Review of Nurses

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Review of Nurses Midwives in the Prescribing
Administration of Medicinal Products

• 2001 - 2004

Kathleen Walsh, Project Officer Denise Carroll,
Project Assistant
2
Project Progress

• Medication Management Seminars
• Needs Assessment
• Pilot sites for Collaborative Prescribing
• An Bord Altranais Guidance document

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Medication Management Seminars

• November-December 2002
• 20 seminars held nationally with over 1200 nurses
  and midwives participating
• A large number of focus groups were conducted -
  topic guide centred on medication management
  practices

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Needs Assessment of Nurses Midwives

• Early 2004
• Objective - Identify the relevant issues
  surrounding the need for nurses and midwives to
  expand their current practices of medication
  management
• Content of survey based on focus group analysis
  literature review
• Representative sample from An Bord Altranais
  divisions of the active register

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Pilot Sites for Collaborative Prescribing

• Sites represent a diversity of practice areas,
  experiences and qualifications of participating
  nurses and midwives
• Multidisciplinary team approach with medical
  practitioners pharmacists involvement

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Pilot Sites for Collaborative Prescribing

• St. Patrick's Hospital, Waterford
• Waterford Regional Hospital
• Mater Hospital
• St. James's Hospital

• Sligo General Hospital
• Lifford Health Centre, Donegal
• St. Finbarr's Hospital, Cork
• St. Luke's Hospital

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Pilot Sites for Collaborative Prescribing

• Rotunda Hospital
• Midland Regional Hospital
• Innishmaan Community Services, Galway

• St. Mary's Hospital, Drumcar
• Limerick Hospital
• National Maternity Hospital, Holles St

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Educational Framework for Pilot Study

• RCSI Education provider, Multidisciplinary input
• Creation of competencies to inform programme
  development guide nurse/midwife participants
• Programme - 6 month duration combining clinical
  theoretical components
• Distant locations supported by videoconferencing

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Implementation Evaluation Process

• Examine
• Nurses midwives independent clinical
  decision-making
• Patients satisfaction w/the information on
  medication provided by the participants
• Perceptions of the health care professionals
  involved at the pilot site

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An Bord Altranais Document
Questions
Comments
Establishment of Database for Review Process
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Project ConclusionAutumn 2004

• Analysis of Project Activities
• Steering Committee Recommendations

Final Report
Department of Health Children
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Future Considerations
Changes to Legislation

• Regulatory Requirements
• Nurse/Midwife Criteria
• Scope of Practice

Economics Cost
Educational Preparation
Health Care Policy
Collaborative Approach
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Thank you for your attention