Medicines Management & The Nursing Associate Dr
Description: Medicines Management The Nursing Associate Dr Debs Robertson Lecturer University of Salford hellomynameis Dr Debs Robertson Lecturer Nurse and pharmacologist Scope of Presentation Expectations for nursing associates who administer
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slide1. Medicines Management & The Nursing Associate Dr Debs Robertson Lecturer
University of Salford<br>
slide2. #hellomynameis Dr Debs Robertson
Lecturer
Nurse and pharmacologist<br>
slide3. Scope of Presentation Expectations for nursing associates who administer medicines to patients
Ensure adequate levels of supervision are in place to support trainee nursing associates in the education and training of medicines management
Ensuring adherence to the 2018 guidance<br>
slide4. Introduction Medicines management is not a new concept
“The clinical, cost-effective and safe use of medicines to ensure patients get the maximum benefit from the medicines they need, while at the same time minimising potential harm.”
(MHRA 2004)<br>
slide5. NMC Support Integration of medicines management into pre-registration nursing standards from 2019
Part of the nursing associate role
Listed in proficiencies<br>
slide6. Role of the Nursing Associate Front line patient care
Patient assessment
Drug administration- including safe drug calculation
Part of a team
Patient safety<br>
slide7. Expectations WILL be administering medicines
Guidance and regulation by NMC
Trust policy regarding further administration roles<br>
slide8. Education & Training At Salford: Year 1 in University
Introduction to role in medicines management
Legal and professional aspects
Safe drug calculation
Assessment and administration
Monitoring and observation
Record keeping and reporting At Salford: Year 1 in Practice
Observation of drug rounds
Calculation practice
Identity checks
Patient assessment
Consent<br>
slide9. Education & Training At Salford: Year 2 in University
Pharmacokinetics
Pharmacodynamics
Therapeutics
Polypharmacy
Side effects and interactions
Allergies and adverse reactions
The drug round At Salford: Year 2 in Practice
Participation in drug rounds
Calculation and administration
Record keeping and reporting
Patient assessment and monitoring
Accountability
Safe storage and transportation<br>
slide10. Supervision Qualified nurses and practice supervisors
Allocation of placements to meet standards of proficiency
Trust induction packages- self directed study and mandatory training
Trust governance policies and indemnity
Portfolio of evidence and PAD’s<br>
slide11. Supervision Competency assessment
Validity of prescriptions
Appropriateness of prescriptions
Routes of administration
Single person administration restrictions
The 5 rights!
Delegation?<br>
slide12. 2018 Guidance Standards of Proficiency
3.15 understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies
3.16 demonstrate the ability to recognise the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions
3.17 recognise the different ways by which medicines can be prescribed<br>
slide13. 2018 Guidance- Skills Annexe B Procedural competencies required for administering medicines safely: 10.1 continually assess people receiving care & their ongoing ability to self-administer their own medications. Know when & how to escalate any concerns
10.2 undertake accurate drug calculations for a range of medications
10.3 exercise professional accountability in ensuring the safe administration of medicines to those receiving care
10.4 administer medication via oral, topical & inhalation routes
10.5 administer injections using subcutaneous & intramuscular routes & manage injection equipment<br>
slide14. 2018 Guidance- Skills Annexe B Procedural competencies required for administering medicines safely 10.6 administer & monitor medications using enteral equipment
10.7 administer enemas & suppositories
10.8 manage & monitor effectiveness of symptom relief medication
10.9 recognise & respond to adverse or abnormal reactions to medications, & when & how to escalate any concerns
10.10 undertake safe storage, transportation & disposal of medicinal products.<br>
slide15. PGD Patient group directive
Homogenous group of patients
Inclusion criteria
Supply and administration tool
Only available to registered professionals
NOT yet allowed by NA’s
Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs-under-pgds/7023369.Article<br>
slide16. Numeracy and Drug Calculations The need to be able to perform drug calculations to safely administer prescribed medicines
Challenging variety of entry level
Leading up to final year final module assessment which must be passed at 100%<br>
slide17. References NMC (2018) Standards for Nursing Associates https://www.nmc.org.uk/standards/nursing-associates/standards-for-nursing-associates/
PGD Information Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs-under-pgds/7023369.Article
Advisory Guidance https://www.hee.nhs.uk/sites/default/files/documents/FAQs%20-%20administration%20of%20medicines%20by%20nursing%20associates.pdf<br>
University of Salford<br>
slide2. #hellomynameis Dr Debs Robertson
Lecturer
Nurse and pharmacologist<br>
slide3. Scope of Presentation Expectations for nursing associates who administer medicines to patients
Ensure adequate levels of supervision are in place to support trainee nursing associates in the education and training of medicines management
Ensuring adherence to the 2018 guidance<br>
slide4. Introduction Medicines management is not a new concept
“The clinical, cost-effective and safe use of medicines to ensure patients get the maximum benefit from the medicines they need, while at the same time minimising potential harm.”
(MHRA 2004)<br>
slide5. NMC Support Integration of medicines management into pre-registration nursing standards from 2019
Part of the nursing associate role
Listed in proficiencies<br>
slide6. Role of the Nursing Associate Front line patient care
Patient assessment
Drug administration- including safe drug calculation
Part of a team
Patient safety<br>
slide7. Expectations WILL be administering medicines
Guidance and regulation by NMC
Trust policy regarding further administration roles<br>
slide8. Education & Training At Salford: Year 1 in University
Introduction to role in medicines management
Legal and professional aspects
Safe drug calculation
Assessment and administration
Monitoring and observation
Record keeping and reporting At Salford: Year 1 in Practice
Observation of drug rounds
Calculation practice
Identity checks
Patient assessment
Consent<br>
slide9. Education & Training At Salford: Year 2 in University
Pharmacokinetics
Pharmacodynamics
Therapeutics
Polypharmacy
Side effects and interactions
Allergies and adverse reactions
The drug round At Salford: Year 2 in Practice
Participation in drug rounds
Calculation and administration
Record keeping and reporting
Patient assessment and monitoring
Accountability
Safe storage and transportation<br>
slide10. Supervision Qualified nurses and practice supervisors
Allocation of placements to meet standards of proficiency
Trust induction packages- self directed study and mandatory training
Trust governance policies and indemnity
Portfolio of evidence and PAD’s<br>
slide11. Supervision Competency assessment
Validity of prescriptions
Appropriateness of prescriptions
Routes of administration
Single person administration restrictions
The 5 rights!
Delegation?<br>
slide12. 2018 Guidance Standards of Proficiency
3.15 understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies
3.16 demonstrate the ability to recognise the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions
3.17 recognise the different ways by which medicines can be prescribed<br>
slide13. 2018 Guidance- Skills Annexe B Procedural competencies required for administering medicines safely: 10.1 continually assess people receiving care & their ongoing ability to self-administer their own medications. Know when & how to escalate any concerns
10.2 undertake accurate drug calculations for a range of medications
10.3 exercise professional accountability in ensuring the safe administration of medicines to those receiving care
10.4 administer medication via oral, topical & inhalation routes
10.5 administer injections using subcutaneous & intramuscular routes & manage injection equipment<br>
slide14. 2018 Guidance- Skills Annexe B Procedural competencies required for administering medicines safely 10.6 administer & monitor medications using enteral equipment
10.7 administer enemas & suppositories
10.8 manage & monitor effectiveness of symptom relief medication
10.9 recognise & respond to adverse or abnormal reactions to medications, & when & how to escalate any concerns
10.10 undertake safe storage, transportation & disposal of medicinal products.<br>
slide15. PGD Patient group directive
Homogenous group of patients
Inclusion criteria
Supply and administration tool
Only available to registered professionals
NOT yet allowed by NA’s
Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs-under-pgds/7023369.Article<br>
slide16. Numeracy and Drug Calculations The need to be able to perform drug calculations to safely administer prescribed medicines
Challenging variety of entry level
Leading up to final year final module assessment which must be passed at 100%<br>
slide17. References NMC (2018) Standards for Nursing Associates https://www.nmc.org.uk/standards/nursing-associates/standards-for-nursing-associates/
PGD Information Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs-under-pgds/7023369.Article
Advisory Guidance https://www.hee.nhs.uk/sites/default/files/documents/FAQs%20-%20administration%20of%20medicines%20by%20nursing%20associates.pdf<br>