Thursday, May 17, 2012

Medication supervision Records

Pharmacist Education Requirements - Medication supervision Records
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Medication management records have been widely used in residential care for many years but not so usually in domiciliary care until quite recently. It's great to see that they are being used much more widely now in home care and I look send to the day where they are used in every group I visit or train.

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Why? Because they are requisite to good medicines management and to provide you with evidence of medicines keep or administration. They are your back up should anyone be challenged. They are your way of ensuring that you meet the responsibility that you have under the law of ensuring that the 5 checks are made:-

Right patient

Right medicine

Right dose

Right route

Right time

Csci have published a advice document that addresses medicines management record sheets - what facts should be recorded and how they should be used. However, in custom it would appear that very few organisations are aware of this advice and/or how to clarify it and as a consequent I see a wide range of separate interpretations. My concern is that the vast majority of record sheets either do not contain the required facts and/or they are not being completed appropriately by the group staff. This may be that the group staff have not received proper training on how to use the forms, it might be that forms need to be reviewed or it might be that the group course is out of date or in need of describe by an expert. When any of these scenarios apply - it leaves the group wide open to litigation should an error occur that is not documented properly.

So let's clear up some myths shall we!

It is the responsibility of the group to provide medication management records for their care workers to use.

The form should contain:-

The name and address of the aid user

Date started

Medication details including name, force and dose of medication

Time given/prompted/observed

Signature of care worker

Code for management or prompting or observing

It's worth pointing out here that the medication details must be given for each individual medicine. It is not sufficient to plainly put "Contents of Nomad" or "Dosette box" . Whilst it is the responsibility of the pharmacy to ensure that the precise medication is dispensed - you are responsible for development your own checks - you cannot abdicate this responsibility and therefore you need to know that what is in the compliance aid is what is being given to the aid user. Now you may not know which tablet or capsule is which - any way you should know that the names on the box match the names on the chart (which have been checked against the prescription details) and that there are the precise number of tablets or capsules there to be given.

It might also be beneficial to have space for the name of the Gp, any allergies, and comments.

For added advice and facts about treatment management records or if you have any questions please sense tracey.dowe@momentumpeople.co.uk

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