Pharmacist prescribing in neonatal intensive care units in the UK

Mulholland, Peter

doi:10.1136/archdischild-2013-303935b.6

Cited by 7 publications

(9 citation statements)

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“…Competency can be addressed in part by obtaining continuing education credits, maintaining licensure, and becoming certified in a clinical specialty, 17 such as through the Board of Pharmacy Specialties (BPS), which has a nutrition support specialty certification program, or certification by the National Board of Nutrition Support Certification (NBNSC). Traditionally, pharmacists have been heavily involved in the PN order‐writing process and these interactions have led to more appropriate PN therapy, earlier transition to enteral nutrition (EN) therapy, and recognition of pharmacists as resources for physicians 18 – 20 . There have also been reports of pharmacists as prescribers of PN 18 , 21 , 22 .…”

Section: Examples Of Pn Prescribing Practices and Need For Competencymentioning

confidence: 99%

“…Traditionally, pharmacists have been heavily involved in the PN order‐writing process and these interactions have led to more appropriate PN therapy, earlier transition to enteral nutrition (EN) therapy, and recognition of pharmacists as resources for physicians 18 – 20 . There have also been reports of pharmacists as prescribers of PN 18 , 21 , 22 . In 1996, 12.1% of pharmacist survey respondents in Canada were prescribing PN, 23 and a more recent study in the United States showed that 28.3% of respondents reported pharmacists prescribing PN 2 …”

Section: Examples Of Pn Prescribing Practices and Need For Competencymentioning

confidence: 99%

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Standardized Competencies for Parenteral Nutrition Prescribing

et al. 2015

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Parenteral nutrition (PN) provision is complex, as it is a high-alert medication and prone to a variety of potential errors. With changes in clinical practice models and recent federal rulings, the number of PN prescribers may be increasing. Safe prescribing of this therapy requires that competency for prescribers from all disciplines be demonstrated using a standardized process. A standardized model for PN prescribing competency is proposed based on a competency framework, the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)-published interdisciplinary core competencies, safe practice recommendations, and clinical guidelines. This framework will guide institutions and agencies in developing and maintaining competency for safe PN prescription by their staff.

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Section: Examples Of Pn Prescribing Practices and Need For Competencymentioning

confidence: 99%

Section: Examples Of Pn Prescribing Practices and Need For Competencymentioning

confidence: 99%

Standardized Competencies for Parenteral Nutrition Prescribing

et al. 2015

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“…To determine how far pharmacist prescribing had progressed, particularly since the 2012 legislation changes, we undertook a survey of NICU pharmacists within the UK 12. The survey was circulated electronically using SurveyMonkey.com to 169 Neonatal and Paediatric Pharmacists Group (NPPG) members identified from the member database as working with neonates to determine what prescribing was being undertaken, medicines being prescribed, and benefits of, and barriers to, pharmacist prescribing.…”

Section: Uk Survey Of Pharmacist Prescribing In Neonatal Unitsmentioning

confidence: 99%

Pharmacists as non-medical prescribers: what role can they play? The experience in a neonatal intensive care unit

Mulholland¹

2014

Eur J Hosp Pharm

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Background Independent prescribing by pharmacists is designed to: ▸ improve the quality of service to patients without compromising patient safety ▸ make it easier for patients to get the medicines they need ▸ make better use of the skills of healthcare professionals ▸ contribute to the introduction of flexible team working. Initial experiences We implemented pharmacist prescribing in the neonatal intensive care unit (NICU) at the Southern General Hospital, Glasgow, Scotland, in March 2005. The main barrier at the time was the large unlicensed medicine usage, resolved by subsequent changes in legislation. UK survey of pharmacist prescribing in neonatal units An electronic survey received 45 responses. Just under half (47%) were prescribers, with 40% being independent prescribers. Most were prescribing in NICU or high dependency units (70%). 19% of those qualified were not prescribing. Benefits of pharmacist prescribing Improvement in safety was seen as a benefit of pharmacist prescribing, with potential reduction in communication errors and the ability to make timely correction of prescriptions. Barriers to implementation Many areas reported no barriers, with support from both consultants and nursing staff. Lack of funding and time to undertake the required training was seen as barriers by some. Conclusions Non-medical prescribing is intended to encourage a team approach to the care and management of patients and to make the best use of the skills of trained healthcare professionals and pharmacist prescribing is an important addition to the healthcare of premature infants.

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“…As such, the role of the pharmacist within the specialist area of neonatology is continually advancing towards more direct involvement in patient care . Indeed, the benefits of pharmacist interventions include reduced incidence of medication errors, optimisation of total parenteral nutrition (TPN) regimens and better rationalisation of pharmacotherapy …”

Section: Introductionmentioning

confidence: 99%

“…[3] Indeed, the benefits of pharmacist interventions include reduced incidence of medication errors, optimisation of total parenteral nutrition (TPN) regimens and better rationalisation of pharmacotherapy. [4][5][6][7] It is evident that pharmacist practice varies in NICU settings both on a national scale and international scale. [8] A recent study by Krzy_ zaniak et al [9] highlighted that pharmacy services delivered to NICU settings in Poland and Australia differed significantly, with the focus of practice in each country centred on dispensary-based and clinical, ward-based services respectively.…”

Section: Introductionmentioning

confidence: 99%

Pharmacist perceptions on the need for a quality guidance resource for pharmacy service provision in the neonatal intensive care unit: comparison between Poland and Australia

Krzyżaniak

Pawłowska

Bajorek

2018

J Pharm Health Serv Res

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Objectives There is no global consensus on services and roles that should be performed by a clinical pharmacist in the neonatal intensive care unit (NICU). Furthermore, there are no quality guidance resources or key performance indicators (KPIs) available to guide pharmacist practice in this setting. The purpose of this research was to explore pharmacist perceptions on the need for, and development of, a NICU‐specific quality guidance resource containing KPIs for pharmacy service provision. Methods Semi‐structured interviews were conducted with directors of pharmacy as well as neonatal pharmacists in Poland and Australia. The interviews were conducted between February and August 2017. Key findings Overall, three key themes were categorised around the study objectives: (1) Lack of guidance in the provision of NICU pharmaceutical care services, (2) Embracing a pharmacist‐specific, quality guidance resource for the NICU and (3) Constraints limiting the use of quality guidance resource. None of the participants from either country were able to identify any readily available NICU‐specific quality guidance resources for pharmacists. However, the majority of participants from both countries were open towards the development of a quality guidance resource and felt that this would be useful. Differences between countries were noted when considering the type of pharmacy practice models functioning in each country and the perceived barriers to implementing the proposed quality guidance resource into practice. Conclusion Although there are significant differences in the type of pharmacist practice systems functioning in each country, pharmacists in both Australia and Poland demonstrated significant support for the development of a quality measurement tool to guide and structure practice in the NICU and recognised benefits to its implementation. Future efforts should focus on the development of quality measures that can be adapted to different NICU settings, both on a national scale and international scale.

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Pharmacist prescribing in neonatal intensive care units in the UK

Cited by 7 publications

References 0 publications

Standardized Competencies for Parenteral Nutrition Prescribing

Standardized Competencies for Parenteral Nutrition Prescribing

Pharmacists as non-medical prescribers: what role can they play? The experience in a neonatal intensive care unit

Pharmacist perceptions on the need for a quality guidance resource for pharmacy service provision in the neonatal intensive care unit: comparison between Poland and Australia

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