Consent to medical treatment, decision-making and impaired capacity. medicines unsuited to this form of storage due to their instability if exposed to heat, light, air or moisture, for example, effervescent, dispersible, buccal and sublingual tablets, and significantly hygroscopic (moisture absorbing) preparations Quality assurance Labelling of the DAA by the registered nurse should also be in accordance with organisational policy. The pharmacist should sign off that the correct medicine(s) have been packed into the DAA, in accordance with professional standards and guidelines5. medicines that might be affected when the backing of a DAA is heat-sealed, for example, soft gel caps. The DAA should be returned to the pharmacist for repackaging if there are any changes to the consumer’s medicines. July 1999. www.psa.org.au Pharmacists should keep a master copy of each consumer’s medication profile and should only make changes according to written or direct communication from the prescriber. Version 2. Role of care workers 5 Pharmaceutical Society of Australia (2002) Dose Administration Aid Standards. Care workers should have competency-based training in accordance with organisational policy and Australian, state or territory legislation. Prompts should be given on DAA labels that the consumer is taking other medicines. A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. The following should not be placed in a DAA with other medicines: These communications should be recorded and stored according to professional guidelines. Consumer Medicine Information (CMI) Consumer Medicine Information (CMI) All efforts should be made to have a DAA packed by a pharmacist. directions for the use of each medicine The 1,277 participants were all older than age 40 years and scheduled for diagnostic prostate biopsy. any other details as required by relevant Australian, state and territory legislation Top of page Pharmacists should keep a master copy of each consumer’s medication profile and should only make changes according to written or direct communication from the prescriber. directions for the use of each medicine These communications should be recorded and stored according to professional guidelines. A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. These communications should be recorded and stored according to professional guidelines. medicines that might be affected when the backing of a DAA is heat-sealed, for example, soft gel caps. Quality assurance The pharmacist should verify a medication order with the prescriber where necessary. You’ve read {{metering-count}} of {{metering-total}} articles this month. Thank you for taking the time to provide feedback. A consumer might want to have complementary health care products and non-prescription medicines included in the DAA. If a care worker is to help a consumer use their DAA and it is evident that the DAA has been tampered with, it should be returned to the pharmacist for repacking. Labelling of the DAA by the registered nurse should also be in accordance with organisational policy. If a care worker is to help a consumer use their DAA and it is evident that the DAA has been tampered with, it should be returned to the pharmacist for repacking. medicines administered on an ‘as required’ basis The pharmacist should check for potential interactions and other considerations and with the consumer’s consent, inform the prescriber. A registered nurse should only pack or re-pack a DAA if a pharmacist is unable to do so, if a consumer will self-administer medicines, and if the consumer’s health and welfare is at risk if the registered nurse does not do so. The registered nurse, care worker or community care provider should liaise with the consumer about returning the DAA to the pharmacy and arrange alternate supply where necessary. The DAA should be clearly labelled with: Provisions for registered nurses ClinicalAdvisor.com is for nurse practitioners and physician assistants, offering the latest information on diagnosing, treating, managing, and preventing medical conditions typically seen in the office-based primary-care setting. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. It is preferred that a registered nurse administer medicine from the container in which the medicine was originally dispensed, however, if a consumer has been supplied with a DAA (which has not been packed by a registered nurse), a registered nurse should only administer these medicines if they have a prescriber’s order and the medicines can be clearly identified from labels that state the name, colour, shape and details of manufacturers’ marks. medicines administered on an ‘as required’ basis employed in a medication packing company) who checks a DAA on behalf of the pharmacy, that includes Quality assurance A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. In the event of a dosage or medicine change where the consumer is self administering medicine from a DAA, the DAA should be returned immediately to the pharmacy or Aboriginal Medical Service for re-packing and re-delivery. Top of page A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. solid dose cytotoxic preparations date of filling Care workers should monitor medication management by consumers and be guided by their organisations’ medication management policies and procedures if there are any suspected adverse medicine events. Provisions for registered nurses Version 2. medicines unsuited to this form of storage due to their instability if exposed to heat, light, air or moisture, for example, effervescent, dispersible, buccal and sublingual tablets, and significantly hygroscopic (moisture absorbing) preparations It is the responsibility of the prescriber to notify the pharmacist, carer, health care professional and/or care worker of any changes, with informed consent from the consumer and/or carer (refer to Guiding Principle 5 – Medication lists). Version 2. These communications should be recorded and stored according to professional guidelines. Quality assurance activities should be implemented to make sure packing processes are audited regularly. A consumer might want to have complementary health care products and non-prescription medicines included in the DAA. The care worker might remove medicines from a DAA or prompt a consumer to remove and take the medicine. In some states and territories, a health care professional other than a pharmacist, that is, a registered nurse or Aboriginal Health Worker or Torres Strait Islander Health Worker, might fill a DAA. Quality assurance A registered nurse cannot administer medicines that are not clearly identifiable. A carer or another nurse cannot administer medicines contained in a DAA that has been packed by a registered nurse. Quality assurance activities should be implemented to make sure packing processes are audited regularly. Procedures Assessments to identify consumers that may potentially benefit from the use of DAAs could be conducted by a health care professional upon the request of the consumer or a carer or another health care professional. Labelling Safety and quality an indication in a prominent position that other medicines are contained in another DAA pack/s and are to be administered (e.g. Version 2. Procedures date and day of week the medicine is to be administered 4 Pharmaceutical Society of Australia (1999) Dose Administration Aid Guidelines. Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. In addition, men whose pre-statin PSA made them likely candidates for biopsy (>2.5 ng/mL) and who were in the top quartile for LDL reduction (>41%) experienced a 17.4% PSA decline. Dose administration aids guidelines. Only solid oral medicines can be packaged in a DAA. 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