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Prescription and Signer Selection
With nurses/supplementary prescribers being able to print prescriptions, there are now more scenarios: a doctor who can prescribe any drug, a nurse who can prescribe some drugs, and a receptionist who cannot prescribe.
Note - There are regional variations in what prescriptions are permitted to be printed for some nurse independent or supplementary prescribers (refer back to the tables on the previous pages). In a situation where a nurse has prescribed but is not permitted to print the prescription, the Authorised signatory could be changed to that of a GP in order to print.
When a Community Practitioner Nurse Prescriber selects items for printing which include items they can and cannot sign, the Prescription Manager screen will sort the items on to two prescriptions; one prescription for the nurse to sign and one prescription for the authorised GP to sign.
With nurse prescribing, not all prescription items can be prescribed by a prescriber. When a Nurse Prescriber selects items of printing, which include items they are not authorised to prescribe together with those they are authorised to prescribe, items that can be prescribed by a nurse will be selected by default and grouped together. Selecting the remaining items will cause the signer to be changed to an appropriate GP so they can be printed as well.
Similarly, when a GP prescriber selects items for printing that have been authorised by a DN/HV Nurse Prescriber, Extended Formulary Nurse Prescriber or a Supplementary Prescriber, or a EFNP/SP selects items authorised by a Nurse Prescriber, the GP will be the default signer. They will be able to change the signer to a nurse which will result in any items that cannot be prescribed by the nurse being de-selected.