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Department of Health Review of Prescribing, Supply and Administration of Medicines; Final report, Department of Health, London. Department of Health Medicines Matters: A Guide to Mechanisms for the Prescribing, Supply and Administration of Medicines, National Practitioner Programme Department of Health Core Prescribing Group, London. Department of Health and Social Security Neighbourhood Nursing; a Focus for Care, HMSO, London. Francis, G. and Hogg, D.
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Nevertheless, an appropriate person should be identified within any healthcare organization to ensure that only fully competent, qualified and trained health care professionals are allowed to use PGDs. The working definition of supplementary prescribing is a voluntary partnership between an independent prescriber and a supplementary prescriber to implement an agreed patient-specific Clinical Management Plan with the patients agreement. Supplementary prescribing has its basis in the recommendations of the final report of the Review of Prescribing, Supply and Administration of Medicines (Department of Health, with undiagnosed conditions and for decisions about the clinical management required, including prescribing patients who have been clinically assessed by an independent prescriber. This continuing care might include prescribing, which would usually be informed by clinical guidelines and be consistent with individual treatment plans, or continuing established treatments by issuing repeat prescriptions, with the authority to adjust the dose or dosage form according to the patients needs. The Review recommended that there should be provision for regular clinical review by the assessing clinician (note: dependent prescriber is now referred to as a supplementary prescriber, Following the Health and Social Care Act to a wider group of health care professions.
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Vasoconstriction and the salt and water reabsorption activity of aldosterone result in restoration of blood volume and therefore blood pressure. In cardiac failure, cardiac output is reduced.
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The majority of radiographer administrations will employ this route, with practitioners, advanced practitioners and consultant practitioners all using this form of administration. Supplementary prescribing will have a limited range of applications because of the reasons indicated above.
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