Medicines Management Policy - Dudley Primary Care Trust

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i) Drug administered ii) Dose iii) Route iv) Site, if appropriate e.g. depot injections v) Date of administration, and time if appropriate vi) Signature and designation of the person administering the drug. vii) Batch number and expiry date of injection (if applicable) viii) Patient consent according to PCT consent policy (if applicable) 9.9 Non-administration of a drug may be due to patient/client nonattendance/refusal, adverse drug reaction or non-availability of a drug. In all instances of non-administration of a drug all relevant details must be recorded in the patient/client’s records and the patient/client’s doctor or consultant contacted for advice. Some clinical areas use a reference code to be entered on the treatment sheet explaining non-administration. Staff must be made aware if such reference codes are used. Codes must be clear and will be consistent across the PCT and hospital. 9.10 In cases of non-attendance active effort must be made to trace the patient/client and administer the drug within a reasonable length of time. When the drug can be administered with a delay that does not pose a problem clinical judgement can be used with regards as to whether the patient/client’s doctor should be contacted. 9.11 In cases of non-availability of a drug every effort must be made to obtain the drug within a reasonable period of time. The reason for non-availability must be recorded in the patient/client’s records and the doctor or consultant contacted regarding alternative treatment or the possibility of delaying administration until the drug is available. 9.12 In cases of adverse drug reaction or patient/client refusal the patient/client’s doctor or consultant must be contacted immediately and advice sought. For a suspected ADR, a ‘yellow card’ should be completed according to the guidelines from the Committee on Safety of <strong>Medicines</strong> (see section 2.9) 9.13 Community Nurses may only apply non-medicated inert dressings until prescribed treatment is available. 9.14 <strong>Medicines</strong> must not be prepared in advance of administration except for • Those done by pharmacy staff • Antibiotic syrups • The filling of concordance aids 26
• Insulin injections by District Nurses for patients for self administration at home 9.15 Protocols for specialist procedures such as non-clinical staff giving insulin or social services staff undertaking administration of medicines are being developed and will be circulated as appendices when approved. It is the responsibility of the member of staff to check if there is a relevant protocol. 9.16 If it is suspected that the patient/client, their carer or representative are giving higher doses than prescribed then the RMO/GP must be informed to discuss review of medication with the patient/client their carer or representative. 27
Page 1 and 2: Medicines Management Policy Documen
Page 3 and 4: CONTENTS Section Page 1. Introducti
Page 5 and 6: 1. Introduction This policy deals w
Page 7 and 8: 2. Prescribing of medicines 2.1 Int
Page 9 and 10: Nurse and Pharmacist Independent Pr
Page 11 and 12: 2.7.1 Clarity The prescription form
Page 13 and 14: 2.7.8 Recognised abbreviations Only
Page 15 and 16: 3. Supply of prescription Pads N.B.
Page 17 and 18: 4.0 Security and Safe Handling of P
Page 19 and 20: 6. Transport of Medicines 6.1 All m
Page 21 and 22: 7.7 All medicines shall be returned
Page 23 and 24: 8. Responsibilities of the person a
Page 25: vi) vii) viii) ix) The drug is bein
Page 29 and 30: • Are subject to safe custody req
Page 31 and 32: 10.3 Prescribing Controlled Drugs 1
Page 33 and 34: 10.5.2 Stock held at PCT premises o
Page 35 and 36: 11. Management of errors or inciden
Page 37 and 38: 12. Verbal orders for the Administr
Page 39 and 40: 14 Alcohol 14.1 Patient/client unde
Page 41 and 42: may imply dealing, as breach of con
Page 43 and 44: 17. General Notes on the Handling o
Page 45 and 46: 19. Compliance aids All compliance
Page 47 and 48: 21. Syringe Drivers Please refer to
Page 49 and 50: 23. Prescribing of Oxygen Please re
Page 51 and 52: This policy was produced by Special

Medicines Management Policy - Dudley Primary Care Trust

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