Medicines Management & The Nursing Associate Dr

Transcript:Medicines Management & The Nursing Associate Dr:
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 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 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) NMC Support Integration of medicines management into pre-registration nursing standards from 2019 Part of the nursing associate role Listed in proficiencies Role of the Nursing Associate Front line patient care Patient assessment Drug administration- including safe drug calculation Part of a team Patient safety Expectations WILL be administering medicines Guidance and regulation by NMC Trust policy regarding further administration roles 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 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 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 Supervision Competency assessment Validity of prescriptions Appropriateness of prescriptions Routes of administration Single person administration restrictions The 5 rights! Delegation? 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 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