Medication Administration Report: Legislation and Guidance

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This comprehensive report delves into the multifaceted aspects of medication administration, covering key legislation, guidelines, and the roles and responsibilities of healthcare professionals. It addresses crucial topics such as patient consent, safe medication practices, and the importance of following instructions from various sources, including individuals, manufacturers, pharmacists, prescribers, and organizations. The report explores preventive measures to minimize distractions during medication administration, the importance of checking various aspects before administering medication, and infection control precautions. It also discusses the 'rights' of medication administration, equipment used, advantages and disadvantages of monitored dosage systems, and actions to be taken in various scenarios, including when a person refuses medication, has difficulty swallowing, or is unable to consent. The report also covers procedures for controlled drugs, monitoring medication effects, recognizing side effects, and reporting adverse effects. Finally, it emphasizes the significance of working within the limitations of one's role and the consequences of not adhering to established protocols.
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Medication work
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Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Q1. Identification of key requirements of legislation and guidance in context to administration
of medication...............................................................................................................................1
Q2. Roles and responsibilities of employee involved in:............................................................1
Q4. At the time of preparing as well as administering medication, explaining the reason why it
is significant to follow instructions given by these people:.........................................................1
Q8. The ways following should be checked before administering medication:..........................2
Q13. Three examples of special instructions which might required to followed when
administering medication.............................................................................................................3
Q14. Explaining why it is important to monitor each person's needs for medication to be
administered “when required'......................................................................................................4
Q15.Explaining why it is important to observe that medication has been taken by individual
once it is administered.................................................................................................................4
Q16. Describing the actions to be taken when a person do not take prescribed medication.......4
Q17. Explaining the ways to record outcomes following administration of medication.............4
Q18. Giving one example for demonstrating when it may be necessary to seek additional
support from all the mentioned people........................................................................................5
Q19. Explaining why it is important to support individuals to administer their own medication
......................................................................................................................................................5
Q20. Identification of key points of legislation along with guidance that relate to self
administration of medication.......................................................................................................5
Q21. Case study ..........................................................................................................................6
Q22. Description of actions that would be taken in line with agreed ways of working when
following situations are faced .....................................................................................................6
Q23. Outline of actions that would be taken when an individual finds difficult to swallow
tablets or capsules........................................................................................................................7
Q24. Explantation of the ways in which support is provided to best interests of individual that
was not able to consent to their prescribed medication...............................................................7
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Q25. Procedures should be followed when administering controlled drugs...............................8
Q26. Describing the ways to monitor effects of medication on each person and the condition it
is prescribed for............................................................................................................................8
Q27. Giving examples of how physiological measures are used for monitoring effects or need
for particular medication..............................................................................................................8
Q28. Common side effects of widely used medicines.................................................................9
Q44. Describing responsibilities of different people involved in storage or administration of
medication....................................................................................................................................9
Q45. Outlining potential consequences of not following agreed ways of working as set by an
employer....................................................................................................................................10
Q46. Explaining importance of working within limitation of own role....................................10
Q50. Explaining importance of reporting adverse effects of medication using “Yellow card
Scheme”.....................................................................................................................................10
CONCLUSION..............................................................................................................................11
REFERENCES..............................................................................................................................12
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INTRODUCTION
Medication work refers to occupation of outpatient treatment which includes initial
evaluation of requirements of patients for psychotropic medication, prescription related
provisions as well as continuous medical monitoring associated to patient's use of medication
from qualified physician (Rutledge, Retrosi and Ostrowski, 2018). The report is based on
medication work and addresses questions in unique manner.
MAIN BODY
Q1. Identification of key requirements of legislation and guidance in context to administration of
medication
The key requirements of legislations and guidance in administration of medication are as
identified:
The Medicines Act, 1968: The legislation is required to classify medications into various
local categories. The guidance of the legislation helps in regulating licensing, supply along with
management of medicines.
The Control of Substances hazardous to heath regulation, 2002: The main
requirement of the legislation in administering medication is to carry out risk assessment for the
purpose of preventing or controlling risk related to hazardous substances that are drugs or
medicines. The guidance of the act ensures people work in sage environment as well as
undertake tasks safely (Konstantinos, 2020).
Q2. Roles and responsibilities of employee involved in:
a. Supporting individuals to take medication
The employee that is involved in supporting people to take medication is responsible to
ensure that an individual take its medications. At same time, employees plays roles of influencer
to encourage an individual to take all the prescribed medications on time so to get well soon. The
support worker is responsible to administer that all prescribed medications are made available to
an individual when required.
b. Administering medication
The employees which are involved in administering medication have roles of engaging in
safe practices, contributing towards culture, assessing appropriateness of all medication practices
along with surrounding environment. At same time, key responsibilities of employees in
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administering medication are monitoring effects of drugs, using rights of medication, reviewing
pertinent information and educating clients (Jam, McKay and Holmes, 2019).
c. Using specialised techniques for administering medication through PEF tube
Human resources that are involved in using specialised techniques to administer
medication by using PEF Tube are responsible for checking and dispensing techniques
effectively, making the technique available at required duration and providing information
related to use of the PEF tube to others. At same time, roles played by employees in this context
includes tool handler, information provider and stock holder.
Q3. Describing preventive measures which can be taken for ensuring that distractions to person
administering medication are minimised
The preventive measures of “Do Not Disturb” and “Quiet Zone” sign can be used to help
minimising distractions to a person administering medication. At same time, for safeguarding
from medical errors, it is important for people to execute proper procedures and undertaking
practices at the location in wherein there is less or no noise. Moreover, some other preventive
measures are proper medication reconciliation procedures, considering person alert and so on
could be used for minimising distractions in administering medication (Mantas, 2020).
Q4. At the time of preparing as well as administering medication, explaining the reason why it is
significant to follow instructions given by these people:
a. The individual
Individual's advice plays important role in medication administering because they know
about patient's needs. Every individual itself a patient, so they know what will be patient's wants,
needs such as clean and peaceful environment, cafeteria, effective peels, proper beds
arrangement etc. it will help in medical administering for proper arrangement and it helps to
reinforce the diligent about the medication (Shiller, 2020).
b. The manufacturer
Distributors or manufacturers are usually know about the medical related demands of
customers and patients. It helps in administering medication, related to drugs they are
responsible for delivering pharmaceuticals to the retailers and in hospital area, so that it will be
easy for diligent to approach it fast.
c. The pharmacist
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The role of pharmacist is helpful in any medical administering because pharmacists
ensures the rational and cost effective benefits of drugs, advice for healthy living, and improve
clinical environment by direct patient care and helpful in managing healthcare disciplines.
d. The prescriber
It plays vital role in medication advisory, because prescriber is responsible for making treatment
decisions, safety precautions, and prescribing therapies. They helps in reduce medication errors,
improve patients safety etc.
e. The organisation
An organisation helps in medical administering in order to reduce side effects and
duplication, as well as drug interactions. They help patients for meeting their health care goals. It
can assist in getting right prescriptions to the right diligent and assure them for taken at the
accurate time.
Q5. Explaining why it is important to attain individual consent prior to administering medication
Achieving individual consent is all about obtaining approval to work on administering
medication. It is important because it is predicted that service user is effective person to be
control of the care. In case, if someone questions about in initiation of administering medication
then individual consent acts as proof. For healthcare system, obtaining individual consent is
significant as it states approval to work on treatments or others in administering medication.
Q6. Identifying information which should be given to people for enabling them to give valid
consent before administering medication
The information that is necessary to be given to population that enable for giving valid
consent prior administering function are as follows:
Competency of patient for making decision about administering medication.
Treatments that will be undertaken in the administering process.
Overall expense in the medication (de Roode and Hunter, 2019).
Q7. Explaining why it is important to agree with people the nature of support they require in
context to their preferences and needs
It is significant to agree with people the nature of support which they needs in their
preferences as support encourages them to make healthy relations, participate in treatments along
with enhancing quality of life so that all their requirements are fulfilled promptly. Agreeing with
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people improves mutual understanding among healthcare practitioners and people so that
adequate treatment are provided to them on time.
Q8. The ways following should be checked before administering medication:
a. Identity of an individual
Prior to administering medication, identify of an individual is checked through correctly
matching a patient with appropriate intended interventions as well as communicating information
related to identity of person accurately along with reliable within continuum of care. To check
person's identify, medication people identify name, assigned identification number, social
security number, address and many other information (Tan and Et. Al., 2017).
b. Medication Administration Record (MAR) Chart
MAR Chart is checked should be checked before administration of medication by
analysing strength and dosage prescribed to a person, medical order and medication container.
MAR Chart engrosses information about patient and known disease with any kind of medication
experienced or not.
c. Medication
There are key phases through which medication should be checked before administrating
medication. The stages are ordering, transcribing, dispensing or delivering, administration,
monitoring and reporting. Among all stages, monitoring and reporting are newly recognised
stages which have limited research to check medication.
d. Equipment
The key equipments that are required in administering medication are calibrated
medication cups, application papers, patient's clinical record, tray and many more. All these
equipments should be checked through tracking their usage and analysing underlying issues.
e. Environment
The environment of medication place should be checked by using various environment
scanning or monitoring tools. Medication professionals must check environment in which they
are planning to administer medication.
Q9. Describing infection control precautions to be taken at the time of administering medication
Some of infection control precautions that must be undertaken while administering
medication are as follows:
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Using adequate puncture resistant receptacles in order to dispose needles and others in
administration of medication.
The person involved in administering medication should wear clean gloves.
Never recapping used syringe.
Q10. Explaining importance of each:
a. Right individual
The right is important as it id defines about asking the patient about relevant information
and analysing whether the order matches with patient (Kazerooni, 2020).
b. Right medicine
It plays important role in analysing whether the medication label matches with the order
or nor and being vigilant with sound like together with look alike medications.
c. Right route
The right is important as it assist in analyse that the route matches with order. At same
time, it also defines whether it can be crushed or mixed with some other substances and
removing transdermal practices into the overall process of administering medication.
d. Right dose
The right is important as it assist in attaining medications administering by double
checking label for analysing what dose requires to be provided in what quantity. It also answers
about the matching of strength and dose with the order.
e. Right time
The right is important in medication administer as it helps in remembering which
medicine is to be given and at what duration. At same time, it focuses on do the administration
time matches with order.
f. Right to refuse
The right have crucial importance as any unwanted treatment aspects can be said no by a
person. The right gives freedom to a person to select what must happen to them which is crucial
aspect in personality, autonomy and dignity of a person.
Q11. Describing three pieces of equipment which can be used to administer medicine
The three pieces of aids that could be used on administering medication are as described:
Souffle Cup: The equipment piece is used in oral administration to measure most liquid
medications.
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Calibrated dropper: The aid is used for administering small quantity of medication to
an adult or child.
Nipple: It is the equipment that is used for the purpose of administering medications
within infants (Swinton, 2018).
Q12. Outlining advantages and disadvantages of using Monitored Dosage System
Advantages Disadvantages
Monitored Dosage System reduces complexity
in adhering towards regime.
It is only suitable for powerful dosage forms
which are to be swallowed whole.
It perform as memory aid. Large size of Monitored Dosage System can
make carrying critical.
The system provides effective medicine
storage that is easily accessible to patient.
It include risk form dispensing errors.
Q13. Three examples of special instructions which might required to followed when
administering medication
1. Regular check-up: At present time it is essential of body check-up for every human
being, specifically when they cross line of at the age of 30. With the changing of life style,
population, depression, busy life scheduled adversely impact on mental as well as physicalist
heath of personas. Thus doctor give them advice to routine body check-up up, which included,
blood pressure, cholesterol check-up, test of thyroid, sugar. Theses are common test which every
person required to go for check up (Kessler and Graham, 2018). As doctor gives right suggestion
regarding healthy life style for human being,.They even suggest them to live happy and stress
free life.
2. Taking dosage in right way: Medicine must be take in right way. It is essential for
persons to take advice from doctor, and take concern about all the precaution and side effect of
the drugs they took . Because many of medicine is react in negative way if they did not took in
correct measurement. Thus it is essential that took advice of doctor before taking any drug.
3. Prescriptions: When administering medication, various prescriptions are seen as
special instructions that must be followed. For example, when a person suffers from backache, t
is prescribed to take complete bed rest and perform various exercises.
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Q14. Explaining why it is important to monitor each person's needs for medication to be
administered “when required'
Every person has different needs, disease, requirements so it is important to monitor
patients requirements. Patients wants safety, quality and on time service. Medication service is
related to nursing care. Every individual wants better treatment and reducing side effects of
medicines (McNiff, 2017). This information advices about monitoring patients in hospital,
because their effective treatment is important and hospital or other pharmaceuticals must take
care about religious, ethics and cultural needs. Continuous monitoring benefits for diligent and
nurses because early detection of diseases can reduce their sufferings and medical cost.
Q15.Explaining why it is important to observe that medication has been taken by individual once
it is administered
After the treatment it is also important for doctors or individual for reviewing about the
precautions they take. It is important for medical professionals to observe diligent, so that they
can monitor side effects or improvement in their health. If patient feels any side effects then
professionals provide good quality care or they change their dose. In any serious situation they
provide better treatment and better quality health care.
Q16. Describing the actions to be taken when a person do not take prescribed medication
Failure to stickiness is a serious problem, it is not only affects the patient but also the
health care system. Non adherence of prescribed medication can lead to more disease, death and
increased health care cost. For it, professionals must specify barriers for each diligent and adopt
appropriate techniques like it will be necessary to improve medication adherence. Professionals
such as physicians, pharmacists can take action against the patient and can isolate the patient so
that they follow proper precautions and described medication.
Q17. Explaining the ways to record outcomes following administration of medication
Medication records must done by an authorised person. And it has includes, name of
medicated patient, date, proper information about their disease, rules and policies. Person should
take copy of records and also force must able to read through the information presented.
Q18. Giving one example for demonstrating when it may be necessary to seek additional support
from all the mentioned people
a. A senior member of staff
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When some new case arrives then additional support from senior member of staff is
necessary to administer medication. For example, a person with some allergy that is never treated
in medication professional comes then it becomes necessary to seek support from such person.
b. The pharmacist
Additional support is taken from pharmacists for medicines that are new in market. For
example, a medication professional have heard about a new medicine that is not available easily
then additional support from pharmacist is taken.
c. The individual's GP
General practitioner is medical doctor that treats acute or chronic illnesses as well as
provides preventive care to patients. The assistance from individual's GP is required in situation
that is chronic in nature. For example, medical condition which needs urgent as well as specialist
treatment needs additional assistance from such person when administering medication.
Q19. Explaining why it is important to support individuals to administer their own medication
It is significant to support people for administering their own medication because it
maintains their independence as well as encourage them to involve in taking prescribed
medicines timely to get treated as earlier as possible (Kavanagh, 2017).
Q20. Identification of key points of legislation along with guidance that relate to self
administration of medication
There are various points of legislation and guidance that are associated with self
administration of medication. Some of the points or pieces of legislation and guidances are as
follows:
Medicine Act, 1968:
Prescription related medicines that only be supplied on instruction to the person so that
no other can be purchased and consumed.
Pharmacy only medicines must be buyed from registered primary care pharmacy.
General sale list related medicines should be obtained or purchased from prescribed
medical store.
The Control of Substances hazardous to heath regulation, 2002:
Finding self the key hazards and making decisions to prevent harm to own health.
Keeping all controls in systematic working order.
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Taking information, consultation and instructions from various sources while
administering self so to plan for emergencies.
Q21. Case study
a.
The points that should be considered while carrying out risk assessment so to enable
Michael to administer his own medications are choice of the person, dispensing of medications,
correct timings and dosage of medications and review of assessment. All the related information
including tests, CT Scan and others must also be provided to Michael.
b.
The conditions which should be in place for supporting Michael for administering his
own medication are independence, support from respite care, mobility as well as individual care
in limited term. Moreover, Michael in educated enough to administer his own medication.
c.
The records which must be kept in context to medication of Michael is Clinical record
which is wide document generated on behalf of all health professionals which are involved in
care of a person (Yao and Et. Al., 2016). In context to Michael, some of clinical records are
handwritten clinical records, electronic clinical records, laboratory results, photographs, consent
forms, scanned records video and audio recording. All the personal correspondence such as
faxes, emails, letters and text messages sent among hospital and practice are provided to
Michael.
Q22. Description of actions that would be taken in line with agreed ways of working when
following situations are faced
a. An error when administering medication
In this situation, action that professional medical care would take is letting the patient and
family know the error, notifying the rest members of care team, documenting the error as well as
reporting it to safety committee. Committing error while administering medication is one of
situation that is experienced in medicine field.
b. An individual refused their prescribed medication
When a person refuses their prescribed medication then action that would be taken is
talking to their pharmacist and GP as these may suggest form or substitute of medicine which is
more acceptable by a person then prescribed tablets.
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