#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

•Implementing the 2018 guidance

INTRODUCTIONMedicines 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 BPROCEDURAL 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

• 10.2 undertake accurate drug calculations for a range of medications

• 10.3 exercise professional accountability in ensuring the safe administration of medicines to those

receiving care

• 10.4 administer medication via oral, topical & inhalation routes

• 10.5 administer injections using subcutaneous & intramuscular routes & manage injection equipment

2018 GUIDANCE- SKILLS ANNEXE BPROCEDURAL COMPETENCIES REQUIRED FOR ADMINISTERING MEDICINES SAFELY

• 10.6 administer & monitor medications using enteral equipment

• 10.7 administer enemas & suppositories

• 10.8 manage & monitor effectiveness of symptom relief medication

• 10.9 recognise & respond to adverse or abnormal reactions to medications, & when & how to escalate any

concerns

• 10.10 undertake safe storage, transportation & disposal of medicinal products.

PGD• Patient group directive

• Homogenous group of patients

• Inclusion criteria

• Supply and administration tool

• Only available to registered professionals

• NOT yet allowed by NA’s

• Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs-

under-pgds/7023369.Article

NUMERACY AND DRUG CALCULATIONS

•The need to be able to perform drug calculations to safely administer

prescribed medicines

•Challenging variety of entry level

•Leading up to final year final module assessment which must be

passed at 100%

REFERENCES•NMC (2018) Standards for Nursing Associates

https://www.nmc.org.uk/standards/nursing-associates/standards-

for-nursing-associates/

•PGD Information

Https://www.Nursingtimes.Net/news/workforce/associates-will-be-

unable-to-administer-drugs-under-pgds/7023369.Article