Get Medication Site Declaration Form - Ucd

The Medication Site Declaration Form - Ucd is a crucial document for Health Service Providers to confirm their readiness for nurse and midwife medicinal product prescribing. This guide will walk you through the steps to complete the form online, ensuring all necessary information is accurately provided.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the Medication Site Declaration Form - Ucd and open it in your preferred form editor.
2. Begin by entering the name of the Nurse or Midwife at the top of the form. Ensure that the name matches the registration details provided to An Bord Altranais.
3. Proceed to the Essential Criteria for Site Selection section. Carefully review the questions regarding organisational policies and safety management systems, responding with 'Yes' or 'No' as appropriate and providing comments or evidence where required.
4. In the Practice and Education Development section, confirm if there are mentoring arrangements in place and if the nurse or midwife applying is on the Live Register. Complete any additional information requested, including the name of the medical practitioner mentor.
5. For the Health Service Provider criteria, indicate if you have a Drugs and Therapeutics Committee in place and the name of the Prescribing Site Coordinator, who will oversee the local implementation of the prescribing practices.
6. Complete the commitment section, ensuring that you document any support from the hospital or organisation's board regarding the prescribing initiative.
7. Fill in the Audit and Evaluation section, explaining any mechanisms for auditing the prescribing practices, along with the hours of work in your clinical area.
8. Ensure all contact details, including telephone numbers and emails for both the Director of Nursing and the Medical Practitioner, are accurately listed.
9. After completing all sections, review the form to ensure it is fully completed as incomplete forms may not be considered.
10. Sign the form where indicated and record the date. Ensure that the mentor also signs and fills in their details.
11. Once finished, you can save your changes, download the document, print it for submission, or share it as needed.

Complete your Medication Site Declaration Form - Ucd online today to facilitate the prescribing initiative in your health service.