THIS IS Safe Medication Practice January 2011 THIS IS.

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Safe Medication PracticeJanuary 2011

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• To discuss the importance of medication safety• Incidences reported from unsafe practice• How to improve medication safety• Professional responsibilities

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• Legal responsibilities• NMC medication management guidelines• NMC recommendations when drug errors occur• Summary

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• Firstly: We have a duty of care to protect our patients ( first do no harm!)

• Secondly: We must protect our staff ( from the stress of an error and disciplinary action)

• Thirdly: We need to protect the organisation (reputation and risk of litigation)

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• Aspirin 300mg suppository inserted into rectum with plastic outer wrapping still in place• Patient in Room 117 received the medication of the patient in Room 116• Metronidazole 400mg tablets prescribed (200mg tablets in the box)

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• Amiloride was prescribed instead of amlodipine• Ceferoxime 750 mg IV only 3 doses prescribed ( 4 given)• Augmentum 1.2 gr IV prescribed to a patient allergic to penicillin

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• Document the patient’s allergy status• Apply the 5 “Rs” of medication management:

The Right Patient The Right Medication The Right Dose The Right Route The Right Time

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The Right patient:• Identify the patient with the use of verbal and written information• If appropriate, ask the patient to confirm their name and date of birth with an open ended question• Review the patient details on the drug chart and compare this with the identification band

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The Right Medication• Ensure the correct transcription of the drug name• Check the appropriateness of the drug to the patient – any allergies• Be aware of any relevant assessments that are required• Resolve any discrepancies before administrating the medication prescribed.

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The Right dose• Check the medication order and the appropriateness of the dose prescribed, taking into consideration the usual dose ranges and the patient’s clinical status• Ensure relevant serum drug level results are reviewed prior to administration (e.g Gentamycin / Vancomycin levels

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The Right route• Check the route of administration on the prescription chart• Ensure the appropriateness of the route prescribed to the clinical status of the patient

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The Right time• Review the drug chart and determined the last time the medication was administered• Clarify the frequency of the drug administered• The time of the drug prescribed, should never be altered to minimise workload

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• Work within NMC The Code 2010• Work within NMC /HCA medication standards /policy• Work as part of a multidisciplinary team• Maintain safe competent practice• Maintain and update your knowledge and skills relevant to medication management

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• Maintain accurate documentation• Familiarise yourself with the reporting procedure of your hospital• Acknowledge limitations and seek support when required• Mentor and support new staff and students to facilitate their development.

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• Duty of care• Breech of duty of care• Resulting in harm to patients(can expose professionals to the risk of litigation and professional discipline)

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• Contract Law• Criminal Law• Civil Law• Inquests• NMC – Professional Competence and Conduct Committee

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• Drugs should be administered according to the NMC “Standards of Medicine Management” ( Aug 2008, HCA Infection control, Health and safety and Medication policy ( April 2009)• As a registered nurse, you are accountable for your own actions and omissions ( NMC code of conduct)

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• Open culture• Immediate reporting should be encourage• Report to Line manager• Local disciplinary actions have often deterred open and honest reporting• Require a thorough and careful investigation at local level

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The following needs to be taken in account before a professional and managerial decision is reached on the appropriate way to proceed:• Context• Circumstances• Position of the practitioner involved

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THIS IS Clinical Induction

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THIS IS Clinical Induction

-The importance of medication safety-Incidences reported from unsafe practice-How to improve medication safety-Professional responsibilities-Legal responsibilities-NMC medication guidelines -NMC recommendations when drug errors occur

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THIS IS CLICK TO ADD HEADER

NMC Standards of Medicine Management – Aug

2008

HCA Medication Policy – April 2009 Grapevine/G -

drive

HCA Control Drug policy – July 2009 Grapevine / G-

Drive

HCA Grapevine – BNF, Injectable Medicines Guide,

EMC, PSNC.