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Prescribing in practice

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Prescribing in practice
Critical analysis of prescribing episode

Introduction

The following assignment will discuss and analyse a prescribing episode, within practice, furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, 2013-2015).To be able to analyse and reflect on my new role as Community Practitioner Nurse Prescriber (CPNP) I will use Gibbs (1988) reflective model and a structure that will allow the use of a consultation model (Appendix1,Fig1).
The focus on prescribing within nursing profession was first brought into discussion by Royal College of Nursing (RCN) in 1980 but has proven to be cornerstone after was part of the government agenda as a result of Cumberlege report in 1996.This report outlined the need for nurse to become a prescriber especially in community settings to provide clients with better care, safe and practical access to medication (Nuttal, 2008). Furthermore “The Medicinal Product Prescribing Act “1992 outlined changes in circumstances including nurses as prescribers, followed by recommendations made by Crown Reports1999 that suggest that health visitors (HV)) should be authorised to prescribe from a limited list, identified as the nurse prescriber’s formulary (NPF). (DH,2004).
Scenario
For the purpose of this assignment all names has been changed to maintain confidentiality according to NMC (2008).The following scenario it is in relation to a situation experienced while on the morning baby clinic working alongside my mentor .A mother Lisa come for a regular weight check for her 4 month old infant called James .While discussing with Lisa her son weight progress ,she mentioned about her son having very dry scaly skin on scalp since birth moreover Lisa explained that sometimes skin on the scalp become like a patchy crusty rash and James feel uncomfortable , at times not settling. Edwards (2010) suggest that using a holistic assessment it is very important when coming in contact with the client as the problem presented

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