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Non-medical prescribing in critical care: A mixed methods study
Simon Ross Deveau1, Catherine Plowright2, Deborah Dawson3
1Torbay and South Devon NHS Foundation Trust, Torquay, United Kingdom.
The number of non-medical prescribers in UK critical care has significantly increased since 2007. Many more healthcare professionals are interested in becoming non-medical prescribers, indicating a growing trend in advanced practice roles.
Area of Science:
- Healthcare policy
- Clinical practice
- Pharmacology
Background:
- Limited data exists on non-medical prescribers in UK critical care.
- Changes to the Medicines Act 1968 likely impacted prescribing practices.
- A 2007 survey indicated few non-medical prescribers in the field.
Purpose of the Study:
- To explore the scope and diversity of non-medical prescribing in UK critical care.
- To assess current prescribing practices among non-medical professionals.
- To understand the evolving role of non-medical prescribers.
Main Methods:
- Online questionnaire adapted from a 2007 survey.
- Distribution to BACCN members (October-November 2021).
- Freedom of Information requests to regulatory bodies (NMC, HCPC, GPhC).
Main Results:
- 259 responses received; 105 identified as non-medical prescribers.
- 57 respondents exclusively used Patient Group Directions (PGDs).
- In ICU/HDU, 75 were non-medical prescribers, with 45 using PGDs.
Conclusions:
- Significant increase in non-medical prescribers and PGD utilization in critical care.
- Many critical care staff are interested in becoming non-medical prescribers.
- Variations in practice exist regarding PGDs, blood products, and prescribing.
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