto nurses but not wanting to pay them for it. The new pay scale is causing as much problems and discord among nurses like it did in 1988 when another payscale was brought in

[karenG]

Originally Posted by Silverdragon102

me personally don't think it is a much as nurses lobbying, although I do agree with doing the course as long as it is a benefit for the patient, but the government putting more and more onto nurses but not wanting to pay them for it. The new pay scale is causing as much problems and discord among nurses like it did in 1988 when another payscale was brought in

emm......actually nurse practitioners have long been lobbying for prescribing powers. we feel we need the tools to do the job! BUT I would like this linked to advanced practice. I'm not sure about a fairly inexperianced nurse being given acess to the whole BNF- could be scary given some of the stuff I have seen the new community matrons do!!

the course does leave a lot to be desired but then i did way back when it started- I'm in the first 100 to qualify as an extended nurse prescriber. I'd like to see much more emphasis on pharmocology, on consultation and examination skills. as an NP, I have those skills so the course was a bolt on course for me... for the nurse without those skills in my group- they found it really hard. I still rememeber one of my exam questions..'write short notes on CP450'............ouch!

the BMA have a flaming cheek given they are busy importing medical practitioner asssistants......... NP's by any other name but tightly controlled by the medical profession.. wont they need prescribing powers?? also what about pharmacists who have undertaken the course? I'm disappointed that the RCN havent issued a statement supporting nurse prescribers... all the research suggests we are cautious and safe!

getting off soap box...

Karen

[Silverdragon102]

Originally Posted by karenG

emm......actually nurse practitioners have long been lobbying for prescribing powers. we feel we need the tools to do the job! BUT I would like this linked to advanced practice. I'm not sure about a fairly inexperianced nurse being given acess to the whole BNF- could be scary given some of the stuff I have seen the new community matrons do!!

the course does leave a lot to be desired but then i did way back when it started- I'm in the first 100 to qualify as an extended nurse prescriber. I'd like to see much more emphasis on pharmocology, on consultation and examination skills. as an NP, I have those skills so the course was a bolt on course for me... for the nurse without those skills in my group- they found it really hard. I still rememeber one of my exam questions..'write short notes on CP450'............ouch!

the BMA have a flaming cheek given they are busy importing medical practitioner asssistants......... NP's by any other name but tightly controlled by the medical profession.. wont they need prescribing powers?? also what about pharmacists who have undertaken the course? I'm disappointed that the RCN havent issued a statement supporting nurse prescribers... all the research suggests we are cautious and safe!

getting off soap box...

Karen

sorry Karen didn't mean to upset you but I just feel that the government are throwing more and more stuff nurses way and not wanting to pay them for doing it.

[richardsmum]

As an extended nurse prescriber [ DN] with imput into palliative care ,I am curious as to what concerned Karen re Community Matrons doing scary stuff. I agree that inexperienced nurses would struggle with the course which I felt was very intense [ rightly so ] . Don't these matrons have to undertake further courses, I thought that they were steered towards a Masters degree . or have I read it wrong ?