Introducing Medicines Management



By Sherri Ogston-Tuck
August 2011
Pearson Education
Distrubuted by Trans-Atlantic Publications Inc.
ISBN: 9780273720881
162 pages
$52.50 Paper Original


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.


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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