NMHS33150 Clinical Practicum Prescribing

Academic Year 2023/2024

The clinical practicum provides the student prescriber with an opportunity to develop the knowledge, skills, behaviours and competencies required for safe and effective prescribing practice. This clinical module runs over a minimum of twenty-six weeks or two trimesters (i.e. spring and summer). Students are exposed to clinical aspects of nurse-midwife prescribing under the supervision of a designated medical-practitioner. Students will receive no less than 12 days (or 96 hours) clinical instruction. The student must be working in the area where the clinical practicum will occur for the duration of the module.

This is a ‘must-pass’ module. The programme award of ‘Professional Diploma Prescription of Medication’ and the opportunity to apply to the NMBI for registration as a Registered Nurse-Midwife Prescriber is dependent on the successful completion of this clinical module.

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Curricular information is subject to change

Learning Outcomes:

On completion the student will demonstrate competence in the following areas:

Medication reconciliation and clinical medication review
Health assessment, physical examination skills and ability to make an accurate diagnosis
Risk-benefit analysis of P-Drug (to include pharmacokinetics, pharmacodynamic, pharmacoeconomic and pharmacotherapeutics).
Effective prescribing consultation and communication skills with the patient and with the prescribing MDT
Sourcing and critical appraisal of current scientific evidence (to include pharmacology and disease specific national and international prescribing algorithms and guidelines)
Design and implementation of effective treatment plan (to includes writing a ‘mock’ legal prescription, monitoring for benefits/harm of prescribed medication and follow up care)
Accurate record keeping and documentation
Team building and negotiation skills including awareness of own scope of practice and when to consult with the prescribing team.
Safety and quality review through engagement in local PPPG development, clinical audit and continuous education and professional development.

Student Effort Hours: 
Student Effort Type Hours
Specified Learning Activities

29

Placement/Work Experience

96

Total

125

Approaches to Teaching and Learning:
All learning occurs in the clinical area in which prescribing of medicinal products is proposed. Learning is student centered, experiential, problem focused and reflective. Students are require to complete a log book of 10 prescribing cases under the supervision of a medical practitioner. Following each prescribing case, students reflect on self in the context of the prescribing episode and upon the medical practitioners feedback and feedforward. Based on their reflections the student designs an individualized learning plan in preparation for the next prescribing case. Role modelling, and the importance of engaging in collaborative practice with members of the multi-disciplinary prescribing team are essential aspects of learning how to work collaboratively, safely and within ones scope of practice . 
Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
:
-


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade In Module Component Repeat Offered
Portfolio: Formative assessment of competence : Seven prescribing cases
Summative assessment of competence: Three prescribing cases
Record of 96 hours clinical instruction
Varies over the Trimester n/a Pass/Fail Grade Scale No

100

No

Carry forward of passed components
No
 
Remediation Type Remediation Timing
Repeat (CFP) Within Three Semesters
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, on an activity or draft prior to summative assessment
• Feedback individually to students, post-assessment

How will my Feedback be Delivered?

The student documents each of the prescribing cases in their logbook. Following each prescribing episode, the student and medical mentor meet to discuss the students progress and any issues that may have arisen. The medical practitioner provides the student with verbal and written feedback and feed forward at the end of each meeting.