Medicine administration is a fundamental aspect of the nursing role, carrying with it great risk, and requiring a high level of skill and background knowledge. This student friendly text will take you through the basic concepts of medicines management, to the essential skills needed in practice. Introducing Medicines Management provides an awareness of the inter-relationship between the patient, the medicine and the prescription as a fundamental systems approach, and will help you to understand how this is related to medicines management.
Sherri Ogston-Tuck is a Lecturer at the Florence Nightingale School of Nursing and Midwifery, Kings College London.
Contents Acknowledgements Preface Introduction 1. The professional role of the nurse Your starting point Introduction Professional practice The Nursing and Midwifery Council Professional accountability Why is registration with the NMC necessary? When things go wrong Duty of care established Breach of that duty of care Patient harm Understanding your limitations Making ethical decisions Chapter summary So what have you learned? References and key texts Additional reading Websites 2 The inter-professional team Your starting point Introduction Who's who in the inter-professional team Pharmacists Doctors Who else? The importance of teamwork What makes a team effective? Role of the nurse Safe medicines management Theexpanding role Boundaries Chapter summary So what have you learned? References and key texts Additional reading Websites 3 Safe systems Your starting point Introduction Why do systems checks? System failures Key organisations and government bodies Department of Health Medicines and Healthcare Products Regulatory Agency (MHRA) National Institute of Clinical Excellence (NICE) National Patient Safety Agency (NPSA) Nursing and Midwifery Council (NMC) Key documents on medicines management A systems approach to safe medication Key legislation on medicines and drugs Chapter summary So what have you learned? References and key texts Additional reading Websites 4 Errors in medicines management and their prevention Your starting point Introduction Mistakes - what are they and why do they happen? A working definition So why do errors occur? Types of error Omission errors Patient identification errors Prescribing errors Dispensing errors Administration errors Monitoring errors Children are potentially more vulnerable Error prevention Some additional points Tips for safe practice The Five Rights Calculation tips Other measures for error prevention Chapter summary So what have you learned? References and key texts Additional reading Websites Pharmacological principles 5 Improving knowledge and safety: pharmacological principles Your starting point Introduction How do drugs work? Absorption Distribution Metabolism Elimination A closer look at drugs Drug nomenclature Some legal aspects Dosage, formulation and route Side effects and adverse events Safe practice and the prevention of errors Routes of medicine administration Oral route Sublingual and buccal routes Subcutaneous route Intramuscular route Intravenous route Rectal route Inhalation route Topical route Chapter summary So what have you learned? References and key texts Additional reading Websites 6 Clinical decision making Your starting point Introduction Evidence-based practice The Mental Capacity Act 2010 Establishing consent The Human Rights Act 1998 The Data Protection Act 1998 Health and safety Tips for safe practice in medicines management Chapter summary So what have you learned? References and key texts Additional reading Websites Answers to chapter questions Glossary Index
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