Case Appendix A: Workflow Process

rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for

Person administering the medication support an individual to take medication through following care plans or support plans; staying with the person to support them to take it; using appropriate equipment (spoon etc) and a drink of water and of course reassuring communication and of course time.

Non care setting - Medications are often stored and administered in a variety of non-health care settings. These settings include: primary and secondary schools, Child day care centres, Board and care homes, Jails and prisons. In all these settings, employees frequently are responsible for handling and administering prescription and over-the-counter medications to clients or residents. Some organizations may employ licensed health professionals to directly manage the medication administration process. However, many of these settings have no licensed health professionals involved. Where medications are stored and administered to individuals, written policies and procedures should address the following: Acquisition of medications (e.g., from parents, caregivers, pharmacies), Specification of which personnel are allowed access to medications and allowed to administer medications to students, clients or residents, Labelling and packaging of medications managed for students, clients

* There must be a policy at work place for the receipt, recording, storage, handling, administration and disposal of medicines.

This paper aims to explore the role of the V100 nurse prescriber. The development of nurse prescribing will be outlined, followed by a reflective case study in which ethical and legal implications will be discussed and finally a reflective conclusion will be drawn. Where appropriate the paper will be written in the first person (Webb 1992).

There are several legislations in place with protocols for the administration of medication which I have listed below. The main policy re admin of drugs and storing of drugs and medicines is the Control Of Substances Hazardous to Health or COSHH but along with this there are other policies in place as per the list below.

1. Right patient - This right is used to confirm that the medication is being administered to the right patient. The medical assistant would ask the patient to cite his or her full name as well as one other identifier from the patients chart, such as their date of birth, age, or address. Not including any questions that prompts yes or no responses from the patient.

Also to give medication respecting the person’s dignity and choice, to only give authorised medication from a labelled container, to give the medication according to the training received. Also to help to inform and educate the person about their medicine should they wish to know, to be aware of common side effects. It’s also important to record episodes of care accurately, also to report any problems to the manager.

no further medication changes. K.N. is instructed to fi nish the remaining 2 days of

It is important that the patient is aware not only of their rights, but of their individual responsibilities.

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

Simran is competent in applying the new method of medication administration as evidenced by the accurate, concise, and timely manner in which she distribute medications to her patients at Peace Arch Hospital. She has always followed the three checks and ten rights to medication administration. Before administering medications, Simran would adhere to her rights of medication administration such as right patient, right dose, right route, right time, right reason, and so forth to prevent medication administration error. Prior to administering patient’s medication, Simran would notify her patients of the type of medication her patient is taking, the common side effects of the medication, and the reason for the medication. Moreover, Simran would follow up and evaluate and reassess her patient if she administered an antihypertensive medication, like Ramipril, after two hours, or if she administered analgesics, like a PRN Acetaminophen, after one hour.

Plan: The primary goal for the nurse is to ensure Caroline is discharged able to administer and monitor her medications as well as recognise the indication, desired effect and potential side effects and adverse reactions for each drug. The nurse must apply health literacy principles, consider verbal and non-verbal communication techniques as well as apply adult learning principles to achieve this goal.

The five rights (5 Rs) need to be followed when administering any medications: right patient, right medication, right dose, right time and the right route. Venipuncture procedure for the purpose of establishing peripheral venous access and for obtaining blood sample for laboratory tests follow the standards of practice framework. It is mandatory that health care professionals have and sustain in good status, all licenses, permits, and certificates required by law as well as follow the standards of practice imposed.

Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the