Apprenticeship Learning Log
Date of Learning: 11.08.2023
Time: 9:30 to 16:30
Title of Learning Activity: Self-directed Learning of Medicine Management part 1, 2 and 3.
The following are the learning outcomes:
- Part 1 – Explain the ethical, legal and professional issues involved in the administration of medication.
- Part 2 – Identify processes involved in safe administration of medications.
- Part 3 – Discuss actions required should an error or adverse event occur.
I have read the Medicine Management part 1, 2 and 3 slides.
Medication Management part 1
A professional person like a registered nurse administers medication in compliance with their organization, and Nursing and Midwifery Council standards and policies with a written prescription from a medical practitioner and also requires thought and exercise of professional judgment. It requires knowledge, skills, and competence. They are also bound by law, personal and professional accountability in their action, and any omission in care. Being competent in administering medication requires knowledge and skills for safe and effective practice. Assessing, referring, or seeking assistance if an action or procedure is beyond the limits of your competence is important.
It is very important to get patient consent prior to administration of medication. Explaining what the medication is for and why the patient needs it is part of the responsibilities of the person administering the medication.
It is important to be honest with the patient. Decisions must reviewed regularly and be patient-specific and not routine-specific. Tricking or disguising medication in food and drink is not allowed though there may be times when it is necessary and this decisions must be made with the multi-disciplinary team to ensure safe, legal, professional, and ethical practice.
Medicine categories are very important in medication administration and there are some useful resources like the British National Formulary (BNF), which is a pharmaceutical reference book that contains advice and information on prescribing and pharmacology with specific facts and details about medications available on the UK National Health Service.
Medicine Management part 2
In medicine management part 2, the 6 rights was tackled;
- right patient -checking the identity of the patient (name, date of birth, nhs number), patient wristbands matches the details on the prescription chart and also asking the patient to confirm their details verbally. If patient’s identity does not match the prescription chart or cannot confirm the patient’s identity do not administer the medication and report it.
- right medicine- make sure to know the patient, their allergies, prescription clearly written, no abbreviations, be cautions where brand names are used, medicine appropriate for the patient, making sure to check the medication name on the back of the blister pack strip, not just the box and the expiration date too.
- right dose- this is to safely measure the right amount as prescribed.
- right route – where to administered it
- right time – some medication have specific times
- right documentation – it is important to make sure medication are given and not to overdose
Medicine Management part 3
This tackles about patient safety and reporting when patients experience adverse reactions to medication and the process of reporting including medication errors.
This is also part of Assessment week for our essay assignment and anatomy exam.
This part of the module will help me in compliance and completion of my apprenticeship course and making sure I have the right knowledge and skills in safely professionally administering medication.
KSB addressed:
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| K | Knowledge | ||||||
| K1 | Understand the code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC 2018), and how to fulfill all registration requirements | ||||||
| K2 | Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health | ||||||
| K3 | Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care | ||||||
| K22 | Know how to meet people’s needs related to nutrition, hydration and bladder and bowel health | ||||||
| K23 | Know how to meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity | ||||||
| K24 | Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain | ||||||
| K25 | Know how to deliver sensitive and compassionate end of life care to support people to plan for their end of life | ||||||
| K26 | Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld | ||||||
| K27 | Understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies | ||||||
| K28 | Understand the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions | ||||||
| K29 | Understand the different ways by which medicines can be prescribed | ||||||
| K30 | Understand the principles of health and safety legislation and regulations and maintain safe work and care environments | ||||||
| K33 | Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes | ||||||
| K34 | Know and understand strategies to develop resilience in self and know how to seek support to help deal with uncertain situations | ||||||
| K36 | Understand the roles of the different providers of health and care | ||||||
| K39 | Understand the principles and processes involved in supporting people and families with a range of care needs to maintain optimal independence and avoid unnecessary interventions and disruptions to their lives | ||||||
| K40 | Understand own role and contribution when involved in the care of a person who is undergoing discharge or a transition of care between professionals, settings or services | ||||||
| K41 | Know the roles, responsibilities and scope of practice of different members of the nursing and interdisciplinary team, and own role within it | ||||||
| S | Skills | ||||||
| S1 | Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and fulfil all registration requirements | ||||||
| S2 | Keep complete, clear, accurate and timely records | ||||||
| S3 | Recognise and report any factors that may adversely impact safe and effective care provision | ||||||
| S4 | Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills | ||||||
| S5 | Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: Standards of proficiency for nursing associates Annex A & B (NMC 2018) | ||||||
| S6 | Act as an ambassador for their profession and promote public confidence in health and care services | ||||||
| S7 | Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges | ||||||
| S8 | Recognise signs of vulnerability in self or colleagues and the action required to minimise risks to health | ||||||
| S9 | Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues | ||||||
| S10 | Provide, promote, and where appropriate advocate for, non-discriminatory, person-centred and sensitive care at all times, reflecting on people’s values and beliefs, diverse backgrounds, cultural characteristics, language requirements, needs and preferences, taking account of any need for adjustments | ||||||
| S11 | Report any situations, behaviours or errors that could result in poor care outcomes | ||||||
| S12 | Challenge or report discriminatory behaviour | ||||||
| S13 | Apply the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people | ||||||
| S14 | Promote preventive health behaviours and provide information to support people to make informed choices to improve their mental, physical, behavioural health and wellbeing | ||||||
| S15 | Identify people who are eligible for health screening | ||||||
| S16 | Promote health and prevent ill health by understanding the evidence base for immunisation, vaccination and herd immunity | ||||||
| S17 | Protect health through understanding and applying the principles of infection prevention and control, including communicable disease surveillance and antimicrobial stewardship and resistance | ||||||
| S18 | Apply knowledge, communication and relationship management skills required to provide people, families and carers with accurate information that meets their needs before, during and after a range of interventions | ||||||
| S19 | Recognise when capacity has changed recognise and how a person’s capacity affects their ability to make decisions about their own care and to give or withhold consent | ||||||
| S20 | Recognise people at risk of abuse, self-harm and/or suicidal ideation and the situations that may put them and others at risk | ||||||
| S21 | Monitor the effectiveness of care in partnership with people, families and carers, documenting progress and reporting outcomes | ||||||
| S22 | Take personal responsibility to ensure that relevant information is shared according to local policy and appropriate immediate action is taken to provide adequate safeguarding and that concerns are escalated | ||||||
| S23 | Work in partnership with people, to encourage shared decision making, in order to support individuals, their families and carers to manage their own care when appropriate | ||||||
| S24 | Perform a range of nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care | ||||||
| S25 | Meet people’s needs for safety, dignity, privacy, comfort and sleep | ||||||
| S26 | Meet people’s needs related to nutrition, hydration and bladder and bowel health | ||||||
| S27 | Meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity | ||||||
| S28 | Support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain | ||||||
| S29 | Give information and support to people who are dying, their families and the bereaved and provide care to the deceased | ||||||
| S30 | Recognise when a person’s condition has improved or deteriorated by undertaking health monitoring, interpreting, promptly responding, sharing findings and escalating as needed | ||||||
| S31 | Act in line with any end of life decisions and orders, organ and tissue donation protocols, infection protocols, advanced planning decisions, living wills and lasting powers of attorney for health | ||||||
| S32 | Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams | ||||||
| S33 | Maintain safe work and care environments | ||||||
| S34 | Act in line with local and national organisational frameworks, legislation and regulations to report risks, and implement actions as instructed, following up and escalating as required | ||||||
| S35 | Accurately undertake risk assessments, using contemporary assessment tools | ||||||
| S36 | Respond to and escalate potential hazards that may affect the safety of people | ||||||
| S39 | Recognise when people need help to facilitate equitable access to care, support and escalate concerns appropriately | ||||||
| B | Behaviours | ||||||
| B1 | Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy and preferences | ||||||
| B2 | Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice | ||||||
| B3 | Be adaptable, reliable and consistent, show discretion, resilience and self-awareness |