Εργαστήριο Σπουδών Φύλου και Ισότητας Λ. Συγγρού 134, 1ος όροφος, 17671 Αθήνα, τηλ. 210 9210177-8, fax 210 9210178 http://www.genderpanteion.gr, e-mail: [email protected] ΕΙΣΗΓΗΣΗ 22 Μαΐου 2007 Elizabeth Dermody Leonard, καθηγήτρια κοινωνιολογίας στο Πανεπιστήµιο Vanguard της Νότιας Καλιφόρνιας, Η.Π.Α
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Medication Administration.docx KIFSA Policies and Procedures
Policy and Procedure: 23 March 2015
Management/Policies & Procedures
Number of pages: Medication Chart
Purpose of this Policy
The purpose of this policy is to establish a safe, hygienic and effective
procedure for the administration of all medication to clients under KIFSA's
Some clients may require support to manage and administer their own
medication. It is therefore the responsibility of KIFSA Support Workers who are
charged with supporting individuals to ensure that prescribed medication is
administered as directed.
KIFSA recognises its duty of care to ensure that safe hygienic and effective
procedures are in place for the administration of all medication, including
non-prescribed medications eg sunscreen, Betadine.
Under no circumstances are employees permitted to take it upon themselves
to cease or change any prescribed medication without written authorisation
from a doctor.
It is the individual employee's responsibility to ensure all medication is administrated exactly according to the Doctor's or Pharmacist's direction and correctly record and sign for on the appropriate form. It is also the individual employee's responsibility to correctly date and record all Doctor's and/or Dentist's visits on the appropriate form. Medication Administration.docx The Procedure
The following procedures are to be implemented to ensure that employees
administer all medications to clients in the safest, most hygienic and effective
way possible whilst strictly following all doctor's or pharmacist's instructions.
1. Prior to commencing support for a person with a disability, the Coordinator
must provide training to the Support Worker in relation to the specific medication administration procedures relevant to the individual client. 2. Any client who requires regular medication will have a medication chart which details the time and date medications are to be given. This must be signed by Support Workers immediately after administering medication. The medication chart is to be held in the client's in-home file. 3. Before commencing administration of medication, Support Workers are required to wash and dry their hands thoroughly. 4. Before any staff member administers medication to a person, the following steps must be completed each time. Do not presume that the Webster pack medication is correct. Identify the person Check the time medication is to be given Check the name of the medication Check the dosage of medication i.e. the total amount of each medication prescribed by the doctor Check strength of the medication – the amount of medication contained in each tablet, eg. Dose = 400mg Tegretol, Strength = 200mg in each tablet, therefore person has 2x 200mg tablets Medication should be given using a container or a spoon and not by 5. If any of the above steps are inconsistent with the information in the client records or detailed on the Webster pack, then the medication is not to be administered. In this event, immediately contact the Coordinator, dispensing pharmacy as named on the Webster pack, or after hours call HealthDirect 24/7 on 1800 022 222. 6. When administering medication do not allow any interruptions, for example do not answer a ringing phone. This is often how mistakes 7. Many clients are able to take their medication independently. In this instance, Support Workers need to supervise the person in checking the Medication Administration.docx correct medication is taken. Observe the medication being taken and record this on the medication chart. 8. For clients requiring partial assistance with taking their medication, Support Workers are to provide support and supervision only as required. The medication should be given to the person in the most independent manner possible however. You are responsible to ensure that the person has taken their medication. Do not leave the person until you are certain hey have completely swallowed their medication. 9. In the event that a person refuses or has not swallowed their medication, immediately report this to the Coordinator. 10. After administering the medication, sign that the medication has been given and swallowed by the person. This is a legal requirement. Report in your activity notes if the person cannot swallow or has refused to take their medication. 11. Only medication prescribed for the person should be given to that person. Do not use it for anyone else; this is illegal and may be dangerous. 12. Observe the person for any subtle side effects particularly if they have commenced a new medication, or if an existing medication has been increased or decreased. Note such side effects in your Activity Report. 13. If a Support Worker forgets to administer the medication at the scheduled time, you must not administer it until after seeking the advice of your Coordinator and/or a pharmacist. Do not double-dose medications. You must complete an incident report if you forgot to administer medications (see Incident policy). 14. If a Support Worker realises after administering medication that there has been an error, you are to immediately contact the Coordinator or KIFSA's After Hours On Call number, to seek further advice. All such incidents must be recorded via an Incident report (see Incident policy). 15. If a person has a strong adverse reaction to the medication administered, you must call emergency services, and then the Coordinator and/or the After Hours On Call number. All such incidents must be recorded via an Incident report (see Incident policy).
Storage of medications
All medications are to be stored in a place agreed with the client and/or their
primary carer in the person's home. The designated area must be dry, cool,
out of direct sunlight and not provide easy access to visitors or children. The
storage place is to be consistent; once medication is administered the medication is to be returned immediately to the agreed storage place. Medication Administration.docx When clients are in the community and are required to take medication, Support Workers are to follow the steps for dispensing medication: a. Staff are to ensure the client has the required medication with them prior to leaving home. Medication should be stored in a lunch pack with an ice pack. b. The medication where appropriate can be carried by the client or the Support Worker but only the dose required should be taken out.
Where appropriate, clients are to obtain and fill their own prescriptions for
medications. Where necessary, Support Workers may assist clients with filling their prescriptions, monitoring supply and making doctor's appointments to renew prescriptions. All tablet medication is to be dispensed into Webster packs.
Administering non-prescription medication
Clients may use over the counter or non-prescription medications. Discuss
with the person the reason for the medication and determine who advised the
person to take the non-prescription medication. If there are concerns about
the appropriateness of the non-prescription medication, in particular whether it could clash with a prescribed medication, discuss with a pharmacist or contact your Coordinator. If clients require support when administering non-prescription medication, Support Workers are to: Read and follow the directions provided with the medication. Take note of any warnings and monitor the person for any adverse Record that the non-prescription medication was administered. Support Workers are never to purchase non-prescription medications for a client, and must never make recommendations in relation to the use of any
Other Agencies administering medication
Support Workers need to be aware of other agencies' role in administering
medication to clients (eg Aboriginal health service administering insulin
injections). If other agency staff fail to attend a scheduled visit to administer medication, Support Workers are to contact the Coordinator, or if required emergency services.
Medication Administration.docx Failure to comply with this policy will be viewed seriously and may result in disciplinary action that may include dismissal.
Review of the Policy
This policy will be reviewed on a two-yearly basis. However, if at any time
the legislative, policy or funding environment is so altered that the policy is no longer appropriate in its current form, the policy shall be reviewed immediately and amended accordingly. Medication Administration.docx
Nomos - UNIVERSIDAD DE VIÑA DEL MAR - Nº 3 (2009), pp. 221-241 221 ARANTZAZU VICANDI MARTÍNEZ / El daño desproporcionado en la responsabilidad civil sanitaria… DESPROPORCIONADO EN LA SANITARIA. UN ESTUDIO ARANTZAZU VICANDI MARTÍNEZ1 El daño desproporcionado es una figura doctrinal creada para dar respuesta a la responsabili-dad civil médica de casos controvertidos, hasta el punto de llegar a ser inexplicables. Estafigura doctrinal parte de una premisa, la existencia de un daño de envergadura considerable,que, además, su producción presuma un acto negligente. El presente trabajo procede a abor-dar la figura en cuestión desde una perspectiva netamente jurisprudencial. Partiendo de cons-trucciones doctrinales fundadas, se realiza un estudio casuístico del daño desproporcionado,centrado especialmente en los hechos que dieron lugar a que el Tribunal Supremo optase porla concurrencia de esta figura o de otra para calificar la situación fáctica del caso.Se parte por tanto de la siguiente cuestión: ¿Qué supuestos dan lugar a la aplicación de esta