Audit of Registered Nurse Prescriber (RNP) Prescribing Practices

Sample Data Collection Tool

Objective of Audit tool:

This audit tool is to be used to retrospectively audit RNP Prescribing Practices

Methodology:

Population: All prescriptions completed by the RNP

Sampling:A total of 10% or 10 prescriptions, whichever is greater, should be selected

Frequency of Audit: Quarterly for 1st year following registration as RNP and 6 monthly thereafter

Method:This is a retrospective audit

Part 1: Demographic Details

Name of Registered Nurse Prescriber:
Personal Identification Number (NMBI): / ______
______
Work Address:
Area of Practice:
Date of Audit:
Audit Type: / Quarter 1 audit Quarter 2 audit Quarter 3 audit Quarter 4 audit
6 monthly audit
Post incident
Other , Please state______
Audited by:

Part 2: Data Collection Tool

Methodology: Record Y for Yes, if the criteria are met.

Record N for No, if criteria are not met or N/A for Not applicable

Yes / No / NA / Evidence
1 / An assessment of the patients/service user needs has been recorded by the Registered Nurse Prescriber
Physical examination
Patient/service user history (including past/present medications use)
Record/rationale for clinical diagnostic decision
2 / The prescription is legible
3 / The name of the Registered Nurse Prescriber is stated on the prescription
4 / The NMBI Personal Identification Number (PIN) of the Registered Nurse Prescriber is stated on the prescription
5 / The prescription is in ink/indelible
6 / The prescription is dated
7 / The prescription is signed by the Registered Nurse Prescriber with their signature (as per NMBI)
8 / The full name of the patient/service user is on the prescription
9 / The address of the patient/service user is on the prescription
10 / The date of birth is stated where the patient/service user is under the age of 12 years
11 / Prescription Writing for MDA Schedule 8 Medicinal Products
The name and address of the patient/service user is handwritten
The dose to be prescribed is handwritten
The form (in the case of preparations) is handwritten
The strength is handwritten in both words and figures

Calculation of Compliance Rate Percentage

The audit tool calculates the score for the audit. The score, expressed as a percentage, is calculated by dividing the number of “yes” answers by the total of “yes” and “no” answers. “Not applicable” answers are excluded from the calculation of the percentage score.

Example:

If there are 9 “yes” and 2 “no” answers, the score is calculated as follows:

9 (yes answers) divided by 11 (total of yes and no answers) multiplied by 100.

The score in this example would be 81.8%

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