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Registered Nurse Prescribers: NMBI’s requirements

Prescribing is an expansion of a nurse's/midwife's scope of practice, beyond the skills, competence and knowledge an individual practitioner possesses at the point of registration. The Nursing and Midwifery Board of Ireland (NMBI) is mandated to establish the professional regulatory framework for the nurse/midwife prescribing.  

The prescribing of medicines by nurses and midwives was established in 2007 with the Minister of Health signing medicines regulations providing for the regulatory framework for this national initiative.  Current prescribing was established through the Nurses Rules, 2010, establishing the division of the Register for Nurse Prescribers (RNP). 

The Nursing and Midwifery Board of Ireland (NMBI) and the Office of the Nursing and Midwifery Services Director (ONMSD), Health Service Executive (HSE), undertook a review of nurse midwife prescribing systems and processes in 2015. The aim was to review the existing regulatory and implementation systems and processes in place to support nurse and midwife medicinal product prescribing. This Review culminated in a Report on the Nurse and Midwife Medicinal Product Prescribing Review of Existing Systems and Processes (NMBI and ONMSD, 2015). The report contains 12 recommendations approved by the Board of the NMBI and the Interim Nursing and Midwifery Services Director, HSE.

Registration processes

Current registration processes involve completion of a Nurse Prescriber Registration Form by the nurse or midwife who is registering for the Prescribers Division, as well as input from the collaborating medical practitioner(s) and the authorised representative of the Health Service Provider.

It is a requirement that all Registered Nurse Prescribers (RNPs) have a current Collaborative Practice Agreement (CPA). There is an existing framework in place for nurses/midwives, collaborating medical practitioners and Health Service Providers for the development and approval of a CPA. Further details can be found on these pages:

CPA Guidance For Nurses And Midwives With Prescriptive Authority

 

 

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Practice Standards and Guidelines for Nurses and Midwives with Prescriptive Authority (4th Edition)


(PDF, 356 KB)

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Prescribing/CPA Forms 

All forms relating to prescribing and CPA are available by logging into the My Account sectionThose forms are:

  • Nurse Prescriber Registration Form
  • Collaborative Practice Agreement Form
  • Termination of Collaborative Practice Agreement Form
  • Recommencement of Collaborative Practice Agreement Form

 

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