Ordynacja i preskrypcja pielęgniarska w Polsce

New prescribing powers for Polish nurses and midwives in relation to ICNP®

“…resulting from the Act of 15 July 2011 on Professions of Nurse and Midwife (Journal of Laws of 2014, No. 1435) with later amendments (Public Procurement Law) [1,3].…”

“…In general, this term is considered as prescribing drugs [3], regarded as a complex process that consists of a few stages. These may include: making a decision on the justifiability of using a certain medication (on the basis of clinical judgement/physical examination conducted by a nurse/midwife), choice of an optimal medication, its dozing, prescribing and monitoring its effectiveness and possible side-effects of the chosen therapy, as well as education of patients and their families concerning the way of medication use and potential adverse effects [3] ( Figure 1).…”

“…In accordance with the provisions of the Act, nurses and midwives may prescribe medications only after carrying out a personal physical examination of a patient [13], which can be also described and documented with ICNP® terms, especially IC: "Physical Examination [11]. It is obvious that conclusions from conducted analysis of patients' status should be meticulously reported in a medical documentation of a patient [3].…”

“…1136), since 1 st of January 2016 nurses and midwives have been given the power to prescribe medications (including specified active ingredients, excepted of medicines that include substances acting very intensively, mind-expanding and psychotropic drugs), food of special purposes, issue re-ferrals for several diagnostic tests, as well as prescriptions for reimbursed medical products. Depending on their competencies, nurses and midwives may prescribe medications to patients on their own or issue prescriptions as a follow-on of a therapy prescribed by a physician [1][2][3].…”

“…It is worth to emphasise that the powers concern mainly those nurses and midwives who perform public health care services in a community of their patients (i.a. as a long-term/palliative/hospice care) [1,3].…”