Nursing prescription guides: a new resource?

Tomás Cobo, president of Cgcom.

The problem of nurse prescription guides, insists the General Council of Official Colleges of Physicians (Cgcom), does not lie in its substance but in its form. Specifically, the organization that runs Tomas Cobo points to the way in which these protocols are drafted, which in his opinion do not properly limit the performance of the Nursing professional “apart from the doctor”. A “lack of clarity” that motivated its appeal appeal against the manuals for the dispensing of drugs for hypertension (HTA) and type 1 and 2 diabetes mellitus and that also warns in the guide for ostomy which has just been published in the State official newsletter (BOE).

“In the guide, the management of osteomas is subject to medical prescription. We reiterate that we are not against the Nursing guidelines but rather the wording as published in the BOE, because it can generate clinical safety issues”, emphasize sources from the Collegiate Medical Organization, which has been demanding a greater “balance” and “multidisciplinary nature” in the documents.

Specifically, it points out, as it left in writing in its previous appeals (which were admitted for processing by the Ministry of Health), to the third article of the aforementioned guides. “The problem is found in those cases in which the nurse acts outside of the doctoras the wording of this article contemplates in certain cases prescribing, modifying guidelines or suspending treatment without the endorsement of the doctor”, warned the Cgcom.

“In fact, the wording given to the guidelines allows, on the basis of the acting in accordance with Guides and Protocolsthe possibility that the nurse, apart from the doctor, makes diagnoses and prescribes treatments, a competence that according to the Law corresponds exclusively to the doctor”, he highlights.

“Lack of clarity” of the guidelines

The aforementioned article refers to the specific criteria in which nurses can start, interrupt or extend a treatment subject to medical prescription. In the latter case, the BOE states that the extension of treatment “has to be carried out within the framework of collaborative monitoring by the patient’s reference professionals”. Except for specific cases, “an initial medical prescription and/or the existence of protocols and/or specific care guides are necessary for the patient to be followed by the registered nurse”pick up the text.

In this regard, from the Cgcom they emphasize that “the introduction of conjunctions and/or and the lack of clarity in the wording of the nurses’ competencies” can lead to situations such as that of a nurse “initiating treatment autonomously and without taking into account the doctor’s criteria”. In short, it allows you skills that belong exclusively to the medical professional”, he maintains.

“Commitment to patients”

“It is not a corporatist issue, on the contrary; It is a responsibility derived from the skills and knowledge acquired by the medical profession”, say Cgcom sources, who add that their claim “responds to a commitment made to patients and society in favor of their safety”.

Although it may contain statements, data or notes from health institutions or professionals, the information contained in Redacción Médica is edited and prepared by journalists. We recommend to the reader that any health-related questions be consulted with a health professional.

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