Alison M Pirret1. 1. Critical Care Complex, Middlemore Hospital, School of Health & Social Services, Massey University, Private Bag 93311, Otahuhu, Auckland, New Zealand. Pirret@xtra.co.nz
Abstract
OBJECTIVE: This paper assesses the frequency of prescribing and the types of medications prescribed by a New Zealand critical care nurse practitioner (NP) whilst performing a critical care outreach role. METHOD: A before and after audit was conducted from June 2006 to July 2008. Audit data were collected prospectively and analysed retrospectively. Data collected between July 2006 and June 2007 when standing orders were used were compared to data collected between July 2007 and June 2008 when the NP was authorised to prescribe. Data were analysed using count, chi-square, the Fisher's Exact Test and Phi. FINDINGS: The NP completed 1061 patient visits. When compared to using standing orders, the NP prescribed a greater number and a wider range of medications when authorised to prescribe (χ2=9.280, p=.002, Φ=.094). Electrolytes and analgesics were the most common medications prescribed in both audit periods. CONCLUSION: The results provide insight into critical care NP prescribing practice to better inform future critical care workforce development.
OBJECTIVE: This paper assesses the frequency of prescribing and the types of medications prescribed by a New Zealand critical care nurse practitioner (NP) whilst performing a critical care outreach role. METHOD: A before and after audit was conducted from June 2006 to July 2008. Audit data were collected prospectively and analysed retrospectively. Data collected between July 2006 and June 2007 when standing orders were used were compared to data collected between July 2007 and June 2008 when the NP was authorised to prescribe. Data were analysed using count, chi-square, the Fisher's Exact Test and Phi. FINDINGS: The NP completed 1061 patient visits. When compared to using standing orders, the NP prescribed a greater number and a wider range of medications when authorised to prescribe (χ2=9.280, p=.002, Φ=.094). Electrolytes and analgesics were the most common medications prescribed in both audit periods. CONCLUSION: The results provide insight into critical care NP prescribing practice to better inform future critical care workforce development.