Reword Have Established Explained for Students (Easy Guide)

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reword We have established a framework for the safe management of medication to support our initial care and service delivery to care recipients, and this will be further strengthened with the development of specific procedures and work instructions for various levels of medication management required based on the needs of our care recipients, that is: Medication prompting services. Medication support services. Medication administration services. The Medication Management framework has been designed in accordance with the “Guiding Principles for Medication in the Community” and includes the following key processes: During onboarding (Standard 2(3)(a)), at planned reviews (Standard 2(3)(e)), or where the care recipient’s condition changes, the Registered Nurse will conduct an assessment of the care recipient’s ability to manage their own medications, and any other risks associated with current medications or polypharmacy, including fall risks, or chemical restraint. We will encourage and support care recipients to have their medications packaged in Dose Administration Aids to reduce the risk of medication errors for themselves and the workers providing their care. We will require a medical authorisation to be completed by the care recipient’s medical practitioner before we commence delivery of medication prompting, support or administration services. Where the care recipient requires assistance to manage or take their medications, services to do so are only provided by qualified workers, that is: Services to prompt the care recipient to take their medications can be provided by care workers who have undertaken internal, nationally recognised training and completed a competency. Services to provide the care recipient with support to self-administer medications, for example, from a Dose Administration Aid or from an original pharmacy labelled package, eye drops, etc., can only be provided by a care worker who holds nationally recognised qualifications and undertakes refresher training and competency with a Registered Nurse annually. Only a Registered Nurse may deliver medication administration services to the care recipient, including injections and Schedule 8 medications. Care workers and Registered Nurses are required to follow the Six Rights of Medication steps when assisting with or administering medications to minimise errors: Right person Right medication Right time Right route Right dose Right documentation The care recipient’s care plan will contain specific details to direct the care worker or registered nurse in the delivery of medication support or administration, including any risks. Care workers and Registered Nurses are required to record all medications taken by or administered to the care recipient on the relevant ‘Medication Signage Record’. Where a care recipient refuses to take their medication, where medications are missing, incorrect medications are given, or there is reason to believe that previous doses have not been taken or signed for, the worker attending the service must document these instances and report the event as a medication incident using the ‘Consumer Incident Report Form’, recorded in the ‘Incident Register’, and managed through the incident management system. Where applicable, medication incidents will be reported in accordance with the Serious Incident Response Scheme where harm has occurred or could reasonably have been expected to occur. Frontline workers will be trained to report and document adverse reactions to medication experienced by the care recipient. Case Managers are responsible for checking and monitoring the care recipient’s ‘Medication Signage Record’, reviewing the care recipient’s medication requirements, ensuring that a current medication list is always available, and requesting medication reviews when required. As part of planned and unplanned reviews, registered nurses will undertake medication reviews and seek opportunities to refer the care recipient to their GP to review their medication needs or reduce polypharmacy. The Health Care Manager and the Risk and Health & Safety Manager are responsible for managing and monitoring medication incidents, including the analysis of trends and developing improvement plans to address non-conformities (as described in Standard 8(3)(c)). The Health Care Manager and the Human Resource Manager are responsible for coordinating appropriate medication training and competencies for care workers that are delivered by Registered Nurses, and ensuring that only qualified and competent workers are rostered to deliver medication services to care recipients. The Medication Management System will be embedded as part of the overarching Clinical Governance Framework and include the minimisation of chemical restraint and antimicrobial stewardship. The Medication Management System will be maintained in accordance with relevant Commonwealth, State or Territory regulations through the following processes: Oversight by the Health Care Manager, who is also an AHPRA registered nurse and whose role includes monitoring all national, state and territory regulations in regard to medication management. Supervised and oversaw medication prompts and support services by registered nurses who delegated to care workers, provided advice and mentoring, and conducted annual internal training and competency assessment of medication-competent care workers. As registered nurses are subject to national, state and territory legislation, they will be expected to stay abreast of changes, inform changes to internal policies, procedures, and work instructions as required, and update training content accordingly. Management and oversight of the Legal Requirements Register process by the Risk and Health & Safety Manager, with notification channels through to the Clinical Manager and the Human Resources Manager to inform changes to care planning and assessment, care delivery, documentation, and training. Documentation updates to align with any regulatory changes through the management of the Documents Master List.

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