P3 - Explain relevant sections of key legislation and associated guidelines with regard to the administration of medicines
This booklet will be explaining how Acts and regulations are applied to prescribing, dispensing, administering, storage and disposal of medication in care homes.
Medicines Act 1968 + amendments
The Act controls supply of the medications. This act states that medicines supplied or sold at a pharmacy under the management of a qualified pharmacist. Then again, a few medications can be sold at different premises, for example, stores, the length of their repackaging and the premises can be shut to bar people in general. It's unlawful to offer medication from business stalls or from vehicles, for example, at auto boot
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The principle reason for the Act is to keep the abuse of controlled medications and attains to this by forcing a complete boycott on the ownership, supply, make, import and fare of controlled medications with the exception of as permitted by regulations or by permit from the Secretary o
COSHH Regulations 1999
The Control of Substances Hazardous to Health (COSHH) Regulations2002 is the regulation that helps to control the risk of hazardous substances that may cause harm to individuals at the work place. The regulation states that when working with medication in a care home the managers is responsible for carrying out a risk assessment, this will assure that the medication is being handled with care. The manger also has to ensure hazardous substances are used safely and also stored correctly in the care home.
Hazardous Waste Regulations 2005
The Hazardous Waste Regulations 2005 forbids the mixing of different types of hazardous waste (medication, needles and gloves), and the mixing of hazardous waste with non-hazardous waste in health care settings. This means that health care settings will need at least two containers, one for ‘hazardous waste and one for ‘Non-hazardous. It’s classed an offence if health care settings don’t follow the rules when getting rid of hazardous waste. This regulation also states that when people don’t need their medication they should be returning it them the pharmacy instead of disposing them in the bin.
For the M1 How
A prescription can be identified as legally authorised written instruction by a prescribing officer to a pharmacist to dispense medication.
3.1 Describe the roles and responsibilities of those involved in prescribing, dispensing and supporting use of medication
Risk assessment- An assessment of any risks to the worker's health and safety is undertaken by a trained risk assessor. This allows for the risks to be removes, reduced or avoided, and for preventive and protective measures to be identifies and
This act is an Act of Parliament of the United Kingdom and it governs the manufacture and supply of medicine.
The scope of practice for non-medical prescribers (NMP) has expanded greatly over the last 2 decades, with legislation now allowing NMP’s to prescribe from the whole BNF (with the exception of treatment in addiction and within the prescribers competency). Since the introduction of the Medicines Act in 1986 there have been over 15 different governmental reports and legislative changes (see Appendix 1 timeline) that have allowed for the development and growth of the NMP role. Initiated by The Cumberledge report of 1986 and followed by advisory group report in 1989 legislation was introduced with the Medicinal products: Prescription by nurses act of 1992 which allowed primary care nurses to prescribe from a limited formulary (V100 & V200). This advancement in legislation recognised previous recommendations and placed the improvement of patient care and effective use of resources at the core of its practice. However these acts did not reflect on other areas like secondary care or pharmacist and it wasn’t until 1998 The Crown Report and its second report published a year later that led to supplementary and independent prescribing (V300). In 2003 legislation was passed allowing some prescribing of controlled drugs in palliative care with restricted circumstances (amendment to Misuse of drugs Act 1971). In May 2006 nurses were empowered to prescribe from the whole BNF with the exception of some controlled drugs, and in 2009 further legislative changes were made to include the
1.1 There are many procedures in place for ensuring the safe transit, distribution and obtaining of medication i.e.
* There must be a policy at work place for the receipt, recording, storage, handling, administration and disposal of medicines.
Assisting – At the request of the service user, opening bottles and packets; removing lids; popping pills out of packages when the service user cannot physically do this and has asked the care worker to help with that specific medicine; shaking bottles.
P3- explain relevant sections of key legislation associated guidelines with regard to the administration of medicines
1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001
There are several legislations in place with protocols for the administration of medication which I have listed below. The main policy re admin of drugs and storing of drugs and medicines is the Control Of Substances Hazardous to Health or COSHH but along with this there are other policies in place as per the list below.
Legislation – The Medicines Act, Control of Substances Hazardous to Health (COSHH) Regulations, The Health and Safety at Work Act, The Misuse of Drugs Act, The Misuse of Drugs (Safe Custody) Regulations, Health and Social Care Act
Staff must be fully trained in the service and have a very good understanding of the benefits and outcome of the treatment.
The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).
The agreement of ROI to the European Treaty in 1973 on 1 January has had and has a profound effect on all legislation including the area of pharmacy. EU legislation predominantly comes in the form of directives or regulations. Regulations are considered mandatory in their totality where-as directives allow for implementation into national law sanctioning countries to incorporate it using their own methods as long as the outcome is achieved (Weedle and Clarke 2011). Therefore with a directive there is an overshadowing concern that the extent of implementation may not be the same across member states which will be demonstrated in a moment.