Medication Training for Carers.
Good medicines management in care
Administering of medications for carers is an integral part of delivering care to the service user. It should be the responsibility of the organisation to ensure that care staff who supporting people in the administration of medication do so correctly.
Care staff all be it nurse or carer should only administer medicines when they have received training in the administration of medication for carer's should ensure this is clearly documented in the care plan. The care staff must be trained and competent to do administration of medication.
The importance of guidance to ensure the safe administration of medication by healthcare professionals to ensure patient safety. To prevent administration of medication errors which sadly do happen and place patients at risk.
The prescriber's directions must be clear, specific and unambiguous.
One of the recommendations to reduce administration of medication errors and harm is to use the “seven rights”: the right person, the right drug, the right dose, the right route, the right time, the right to refuse and the right documentation. When a medication error does occur during the administration of medication, we are quick to blame the person administering the medication and accuse her/him of not completing the seven rights.
The seven rights of the service user
It should be accepted as a goal of the medication administration process should not the “be all and end all” of medication safety.
Prior to any administration of medication the person responsible for administration of medication must check all the information required to ensure an accurate and safe procedure
Particularly if a new medication has been prescribed or if a client is new to the setting
Must also agree with the details on the client’s MAR sheet.
The MAR sheet is required for the recording of the administration of all medication and should be read and completed each time a medication is administered, the MAR sheet is a record that helps administration of medications to reduce the likelihood of medication errors.
It is a legal requirement that the Medication Administration Record Sheet is completed after every administration of medication has been given.
Benefits of Medication Administration
Medication training is essential for those who are required to administer medication to the individual. This could include those working in a care home setting such as care workers, carers, nurses, support workers and other care staff roles. Accredited medication training will ensure that your staff are trained at the level that registered managers can ensure their workforce has completed training to meet CQC regulation 12.
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Who Will Benefit?
This course is targeted at all nurses, support workers, healthcare assistants, teachers and any other person who is required to administer medication safely.
The Care Quality Commission has recommended that all personnel working within the Health and social care profession, that could be called upon to administer medication, should have a sound knowledge about the process of administering medication.
This course is suitable for all workers within the Health and social care sector. It is mapped to the skills for Care Common Inductions standards and is in line with The National Occupational Standards for Skills in Health and Social Care.
Course Aims and Intended Learning Outcomes
By the end of the course you will:
Introduction to Medication Administration
The Medicines Act 1968 / The Misuse of Drugs Act 1971 / Other relevant legislation
Self medication / Administration / Assisting / Factors to consider
Types/routes of medicines / What medicines do / Categories of medication / Holistic - complimentary / Controlled drugs / Medication packs
Procedures for Administration
Medication errors / side effects / spoiled medication / Rights of medication administration / Refusal of medication / After administration / Factors to consider
Auditing and Record Keeping
MAR charts / Care plans / Labelling of medicines / storage & disposal of medicines / Re -ordering & collection of medicines
Levels of Medication Administration
• Level 1 – self-medication with minor assistance, the individual may need a prompt to take their medicine. They might need support to ensure they have picked up the right bottle but they would say which one they wanted. They might ask for help reading the instructions or information leaflet. But you do not touch the medicine!
• Level 2 – self-medication with physical assistance. This means that you can help with opening bottles and preparing medication such as inhalers, creams etc but it is up to the individual to say what they want done and administer the medication.
• Level 3 – administration of medication. This means that you are proactive about telling the individual that it is time for them to have their medication, that you prepare the dose and administer the medication if the individual gives consent. All of this is done in accordance with the organisation’s policy and procedure for handling and administering medication.
Poor Practice in administration of medication.
A.Lack of training and supervision
B.Poor recruitment process
D.Staff unable to complete paperwork
E.Medication not administered at the correct time
F.Carrying out invasive procedures without adequate training
I.Staff not understanding role
What is a drug?
A medicine or other substance which has a physiological effect when ingested or otherwise introduced into the body.
What makes a drug become a medicine?
A drug becomes a medicine when it is used in the treatment or prevention of a disease
An adverse drug reaction (ADR) is an unwanted or harmful reaction which occurs after administration of a drug or drugs and is suspected or known to be due to the drug(s)
Routes of Medication Administration
Inhalation – delivering a dose of medication to the respiratory system (breathing it in).
The medicines used in inhalation are usually within inhalers which will either treat the symptoms of a respiratory condition or will prevent the symptoms. Clients can be supported using their inhalers by appropriately trained staff; but clients are usually taught to use their inhaler by a trained health professional.
Ingestion – medication taken into the body through the mouth (orally).
This is the most common method for the administration of medication. Medication forms: tablet, capsule, syrup. These medicines can be given by care workers after appropriate training.
Buccal – medication placed in the ‘buccal’ cavity between the gum and cheek. Good blood circulation in this area, therefore drug gets in to the blood stream very effectively. Also, a good place to put a slow-release tablet, as the tablet will not move as it slowly dissolves. Can be an area where tablets can be hidden though.
Sublingual – under the tongue. Good blood circulation in this area, therefore drug gets in to the blood stream very effectively.
Intra-ocular – medication administered to the eye. Normally in the form of drops or ointments. Eye drops are a sterile solution or suspension of medicine, this method is called ‘Instillation’. They are used to produce a local effect directly on the eye. Do not share eye drops with other people. There is a wide range of eye ointments for a variety of ophthalmic conditions. The cream or drops should be applied to the eye by an appropriately trained person.
Intra-aural – medication administered to the ear - When there is a medical condition in the ear medicine may be delivered by Instillation. This is when drops are delivered in a controlled way so that the fluid stays within the area it needs to treat, in this case, the ear. The drops should be given by an appropriately trained person.
Instillation – medication is introduced in liquid form into a body cavity e.g. eye ointment, (which is placed in the conjunctiva of the eye), nose and eardrops.
Topical – applied to the skin, normally in the form of a cream or ointment. The cream or ointment is applied to the area specifically needing the treatment. This might be a treatment to soothe a skin irritation, or a fungal treatment for ‘Athlete’s foot’. There are many reasons for applying creams or ointments and they can carry a range of active ingredients. Creams and ointments can be applied by care workers after appropriate training.
Transdermal - through the skin, referring to absorption of drugs that are placed directly on the skin, such as creams, ointments or patches.
Injection - an injection is a method of administering a substance such as a medicine into the skin, muscle, blood vessels, or body cavities, usually by means of a needle.
- Subcutaneous injection is when a fine needle goes just under the skin into the ‘subcutaneous’ tissue.
There are certain circumstances where staff in the care sector can administer certain drugs. These could be the administering of medication for anaphylactic shock, using an Epipen or the administration of insulin by subcutaneous (under the skin) injection for diabetes.
- Intramuscular injection which is the injection of a substance directly into a muscle
- Intra-venous is an injection into a vein
The person to administer an injection would usually be a doctor or a registered nurse.
Rectal - a small plug of medication (a suppository) designed to melt at body temperature within the rectum. The administration of rectal medication is an invasive procedure. Suppositories are used either to provide a local action in the rectum, or as an alternative to oral forms of medicine (e.g. when someone is continuously feeling sick or is unable to take anything by mouth). The medicine is easily absorbed from the rectum. To administer medication via this route, you must have specialised training.
Vaginal – a small plug of medication (a pessary) designed to melt in the vagina. Pessaries are designed to deliver medication for a localised medical problem in the vagina or to deliver medication to organs close by. To administer medication via this route, you must have specialised training.
What is it mapped to?
Level 2 award enables learners to achieve the standard required, knowledge and
understanding of a subject relevant to their own work setting
Assessment and Certification
Course assessment comprises:
a short Q&A session which will assess understanding of the theoretical component.
3 hours theory
Number of Attendees
Attendees minimum 6 to maximum 15
This training course is available as in-house training at a venue of your own choice throughout the UK.
Level 2 Accredited certificate from Endeavour Care Training through Advantage Accreditation
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