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Registered nurse prescribing in diabetes health

Registered nurses are authorised by the Council to prescribe in diabetes health under the Medicines (Designated Prescriber: Registered Nurses) Regulation 2016. The previous regulation for registered nurse prescribing in diabetes health has been revoked and the pathway to this prescribing authority was closed in 2017.  

Registered nurses prescribing in diabetes health are ‘designated’ prescribers with a condition in their scope of practice. The condition states “may only prescribe in diabetes health under supervision of a medical practitioner”.

These nurses may prescribe a limited subset of medicines from the medicines list for registered nurses practising in primary health and specialty teams. This list is specified by the Director-General of Health under the Medicines Act 1981 and published in the New Zealand Gazette. The Council also provides guidance on the use of this medicines list which can be found here.

Therefore, registered nurses prescribing in diabetes health may prescribe cardiovascular and diabetes prescription medications from the medicines list for people with diabetes in their care. They may also prescribe pharmacy and general sale items as well as consumables and devices within their area of practice and as per the PHARMAC schedule.


RN prescribing in Diabetes Health Recertification Audit Requirements

Every year registered nurses prescribing in diabetes health are required to provide evidence that they have maintained continuing competence, when they apply for their practising certificate.
This evidence includes:
  • Professional Development – a minimum of 20 hours of professional development activities relating to prescribing practice over the past three years.
  • Prescribing Practice – a support letter from prescribing supervisor to confirm that the RN prescriber in diabetes health has completed 40 days of prescribing practice every year and maintained prescribing competence.

Please note all recertification evidence needs to be submitted through MyNC. The nurse will receive an email reminder from Council staff six weeks before their recertification evidence is due.
 

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