monitoring & supporting use. session 3 describe what is involved in ordering prescriptions and...
TRANSCRIPT
Session 3• Describe what is involved in ordering
prescriptions and collecting medicines from the pharmacy.
• Describe how medicines should be stored correctly and disposed of safely
• Explain how service users should be monitored after medicines have been administered
• Explain how to protect and promote service users’ rights
• Describe the importance of Patient Information Leaflets
Monitoring & Supporting use
• Repeats• Changes of medication or dose• Verbal orders – phone• Emergency prescriptions
Re-ordering repeat medication
• Do not let the service user run out of medicines
• Allow at least 48hrs for prescriptions to be ready at the Drs - some require more time. Remember to allow dispensing time at the Pharmacy – i.e. 72hrs minimum
• E.g. order on Wednesday morning pick up on Friday
afternoon
Running out of MedicationFor whatever reason, there may be occasions when a medicine runs out. Every effort should be made to prevent such occurrences, but if it does happen then you can either:
• Contact the doctor’s surgery and get an urgent prescription issued
• Contact the pharmacist who may issue an emergency supply of the medicine if the prescriber cannot be contacted and the need for the medicine is crucial.
• As the law concerning the supply of medicines is so strict there are specific requirements that need to be met in all of the above options.
Stock control
• How much is there?• Where is it?• Use in date rotation• Expiry dates – specific attention to
eye preparations, GTN tablets, Dipyridamole SR Capsules – other examples
Storage of medicines
• Refrigerated• Homely remedies – Over the counter• Internal and external• Security• Oxygen
Disposal of Medicines
• Out of date• No longer required• Death of client – procurator fiscal• Record keeping• In Care at Home dropped or refused doses can
be disposed of in the normal household waste. Medication should be safely and securely wrapped before disposing in the outside waste bin. Under no circumstances should medication be flushed down the toilet. Ideal practice would be to return to the community pharmacy to be destroyed.
SIDE EFFECTS: WHAT TO LOOK FOR
• Always suspect a side effect when a service user reports a new symptom Especially if a new medicine has been added
• Look in the Patient Information Leaflet• Drowsiness or dizziness risk of falls• Constipation• Diarrhoea• Nausea and vomiting• Rashes• Discuss with Community Pharmacist/ GP /
Service user or OOH, NHS24 / Line Manager
Consent Service users who can understand
and respond to information about their medicines must consent to their treatment
If the assessor feels that the service user no longer has the ability to give informed consent, they will consider further assessment under Adults with Incapacity Act (Scotland) 2000
Confidentiality
All information must be kept secure and not disclosed to anyone without consent
Regulated by Data Protection Act 1998
Freedom of Choice When service users rely on support from
staff It is important to ensure that within this
support as much choice as possible is retained for service users.
Choice = Feel good about yourself
No choice = reduced compliance
Self administration of medication is an effective way of giving service users control
and choice.
Patient Information Leaflet (PIL)
• All medicines must be supplied with a patient information leaflet.
• This lists examples of what the medicine may be for
• There will be contra-indications listed – when you should not take this medicine
• Side-effects will also be listed – gives an idea of whether to contact doctor when a new symptom occurs
What if there are changes out of hours?
• At times there needs to be changes to the service user’s medicines out of normal hours
• An evening or a weekend• An emergency procedure form may be needed• If you are filling one in remember to double check
each thing written on the emergency form• If there is one with the service user’s MAR make
sure the MAR is updated as soon as the Pharmacy or GP can do so.
Service UserNameAddress
Verbal information (if applicable)Received fromDesignationDate/Time
Form completed by: Designation
Date
MEDICINE MANAGEMENT: EMERGENCY PROCEDURES FORM(Appendix 5) _____________________________MEDICAL
PRACTICE
MEDICATION TO BE ADMINISTERED
Code
Medication name, form and strength
Numbr of dose units to be given
Administration times Special Instructions
Breakfast
Midday
meal
Teatime
Bedtime
Other times
ADDITIONAL INFORMATION