Mandatory Competency Assessment for Medicines Management (Not Injectable Medicines) for Registered Practitioners ‘IN HOSPITAL’ Document Author Authorised Signature Written by: Lead Pharmacist/Lead Technician Medicines Use and Safety Team, Pharmacy Department Date: September 2015 Authorised by: Head of Practice Education and Development Date: September 2015 Effective Date: October 2015 Review Date: October 2017 Approval at: Clinical Competency Group and Mandatory Training Group Date Approved: September 2015
error in prescribing, dispensing, preparing, administering or monitoring, regardless of whether harm has occurred Near miss: are incidents that did not cause harm but which are judged to have had the potential to cause harm 2.2 RP to explain what process to follow upon discovery of a medication (including near miss) complete incident on electronic incident report the ‘Management of medication related incidents’ protocol (see Intranet)must be followed 2.3 RP to explain how they would manage the following: Assessed as competent Signature Adverse drug reaction(preventable and Yellow Card Scheme) a missed dose a patient sensitive to prescribed medicine (e.g. upset stomach) no stock of the first dose antibiotic incorrect stock balance of a Controlled Drug a patient has been given two doses of Paracetamol within 1 hour by a colleague a discovery of a ‘near miss’ you have a medicine to the wrong patient
Order, Receive, Store, Transfer and Dispose of Medicines 3.1 RP is able to demonstrate/explain the process for ordering, receiving and storage of urgent medicines used on the ward including : cardiac arrest, anaphylaxis, intubation Assessed as competent Signature which packs are stocked on your ward? when are they used? where are they stored? how are they ordered? RP can demonstrate/explain the correct process for ordering, receiving and storage of ward stock medicines Assessed as competent Signature urgent medicines for cardiac arrest , anaphylaxis, extravasation, intubation and neonatal resuscitation a ward stock item for Top Up and Non Top up wards ( use stock item request form or green stock profile order folder) request a new stock item by using the ‘New Stock Request’ form receiving medicines on to a ward including signing transportation of medicines register ‘returning’, ‘supplementary re ‘and ‘cycle count’ for medicines using the electronic medicines storage cabinet, if in use on ward storage of the following ward stock: Intravenous fluids - should be stored off the floor in their original containers in a designated area/electronic medicines storage cabinet medicines for internal use medicines for external use diagnostic reagents medical 3.3 RP to explain the correct storage and documentation requirements for refrigerated medicines: Assessed as competent Signature demonstrate/explain daily temperature monitoring and recording (using an electronic max/min thermometer to maintain temp between 2-8 0C or electronic display on automated fridges) or web monitoring (electronic medicines storage cabinet) action to be taken following disconnection of electrical supply or refrigerator breakdown action following the discovery of medicines that have not been stored in recommended conditions RP can demonstrate the process for ordering, receiving and storage of patient medicines Assessed as competent Signature ordering medicines for named patients receiving medicines in secure green pharmacy bag, checking and signing transportation of medicines register storage of the following: insulin unopened eye drops dosette box (patient’s own medicines) oral tablets 3.5 RP can demonstrate/explain correct procedures for dealing with the following: Assessed as competent Signature Expired medicines