Advanced practice

Writing a prescription: the law and good practice

The legal requirements for writing a prescription are defined by regulation 217 of the Human Medicines Regulations 2012. For any prescription-only medicine to be sold or supplied, the prescription...

Legal aspects of prescribing

Paramedic independent prescribers may currently legally prescribe all licensed medicines and off-licence/off-label licensed medicines for accepted clinical uses where no alternative is available, but...

Patient-centred prescribing, autonomy and concordance

The following patient example provides a framework for discussion. The patient's name has been changed to ensure confidentiality, and only the information relevant to this article is presented. The...

Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics

Of the total number of OHCA emergency calls attended by the LAS for 2018, 1444 were also attended by an APP. The numbers of patients who underwent FoCUS were similar to those who did not (744/1,444:...

Non-medical prescribing by paramedics in emergency, urgent and critical care

In contrast to paramedic practice within primary care settings, advanced paramedics practising in emergency departments and in prehospital settings are more likely to encounter patients who require an...

Integrating research and evidence-based guidance into prescribing practice

Both the College of Paramedics (CoP) (2018) and the Royal Pharmaceutical Society (RPS) (2016) are clear that, as non-medical prescribers, advanced paramedics are required to review and critically...

Paramedic prescribing: implementation in practice

Expectations were identified in policy papers, published guidance and reports from various organisations with an interest in paramedic prescribing (Department of Health and Social Care (DHSC), 1999;...

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

A day in the life of a paramedic advanced clinical practitioner in primary care

The paramedic profession has formally existed in the UK for less than two decades (Newton 2011). Historically, the role of the paramedic has been two-fold (Paranjape 2017):.

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