Learning Outcomes

 

Outcome 1

 

Provide a critical account of a specific diagnostic tool used to assess patients in your specialist area of practice.

 

 

Outcome 2

 

Undertake a thorough history, including medication history and current medication (including over the counter, alternative and complementary health therapies) to inform diagnosis*

 

*You should append a written patient consultation which includes patient history, physical examination (where appropriate), investigations, differential diagnosis (not included in word count). Write a 500 word account explaining how you reached your diagnosis and ensure clinical reasoning is clearly evident and related to the consultation.

 

 

Outcome 3

 

Apply the relevant legislation (not accountability) to your prescribing practice.

 

 

 

 

Outcome 4

 

Critically appraise the sources of information/ advice and decision support systems in your clinical field.

 

 

 

 

Outcome 5

 

Discuss the influences that can affect your prescribing practice. Consider how you could manage your prescribing practice in an ethical way. Discuss issues of equality and diversity where relevant.

 

 

 

 

 

Outcome 6

 

Using one drug, apply your knowledge of the drugs action to prescribing practice. Link the action to patient education / information.

 

 

Outcome 7

 

Discuss the roles and relationships of others involved in;

Prescribing

Supplying

Administering medicines

 

Outcome 8

 

Discuss prescribing safely, appropriately and cost effectively. Consider using the ‘stepwise approach (pyramid)’

A ‘mock’ prescription should be appended.

 

Outcome 9

 

Demonstrate professional accountability and responsibility.

 

 

Outcome 10

 

Develop a Clinical Management Plan (CMP) for a specific patient using the template below. Discuss the development of this CMP, legislative  requirements should be considered.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 7

The Practice Case Study

 

This is a critical account of the care delivered to a patient/client in your area of prescribing practice (max 2,000 words).

 

Your account should include the following:

 

• a brief account of the patient/client assessment

 

• an exploration of the relevant pathophysiology and pharmacology

 

• the legal and ethical framework underpinning your practice

 

Your account should draw on professional, policy and research literature.

 

 

Students who will be prescribing for both adults and children are required to relate outcomes 1 to 10 to prescribing for adults and the case study to children. Included in the case study for a child should be demonstration of the ability to take an appropriate history, undertake a clinical assessment and make an appropriate diagnosis, having considered the legal, cognitive, emotional and physical differences between children and adults.  In addition the essay should demonstrate where relevant the ‘recognition of the unique implications and developmental context of the anatomical and physiological differences between neonates, children and young people’ (NMC 2006, page 6). The NMC (2006, page 7) also states that ‘only nurses with relevant knowledge,

 

 

 

Section 8

The Structured Assessment in Practice; the Msaf (LIV-MAAS)

Instructions for use

The assessment below contains selected, validated questions from the LIV- MAAS1 checklist that have been adapted here for use in the assessment of independent/supplementary prescribers.

 

The assessment which takes the form of a patient consultation may take place at any time in the practice placement period but must be successfully passed by the time the practice portfolio is submitted.

 

Student’s whose scope of practice will include prescribing for both adults and children should complete two observed assessments; one for a child and one for an adult. Please copy and paste so that there are two LIVMASS templates and indicate in the LIVMASS sumamry section which assessment was for an adult and which for a child. In keeping with the existing NMC (2006) Standards of Proficiency for Nurse / Midwife Prescribers any assessment should take place within the context of the students work setting, wherever that might be. A medical practitioner who is experienced and competent in prescribing for children should confirm the demonstration of competence.

 

Sections not applicable to the student’s area of practice can be discounted. The assessment is divided into three areas; communication and interpersonal skills, the structure of the consultation and prescribing.

 

The percentage should appear at the end of each section and an overall % score recorded in the box provided at the end of the assessment.

student should obtain at least 75% in each section and have an overall average score of at least 75%. Please ensure all sections are completed.

 

A fail grade must be recorded if any action on the part of the student or any advice given would constitute a danger to the health of the patient or of others.

 

Video recording where available or tape recording of the consultation may be helpful in completion of the assessment. It is the responsibility of the student and designated medical practitioner to ensure that informed patient consent has been obta