Support use of medication in social care settings
The “rights” of safe medication administration
Service user: verify identity of the service user
Medicine: verify identity of medicine to be given
Dose: verify the amount to be given, carefully determine the strength and the quantity Time:verify time for the medicine to be taken
Route: verify the route by which the medicine is to be administered and follow procedures
Outcome 1: Legislative framework for the use of medication in social care settings
1. Identify legislation that governs the use of medication in social care settings
The following legislation has a direct impact on the handling of medication within a social care setting.
• The Medicines Act 1968
• The Misuse of Drugs Act 1971
• The Misuse of Drugs (Safe Custody) Regulations 1973 SI 1973 No 798 as amended by Misuse of Drugs Regulations2001 * The safer management of controlled drugs 2006
• The Data Protection Act 1998
• The Health and Social Care Act 2008
• Health and Safety at Work Act 1974
• The Control of Substances Hazardous to health Regulations (COSHH) • Hazardous Waste Regulations 2005
• Mental Capacity Act 2005
• The Access to health records Act 1990
The Medicine act 1968
* Deal with the manufacturing supply of medicines.
* Local pharmacist or dispensing doctor is responsible for medicine supply on the receipt of a prescription from a doctor. * A third party such as a trained care worker according to the directions can dispense medicines.
The misuse of Drugs act 1971 and amendments 1985, 2001
* Deals with dangerous and harmful drugs (controlled drugs CDs) * Prevent the misuse of controlled drugs.
* CDs are prescribed drugs used to treat severe pain.
* Some people abuse by taking them when there is no clinical reason. * Care homes must make special arrangements for storage, administration, records and disposal of CDs
The misuse of drugs (Safe custody) amendment Regulation 2007
* Storage of controlled drugs in care homes.
* Must be kept in Controlled drugs cabinet
* Specify the quality, construction, method of fixing and lock and key for the cupboard.
The safer management of controlled drugs (2006)
* Controlled drugs storage, administration and disposal
* Must be kept in a controlled drugs cabinet
* Records must be made for all controlled drugs transactions.
The Health & Social care Act 2008 (Regulated activities) Regulations 2009
* Registered person must protect service users against the risks associated with the unsafe use and management of medicines by making appropriate arrangements for: * obtaining,
* safe administration and
* disposal of medicines for the purpose of the regulated activity.
Health & Safety at work act 1974
* Maintain safety for all in the workplace.
* Employer must ensure that anyone administering medication is properly trained. * The risks associated should be assessed for both staff and patients.
Control of substances hazardous to Health Regulations 2002 (COSHH)
* Employers must control exposure to hazardous substances for employees and others and * to ensure employees are properly informed, trained and supervised.
Access to Health Records Act 1990
* Who can see medical records.
* An individual can see his/her own records
* No one else including next of kin and friends without the individual’s permission.
Data protection Act 1998
* Any organisation that keeps personal records on computer to register as a data user * Must comply with specific regulations.
* Records must be secure.
* Allow the individual to have access to their records
* Record only relevant...