Non Medical Prescribing - the Sheffield Hallam University homepage

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Non Medical Prescribing - the Sheffield Hallam University homepage
Faculty of Health and Wellbeing
Non Medical Prescribing
Level 6 / Level 7
Practice Handbook for Designated Medical
Practitioners
Contents
Introduction
3
Aims of the course
4
Learning Outcomes
4
The Role of the Designated Medical Practitioner
6
The Practice Assessment Booklet
8
DMP Assessments
1. Initial Interview
2. Intermediate Interview
3. Final Interview
4. Assessing practice competencies and completing the Practice
Assessment Booklet
5. The Objective, Structured Clinical Assessment
8
The Role of university staff
8
Appendix 1 – The record of assessment
9
Appendix 2 – the OSCA
18




Guidance for students
Guidance for DMP’s
Internal moderation of OSCA’s
OSCA assessors checklist
Appendix 3 – assessment overview
20
2
INTRODUCTION
Dear Colleague
On behalf of the Course Team may we welcome you to Sheffield Hallam University
and thank you for your support in facilitating learning for your Non Medical
Prescribing student.
This handbook contains information about the aims and content of the course and
details the role of the Designated Medical Practitioner.
Non Medical Prescribing represents a significant opportunity for nurses, pharmacists
and other Allied Health Professionals to develop the critical skills necessary to meet
the changing healthcare service needs.
Through consultation with key stakeholders, including service providers, clinical
practitioners, Strategic Health Authority Non Medical Prescribing leads and service
users, the course has been developed to reflect the requirements of the Nursing and
Midwifery Council (NMC), the Health Professions Council (HPC), and the
Department of Health.
Sheffield Hallam University provides an extensive portfolio of undergraduate and
postgraduate healthcare programmes, and interprofessional learning has been an
important feature of curriculum development for more than 20 years. This is
particularly appropriate for Non Medical Prescribing students, who are working in
advanced and senior roles within a diverse range of healthcare settings, whilst
continuing to develop and enhance their clinical knowledge and skills.
The curriculum content incorporates the single competency framework for
competencies identified by the National Prescribing Centre (NPC) that all
practitioners need to maintain in order to prescribe safely and effectively.
Please do not hesitate to contact a member of the course team should you have
either general comments about the course, of specific areas you would like to
discuss in relation to your student and his / her progress throughout the course.
Module Leaders
Wayne Robson
Faculty of Health & Wellbeing
Room L107
College House
36 Collegiate Crescent
Sheffield
S10 2BP
Direct Line: (0114) 225 6651
e-mail: [email protected]
3
Aims of the Non Medical Prescribing course:
The course aims to prepare practitioners as Independent and/or Supplementary
Prescribers in accordance with appropriate Professional Regulatory Body (RPSGB,
NMC, and HPC) and Department of Health guidance. Students chose to undertake
the module at either Level 6 (degree) or Level 7 (masters)
Learning Outcomes
The learning outcomes of the programme reflect Professional Body requirements and
have been informed by the following documents:
National Prescribing Centre -provided by NICE (2012) A single competency
framework for all prescribers
National Prescribing Centre: (2006) Maintaining Competency in Prescribing: An
outline framework to help pharmacist supplementary prescribers
National Prescribing Centre: (2004) Maintaining Competency in Prescribing: An
outline framework to help allied health professional supplementary prescribers
National Prescribing Centre: (2001) Maintaining Competency in Prescribing: An
outline framework to help nurse prescribers
National Prescribing Centre: (2003) Maintaining Competency in Prescribing: An
outline framework to help supplementary nurse prescribers- update
NMC (2006) Standards of proficiency for nurse and midwife prescribers
Level 6
Upon completion of the full programme, the student will be able to:
1. Undertake effective history taking, consultation and physical
assessment skills with patients, clients and carers, including
medication history and current medication (including over the counter
alternative and complementary health therapies), to inform accurate
diagnosis
2. Critically evaluate safe, appropriate and cost effective prescribing
practice, in partnership with Independent prescribers and the wider
care team, including accurate record keeping in the context of
medicines management
3. Reflect upon aspects of the law and the professional framework of
accountability relevant to the practice of independent and
supplementary prescribing, including the prescribing of unlicensed
medicines
4. Identify and use sources of information, advice and decision support
systems which underpin the practise of independent prescribing, and
communicate the ethical management of influences on prescribing
practice
4
5. Utilise knowledge of pharmacology to explain pharmacokinetics and
pharmacodynamics in relation to the disease process and apply to the
monitoring of response to medicines, treatment modification and
referral
6. Critically evaluate the roles and relationships of others involved in
prescribing, supplying and administering medicines and develop and
document a clinical management plan (CMP) within the context of a
prescribing partnership
7. Practice within a framework of professional accountability and
responsibility and critically reflect upon the importance of continuing
professional development
8. Demonstrate recognition of the unique implications and developmental
context of the anatomical and physiological differences between
neonates, children and young people
For students undertaking the module at Level 7 the learning outcomes
are the same but students are expected to show evidence of Masters
level writing - critical analysis and synthesis.
The above module learning outcomes have been included in the DMP
Handbook to illustrate the depth and breadth of knowledge required of
students upon completion of the taught programme, and will be assessed in
the student’s Portfolio.
DMP’s are requested to focus upon addressing the 9 National Prescribing
Centre (NPC) Competencies (see page 10) when undertaking their assessment
of their student’s practice
Learning outcome 8 is an NMC requirement. The course team recognise that
many students will never prescribe for neonates, children and young people.
What is important is that students acknowledge that they understand that
prescribing for these groups is a specialist area of knowledge.
Anatomical, physiological, professional, legal and ethical issues relevant to
prescribing will be explored in university, and to fulfil the summative
assessment requirements by the NMC, students will be expected to include
information in their portfolio that clearly defines the parameters of their
prescribing role in relation to these patient groups.
In terms assessment by the DMP, the course team ask the DMP to utilise
appropriate opportunities to formatively explore, through discussion, the
implications of prescribing for these patient groups, in relation to the student's
role within their organisation.
5
The Role of the Designated Medical Practitioner
The student is required to undertake a minimum of 12 x 7.5 days (90 hours) of
supervised learning, and the DMP role is critical to the student in terms of facilitating
and assessing the learning that has been achieved during this 12 day period
It is expected that the DMP will be able to provide time and opportunities for:

in depth discussion and analysis of clinical management, when patient care
and prescribing behaviour can be examined further

the student to observe how the medical practitioner conducts a
consultation/interview with patients and/or their carers

discussion and development of management plans

facilitating student learning in order to develop prescribing skills

encouraging critical thinking and reflection and the integration of theory and

the student to carry out consultations and suggest clinical management and
prescribing options, which are discussed with the DMP
Learning opportunities are varied and individual. Some students have arranged
observational activities outside of their normal working environment, or in other
departments, which is often beneficial, for example:



a nurse observing the work of a prescribing community pharmacist
a respiratory nurse specialist observing a primary care led COPD clinic
a community pharmacist observing a consultant working in an Elderly Care
Out Patients Clinic
All student applicants will be sent Designated Medical Mentor Handbooks, to enable
prospective DMP’s to review details of the programme and the DMP role, prior to
confirming their support for the student on the student’s application form.
All confirmed DMP’s will be invited to a half day of study at Sheffield Hallam
University, with their student, upon commencement of the programme. Should
DMP’s be unable to attend, the student’s personal tutor will be able to undertake a
placement visit to provide an overview of the programme and further guidance.
DMP’s will be provided with a copy of Section 2 of the NMC (2006) Standards of
proficiency for nurse and midwife prescribers, which details the Standards for
prescribing practice which are integral to the course and to their student prescriber’s
continuing professional development
6
DMP’s might also find the following document helpful in supporting their role:
National Prescribing Centre: (2005) Training non-medical prescribers in practice: A
guide to help doctors prepare for and carry out the role of designated medical
practitioner http://www.npc.co.uk
DMP’s might also find the following documents helpful in supporting their role:
NMC (2008) The code: Standards of conduct, performance and ethics for nurses and
midwives http://www.nmc-uk.org/aArticle.aspx?ArticleID=3056
This document defines the professional requirements for all registered nurses
7
The Practice Assessment Booklet
This is the record of learning and assessment, which the student and DMP need to
both complete in order for the student to submit to the University, within the Portfolio
upon completion of the course.
The DMP is required to undertake the following 5 assessment activities:
1. Initial Interview (Formative)
The DMP will discuss the Practice Assessment Booklet with the student prescriber,
to explore past experiences, knowledge and skills, identify learning needs and plan
learning opportunities that are relevant to the student's role and the needs of the
organisation in terms of their future prescribing activities
2. Intermediate interview (Formative)
About half way through the course the DMP will review with the student the
competencies and the progression being made by the student. If the student is not
progressing as expected, this must be documented, with the specific areas of
concern noted and a plan of action highlighted. The DMP must discuss this with the
student and the university lecturer
3. Final Interview (Summative)
The DMP will need to complete and sign each learning competence by the end of the
placement. This will confirm that the student has completed the required period of
learning in and achieved the stated competencies.
4. Assessing competencies:
There are 9 competencies outlined by the National Prescribing Centre documents
which structure assessment and which all have to be passed by the end of the
course:
The Consultation
1. Knowledge ( Clinical and pharmaceutical knowledge )
2. Options ( Establishing options)
3. Shared decision making (Communicating with patients and carers)
Prescribing Effectively:
4. Safe (Prescribing safely)
5. Professional (Prescribing professionally)
6. Always improving (Improving prescribing)
Prescribing in Context
7. The Healthcare System (The NHS in context)
8
8. Information
9. Self and others (The team and individual context)
Please see National Prescribing Centre (2012) A single competency
framework for all prescribers http://www.npc.co.uk/improving_safety/improving_quality/resources/single_co
mp_framework.pdf
Completing the Practice Assessment Booklet:
When the DMP is satisfied that the student has met each competency he/she will
indicate this in the pass box and sign his/her name and date of completion.
Assessment can be undertaken through discussion, observation or simulation, as
appropriate.
A student can be referred if the DMP feels that the student has not yet achieved a
competency. If however the competency is not achieved by the end of the 90 hours
in practice the DMP will indicate this in the fail box. It is anticipated that any
problems achieving the competence will be recognised before the end of the
placement and the student's tutor contacted prior to failing the student. The
university tutor may be accessed at any time deemed appropriate by the student or
DMP, and a visit will be arranged if it is requested.
The DMP may be a doctor with whom the student normally works. However,
arrangements can be agreed where another doctor acts as supervisor, provided the
criteria are met. Competencies must be achieved under the guidance of the DMP,
who is responsible for assessing competence, completing and signing the Practice
Assessment Booklet with the student.
5. Objective Structured Clinical Assessment
The DMP is required to assess the student's clinical assessment skills through an
OSCA. See Appendix 3 for guidance
The Role of University Staff
The primary responsibility of University staff is to advise the student in all aspects
of the curriculum and to evaluate the learning that has taken place. They also
have responsibility for providing guidance and support for the academic
development of the student.
University staff will:



Advise in the preparation of the Portfolio
Provide advice, support and guidance to the student, employer and mentor
Evaluate the students learning for the purpose of awarding academic credit
9
Appendix 1
The competencies are taken from the National Prescribing
Centre Single Competency Framework (2012)
The prescribing competencies are relevant to all prescribers.
The statements in the framework should be interpreted in the
context in which the individuals are prescribing, taking into
account their scope of practice
The competency framework (illustrated below) sets out what good prescribing looks
like. There are three domains, each containing three dimensions of competency (nine
in total).
Within each of the nine competency dimensions there are statements which describe
the activity or outcomes prescribers should be able to demonstrate.
10
RECORD OF ASSESSMENT: The consultation
Competency 1: Knowledge Has up-to-date clinical pharmalogical and
pharmaceutical knowledge relevant to own area of practice
1. Understands the conditions being treated, their natural progress and how to
assess their severity.
2. Understands different non-pharmacological and pharmacological approaches
to modifying disease and promoting health, identifies and assesses the
desirable outcomes of treatment.
3. Understands the mode of action and pharmacokinetics of medicines and how
these mechanisms may be altered (e.g. by age, renal impairment), and how
this affects treatment decisions.
4. Understands the potential for adverse effects and how to avoid/minimise,
recognise and manage them.
5. Uses up-to-date information about relevant products (e.g. formulations, pack
sizes, storage conditions, costs).
6. Applies the principles of evidence-based practice, including clinical and costeffectiveness.
7. Aware of how medicines are licensed, sourced and supplied, and the
implications for own prescribing.
8. Knows how to detect and report suspected adverse drug reactions.
9. Understands the public health issues related to medicines and their use.
10. Appreciates the potential for misuse of medicines.
11. Understands antimicrobial resistance and the roles of infection prevention,
control and antimicrobial stewardship1 measures.
Antimicrobial stewardship - Advisory Committee on Antimicrobial Resistance and Healthcare
Associated Infection (ARHAI)
11
Competency 1 - Evidence to support the above statements (i.e. I am
able to state this because):
Competency 1
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
12
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: The consultation
Competency 2: Options Makes or reviews a diagnosis, generates
management options for the patient and follows up management
12. Takes an appropriate medical history and medication history which includes
both current and previously prescribed and non-prescribed medicines,
supplements and complementary remedies, and allergies and intolerances.
13. Undertakes an appropriate clinical assessment using relevant equipment and
techniques.
14. Accesses and interprets relevant patient records to ensure knowledge of the
patient's management.
15. Makes, or understands, the working or final diagnosis by considering and
systematically deciding between the various possibilities (differential
diagnosis).
16. Requests and interprets relevant investigations.
17. Considers all treatment options including no treatment, non-pharmacological
interventions and medicines usage.
18. Assesses the effect of multiple pathologies, existing medication, allergies and
contraindications on management options.
19. Assesses the risks and benefits to the patient of taking or, not taking a
medicine or treatment.
20. Where a medicine is appropriate, identifies the different options.
21. Establishes and maintains a plan for reviewing the therapeutic objective,
discharge or end point of treatment.
22. Ensures that the effectiveness of treatment and potential unwanted effects
are monitored.
23. Makes changes to the treatment plan in light of on-going monitoring and the
patient's condition and preferences.
24. Communicates information about medicines and what they are being used for
when sharing or transferring prescribing responsibilities/information.
13
Competency 2 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 2
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
14
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: The consultation
Competency 3: Shared decision making (with parents, care- givers or
advocates where appropraite) Establishes a relationship based on trust
and mutual respect. Recognises patients as partners in the consultation
25. Identifies and respects the patient’s values, beliefs and expectations about
medicines.
26. Takes into account the nature of peoples’ diversity when prescribing.
27. Undertakes the consultation in an appropriate setting taking account of
confidentially, dignity and respect.
28. Adapts consultations to meet needs of different patients (e.g. for language,
age, capacity, physical or sensory impairments).
29. Deals sensitively with patients' emotions and concerns about their medicines.
30. Creates a relationship which does not encourage the expectation that a
prescription will be supplied.
31. Explains the rationale behind and the potential risks and benefits of
management options.
32. Works with patients to make informed choices about their management and
respects their right to refuse or limit treatment.
33. Aims for an outcome of the consultation with which the patient and prescriber
are satisfied.
34. When possible, supports patients to take responsibility for their medicines and
self-manage their conditions.
35. Gives the patient clear accessible information about their medicines (e.g.
what it is for, how to use it, where to get it from, possible unwanted effects).
36. Checks patient’s understanding of and commitment to their management,
monitoring and follow-up.
37. Understands the different reasons for non-adherence to medicines (practical
and behavioural) and how best to support patients. Routinely assesses
adherence in a non-judgemental way.
15
Competency 3 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 3
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
16
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: Prescribing Effectively
Competency 4: Safe
patient safety
Is aware of own limitations. Does not compromise
38. Knows the limits of their own knowledge and skill, and works within them.
39. Knows when to refer to or seek guidance from another member of the team or
a specialist.
40. Only prescribes a medicine with adequate, up-to-date awareness of its
actions, indications, dose, contraindications, interactions, cautions, and side
effects (using, for example, the BNF/BNFC).
41. Accurately calculates doses and routinely checks calculations where relevant,
for example for children.
42. Keeps up to date with advances in practice and emerging safety concerns
related to prescribing.
43. Knows about common types of medication errors and how to prevent them.
44. Ensures confidence and competence to prescribe are maintained.
45. Makes accurate, legible and contemporaneous records and clinical notes of
prescribing decisions.
46. Effectively uses the systems necessary to prescribe medicines (e.g. medicine
charts, electronic prescribing, decision support).
47. Writes legible, unambiguous and complete prescriptions which meet legal
requirements.
17
Competency 4 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 4
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
18
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: Prescribing Effectively
Competency 5: Professional Ensures prescribing practice is
consistent with scope of practice, organisational, professional and
regulatory standards, guidance and codes of conduct
48. Accepts personal responsibility for prescribing and understands the legal and
ethical implications of doing so.
49. Makes prescribing decisions based on the needs of patients and not the
prescriber’s personal considerations.
50. Knows and applies legal and ethical frameworks affecting prescribing practice
(e.g. misuse of drugs regulations, prescribing of unlicensed/off label
medicines).
51. Takes responsibility for own learning and continuing professional
development.
52. Maintains patient confidentiality in line with best practice and regulatory
standards and contractual requirements.
Competency 5 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 5
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
19
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: Prescribing Effectively
Competency 6: Always Improving Actively participates in the review
and development of prescribing practice to optimise patient outcomes
53. Learns and changes from reflecting on practice.
54. Shares and debates own and others prescribing practice, and acts upon
feedback and discussion.
55. Acts upon colleagues’ inappropriate prescribing practice using appropriate
mechanisms.
56. Understands and uses tools to improve prescribing (e.g. review of prescribing
data, audit and feedback).
57. Reports prescribing errors and near misses, reviews practice to prevent
recurrence.
58. Makes use of networks for support, reflection and learning.
Competency 6 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 6
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
20
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: Prescribing in Context
Competency 7: The Healthcare System Understands and works within
local and national policies, processes and systems that impact on
prescribing practice. Sees how own prescribing impacts on the wider
healthcare community
59. Understands and works within local frameworks for medicines use as
appropriate (e.g. local formularies, care pathways, protocols and guidelines).
60. Understands the need to work with, or develop, safe systems and processes
locally to support prescribing, for example, repeat prescribing, transfer of
information about medicines.
61. Works within the NHS/organisational or other ethical code of conduct when
dealing with the pharmaceutical industry.
62. Understands budgetary constraints and prioritisation processes at local and
national level (health-care resources are finite).
63. Understands the national frameworks for medicines use (e.g. NICE, SMC,
AWMSG and medicines management/optimisation).
64. Prescribes generically where appropriate, practical and safe for the patient.
Competency 7 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 7
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
21
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: Prescribing in Context
Competency 8: Information Knows how to access relevant information.
Can use and apply information in practice
65. Understands the advantages and limitations of different information sources
available to prescribers.
66. Accesses relevant, up-to-date information using trusted evidence-based
resources.
67. Regularly reviews the evidence base behind therapeutic strategies.
Competency 8 Evidence to support the above statement (i.e. I am
able to state this because):
Competency 8
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
22
FAIL
DMP
Signature
Date
RECORD OF ASSESSMENT: Prescribing in Context
Competency 9: Self and Others Works in partnership with colleagues
for the benefit of patients. Is self-aware and confident in own ability as a
prescriber
68. Thinks and acts as part of a multidisciplinary team to ensure that continuity of
care is developed and not compromised.
69. Establishes relationships with other professionals based on understanding,
trust and respect for each other's roles in relation to prescribing.
70. Recognises and deals with pressures that might result in inappropriate
prescribing (for example, pharmaceutical industry, media, patient,
colleagues).
71. Negotiates the appropriate level of support and supervision for role as a
prescriber.
72. Provides support and advice to other prescribers where appropriate.
Competency 9
Evidence to support the above statement (i.e. I am
able to state this because):
Competency 9
Progressing
PASS
REFER
Intermediate
Interview
Final Interview
Student Name
Signature of Mentor
Signature of student
23
FAIL
DMP
Signature
Date
Appendix 2
Non Medical Prescribing: The Objective, Structured Clinical Assessment
Guidance for Students:





You are required to select a patient consultation that is mutually acceptable
and convenient to you and your Designated Medical Practitioner, to enable
assessment of your consultation and clinical decision making skills in relation
to non medical prescribing
You can undertake the OSCA at any point during the module
the selected consultation could be a new referral or a follow-up appointment
the completed OSCA assessment form should be included in your portfolio
You should obtain consent from your patient for your OSCA assessment, and
maintain patient confidentiality
Guidance for Designated Medical Practitioners:









The main aim of the OSCA is that the student demonstrates safe and
effective consultation skills, sound clinical decision making and appropriate
prescribing decisions
Your student should be able to score a "Yes" or "not applicable" on all items.
Clarification of any minor issues can be undertaken through discussion with
your student before making your decision
The student does not have to issue a prescription. If she/he decides that the
consultation does not warrant the issue of a prescription and provides clear
justification for this decision, this would be acceptable
The student can legally only write a "training" prescription - which
should be destroyed after the OSCA. The DMP should provide the
patient with a legal prescription which you have signed yourself.
If clear demonstration of unsafe is evident, then the student should be
referred.
University Assessment Regulations permit one further attempt.
If a referred student demonstrates unsafe upon the referred attempt, this is
deemed a Fail, and the student is required to re-enrol upon the programme
and repeat all the module assessments.
Please notify the Module Leader (Wayne Robson: 0114 225 6651) should you
have any concerns or require further information
Internal Moderation of OSCA's
In line with SHU, NMC and HPC requirements for nursing, midwifery and AHP
students, personal tutors will arrange to undertake internal moderation for a
representative sample of the student group.
.
24
OSCA Assessors Checklist
Has the student:
Yes/No
N/A
ensured sufficient information to establish whether a prescription is
appropriate?
ascertained what symptoms the patient has presented with?
enquired how long the symptoms have been present?
enquired about allergies / previous Adverse Reactions etc?
asked what action the patient has taken up to now?
checked if the patient is on any other medication & if so, what?
considered other treatment options?
considered whether a referral to the patients GP/Consultant was required?
listened to the patient and demonstrated a partnership approach?
made a final diagnosis?
If a prescription was not issued, did the student:
provide a satisfactory rationale for this decision to the patient?
collaborate with the medical mentor to generate an appropriate CMP?
If a (sample) prescription was issued, did the student
consider any possible contraindications?
fill the prescription in correctly?
given appropriate advice regarding how long the drug would take to work?
given advice on how and when to take or use the product?
given information about what dose to take the drug and for how long?
discussed possible side effects of the drug with the patient?
set a review date with the patient?
made the patient aware of who to contact if there was a problem with the
medication?
Has the student confirmed competence and safe and effective in
relation to:
understanding the responsibility that the role of the independent prescriber
entails
being aware of his/her own limitations, and working within the limits of their
professional competence, knowing when and how to refer / consult / seek
guidance from another member of the health care team
taking an accurate history and carry out a relevant clinical assessment
using common diagnostic aids e.g. stethoscope sphygmomanometer,
relevant to the condition(s) for which the nurse,/AHP / pharmacist intends
to prescribe
applying clinical assessment skills t o inform a working diagnosis and
formulate a treatment plan
being able to describe the pathophysiology of the condition being treated
and recognise the signs and symptoms of illness
carrying out a checking process to ensure patient safety
monitoring response to therapy, review the working/differential diagnosis
and modify treatment or refer / consult / seek guidance as appropriate
Date:
Pass / Refer
Signed (DMP)
Signed (Student)
25
Yes/No
N/A
Appendix 3
Assessment Overview
All students undertaking the module at Level 6 and Level 7 are required to
complete the following assessment tasks:
1. An examination, comprising short and multiple choice questions designed to
assess the student's knowledge of pharmacology, numeracy, prescription writing
and the principles and legal issues central to prescribing
2. The Portfolio (100% weighting if Level 6 and 50% weighting if Level 7) requires
the student to demonstrate achievement of the module learning outcomes by
providing confirmation of:

satisfactory completion of a period of 90 days learning and
assessment of competence by a DMP through a completed
assessment booklet*

satisfactory completion of an Objective, Structured, Clinical
Assessment, undertaken in , by a DMP*

a 4,500 word reflective commentary supported by evidence to confirm
achievement of learning, including a Clinical Management Plan and
examples of prescription writing
For students undertaking the module at Level 7 there is an additional
assessment task:
3. A 3.000 word case study (50% weighting) selected from the forefront of their
field of competence.
Students will work independently but in consultation with their academic
tutor and DMP and are expected to draw heavily on current research,
academic publications and other appropriate primary sources in order to
select and critically appraise the information and contextualise findings
using reasoned arguments.
Findings should be communicated in a coherent, well written, referenced
case study which creates and justifies the links between aspects for an
academic/professional audience
* Components for the DMP to assess
Module tutors will support students for the remainder of the portfolio, and
undertake all marking
26

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