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Medicines management for nursing practicePharmacology, patient safety, and procedures$
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Graham Brack, Penny Franklin, and Jill Caldwell

Print publication date: 2013

Print ISBN-13: 9780199697878

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199697878.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 13 June 2021

Medicines Management: Systems and Procedures

Medicines Management: Systems and Procedures

Chapter 7 Medicines Management: Systems and Procedures
Medicines management for nursing practice

Graham Brack

Penny Franklin

Jill Caldwell

Oxford University Press

By the end of this chapter you should be able to:… ● Understand the responsibilities and accountability of the student and trained nurse with regards to medicines management ● Understand the reasons for policy to support medicines management ● Interpret the role of the nurse in relation to policies and standards for medicines management ● Understand the role of the nurse in relation to key standards and drivers for the safer administration and management of medicines…. The aims of this chapter are to support you to interpret the responsibility that you already carry as a student and will carry as a registrant when giving medicines to patients and to help you to understand what is meant by accountability and how this relates to your role now and in the future in the management of medicines. Medicines management occurs wherever there is a patient and is carried out in a variety of settings which include:… ● acute hospitals ● community hospitals ● care homes, both residential care homes and nursing homes ● the patient’s own home ● schools ● community clinics…. The National Patient Safety Agency (NPSA, 2004 ) has produced guidance for organizations on supporting patient safety. They suggested the implementation of seven steps as follows:… 1 Build a safety culture. 2 Lead and support your staff. 3 Integrate your risk management activity. 4 Promote reporting. 5 Involve and communicate with patients and the public. 6 Learn and share safety lessons. 7 Implement solutions to prevent harm…. When interpreted in relation to medicines management and nursing care this means that the employing organization has a duty of care to its employees and patients to ensure that medicines are dispensed, supplied, and administered safely and that procedures are in place to support this. Managers need to be made aware of anything that might prevent this, and must ensure that checks are in place to prevent harm from occurring. The clear and prompt reporting of concerns, risk, and errors to management is pivotal to patient safety and medicines management in nursing and, from an organizational point of view, patient consultation and involvement is vital. Lessons must be shared in a ‘low blame culture’ and changes made to support the reduction of risk and potential harm. For more on communication and on risk reduction please see Chapters 1 and 10.

Keywords:   bisphosphonates, clinical governance, dispensing, ethics, inhalers, lithium, medicines optimization, one stop dispensing, patient group directions

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