Flashcards
NMC Section 4 (Standard 8)
Cards in this deck (4)
- 1NMC (2010) Standards for Medicines Management: Section 4 (Standard 8) Standards for practice of administration of medicines 1/4(1) ID of Patient
(2) Allergic to Medicine?
(3) Therapeutic use of medicine – dosage, side effects, precautions, contra-indications.
(4) Plan of care- awareness (care plan or pathway)
(5) Prescription on label – clearly written / unambiguous - 2NMC (2010) Standards for Medicines Management: Section 4 (Standard 8) Standards for practice of administration of medicines 2/4(1) Expiry date
(2) Dosage, weight, method of administration, route, timing
(3) Administer or withhold in context of patient’s condition (eg not digoxin if pulse > 60)
(4) Contact prescriber if contraindications / reactions / not suitable
(5) Record – clear / accurate of meds administered / withheld / delegated / refused (reason) - 3NMC (2010) Standards for Medicines Management: Section 4 (Standard 8) Standards for practice of administration of medicines 3/4(1) Controlled Drugs (CD)
administered with relevant legislation / local operating procedures
(2) Second signatory required to administer CD within secondary care
(3) Home administering CD- second signatory based on local risk assessment
(4) Second signatory should be healthcare professional or person assessed as competent may sign – must witness whole process
(6) Direct patient administration of oral meds – (eg substance misuse clinic) – registered Nurse administers – signed by a second signatory (competent)
(7) Must clearly countersign the signature of a student when supervising a student in administration of medicines - 4NMC (2010) Standards for Medicines Management: Section 4 (Standard 8) Standards for practice of administration of medicines 4/4(1) Guidance assessing competence to support a patient in taking medication
(2) Policy must be in place / adhered to assessing competence of individual supporting
(3) Record of individual’s training / assessment / education should be kept
(4) Registrant delegating should ensure individual has appropriate level of education / training / assessed as competent or may refuse to delegate
(5) Clarifying ID –difficulties (eg LD, dementia, confused) – attach up to date photo to prescription chart – if patient has burns / wristband not appropriate policies should ensure staff are familiar with patient / system of ID is in place.
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- Flashcards on NMC Section 4 (Standard 8), created by Al Graham on 17/10/2013.
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- Al Graham
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