Tally Counter

Tally Counter

One of the biggest challenges organizations have some care to ensure they have good records and Drug Administration that their nursing staff and actually complete them correctly. I recently had the pleasure of the company of a gentleman of the Commission on Quality Care who said that issues relating to drugs are still the biggest area of concern during inspections and in particular the holding of records. So what are the issues and how can we get it right?

What information must appear on a MAR?

The guidelines March states that must contain the name and address of the service user, a date of departure, so I do not know which folder is updated or dismissal should I need to go look back at a certain date, the details of the drug to say the name, dosage form, dosage instructions clear and hours of the day to say "inside the box" or nomadic etc.is dossett not acceptable if you have the codes for administration then The key to these codes must be clearly indicated on the MAR, which for some nurse or caregiver to either sign or initial, if the initials are used there must be a master file stored in offices whose initials correspond to which caregiver or nurse. Any other information on the March is not necessary but may make the strongest in March when used well and May are the quantities received and returned by example, or GP details etc.

Who is responsible for providing the March and entering information?

Legally it is the responsibility of organizing provide care to the FEB and place the information it contains. Many nursing homes will have their March provided by the pharmacy but it is actually a free service for them, a pharmacy no legal or contractual obligation to provide all of March. There is no model or official recommended format for a market and if there are many different types and as long as they meet the above requirements and are properly informed is what works best for your organization. The drug information for each customer must be formed by the company, and any medication changes should also be made by care company, legibly written in ink, if the medication has changed, put a line through the old drugs and rewrite the story about a new line of March, preferably monitored by another person, signed, dated and a note to say about that is authority was the change made.

Codes Administration

There is no low codes administration officials or guidance given on what they should be if it belongs to the organization of care to decide what information should the nurse or caregiver to record. Good practice is to have codes for administration, said, said, not taken refused, in measured doses, on leave, hospital, etc.

Record keeping at the time of administration

Training in how to complete the MAR is essential if you must ensure that your teams do well at any time. You must have a system identifying where errors are made or documents are not being filled correctly so that the third party or a nurse may be spoken, provided guidance and additional training and standards applied.

When members of the administration of the team must sign or initial the MAR in the appropriate space and an indication of how they argued, this may be using a code as discussed above. If the person did not need medication caregiver or nurse should always log in and add a code to explain that the client does not need. Please do not leave empty folders that gaps create questions and uncertainty about what happened at this time. If this were a control drug administered by two persons both must sign. If a dose is variable eg "give 10 ml or 20 ml, exactly the dose was given must be recorded. If a dose is refused by the service user evidence that he was denied and why. Everything over the counter drugs or remedies welcoming you administer should also be detailed on the AMR.

For more information, training in record keeping or examples of good could be modeled March training@momentumpeople.co.uk contact or call 01793 700929

Tracey Dowe is a qualified pharmacist with over 25 years in the business, Life coach, Master Strategist and Trainer with a mission to “Inspire others to find the best in themselves and to give the best of themselves”. Tracey has worked with many large social care organisations to deliver medication training, advise on policies and procedures and give lectures on the specialised and highly important area of medicines management in care. Tracey is passionate about people, health and pharmacy and combines them her business life to ensure that workers in social care get the best training in medicines management that there is out there delivered by an expert. It gives the care agencies peace of mind that their teams are knowledgeable and that they understand the importance of keeping good records. It allows the people receiving the care to be better supported and safely looked after.

Tracey runs a variety of accredited medicines management and other courses through her company Momentum People Ltd. Courses include:
An Introduction to Medicines Management for Domiciliary Care or Care Homes
Foundation Courses in Medicines Management for Domiciliary Care or Care Homes
Accredited courses in medicines management for home care and domiciliary care workers
Medication Needs Assessment Training
Communication Skills Training
Presentation Skills Training
Leadership Training
How to manage your time, your team and tantrums – NLP For Health Propfessionals
AN Introduction to NLP – 2 day course
NLP Practitioner ANLP Certification
Medication Train the Trainer

For further information contact training@momentumpeople.co.uk

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