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Self -administration of medication. Self -administration of medication Sandpiper ward. Self medication is when the patient to varying degrees looks after and / or is increasingly involved with the administration of their own medication. (NMHDU,2009). Self medication.
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Self -administration of medication Self -administration of medication Sandpiper ward.
Self medication is when the patient to varying degrees looks after and / or is increasingly involved with the administration of their own medication. (NMHDU,2009) Self medication
Simplifies medication regime. Empowers patients/giving them control. Provides information to patients, educating them about their medication effects, side effects, dosage and times. Staff able to monitor patients ability to take medication, assessing how they will cope in the community. Benefits
Sandpiper ward would begin by using existing trust policy-using stages 1 and 2. Policy
Patients would be selected after MDT discussion. Assessed for suitability Given information on their medication. Programme stages
Stages STAGE 1 STAGE 2 • Patients medication stored in TTA cupboard. Patient promoted and qualified nurse supervises the selection and taking of medication. • As Stage 1 but patient to attend clinic at due times without prompts.
Pharmacy has devised ‘ Welland centre’ self administration procedure to be used in conjunction with trust policy. Outlines ordering medication for programme. Pharmacy directorate
Prior to beginning the programme MDT would need to assess suitability of patients. Patients nearing discharge Patients need to be risk assessed Patients on a stable medication regime Patients agreeing to participate on the programme (consent form) Suitability of patient
Patients' that are confused/unstable in mental state The following drugs should not be self administered; STAT medication Injections, except those that would be self administered following discharge i.e. Insulin Exclusion Criteria
Risk assessment would need to be completed highlighting risks and likelihood to succeed on the programme Care plan has been devised outlining stages; Assessment, understanding, education and review Risk Assessments/care plans
Staff involved in working with the programme will need training to ensure understanding and safe working within the programme Training to be given to CTLs by Pharmacy then cascaded Staff traning
Within TTA cupboard Individual boxes/containers Labelled with patients name/ DOB Medication chart to indicate self medication storage
Staff have been given copy of proposal – feedback has been positive Patients - the idea has been discussed with some patients – positive feedback and keen to participate with the programme Feedback
It has been discussed that initially the trail will start with a small number of participants MDT to select 1 or 2 suitable patients Beginning
Reviewing progress/measuring success This is difficult to measure but will endeavour to look at; Success of patients' on the programme Ability of patients to self administer Patients' knowledge of medication Patient -nurse relationship Successful discharges Qualitative – views staff/patients/MDT Quantitative – as number of participants increase consider number of re-admissions due to medication complications. Reduced issues with medication within the community
Start date for training Decision on suitable patients Date to begin When to review (6mths?) Trial to initially be on Sandpiper ward, if successful then introduction to Avocet ward? What next?
