Medication Administration Guidelines And Risk Management Processes Discussion Paper

Sourcing Information On Potential Medication Effects

In Australia the Department of Health (Therapeutic Goods Administration) is responsible for scheduling, which is the classification system that controls how medicines and chemicals are made available to the public.

As well as the TGA what else is involved in the legal and regulatory framework which determines the access and use of drugs.

The Australian Regulatory Guidelines for Prescription medicines (ARGPM) is another body in the states of Australia that apart from the law on the Therapeutic Goods Administration assist the sponsors and those who apply for registration of the new prescription medicines or would wish to vary their existing registration in the state of Australia.

Provide a brief description of what you would say to a client to explain the process of administering medication or IV fluid infusion, and how you would say it.

A specialist should first decide the kind of liquid your requirement for treatment, and in addition, the sum and the rate at which it’ll be conveyed. An attendant will at that point sanitize the skin over the infusion site. This is frequently on your arm, however could be somewhere else on your body. The medical attendant finds a vein at the site and embeds an IV catheter into it, (ProCESS Investigators, 2014). It’ll sting a little when it goes in, yet after that, there ought to be practically no torment. The medical caretaker at that point alters the IV physically or with a pump to set it to the right rate of stream. Somebody will inquire frequently to ensure you’re doing great and that the IV is conveying the liquid effectively. On the off chance that there are any issues with the stream, it’ll be balanced.

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In order to consider the effects of commonly used medicines and IV fluids, you first need to have access to any available information.

The information on the effects of the IV fluids can be sourced from the community surveillance where the people will be asked through a number of interviews and the filling of the questionnaires by the researcher personnel, (Hendrich et al 2008).

What process and calculations do you or would you use to calculate accurate dosages for medicines and IV infusion in your organization.  Medication Administration Guidelines And Risk Management Processes Discussion Paper

In the administration of a drug, there are a number of calculations that need to be considered. For instance, the converting of the units. This involves converting either from grans to kilograms for example. Also the conversion of the fractions to decimals which are thereafter rounded off either upward or downward. And the time for the drip rate in terms of drop  per hour (DeYoung, VanderKooi & Barletta 2009).

Determining Individual Client Requirements

To correctly identify medication administration techniques for specific persons you need to understand the indications and contraindications of the medicines, as well as the circumstances and health status and conditions of the client.

Clients ought to be effectively engaged with their evaluation and additionally their family/guardians and dear companions. In numerous associations, a caseworker is doled out to help clients amid the evaluation procedure. In order to clearly understand the clients condition some of the factors need to be checked for instance, how the client can interact with the peers at the times of meals, how he or she can communicate either verbally or non-verbally with the other people. On the other hand, the client’s mobility is also of importance during the day times. In addition, some other minor activities such as pouring some drink from a glass, (Buss 2014).

Undertaking a risk assessment process is standard practice in just about every area of business or service, however, in healthcare, risk assessment also includes many potential risks and hazards that relate directly to the client, treatment, equipment, drugs and medicines, and other resources or circumstances, (Sheu et al 2008).

Provide a brief list of potential risk that are associated with the use of medicines and which should be identified and addresses in a good risk management process?

• The possibility of a harmful interaction between the medicine and a food, beverage, dietary supplement (including vitamins and herbals), or another medicine. Combinations of any of these products could increase the chance that there may be interactions.
• The chance that the medicine may not work as expected.
• The possibility that the medicine may cause additional problems.

When a client refuses to take their medication or IV treatment there can be adverse effects on their well-being and you need to immediately report this to the registered nurse or other appropriate individual in your organization.

In trying to resolve the issue with the client, you need to undertake a process for resolution. What steps might be involved in such a process?

• Clarifying the problem of the client refusing to take the medicine. This will involve the observations of the behavior of the client after denying the medication.
• Breaking down the whole problems and trying to analyze each of the outcome of the missing of the medication
• Orientation, this involves taking the client through a brief explanation of the importance of the medication. In addition, involve setting up the improvements targets where the patient is informed of the best improvements on the used o of the medication.
• Determining the root cause of the problem where the client refused to use the medication.
• Negotiating an acceptable solution
• See the plan if it goes through, this involves explaining to the client the need to accept the medication.

How can you ensure that you have accurately followed your organization’s policies and procedures and all manufacturer instructions on the storage of medicines, blood and blood products?

Screening is the most appropriate way of maintaining the blood standards and ensuring they are in the right conditions for instance, checking the expiry dates for all the storage centers.

It is important to monitor a patient and record the details of their vital signs and responses to medications, IV fluids, and blood or blood products.

Age-All medications can deliver ADRs, however not all patients build up a similar level and kind of ADRs. Age is a vital factor which influences the event of ADRs. Elderly patients with numerous restorative issues who are taking different medications, the individuals who have a background marked by ADRs, and those with a lessened ability to wipe out medications are at high hazard for ADRs

Legal And Regulatory Framework For Medications And IV Fluids

Sexual orientation. The natural contrasts of guys and females influence the activity of numerous medications. The anatomical and physiological contrasts are body weight, body structure, gastrointestinal tract factors, liver digestion, and renal capacity. Ladies in contrast with men have bring down bodyweight and organ estimate, more muscle to fat ratio, distinctive gastric motility and lower glomerular filtration rate.

Maternity status-Pregnancy affects medicate treatment. Are ladies influenced by the medication, as well as be presented to ADRs of the medication.

The use of IV to administer drugs can sometimes have unexpected side effects, for example:

Common side effects of TPN Electrolytes intravenous:

Abnormal Heart Rhythm Severe.

Abnormally Low Blood Pressure Severe.

Excessive Sweating Severe.

Feel Like Throwing Up Severe.

Numbness and Tingling Severe.

Temporary Redness of Face and Neck Severe.

Throwing Up severe.

• Distinguish a contraindication to the organization of a medicine to the customer
• Distinguish real and potential contradictions of recommended customer prescriptions
• Distinguish side effects/confirmation of a hypersensitive response (e.g., to prescriptions)
• Evaluate the customer for real or potential reactions and antagonistic impacts of prescriptions (e.g., recommended, over-the-counter, home grown supplements, prior condition)
• Give data to the customer on normal symptoms/unfriendly impacts/potential associations of prescriptions and advise the customer when to tell the essential human services supplier
• Tell the essential medicinal services supplier of symptoms, unfavorable impacts and contraindications of meds and parenteral treatment
• Report reactions and unfriendly impacts of meds and parenteral treatment
• Screen for foreseen cooperation’s among the customer endorsed drugs and liquids (e.g., oral, IV, subcutaneous, IM, topical medicines)
• Assess and report the customer’s reaction to moves made to check symptoms and unfavorable impacts of meds and parenteral treatment

How do you or would you provide relevant information to patients, family, or careers about medication administration including possible side effects?

The health officer ought to guarantee that care home occupants have similar chances to be engaged with choices about their treatment and care as individuals who don’t live in mind homes, and that inhabitants get the help they have to assist them with taking a full part in deciding.

When observing and questioning a patient to determine any signs of pain or discomfort, what strategies and factors would you utilize?

Reinforcement – The nurse ought to fortify understudy reactions and inquiries emphatically keeping in mind the end goal to energize future investment. The nurse can strengthen by putting forth positive expressions and utilizing positive nonverbal correspondence. Legitimate nonverbal reactions incorporate grinning, gesturing, and keeping up eye to eye connection.

Probing- The underlying reaction of understudies might be shallow. The nurse needs to utilize a scrutinizing system called testing to influence patients to investigate starting remarks. Tests are helpful in getting understudies more associated with basic investigation of their own and other understanding.

Rephrasing- This system is utilized when an understudy gives an off base reaction or no reaction. Rather than telling the understudy, she is mistaken or calling upon another understudy, the teacher can attempt one of three methodologies, (Engel et al 2016).

How can you ensure consistency in interpreting observations and evaluating the person is planning using a pain assessment scale or other strategy?

In the clinical setting, precise appraisal of torment is basic for the recognizable proof of suitable intercessions and for assessing the adequacy of such mediations. Patients ought to be surveyed consistently for the nearness of torment and for development, weakening, or intricacies owing to torment treatment. The recurrence of the follow-up ought to be a component of the seriousness of the agony and the potential for unfavorable impacts of treatment. Documentation of torment appraisal formalizes the agony evaluation process and is fundamental in the arrangement of individualized care from both a legitimate and expert viewpoint.

Administering Medication Or IV Fluid Infusion

Intrinsic in the appraisal of agony among more established grown-ups is the comprehension of its conceivably remediable parts. For instance, if a patient has intense agony, evaluation should center on the hidden pathology in charge of the torment jolt. On the off chance that the patient experiences unending agony, appraisal must be intended for deciding both the torment causing pathology and the physical, mental, and social results of the torment understanding. In this way, complete agony appraisal as often as possible incorporates both the unidimensional estimation of torment force and the multidimensional exhaustive assessment of the torment involvement. Complex torment issues may profit by a multidisciplinary way to deal with assessment report. Medication Administration Guidelines And Risk Management Processes Discussion Paper

What process would you use to identify a range of prescribed medications and complementary strategies that may assist in alleviating the pain and discomfort of your client?

this a form of treatment that involves inserting very thin needles through a person’s skin at specific points on the body, to various depths.

Mind-body treatments will be medicines that are intended to assist the mind’s capacity with affecting the capacities and side effects of the body. Mind-body treatments utilize different methodologies, including unwinding procedures, reflection, guided symbolism, biofeedback, and entrancing. Unwinding procedures can help lighten distress identified with endless torment, (Fahey 2018).

Health (drugs and poisons) regulations

This act in the Victoria approves the ownership of toxic substances also, controlled substances, past the medications affirmed for podiatrists with general enrollment, by an support with the podiatrist’s enlistment. The Podiatry Board of Australia can approve an support for booked pharmaceuticals with general enlistment, anyway this at present just permits the utilization of extended medication list when the podiatrist is honing in Victoria.

State/Territory drugs and poisons Acts

The Podiatry Board of Australia gives the accompanying data to podiatrists for them to have an comprehension of the different State and Territory enactment. It is the obligation of the podiatrist to agree to the necessities of the enactment in the ward. The capacity to rehearse podiatry anyplace in Australia is because of the national enlistment plot. The podiatrist must consider the variety in Drugs and Poisons enactment in every purview and guarantee consistence is seen on all events at all areas, (Simpson 2009).

State/Territory nurse regulatory authority codes and guidelines

The models incorporate the national competency models for enlisted medical attendants which were first embraced by the ANMC in the mid 1990s. These have been looked into also, overhauled routinely from that point forward. Different norms created by the ANMC for execution by the NMRAs incorporate the competency guidelines for enrolled attendants, maternity specialists and medical caretaker experts, codes of proficient direct and morals, and a scope of position articulations and rules.

Calculating Dosages For Medicines And IV Infusion

National Safety and Quality Health Standard (NSQHS) ‘Preventing and Controlling Health Care Associated Infections’

• Powerful administration and administration frameworks for human services related diseases are actualized and kept up.
• Techniques for the anticipation and control of social insurance related diseases are created and executed.
• Patients giving, or obtaining a disease or colonization amid their care are distinguished instantly and get the essential administration and treatment.
• Sheltered and proper antimicrobial recommending is a vital objective of the clinical administration framework.
• Social insurance offices and the related condition are perfect and clean. Reprocessing of hardware and instrumentation meets current best practice rules.

Visual Infusion Phlebitis Score (VIPS).

Phlebitis from fringe intravenous implantations is a vital potential wellspring of oncology quiet dreariness. Essential elements found to decide phlebitis occurrence incorporate the sort of implantation and stay time of intravenous cannula, (Ray?Barruel et al 2014).

Scheduled medications and interpretation of scheduling of medications- Schedule 2, schedule 3, Schedule 4, Schedule 8

Schedule 2- The Pharmacy Medicine

Schedule 3- Pharmacist Only Medicine

Schedule 4- Prescription Only Medicine OR Prescription Animal Remedy

Schedule 8- Controlled Drug.

Provide a brief explanation of the forms of medication below and how they are handled, calculated, administered and stored:

Capsules-this is membranous structure that looks like a hard shell.

Drops- Topical fluid solutions, for example, ophthalmic and otologic drops can be lethal when ingested or utilized improperly. The accompanying segments audit normally utilized remedy and nonprescription details, related toxicological indications, and suitable administration

Liquid- are semisolid arrangements, commonly for topical application. Topical analgesics are accessible in an assortment of medicine and nonprescription balms. Of the neighborhood medicine and nonprescription analgesics as of now accessible, amide-type nearby soporifics have turned out to be particularly well known for their fast and solid beginning of neighborhood anesthesia and low event of easily affected responses

Lotions and creams- They are fundamental in any case and that is the reason Vitality Medical offers such a wide arrangement of moisturizer and cream in order to help those people who fight every day with dry skin, potential disease and disturbance. Essentialness Medical offers many name brands prestige for their adequacy treating constant dry skin and aggravation because of persistent washing and cleaning, (Sekura 2015).

Ointments- are semisolid makings, regularly for topical application. Topical analgesics are accessible in an assortment of medicine and nonprescription treatments

Patches- this is an adhesive which is medicated and is placed on the skin to deliver a specific dose into the bloodstream.

Powders- this is a fine sterile and a special grind for powdering surgical gloves.

Tablets- as the strong unit dose type of medicament or medicaments with or without reasonable excipients and arranged either by trim or by pressure

Wafers- A thin sheet of dried flour glue used to encase a powder. The wafer is dampened and collapsed over the medication, so it very well may be gulped without taste.

Suppositories- A thin sheet of dried flour stick used to encase a powder. The wafer is hosed and crumpled over the drug, so it might be swallowed without taste.

Identifying Potential Risks For Medication Use

Research and explain the ‘Rights of medication’- the right medication (drug, medication, medicines), right dose, right prescription (documentation), right route, right time, right person, right expiration date, right to refuse.

Right medication- this is the right to perform more than one checks for instance triple check of the medication’s label.

Right dose- this allows the client of compare prepared dose with the medication order.

Right prescription- this is the right that states that you should never document before any medication is administered.

Right route-verify the route from which the medicine came from before administering to the patient.

Right time- check the last and the final dose of the medication given to the patient.

Right person-ensuring that the medicine is given to the person who is really meant.

Right expiration date- the expiry dates for the medicine should be clearly checked.

Right to refuse- for the care of the patients, the concerned personnel has the right to refuse any medication and informs the party to the understanding the consequences of refusing the medicines, (Jones & Treiber 2018).

Describe how medication is administered via the following routes or methods:

Oral- this is when the substances are taken through the mouth.

Sublingual, buccal- this involves placing the drug between the gums and the cheeks where it just dissolves and is then from there absorbed into the bloodstream, (Pellikaan et al 2016).

Dry powder inhalers- this is a medication method where medicines are delivered to the lungs as you inhale through the device.

Metered dose, spacer inhalers- the use of a hydrofluoroalkane that allows dosage in a metered manner to the lungs.

Nebulisers- this is a method that involves the conversion of the medicine from their solution mode to an aerosol which is later on inhaled directly to the lungs.

Oxygen therapy- specifically meant for the patients who are unable to breathe, the warm air or oxygen is humidifies via the nasal cannula for the purpose of allowing the patient to still talk.

Subcutaneous injection- in between the skin and the layer muscle, there is a thin tissue whereby a short needle is injected with the drugs, (Sung, Kwon & Ryu 2008).

Intramuscular injections- this is the form of administering where the medication is applied directly to the muscle. For instance, the Deltoid muscle of the arm.

IV injections- these are medication applied directly to the veins.

Z-track injections- this is an injection that once the medication is injected directly to the muscles, there is need to prevent the leakage of the medication into the subcutaneous tissues.

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Resolving Issues With Clients Refusing Medication

Peripheral IV infusion, cannulation fluid- involves the process of placing a device into the patient’s vein for a cannula problem which is later removed when the cannula is once again in the normal position, (Rosland et al 2013).

Enteral administration- Percutaneous Gastrostomy (PEG) as well as nasogastric tubes

Intranasal, including nebulized medications. The nose is the entry point; it involves the insufflation of the drugs in the form of either topical or systematic.

Ocular- this is the administration through the eye.

Rectal- this involves the use of rectum as the main route for the medicine administration.

Topical, including transdermal- this is the application to the body surface.

Vaginal- some of the drugs are inserted through the vagina with the index finger.

Explain the pathophysiology related to medicine groups including:

Anaesthetics- this is the drug that is used during the process of surgery that help in reducing the pain

Analgesia – this is applied for one to loss the sense of pain. Once administered, the person won’t be feeling any pain at all.

Antacids-mostly applied to reduce the heartburn since it helps in reducing the acidity in the stomach by neutralization.

Antianginals- heart diseases are dealt with by this drug usage.

Antianxiety- this is a type of a drug that inhibits the anxiety of a person.

Antiarrhythmics- these are the drugs that are used to treat the abnormal heart rhythms that is as a result of an electrical heart activities.

Antibiotics-most of the diseases that are caused by the bacteria are well taken care of by the use of this antibodies.

Anticholinergics- chemical messengers that transmit signals between some cells in the body that brings out a negative effect are blocked by the used of this particular drugs.

Anticoagulants- clotting in blood is of importance as an occurrence of an injury. For better saving of the blood loss, the use of this anticoagulants helps very much in the prevention of the coagulation of the blood.

Antineoplastics- drugs that help in the prevention of a tumor.

Antiparkinsonian- reduces the Parkinson’s disease

Antipruritic- inhibits itching which occurs as a result of sunburns.

Antipsychotics- helps in the treatment of the bipolar.

Antiseptics- through the lymphatic system, its transported to destroy the bacteria unlike the antibiotics.

Antiulcer- mucosal agents that protect such as the sucralfate tat adheres to ulcers hence healing the suffering.

Antivirals- drugs that kills the virus.

Anxiolytics- helps in inhibiting the anxiety.

Storing And Monitoring Medicines, Blood, And Blood Products

Beta-blockers- reduces the blood pressure.

Bronchodilators-helps in the decrease of the resistance along the respiratory tract hence increasing the flow of the air in the bronchi leading to the lungs.

Anticonvulsants-they are of great importance when it comes to the treatment of the epileptic seizures.

Antidepressants- for the treatment of the depressions.

Antidiarrhoeals-helps in controlling the output of the ileostomy.

Antiemetics- effective mostly against vomiting

Antifungals- for the treatment of the mycosis including the ringworms.

Antihistamines- mostly concerned with the allergy symptoms

Antihypertentives- deals with the treatment of the high blood pressure.

Anti-inflammatory- these are the drugs that helps in reducing the inflammation hence relieving one from the pain.

Hormones- these are the members of the molecules being transported within the circulatory system and are produced by the glands.

Hypnotics, sedatives- these are the depressants that slows down the brain cells activities.

Hypoglycaemics- checks for the level of the glucose in the blood.

Insulin- helps in keeping the levels of the blood sugar within the required range hence avoiding the higher or lower rates.

Electrolyte solutions- very much filled with the ions,

Explain the factors to consider when calculating medication dosages including:

Calculation formulae- this will help in the confirmation of the drugs ordered against what is held at hand.

Calculation of dosages of injectable drugs including liquid, solid unit dosages-This number cruncher decides the fluid or arrangement volume to be infused by syringe into the patient.

Flow rate drops per minute- this is a factor that is being considered in order to adjust how th drops flows in the rate as per minute.

Flow rate milliliters per hour- this shows the infusion pump which is used to deliver the dosages in milliliters per hour at a given time frame.

Pediatric dosages calculations- considering body weight, surface area and age-related dose reduction. -the administration of the dosage ranges from20kg*100mg/kg/day which is prescribed for the children, (Gunasegaran et al 2018).

Geriatric dosage calculations- considering body weight, surface area and age – this is a dosage applied once to the people in need.

Dose administration aids (DAAs) where dose is already calculated. – Measurement Administration Aids (DAAs) have been intended to help shoppers in the network to all the more likely deal with their pharmaceuticals, with the goal of keeping away from drug misfortune and enhancing prescription consistence.

References

Buss, D.F., Oracle International Corp, 2014. System and method for enforcing role membership removal requirements. U.S. Patent 8,769,604.

DeYoung, J.L., VanderKooi, M.E. and Barletta, J.F., 2009. Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. American Journal of Health-System Pharmacy, 66(12), pp.1110-1115.

Engel, T., Ben-Haim, G., Levhar, N., Eliakim, R. and Ben-Horin, S., 2016, March. Rephrasing the question: a novel simple tool for a more accurate evaluation of inflammatory bowel disease patients’ adherence to therapy. In JOURNAL OF CROHNS & COLITIS (Vol. 10, pp. S353-S353). GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND: OXFORD UNIV PRESS.

Fahey, R.L., 2018. A Novel Approach to Using Mind-Body Therapies for Chronic Pain. Integrative Medicine Alert, 21(2).

Gunasegaran, N., See, M.T.A., Leong, S.T., Yuan, L.X. and Ang, S.Y., 2018. A Randomized Controlled Study to Evaluate the Effectiveness of 2 Treatment Methods in Reducing Incidence of Short Peripheral Catheter-Related Phlebitis. Journal of Infusion Nursing, 41(2), pp.131-137.

Hendrich, A., Chow, M.P., Skierczynski, B.A. and Lu, Z., 2008. A 36-hospital time and motion study: how do medical-surgical nurses spend their time?. The Permanente Journal, 12(3), p.25.

Jones, J.H. and Treiber, L.A., 2018, April. Nurses’ rights of medication administration: Including authority with accountability and responsibility. In Nursing forum.

Pellikaan, H.C., Vermeulen, P.S., Bender, J.C.M.E. and Woerlee, G.F., Echo Pharmaceuticals BV, 2016. Dosage unit for sublingual, buccal or oral administration of water-insoluble pharmaceutically active substances. U.S. Patent 9,308,175.

ProCESS Investigators, 2014. A randomized trial of protocol-based care for early septic shock. New England Journal of Medicine, 370(18), pp.1683-1693.

Ray?Barruel, G., Polit, D.F., Murfield, J.E. and Rickard, C.M., 2014. Infusion phlebitis assessment measures: a systematic review. Journal of evaluation in clinical practice, 20(2), pp.191-202.

Rosland, A.M., Nelson, K., Sun, H., Dolan, E.D., Maynard, C., Bryson, C., Stark, R., Shear, J.M., Kerr, E., Fihn, S.D. and Schectman, G., 2013. The patient-centered medical home in the Veterans Health Administration. The American journal of managed care, 19(7), pp.e263-72.  Medication Administration Guidelines And Risk Management Processes Discussion Paper