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12 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What must registrants supply and administer in accordance with? |
1.1 Patient specific direction 1.2 patient medicines administration chart (MAR) 1.3 Patient group |
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What is a patients medicines administration chart (MAR) |
Not a prescription but direction to administer medication.
Additional: nurses are accountable to check any concerns |
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Standard 2: what is a registrant accountable for? |
Actions and omissions. They must exercise professional judgement and apply knowledge and skill |
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Standard 2: what must registrants check on prescription or direction before administering meds |
2.1 allergies 2.2 informed consent has been given 2.3 prescription/med label is clearly written/typed 2.4 substance to be administrated using name, form, strength, dose, time, frequency, route and dates 2.5 signed and dated 3.1 clearly identified patient medication is for 3.2 recorded weight of patient on prescription sheet for children and where dosage of medication relates to weight
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Standard 5: patients own meds |
1 patients own meds can be used following guidance 2 NMC supports self administration where appropriate 3 registrants must 3.1 ask to see medication 3.2 check its suitability 3.3 explain how and why they will/won’t be used 3.4 established if prescribed 3.5 ascertain if they meet criteria for use 4 patients own drugs must not be removed without patients permission and only used for named patient 5 document when patient refuses consent 5.1 to use own meds 5.2 to dispose when not required 5.3 dispose when not suitable 6.1 suitable facilities for safe storage 6.2 assess using local policies to ensure patient can self administer 6.3 document issues related to storage 6.4 meds locked away with master key secure 6.5 consent obtained for self-administering and key left with patient 6.6 meds go where patient goes 6.7 best practice-stock medicine not placed in patients locker as there not labelled for that patient 7 check meds with prescription chart 8 if meds don’t belong to that patient should not be used |
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Standard 6 storage: what must registrants ensure? |
That all medications are stored in accordance with patient information leaflet (PIL) |
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Standard 8: administration when exercising professional accountability in best interest you must check.. |
2.1 identity of patient who medication is for 2.2 for allergies 2.3 know the therapeutic uses of the medication- dosage, side-effects... 2.4 aware of patients care plan/pathway 2.5 check prescription or label is wrote clearly 2.6 check expiry date 2.7 consider dosage and weight where appropriate, route and timing 2.8 administer or withhold in context of patients condition 2.9 contact prescriber or authorised prescriber without delay regarding conta indications and when meds no longer suitable 2.10 clear immediate record if meds are withheld or refused 3 when medication not given this and the reason why must be recorded 4 single signature with any prescription only meds
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Standard 8 clarifying identity |
14: photo I.d on prescription charts for patients who are not identifiable due to ld, dementia, confusional states. For patients with burns if wristbands and photos aren’t suitable local polices should be in place for all staff to be familiarly with the patients. Registrants are responsible for ensuring photographs are up to date |
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Standard 8 Number 15:drug calculations |
Drugs with complex calculations should be second checked by a registered professional |
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Standard 9: assessment |
1 registrants are responsible for initial and continued assessment for self administering patients 2 NMC supports self administration 5 assessment for suitability at levels Level 1 5.1 responsible for safe storage, supervision and ensuring patient understands product being administered Level 2 5.2 responsible for safe storage patient will self administer under supervision. Level 3 5.3 patient accepts full responsibility for the storage 6 level must be documented on patients notes
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Standard 14: preparing medication in advance what must not be done?? |
Registrants must not prepare substances for injection in advance of their immediate use or administer if drawn by another practitioner when not present |
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Standard 18: nursing and midwifery students they must.. |
Never administer or supply medication without direct supervision |
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