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Law, practical & ethical issues (10)
Fichas del conjunto (11)
- 1Commonwealth laws* Control the quality, safety & efficacy of drugs
* Australian Commonwealth Acts affecting drug manufacture & administration
* Commonwealth laws do not provide directions for the prescription & administration of drugs - 2State & Territory laws*State/Territory laws provide directions for the prescription & administration of drugs
* More specific provisions for drug regulations
* Individuals, companies & institutions must comply with Commonwealth & State laws
* If a conflict arises between two parties, the Commonwealth legislation takes precedence - 3Victorian acts* Drugs, Poisons and Controlled Substances Act 1981
* Drugs, Poisons and Controlled Substances Regulations
* Nurses Act – Scope of Practice
- Australian Health Practitioner Regulation Agency (AHPRA) - 4Common law* Recognises that nurses show a reasonable standard & duty of care
* If you feel you are being asked to perform a task that is unclear:
- You should question the prescribing/another doctor
- If still unclear you can say NO
* Telephone orders
- Nurses must query any telephone orders if they think that the administration of the drug is unreasonable - 5National Medicines Policy (1)* Launched in December 1999
* The most comprehensive medicine policy world-wide
* Main purpose is to ensure availability of essential & affordable drugs of acceptable quality, safety, efficacy - 6National Medicines Policy (2)4 central objectives:
- Timely access to the medicines that Australians need at a cost individuals & community can afford
- Medicines meet appropriate standards of quality, safety & efficacy
- Quality use of medicines (QuM)
- Maintenance of a responsible & viable medicines (pharmaceutical) industry - 7National Medicines Policy - Polypharmacy* Use of medications with no apparent indication
* Use of duplicate medications
* Concurrent use of contraindicated medications
* Use of inappropriate dosage
* Use of medications to treat adverse reactions outcomes
* Drug reactions, adverse effects, financial
expense, masking/mimicking other illnesses - 8Principles of the QuM* Selecting management options wisely: drug treatment vs. non-drug treatment
* If a medicine is considered necessary -> choose suitable (appropriate) medicine
* Use medicines safely & effectively - 9Drug administration strategies (1)* Principles that ensure a high standard of nursing practice
* Accurate medication administration:
- Right drug
- Right dose
- Right patient
- Right route
- Right time - 10Drug administration strategies (2)* Agency policies & procedures
- Policies/procedures of the health care institution
- Follow the legal framework of government legislation
* Checking & documenting procedures
- With parenteral therapy = two nurses required to check
- Document immediately following completion of the task
- Document therapeutic & adverse effects of medications - 11Ethical issuesSix fundamental principles:
* Autonomy
- Client’s right to make decisions
* Veracity
- An obligation to tell the truth & not to lie or deceive others
* Non-maleficence
- The duty of not harming or injuring others
* Beneficence
- Prevent harm
* Justice
- Providing equal access & reasonable, dignified health care
* Confidentiality
- Disclosing information in the belief that will not be passed on without
permission being given
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- Fichas sobre Law, practical & ethical issues (10), creado por julijana balkan el 09/06/2015.
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- julijana balkan
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