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Table 2 Extent of nurse prescribing, by group(s) of nurses and country

From: Nurse prescribing of medicines in 13 European countries

  

Prescribing rights by major areas and conditions (IP = initial prescribing, CP = continued prescribing only)

Country

Name/title of nurses

Vaccines

Contraceptives

Chronic conditions

Acute illnesses

Pain medication

Other

Full prescribing rights (within specialty)

 Ireland

Nurse prescriber1

IP

IP

IP

IP

IP

IP

 Netherlands

Nurse Specialist2

IP

IP

IP

IP

IP

IP

 UK

Independent prescriber1

IP

IP

IP

IP

IP

IP

Limited prescribing rights

 Denmark

Registered Nurse3

CP

CP

CP

CP

CP

CP

 Estonia

Family nurse (pereõde)

–

CP (hormonal contraceptive)

CP (diabetes, hypertension)

CP (acute cystitis, nitrofurantoiin)

–

–

 Finland

Nurse prescriber

IP (influenza, hep., varicella^)

IP (hormonal contraceptive^#)

CP (asthma, dyslipidemia, T2D, hypertension)^

IP (pharyngitis)^, CP (UTI)^

IP (e.g. local anaesthetics)^

–

 Netherlands

Diabetes, lung, oncology nurses

–

–

IP (diabetes, oncology, lung diseases)

–

IP (oncology)

–

 Norway

Public Health Nurse

IP

IP (including IUD)a

–

–

IP (adrenaline for allergic reaction, local anaesthetics)

IP (sterile equipment for IU, implants, STD kits)

 Poland

RN (Master)

–

IP (gynaecological drugs)

IP (asthma, e.g. bronchodilators)

IP (throat, ear, sinus, UTI)

IP (analgesics, locally acting anaesthetics)

IP (anti-emetics, anti-parasitic, IV infusion fluids)

 Poland

RN (Bachelor) 4

–

CP (as above)

CP (as above)

CP (as above)

CP (as above)

CP (as above)

 Spain

RN (Bachelor)5

IP (according to vaccination schedule)

IP (emergency contraception)

CP

CP

CP

IP (OTC)

 Sweden

RN (Bachelor)

–

–

–

IP (throat, mouth, dermatological disease, GI, UTI)

IP (pain management)

–

 UK

Supplementary prescriber

CP

CP

CP

CP

CP

CP

  1. Cyprus, France, Switzerland (Vaud): not listed because no information available on the medicines/formulary, IP initial prescribing (prescribing right of a new medicine/product), CP continuous prescribing (follow-up prescribing after first prescription issued by physician), n/r not reported (in the law/regulations, “-“ not authorised to prescribe any medicine/product in the area, n/a no information available, OTC over-the-counter medicines, Hep. hepatitis, UTI urinary tract infection, GI grastrointestinal. 1Initial prescribing rights of all medicines falling within nurses’ specialty, restrictions and additional requirements apply to controlled drugs (e.g. UK: controlled drugs except for cocaine, dipipanone or diamorphine for treating addiction), 2Netherlands = initial prescribing rights of all medicines falling within nurses within nurse specialists’ specialty, Cyprus = details on the types of medicines/substances not (yet) specified in law; ^not for children under the age of 12, #not for women under age 35, aonly for women over 16 years of age, 3Denmark = continued prescribing according to local frame prescriptions and in a delegated model, 4Poland: prescribing rights according to formulary of 12 groups of medicines, 5Spain: prescribing rights granted to all RN with minimum 1 year work experience; for RN with less than 1 year work experience, additional training required