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The Nursing and Midwifery Council (NMC) set the standards that all nurses must adhere to as outlined in the Code of Conduct (NMC, 2018a). As part of a nurse’s role the NMC highlight that the CYP in your care, and their family, must be able to trust you with their health and well‐being (NMC, 2018a). To be able to justify that trust, nurses must adhere to the following four P’s:

 Prioritise people

 Practise effectively

 Preserve safety

 Promote professionalism and trust

Within Preserving Safety, section 18 of the Code specifically focuses on aspects of medicine management and the role of the nurse which includes:

Advise on, prescribe, supply, dispense or administer medicines within the limits of your training and competence, the law, our guidance and other relevant policies, guidance and regulations.

NMC, 2018a – see Table 1.2

Table 1.2 Medicine administration, preservation of safety.

To preserve safety in relation to medicine administration, you must:
18.1	Prescribe, advise on, or provide medicines or treatment, including repeat prescriptions (only if you are suitably qualified) if you have enough knowledge of that person’s health and are satisfied that the medicines or treatment serve that person’s health needs
18.2	Keep to appropriate guidelines when giving advice on using controlled drugs and recording the prescribing, supply, dispensing or administration of controlled drugs
18.3	Make sure that the care or treatment you advise on, prescribe, supply, dispense or administer for each person is compatible with any other care or treatment they are receiving, including (where possible) over the counter medicines
18.4	Take all steps to keep medicines stored securely
18.5	Wherever possible, avoid prescribing for yourself or for anyone with whom you have a close personal relationship

Source: NMC (2018a). This extract is reproduced and reprinted with permission with thanks to the Nursing and Midwifery Council.

It must be clarified at this point that not all registered nurses are permitted to prescribe, as further qualifications and registration with the NMC as an Independent Prescriber must be achieved first. The NMC’s Future Nurse: Standards of Proficiency for Registered Nurses (2018b) are designed for newly registered nurses to be ‘prescriber‐ready’ on admission to the register, and therefore have more knowledge of pharmacology as detailed within the previous education standards. Although the knowledge level will be in more depth, further training, practice and supervision will be required to be a registered prescriber. This is reinforced in the NMC Code, section 13.5, which states that you must complete the necessary training before carrying out a new role (NMC, 2018a). Table 1.2 outlines the NMC’s (2018a) requirements regarding medicine administration.