Expectations for Nursing Associates in Medicines Management

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MEDICINES MANAGEMENT
& THE NURSING ASSOCIATE
 
DR DEBS ROBERTSON
     
LECTURER
UNIVERSITY OF SALFORD
 
#hellomynameis
 
Dr Debs Robertson
Lecturer
Nurse and pharmacologist
 
SCOPE OF PRESENTATION
 
Expectations for nursing associates who administer medicines to patients
Ensure adequate levels of supervision are in place to support trainee
nursing associates in the education and training of medicines management
Ensuring adherence to the 2018 guidance
 
INTRODUCTION
 
Medicines management is not a new concept
 
The clinical, cost-effective and safe use of medicines
to ensure patients get the maximum benefit from the
medicines they need, while at the same time minimising
potential harm
.”
(MHRA 2004)
 
NMC SUPPORT
 
Integration of medicines management into pre-registration
nursing standards from 2019
Part of the nursing associate role
Listed in proficiencies
 
ROLE OF THE NURSING ASSOCIATE
 
Front line patient care
Patient assessment
Drug administration- including safe drug calculation
Part of a team
Patient safety
 
EXPECTATIONS
 
WILL be administering medicines
Guidance and regulation by NMC
Trust policy regarding further administration roles
 
EDUCATION & TRAINING
 
At Salford: Year 1 in University
Introduction to role in medicines
management
Legal and professional aspects
Safe drug calculation
Assessment and administration
Monitoring and observation
Record keeping and reporting
 
At Salford: Year 1 in Practice
Observation of drug rounds
Calculation practice
Identity checks
Patient assessment
Consent
 
 
 
EDUCATION & TRAINING
 
At Salford: Year 2 in University
Pharmacokinetics
Pharmacodynamics
Therapeutics
Polypharmacy
Side effects and interactions
Allergies and adverse reactions
The drug round
 
At Salford: Year 2 in Practice
Participation in drug rounds
Calculation and administration
Record keeping and reporting
Patient assessment and monitoring
Accountability
Safe storage and transportation
 
SUPERVISION
 
Qualified nurses and practice supervisors
Allocation of placements to meet standards of proficiency
Trust induction packages- self directed study and mandatory training
Trust governance policies and indemnity
Portfolio of evidence and PAD’s
 
SUPERVISION
 
Competency assessment
Validity of prescriptions
Appropriateness of prescriptions
Routes of administration
Single person administration restrictions
The 5 rights!
Delegation?
 
2018 GUIDANCE
 
STANDARDS OF PROFICIENCY
3.15 understand the principles of safe and effective administration and
optimisation of medicines in accordance with local and 
national policies
3.16 demonstrate the ability to recognise the effects of medicines, allergies,
drug sensitivity, side effects, contraindications and 
adverse reactions
3.17 recognise the different 
ways by which medicines can 
be prescribed
 
2018 GUIDANCE- SKILLS ANNEXE B
PROCEDURAL COMPETENCIES REQUIRED FOR ADMINISTERING 
MEDICINES SAFELY:
 
10.1 continually assess people receiving care & their ongoing ability to self-administer their own
medications. Know when & how to escalate any concerns
10.2 undertake accurate drug calculations for a range 
of medications
10.3 exercise professional accountability in ensuring the safe administration of medicines to those
receiving care
10.4 administer medication via oral, topical & 
inhalation routes
10.5 administer injections using subcutaneous & intramuscular routes & manage injection equipment
 
2018 GUIDANCE- SKILLS ANNEXE B
PROCEDURAL COMPETENCIES REQUIRED FOR ADMINISTERING 
MEDICINES SAFELY
 
10.6 administer & monitor medications using 
enteral equipment
10.7 administer enemas & suppositories
10.8 manage & monitor effectiveness of symptom 
relief medication
10.9 recognise & respond to adverse or abnormal reactions to medications, & when & how to 
escalate any
concerns
10.10 undertake safe storage, transportation & disposal 
of medicinal products
.
 
PGD
 
Patient group directive
Homogenous group of patients
Inclusion criteria
Supply and administration tool
Only available to registered professionals
NOT yet allowed by NA’s
Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs-
under-pgds/7023369.Article
 
NUMERACY AND DRUG CALCULATIONS
 
The need to be able to perform drug calculations to safely administer
prescribed medicines
Challenging variety of entry level
Leading up to final year final module assessment which must be
passed at 100%
 
REFERENCES
 
NMC (2018) Standards for Nursing Associates
https://www.nmc.org.uk/standards/nursing-associates/standards-for-nursing-
associates/
PGD Information Https://
www
.Nursingtimes.Net/news/workforce/associates-
will-be-unable-to-administer-drugs-under-pgds/7023369.Article
Advisory Guidance
https://www.hee.nhs.uk/sites/default/files/documents/FAQs%20-
%20administration%20of%20medicines%20by%20nursing%20associates.pdf
 
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Medicines management is a crucial aspect of nursing practice to ensure patient safety and optimal treatment outcomes. This presentation highlights the expectations for nursing associates in administering medicines, emphasizing the need for adequate supervision, adherence to guidelines, and integration of medicines management into nursing standards. It covers the role, support from the NMC, education and training programs at Salford University, and emphasizes patient safety and proficiency in drug administration.


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  1. #hellomynameis Dr Debs Robertson Lecturer Nurse and pharmacologist

  2. SCOPE OF PRESENTATION Expectations for nursing associates who administer medicines to patients Ensure adequate levels of supervision are in place to support trainee nursing associates in the education and training of medicines management Ensuring adherence to the 2018 guidance

  3. INTRODUCTION Medicines management is not a new concept The clinical, cost-effective and safe use of medicines to ensure patients get the maximum benefit from the medicines they need, while at the same time minimising potential harm. (MHRA 2004)

  4. NMC SUPPORT Integration of medicines management into pre-registration nursing standards from 2019 Part of the nursing associate role Listed in proficiencies

  5. ROLE OF THE NURSING ASSOCIATE Front line patient care Patient assessment Drug administration-including safe drug calculation Part of a team Patient safety

  6. EXPECTATIONS WILL be administering medicines Guidance and regulation by NMC Trust policy regarding further administration roles

  7. EDUCATION & TRAINING At Salford: Year 1 in University Introduction to role in medicines management Legal and professional aspects Safe drug calculation Assessment and administration Monitoring and observation Record keeping and reporting At Salford: Year 1 in Practice Observation of drug rounds Calculation practice Identity checks Patient assessment Consent

  8. EDUCATION & TRAINING At Salford: Year 2 in University Pharmacokinetics Pharmacodynamics Therapeutics Polypharmacy Side effects and interactions Allergies and adverse reactions The drug round At Salford: Year 2 in Practice Participation in drug rounds Calculation and administration Record keeping and reporting Patient assessment and monitoring Accountability Safe storage and transportation

  9. SUPERVISION Qualified nurses and practice supervisors Allocation of placements to meet standards of proficiency Trust induction packages-self directed study and mandatory training Trust governance policies and indemnity Portfolio of evidence and PAD s

  10. SUPERVISION Competency assessment Validity of prescriptions Appropriateness of prescriptions Routes of administration Single person administration restrictions The 5 rights! Delegation?

  11. 2018 GUIDANCE STANDARDS OF PROFICIENCY 3.15 understand the principles of safe and effective administration and optimisationof medicines in accordance with local and national policies 3.16 demonstrate the ability to recognise the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions 3.17 recognise the different ways by which medicines can be prescribed

  12. 2018 GUIDANCE-SKILLS ANNEXE B PROCEDURAL COMPETENCIES REQUIRED FOR ADMINISTERING MEDICINES SAFELY: 10.1 continually assess people receiving care & their ongoing ability to self-administer their own medications. Know when & how to escalate any concerns 10.2 undertake accurate drug calculations for a range of medications 10.3 exercise professional accountability in ensuring the safe administration of medicines to those receiving care 10.4 administer medication via oral, topical & inhalation routes 10.5 administer injections using subcutaneous & intramuscular routes & manage injection equipment

  13. 2018 GUIDANCE-SKILLS ANNEXE B PROCEDURAL COMPETENCIES REQUIRED FOR ADMINISTERING MEDICINES SAFELY 10.6 administer & monitor medications using enteral equipment 10.7 administer enemas & suppositories 10.8 manage & monitor effectiveness of symptom relief medication 10.9 recognise & respond to adverse or abnormal reactions to medications, & when & how to escalate any concerns 10.10 undertake safe storage, transportation & disposal of medicinal products.

  14. PGD Patient group directive Homogenous group of patients Inclusion criteria Supply and administration tool Only available to registered professionals NOT yet allowed by NA s Https://www.Nursingtimes.Net/news/workforce/associates-will-be-unable-to-administer-drugs- under-pgds/7023369.Article

  15. NUMERACY AND DRUG CALCULATIONS The need to be able to perform drug calculations to safely administer prescribed medicines Challenging variety of entry level Leading up to final year final module assessment which must be passed at 100%

  16. REFERENCES NMC (2018) Standards for Nursing Associates https://www.nmc.org.uk/standards/nursing-associates/standards-for-nursing- associates/ PGD Information Https://www.Nursingtimes.Net/news/workforce/associates- will-be-unable-to-administer-drugs-under-pgds/7023369.Article Advisory Guidance https://www.hee.nhs.uk/sites/default/files/documents/FAQs%20- %20administration%20of%20medicines%20by%20nursing%20associates.pdf

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