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Prescriptive authority: practice standards and guidelines

This document was published by the Nursing and Midwifery Board of Ireland (NMBI), and addresses the professional responsibilities of registered nurse prescribers and registered midwife prescribers for their prescribing practices. These practice standards and guidelines for prescribing medicines should be viewed as the overarching mechanism with which a registered nurse prescriber/ registered midwife prescriber is expected to practice.

The document details the following 11 practice standards:

  • Clinical decision-making process
  • Communication and history taking
  • Documentation
  • Prescription writing
  • Prescribing for self, family and significant others
  • Repeat prescribing
  • Prescribing of off-label and exempt medicinal products
  • Prescribing by means other than the original prescription
  • Separation of responsibilities in the medication management cycle
  • Influence of outside interests (relationships with pharmaceutical representation or similar organisations)
  • Continuing professional development and continued competency



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


(PDF, 321 KB)

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