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98727 Quality Use of Medicines in Advanced Practice

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2019 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Postgraduate

Result type: Grade and marks

Description

Safe and rational medicine management and prescribing requires an understanding of the processes contributing to medicine use, as well as acquiring the essential skills and attitudes required for good prescribing. This subject focuses on the skills, knowledge, attitudes, values and abilities that underpin competent and capable medicine management for prescribers and non-prescribers. The principles, aims and goals of the National Medicines Policy and National Strategy for Quality Use of Medicines are explored and discussed. Students have the opportunity to reflect and analyse how these principles influence their practice in accordance to Australian Health Practitioner Regulation Agency (AHPRA) standards for practice. Using a clinical decision-making framework, students apply the principles of the World Health Organisation's Guide to Good Prescribing, learning how to select between different medicines on the basis of comparative efficacy, safety, cost and suitability in order to prescribe from a defined scope of practice.

This subject highlights the importance of ensuring that consumers are central to all processes. Students explore the use of teaching and learning strategies to promote patient understanding of their medicines, and consider the difficulty of adherence to treatment. Commonwealth and State laws pertaining to the control of medicines are also considered.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Analyse their practice and duty of care in accordance with legislation and regulation relating to medicine management, prescribing and administration of pharmacological and non-pharmacological therapeutic interventions (AHPRA 3.3)
B. Analyses their professional integrity and ethical conduct in relation to therapeutic product manufacturers and pharmaceutical organisations (AHPRA 2.1, 3.1)
C. Explain the principles of good prescribing practice using a step wise approach considering the risk/benefit of medicines prescribed (AHPRA 2.3, 3.1)
D. Recommend and justify the selection and integration of both pharmacological and non- pharmacological therapeutic interventions into the management plan in consultation with the patient/client in collaboration with the pharmacist and other health providers if required (AHPRA 2.2, 2.3, 3.1, 3.2)
E. Prescribe therapeutic interventions based on accurate knowledge of patient characteristics, research evidence and concurrent therapies for the person receiving treatment (AHPRA 1.1, 1.2, 2.2, 2.3, 3.1)
F. Develop a personal formulary based on best evidence for the most common conditions encountered in their specialty area of practice (AHPRA 2.3, 3.1, 3.3)

Course intended learning outcomes (CILOs)

This subject also contributes specifically to the following graduate attributes:

  • Are reflective critical thinkers who contribute to practice, policy and research to enhance health care and health outcomes (1.0)
  • Are effective, collaborative and responsive leaders (2.0)
  • Analyse creative approaches to build the capacity of the interdisciplinary health workforce to enable health-promoting environments (2.2)
  • Justify collaborative approaches used with patients, families and interdisciplinary teams to enable optimal health outcomes (2.3)
  • Are socially, culturally and ethically accountable and consider health care in a global context (3.0)
  • Communicate appropriately and consistently in diverse situations (4.0)
  • Embody the professional qualities appropriate to the scope of their role (5.0)
  • Critically appraise and influence knowledge and skills within their context of practice, to maintain professional standards and engage in lifelong learning (5.1)

Teaching and learning strategies

A blended approach to teaching and learning will be adopted using online and face to face environments.

Interactive and practice orientated activities will be available on UTSOnline. Students will be required to have completed these prior to the face to face classes to allow for a deeper approach to learning and interaction.

Face to face classes and workshops will include active and reflective learning opportunities. Included activities will involve lectures from industry and clinical experts and collaborative learning through interactive and practice orientated group work. In class simulation workshops will provide the students an opportunity to rehearse and practice patient care in a safe environment and enable students to develop strategies and skills to apply in the workplace. Online content and learning will be explored and new knowledge will be acquired and consolidated.

Students will receive formative feedback through the completion of online education activities and tutor or peer discussion in the face to face activities.

The subject assessments are designed to be authentic to practice. The assessment tasks provide students with the opportunity to develop their chosen specialty skills and reflect on their current and future practice. Summative feedback will be available throughout the session.

Content (topics)

  • Regulatory frameworks associated with medicine management and safety: National Medicines Policy, Quality use of Medicines and the Pharmaceutical Benefits Scheme (PBS medicines, collaborative arrangements, additional endorsements)
  • Principles of good prescribing: a stepwise approach to prescribing considering the risk/benefit of medicines prescribed (based on World Health Organization Guide to Good Prescribing and NPS Prescribing Competencies Framework)
  • Medicine safety: problems resulting from prescribing, dispensing and administering medications. Promoting medicine adherence and self-management and incident management
  • Designing and developing protocols and a personal formulary; developing treatment plans ethical assessment and promotion/ marketing information of medicines
  • Key partners in medicines management
  • Resources for practice
  • ?Contemporaneous Global and National issues inclusive of Medicines in Indigenous health

Assessment

Assessment task 1: NPS Medicinewise Learning: National Prescribing Curriculum

Intent:

The intent of this assessment task is to allow the student to practice the principles of safe prescribing using examples of patient cases. Student will also be exposed to the the extensive resources available from the NPS Medicinewise. This assessment provides the students an opportunity to enhance their skills of personal reflection analysisng and appraising learning opportunities and the clinical significance/ application.

Objective(s):

This assessment task addresses subject learning objective(s):

A, C, E and F

This assessment task contributes to the development of graduate attribute(s):

1.0, 3.0, 4.0 and 5.1

Type: Reflection
Weight: 20%
Length:

The modules take approximately 1 hour each to complete.

1000 word limit for reflection.

Assessment task 2: Treatment Plan

Intent:

The intent of this assessment task is to allow the student to demonstrate their knowledge and application of the step-wise approach to safe prescribing and to begin the process of formulating their own formulary.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D, E and F

This assessment task contributes to the development of graduate attribute(s):

1.0, 3.0, 4.0 and 5.0

Type: Case study
Weight: 50%
Length:

3500 Words

Assessment task 3: Medication Incident Management

Intent:

The intent of this assessment is for students to identify the policies, procedures and legislation approved to regulate incident management. Students will be able to demonstrate how the principles of the Quality Use of Medicines and good prescribing impact medication incidents. Students are also provided an opportunity to develop skills in standard incident report development, writing and management..

Objective(s):

This assessment task addresses subject learning objective(s):

C, E and F

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 2.2, 2.3, 3.0 and 4.0

Type: Report
Weight: 30%
Length:

Maximum 2000 words

Recommended texts

Bryant, B., Knights, K. & Salerno, E. 2010, Pharmacology for health professionals, 4th edn, Mosby Elsevier, Chatswood, N.S.W

Rang, H.P. & Dale, M.M. 2012, Pharmacology (Rang and Dale's pharmacology), Edinburgh: Churchill Livingstone, 7th edn, Churchill Livingstone.

References

Australian Medicines Handbook 2014, Australian Medicines Handbook, Adelaide, South Australia. (available via the UTS library website online/electronically)

Brack, Gm (2013) Medicines management for nursing practice: pharmacology, patient safety, and procedures, Oxford University Press, Oxford.

Courtenay, M. & Griffiths, M. (eds) 2010, Independent and supplementary prescribing: an essential guide, Cambridge University Press, Cambridge.

Jevon, P. (ed.) 2010, Medicines management: a guide for nurses, Blackwell Pub, Chichester, West Sussex.

Kocabasoglu, Y.E. 1997, Guide to good prescribing: A practical manual, World Health Organization, Geneva.

National Prescribing Service Limited 2015, NPS MedicineWise, viewed January 2015, <http://www.nps.org.au/>

Nursing & Midwifery Board of Australia, 2014 Nurse practitioner standards for practice, viewed January 2018, <nursingmidwiferyboard.gov.au>

Staunton, P. & Chiarella, M. 2017, Law for nurses and midwives, 8th edn, Elsevier Australia, Chatswood, N.S.W.

Willihnganz, M.J, (2017), Study guide for basic pharmacolgy for nurses, Elsevier, St.Louis, Missouri.

Woo, T.M, 2016, Pharmacotherapeutics for nurse practitioner prescribers, 4th edn, F.A. Davis Co, Philadelphia.

Other resources

UTS Student Centres
Building 10
Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Details for student centres: www.uts.edu.au/current-students/contacts/general-contacts
For other resources/information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health), the Health Student Guide (www.uts.edu.au/sites/default/files/uts-health-student-guide.pdf) and UTSOnline at: https://online.uts.edu.au/webapps/login/

UTS Library
The Library has a wide range of resources, facilities and services to support you including textbooks, subject readings, old exam papers, academic writing guides, health literature databases, workshops, a gaming room and bookable group study rooms. There is also a team of librarians to help you with all your questions.
W: lib.uts.edu.au, Facebook: utslibrary, Twitter: @utslibrary Tel: (02) 9514 3666

Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.

HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at the UTS Library. Phone (02) 9514 9733

Please see www.uts.edu.au for additional information on other resources provided to students by UTS.