Training Standard: Administration of Medication in Adult Social Care

Transcription

1 Page 1 of 10 Training Standard: Administration of Medication in Adult Social Care This mandatory training standard descries the learning outcomes which must e delivered to staff working under Camridgeshire County Council contracts or staff working for Camridgeshire County Council and meets the requirements of Camridgeshire Health and Social Care policies: Medicines Management in the Domiciliary Setting (Adults) Policy and Medicines Management in the Residential Setting Adult Social Care. What training does this relate to? A) Training in Administration of Medicines for support workers B) Training in Administration of Ear, Nose, Eye drops/ointments and Inhaled Medication for support workers. Who must have this training? All staff working in a care support role efore eing permitted to administer medication identified as Level 2 medication support in the aove policy Those who will assess the competency of support workers to administer medicines NB: Level 3 medication tasks are outside the scope of these training standards. However, staff must have completed any relevant training and achieved competency in any such task they are required to perform. When must the training e taken and when must it e refreshed? Training A (aove) must e undertaken, and competency must e demonstrated efore administering medicines. Training B (aove) must e undertaken after training A, and competency demonstrated efore administering ear, nose, eye drops/ointments or inhaled medicines. For oth A and B, training should e refreshed at least every 3 years. Competency should e assessed at least annually. If a specific knowledge gap is identified or there are changes in service needs then the full training course will e required as soon as possile. How must the training e delivered? Training A must e delivered face to face for a minimum duration of 6 hours and precede training B, which will require an additional minimum duration of 2 hours. Refresher training A, must e for a minimum of 3 ½ hours. On-line training alone is not considered adequate. It may however e a useful resource to reinforce/enhance learning. Who is qualified to deliver the training? Care Providers delivering medication administration training to their own staff in Camridgeshire or commissioning other training providers should ensure a Level 3 Development and Learning qualification or equivalent AND a minimum of 2 years experience of health or social care where staff are required to manage medicines AND a working knowledge of the relevant, current medication policy. OR A health professional such as a pharmacist with at least 2 years experience of working in the community AND a working knowledge of the current medication policy AND a working knowledge of the RPS guidance Handling Medicines in Social Care and relevant updates/

2 Page 2 of 10 replacements AND if the training is for care home staff, has satisfactorily completed the latest version of the Centre for Pharmacy Postgraduate Education (CPPE) programme Supporting People in Care Homes

3 Page 3 of 10 Timescale Required Standard/ Learning Outcomes Additional information Before eing permitted to administer medicines at Level 2 support Medication Competency assessment For all support workers who will e expected to administer medicines to service users at Level 2 support. This initial course should precede administration of ear, nose, eye drops/ointments and inhaled medicines training. The Training content must equip staff to fulfil the learning outcomes as set out in Appendix A (page 5) and enale support workers to successfully demonstrate competency to administer medication. The learning outcomes are ased on Skills for Care units ASM 34 and. To e completed efore eing permitted to administer medicines and following the initial medication administration training course aove The assessment must meet the requirements of the medication competency criteria Appendix A. It will assess the occupational competence of the support worker to administer medication safely: ased competencies must e assessed at least annually ased competencies must e assessed on completion of the aove course and at least every 3 years. The assessment method must assess the support workers knowledge of the relevant Medication Policy document, and current legislation and government guidance. Pharmaceutical advice should e sought and incorporated into the training material and the organisation s policy. As aove Refresher training for those administering medication The medication competency assessment should e completed in the workplace y a person who is assessed as competent to do so. See elow For all support workers who will e expected to administer medicines. Managers should ensure training is carried out: As a minimum every 3 years and for a minimum of 3 ½ hours face to face Earlier if competency is not eing met As aove The training must include a refresh of: Responsiilities of those involved in the administration of medicines Relevant Camridgeshire policy on Medicines Management

4 Page 4 of 10 Those who will assess the competency of support workers who administer medicines The criteria covered on the initial course aove and in Appendix A A general assessment of knowledge Support the continuing aility to meet competency assessment Information update. Registered Managers are responsile for ensuring the assessment of competency is carried out. They may delegate this to a medication competency assessor who will e responsile for assessing the competence of support workers who are not registered healthcare professionals, and who support others with their medication. Those assessing competency will have experience of administering medication at level 2 and: Have completed the relevant training (A and/or B, as designated on page 1) and een assessed as competent themselves in any activity in which they are assessing competence. Develop their understanding of the relevant Camridgeshire policy on Medicines Management to enale them to competently assess others on its content Understand the competency process used y their employing organisation or service to fulfil the Medication Competency Criteria Identify how to assess risks and resolve issues in administration of medication Clearly explain the levels of support in medication administration Support others in understanding and using MAR charts Be assessed as competent in assessing others in the administration of medication Those assessing competence of staff should e ale to demonstrate continued competence to assess others in the relevant tasks. Resources are availale on the Camridgeshire Community Services NHS Trust wesite: nhs.uk/other-careprofessionals/domiciliary-medicinesmanagement The registered manager should reaffirm the delegated responsiility of the mediation competency assessor on an annual asis

5 Page 5 of 10 Appendix A Learning outcomes and competence criteria for the Administration of Medication to Individuals in a Domiciliary care and Residential settings Based on: UAN: Y/501/0598 Unit ASM 34 - Administer medication to individuals, and monitor the effects, and UAN: F/601/4056 Unit - Support use of medicines in social care Assessment Criteria Unit ref Assessment method Frequency of knowledge/ competence check 1. Understand the legislative framework for the use of medication in social care settings ASM 34 and a Identify legislation that governs the use of medication in social care settings Identify current legislation, guidelines policies and protocols relevant to the administration of medication. ASM 34 c Explain how and why policies and procedures or agreed ways of working must reflect and incorporate legislative requirements d Outline the legal classification system for medication 2. Know aout common types of medication and their use ASM 34 and a Identify common types of medication

6 Page 6 of 10 Descrie common types of medication including their effects and potential side effects ASM 34 c List conditions for which common types of medication may e prescried d Identify medication which demands the measurement of specific physiological measurements ASM 34 e f Descrie changes to an individual s physical or mental well-eing that may indicate an adverse reaction to a medication Descrie the common adverse reactions to medication, how each can e recognised and the appropriate action(s) required ASM 34 g Explain the different routes of medicine administration. ASM Understand roles and responsiilities in the use of medication in social care settings a Descrie the roles and responsiilities of those involved in prescriing, dispensing and supporting use of medication Explain where responsiilities lie in relation to use of over the counter remedies and supplements 4. Understand procedures and techniques for the administration of medication ASM 34 a Explain the types, purpose and function of materials and equipment needed for the administration of medication via the different routes ASM 34 Identify the required information from prescriptions / medication administration charts. ASM 34

7 Page 7 of Understand techniques for administering medication a Descrie the routes y which medication can e administered Descrie different forms in which medication may e presented c Descrie materials and equipment that can assist in administering medication 6. Be ale to prepare for the administration of medication ASM 34 a Apply standard precautions for infection control. ASM 34 c d a Explain the appropriate timing of medication e.g. check that the individual has not taken any medication recently Otain the individual s consent and offer information, support and reassurance throughout, in a manner which encourages their co-operation and which is appropriate to their needs and concerns Select, check and prepare correctly the medication according to the medication administration record or medication information leaflet 7. Be ale to administer and monitor individuals medication ASM 34 Select the route for the administration of medication, according to the patient s plan of care and the drug to e administered, and prepare the site if necessary Safely administer the medication: ASM 34 ASM 34 ASM 34 ASM34 ASM 34 in line with legislation and local policies in a way which minimises pain, discomfort and trauma to the individual

8 Page 8 of 10 c Descrie how to report any immediate prolems with the administration ASM 34 d Monitor the individual s condition throughout, recognise any adverse effects and take the appropriate action without delay ASM 34 e f g Explain why it may e necessary to confirm that the individual actually takes the medication and does not pass the medication to others Maintain the security of medication and related records throughout the process and return them to the correct place for storage Descrie how to dispose of out of date and part-used medications in accordance with legal and organisational requirements. 8. Be ale to receive, store and dispose of medication supplies safely ASM 34 ASM 34 ASM 34 a Demonstrate how to receive supplies of medication in line with agreed ways of working Demonstrate how to store medication safely c Demonstrate how to dispose of un-used or unwanted medication safely 9. Know how to promote the rights of the individual when managing medication a Explain the importance of the following principles in the use of medication consent self medication or active participation dignity and privacy confidentiality

9 Page 9 of 10 Explain how risk assessment can e used to promote an individual s independence in managing medication c Descrie how ethical issues that may arise over the use of medication can e addressed 10. Be ale to support use of medication a Demonstrate how to access information aout an individual s medication Demonstrate how to support an individual to use medication in ways that promote hygiene, safety, dignity and active participation c Demonstrate strategies to ensure that medication is used or administered correctly d Demonstrate how to address any practical difficulties that may arise when medication is used e Demonstrate how and when to access further information or support aout the use of medication. 11. Be ale to record and report on use of medication a Demonstrate how to record use of medication and any changes in an individual associated with it Demonstrate how to report on use of medication and prolems associated with medication, in line with agreed ways of working

10 Page 10 of 10 Resources: The Handling of Medicines in Social Care Royal Pharmaceutical Society of Great Britain Camridgeshire County Council / Camridgeshire Community Services NHS Trust (CCS) Medication Competency Assessment Tools consisting of a competency framework for practical assessments and a workook for knowledge assessments. For copies of these resources please -workforce.development@camridgeshire.gov.uk Camridgeshire Community Services NHS Trust wesite: Document Control Version Created on Authors Changes Next Review Date (suject to policy/legislation changes) Version 3 August 2012 Ann Darvill, Principle Pharmacist Kerry Connelly Training Adviser, Camridgeshire County Council Camridge County Council cross sector Training Standards Group In consultation with: Camridgeshire Community Services NHS Trust Medicines management Team Camridgeshire Community Services NHS Version 4 Novemer As aove Complete re-write 2014 Version 5 January 2015 Finalised May 2015 Camridgeshire Multi-Organisational Adult Social Care Training Standards Steering Group in partnership with: Ann Darvill Principal Pharmacist Camridgeshire Community Services NHS Trust Camridgeshire Community Services NHS Trust Clinical Medicines Team Camridgeshire Community Services NHS Trust Workforce Development Team Minor corrections and amendment to Appendix A for clarity January 2017