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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: 14 June 2021

Keeping Up to Date

Keeping Up to Date

Chapter 10 Keeping Up to Date
Medicines management for nursing practice

Graham Brack

Penny Franklin

Jill Caldwell

Oxford University Press

● To gain an understanding of strategies that can be used to keep your skills in medicines management up to date, including clinical supervision and change management. ● To acknowledge the implications of clinical governance as related to keeping up to date within medicines management. It is hoped that this book will provide a useful resource in the future to help keep your skills and knowledge up to date. This final chapter covers some of the strategies that may help. It will discuss some of the relevant developments and offer some thoughts about future advances in medicines management. The world of medicines management is constantly evolving although, having said that there are given constants and principles that will remain the same in all settings. For example, patient safety is obviously in the forefront of all practice as is efficacy of treatment and effective resource management. As explained within the context of this book there are a number of ways of ensuring that the instructions for giving medicines are clear and that medicines are legally and safely dispensed, supplied, and administered to patients. Other terms for ways to dispense, supply, or administer medicines are process or mechanism. Some of these mechanisms have been in place for many years; for example, before the Medicines Act 1968 . Others have been enforced more recently; nonmedical prescribing only came into being in the mid- 1990s and continues to expand in the current decade (Association for Nurse Prescribers). It can be safely stated that all of the legal mechanisms for the dispensing, supply, and administration of medicines have been reviewed and tightened up either locally, nationally, or both within the last 10 years. This reinforcement has occurred because of the following factors; you may be able to think of more:… ● Concerns about patient safety and medicines management. ● Directives for a changing and evolving health service moving, for example, towards the management of the care of patients with long term conditions in the community setting. ● Delivery of medicines management by more advanced non-medical healthcare practitioners other than doctors, such as nurses and pharmacists. ● As a result of the Fourth Shipman Report. (2004).

Keywords:   Shipman Inquiry, change management, delegation, mechanism, organizations, patient safety, refreezing, skills specialization, unfreezing, workforce issues

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