Medications: Recording and Reporting

Medications: Recording and Reporting Answer Sheet

Name: ______Date: ______Name of Trainer: ______Name of Company Developing Material: Clinical Update (NZ) Ltd

Segment - Recording and Reporting List 10 things you must record and report with medications administration (any 10 of these or others that are satisfactory to you) • Sign for all medications when administered • Any medications that are wasted or discarded for any reason • Medications refused by resident or client • If a person isn’t there for the medication round • If a medication has been discontinued • If a person says they took the medication but you didn’t actually see them take it • Wrong medication given • Incorrect dose given • Medication lost, dropped on floor and you destroyed it • Medication vomited up, spat out, found in the toilet pan or discarded • Any discrepancy in amount of medication remaining • Change in persons behaviour or health status • All prn medication must be signed and time and date given and the effect of the medication noted • When stock is getting low i.e. Paracetamol elixir is nearly finished

When recording and reporting it is important that you provide the facts regarding? • What happened? • Where it happened? • Who was involved? • How it happened? • Why it happened? List 6 common medications errors (any 6 of theses) • Given to wrong resident • Wrong medicine -especially if similar sounding name • Wrong dose or strength • Medication given at wrong time • Medication not given • Medication given by the wrong route • Duplication of medication • Errors in packaging • Medication not SIGNED for. Medication must be signed immediately after it has been sighted as taken

What is the process for reporting and recording a medication error? • Make sure your patient is safe 1 • Perform first aid if necessary • Notify Registered Nurse &/or prescriber • Receive instructions • Inform resident or activated EPOA • Complete Incident/Accident Report • Receive instructions • Inform resident or activated EPOA • Complete Incident/Accident Report

What do you do if you make a medication error? • Write in personal or progress notes • Don’t panic • Do not trivialise the error. Never say, “it was only a ……..”

Are medication errors or adverse events avoidable? Yes/No

A high % of A & I Reports are on medication errors or adverse events

What is the major cause of medication errors? Distractions

When giving out medications you must take your time

What must you know the difference between?  Side effects  Adverse Events

How can you minimise errors or incidents? By being organised

What should you do if you feel you are working in an unsafe environment? Talk to your manager

Explain what polypharmacy is? When a person is on 2 or more medications

With polypharmacy what is more likely to happen? Get a drug interaction

Who does polypharmacy affect the most? The most vulnerable and frail people in society