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  • Pharmacist Prescriber

    Hi

    Would you really want to be able to prescribe any drug for virtually any condition if it was possible?

    Can you imagine the uproar when that first pharmacist prescribing error is done?

    We all see every day mistakes made by Dr's, wether it be by accident, overwork or just stupidity, but nothing ever seems to happen because of these errors.

    Do you think the same luxury would be allowed to you?

    What do we think? Would you want that risk?
    Lively debate is encouraged but please respect the opinions and feelings of others.
    Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
    Thank you for contributing to this site.

  • #2
    No, I wouldn't want to prescribe for everything,besides for p'cists prescribing and dispensing there is bound to be some degree of conflict of interest.

    P'cist prescribing for minor ailments,rectifying prescriptions or Long term conditions would be OK.

    P'cists should also prescribe within their own competence and I doubt whether that would include every area if we are honest with ourselves
    Kemzo the pharmacist forumly known as kemzero

    Comment


    • #3
      Originally posted by kemzero
      No, I wouldn't want to prescribe for everything,besides for p'cists prescribing and dispensing there is bound to be some degree of conflict of interest.

      P'cist prescribing for minor ailments,rectifying prescriptions or Long term conditions would be OK.

      P'cists should also prescribe within their own competence and I doubt whether that would include every area if we are honest with ourselves
      Fair enough, but what's gonna happen to the poor guy who makes the first error?
      Lively debate is encouraged but please respect the opinions and feelings of others.
      Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
      Thank you for contributing to this site.

      Comment


      • #4
        Originally posted by kemzero
        besides for p'cists prescribing and dispensing there is bound to be some degree of conflict of interest.
        That's never stopped any dispensing GP!

        For my part, my desire to be able to "prescribe" stems purely from my frustration at having to say all too often "I know what you need but I'm not allowed to sell it to you"; This is hopefully going to happen less and less, with the current trend towards mor and more POM-to-P switches. After all, who would have believed ten years ago that we'd be selling flixonase, zirtek, levonelle, imigran, chloramphenicol eye drops, or buccastem over the counter?
        Ze genuine Article, present & perfect!

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        • #5
          Zo

          I totally understand your viewpoint, but I just feel that we get treated so harshly that if a mistake was made, the trouble you'd get into would not make it worth your while.

          I have been told that there are far fewer nurses struck off etc then then pharmacists, yet we out number them by loads. I haven't looked into the figures, but a pharmacist/lawyer told me that.

          I understand protecting the public is important, but it seems we always get the raw deal. If a Dr writes an overdose and a pharmacist takes it at face value because he has trusted the Dr has good reasons for doing so, the pharmacist will carry the lot. The Dr won't get anything done to him.

          The have insurance for accidents, and it works very well for them.

          Wasn't Shipman a drug addict for a while? Wasn't he helping himself to morphine or diamorphine or both for a while? Wasn't he still allowed to work? A pharmacist would face serious jail time for that, then be struck off!

          I believe the public haven't got a clue as to what goes on, so the excuse of "we have to do this to you, to keep public confidence in the profession" isn't any sort of reason to me. How many members of the public even know a pharmacist is considered to be a professional person? Has any of them the knowledge that pharmacists can be struck off? I seriously doubt it myself.
          Lively debate is encouraged but please respect the opinions and feelings of others.
          Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
          Thank you for contributing to this site.

          Comment


          • #6
            Originally posted by admin
            Hi

            Would you really want to be able to prescribe any drug for virtually any condition if it was possible?
            Yes.

            We all see every day mistakes made by Dr's, wether it be by accident, overwork or just stupidity, but nothing ever seems to happen because of these errors.
            Yes it does - it just isn't published in the PJ.

            Do you think the same luxury would be allowed to you?
            I would expect my insurance/defence organisation to afford some protection

            What do we think? Would you want that risk?
            As long as the price is right.

            I want the ability to prescribe within my competence - and the ability to refuse to prescribe anything I don't feel competent to prescribe.

            Jeff

            Comment


            • #7
              Originally posted by admin
              Hi

              Would you really want to be able to prescribe any drug for virtually any condition if it was possible?

              Can you imagine the uproar when that first pharmacist prescribing error is done?

              We all see every day mistakes made by Dr's, wether it be by accident, overwork or just stupidity, but nothing ever seems to happen because of these errors.

              Do you think the same luxury would be allowed to you?

              What do we think? Would you want that risk?
              but who would do the checks on what you prescribe? Will that be the job of the dispensing technician?

              And if we prescribe everything and anything, then is there any need for such highly paid doctors???

              Personally i really doubt pharmacists will ever be prescribing anything, they may have certain specialist areas from which they can prescribe.

              Comment


              • #8
                Originally posted by gaby
                Personally i really doubt pharmacists will ever be prescribing anything, they may have certain specialist areas from which they can prescribe.
                We already do prescribe a lot of things! just because it doesn't involve a green piece of paper doesn't mean it's not prescribing when we recommend glycerin suppositories to someone seeking treatment for constipation, or paracetamol for pain; minor Ailment Schemes and other PGDs are also examples of "pharmacist prescribing". OK, so we're not allowed to "diagnose" conditions, only to "respond to symptoms"; but in my book, if it looks like a duck and quacks like a duck,...!
                I do agree though that we should have specialised areas, but then one culd argue that point about GPs too: a General Practitioner is just that, a Jack-of-all-trades and Master of None; What does the Forum think?
                Ze genuine Article, present & perfect!

                Comment


                • #9
                  Originally posted by Zoggite
                  We already do prescribe a lot of things! just because it doesn't involve a green piece of paper doesn't mean it's not prescribing when we recommend glycerin suppositories to someone seeking treatment for constipation, or paracetamol for pain; minor Ailment Schemes and other PGDs are also examples of "pharmacist prescribing". OK, so we're not allowed to "diagnose" conditions, only to "respond to symptoms"; but in my book, if it looks like a duck and quacks like a duck,...!
                  I do agree though that we should have specialised areas, but then one culd argue that point about GPs too: a General Practitioner is just that, a Jack-of-all-trades and Master of None; What does the Forum think?
                  Personally I don't want to prescribe anything. I'm too afraid of the consequences if a mistake is made.

                  Yes I do think a general practitioner is a jack of all trades, but if they get anything difficult they just refer to a consultant anyway.
                  Lively debate is encouraged but please respect the opinions and feelings of others.
                  Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                  Thank you for contributing to this site.

                  Comment


                  • #10
                    !

                    I wouldn't mind doing other jobs like prescribing.

                    I know where you're coming from though admin. Cornwall may have only just had electricity put in but we always seem to be first in the queue for initiatives.

                    We were one of the first areas to try the EHC and minor ailment PGDs and I was relatively sh*tting myself for the first few but you soon get used to it.

                    You get to know the things that you can do and what you can't. The PGDs have strict guidelines anyway but if I see/hear something I don't like I won't supply regardless of whether it's in the PGD guidelines or not.

                    The only problem I have with all these extra jobs is that no-one seems to see that we need more backing, staff, money etc. if we're to do all of these jobs.

                    Come on admin if nurses can prescribe why can't we?

                    I love nurse's Rxs that are basically a whole page of the BNF copied onto the FP1O! Shows they really haven't a clue what they're doing!

                    I had a nurse once ask me how to prescribe 50/50 ointment!
                    Linnear MRPharmS

                    Foetal Alcohol Spectrum Disorder: The biggest cause of brain damage and 100% preventable.

                    In pregnancy: 1 fag is not safe, 1 x-ray is not safe and 1 drink is not safe.



                    For handy pharmacy links try
                    pharmacistance.co.uk

                    If you like my posts or letters in the journal try my books!
                    eloquent-e-tales

                    Comment


                    • #11
                      Come on admin if nurses can prescribe why can't we?
                      The short answer is we can. We are more educated then them in drug use etc so we should make better prescribers anyway.

                      The other answer involves how the society treats us, and what will happen to you if an error is made. Can you imagine the poor guy who makes the first mistake?

                      I don't want to put myself at any more risk then I have to, so I ain't doing it.
                      Lively debate is encouraged but please respect the opinions and feelings of others.
                      Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                      Thank you for contributing to this site.

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                      • #12
                        And what do we think about hospital prescribers?
                        Today's corkers:
                        "R/ Ibuprofen 400: 1-1-1" That's all the script said; no quantities, no indication of length of treatment...
                        Another poor woman had to pay a Rx charge for
                        "R/ Dexamethasone 1mg, mitte 1 tablet, take one at midnight"; her only consolation was that being a welsh script, it only cost her £3 and not yer english £6.65...
                        Ze genuine Article, present & perfect!

                        Comment


                        • #13
                          [QUOTE=gaby]but who would do the checks on what you prescribe? Will that be the job of the dispensing technician?

                          And if we prescribe everything and anything, then is there any need for such highly paid doctors???

                          Gaby,

                          Hopefully pharmacists that prescribe would not dispense,In any case I feel pharm techs can check for the accuracy of a prescription but do not feel they have the competency to check for clinical interventions etc as it has never been part of their training programme, besides I feel its a lot of responsibility to lumber unto NVQ 2/3 qualified technicians (the new NVQ3 is not even equivalent to A levels unlike the old BTEC qualifications).......there would always be a need for highly paid doctors....at the end of the day regardless of whether p'cists obtain prescribing qualifications or not we can never replace doctors as they have been trained to do what they do,,,they have studied anatomy,physiology, biochemistry,obs& gynae,paeds etc extensively ....this government has watered down the professions and now everyone thinks they can do someone elses job once they have shadowed them for a while and got a few qualifications what about fundamental knowledge etc...its all about quantity these days not quality.....and mark my words patient care would not get any better it will get worse!!! Look aound you teaching assistants thinkthey can do a teachers job, paralegals think they are lawyers,pharmacy techs want to be pharmacists,nurses think they know more than GPs,p'cists think they can replace GPs, healthcare assistants who think they are nures -the list is endless ...its great in a way because a classless society might eventually be acheived but there are too many downsides.....
                          Last edited by kemzero; 3, August 2006, 04:40 PM.
                          Kemzo the pharmacist forumly known as kemzero

                          Comment


                          • #14
                            Originally posted by admin
                            Personally I don't want to prescribe anything. I'm too afraid of the consequences if a mistake is made.

                            Yes I do think a general practitioner is a jack of all trades, but if they get anything difficult they just refer to a consultant anyway.
                            I agree with you i wouldnt want to prescribe either. Sometimes i feel like im heading into the wrong profession, but i refuse to give up now since i am entering my final year.

                            I think everyone should realise their limitations and i think GPs do recognise their limitations and that's when they refer to specialist consultants.

                            Maybe a higher tier for pharmacists who wish to prescribe is good. But isnt that like introducing a junior doctor to the retail buisness? Just my opinion...

                            Comment


                            • #15
                              Originally posted by gaby
                              I agree with you i wouldnt want to prescribe either. Sometimes i feel like im heading into the wrong profession, but i refuse to give up now since i am entering my final year.

                              I think everyone should realise their limitations and i think GPs do recognise their limitations and that's when they refer to specialist consultants.

                              Maybe a higher tier for pharmacists who wish to prescribe is good. But isnt that like introducing a junior doctor to the retail buisness? Just my opinion...
                              I tend to agree with you. Also the way GP's can kill people through poor prescribing and get found not guilty of professional mis-conduct, yet we can go before the statt comm for getting catheters mixed up just scares me.
                              Lively debate is encouraged but please respect the opinions and feelings of others.
                              Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                              Thank you for contributing to this site.

                              Comment

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