Identify legislation that governs the use of medication.
The Medicines Act 1968
Misuse of Drugs Act 1971
Health and Safety at Work Act 1974
The Mental Capacity Act 2005
The Misuse of Drugs Safe Custody Regulations
The Data Protection Act 1998 plus equality legislation
The Access to Health Records Act 1990
Outline the legal classification system for medication.
The classification system relates to The Medicines Act 1968. The Act has three categories of medicine. Prescription only medication which you can get from your pharmacist but must be prescribed by a practitioner. Pharmacy Only medicines these can be purchased without a prescription.
Policies and procedures must reflect and incorporate legislative requirements as the policies and procedures are set out to legislation in the 1st place. policies and procedures which I put in place to ensure legislations being followed that all people in the care setting off safe and they all need a beer mat up to the standards within the wall. policies and procedures must reflect on legislation to make sure they are carrying out tasks such as administrator on medications in the correct manner.
Know about common types of medication and their use
• Antibiotics- are used to fight infections
• Analgesics- are used to relieve pain
• Antacids- are used to relieve indigestion
• Laxatives- are used to alleviate constipation.
Some changes that can occur to a child’s physical or mental well-being are rashes on the body or mouth, difficulty breathing, swelling, nausea, sickness and diarrhoea, shaking, headaches, drowsiness, constipation and weight gain. You should always check doses and requirements before giving a child any medication.
Understand roles and responsibilities in the use of medication in early years settings
It is the doctor’s job to ensure they prescribe the correct medication with the correct time and dosage to be taken. The chemist’s role is to ensure they give the correct medication that on the prescription and ensuring that the items they give out are correct and are the same as what is written on the prescription. The carers job is to ensure the person needing the medication is given it and ensuring that the dosage, medication and time to be given is all correct. They need to ensure that they are following everything written on the prescription and any information that comes with the medication.
Explain roles and responsibilities relating to use of ‘over the counter’ remedies and supplements.
If parents were using over the counter remedies for their children, then staff would need to ask where they got it and why they are taking it. They would them need to inform the manager and document it in the care plan. If the parent cannot give a valid reason as to why the child needs the medication then it would be taken away and not given to the child, you would then need to report this to the manager.
Explain the procedure for reporting issues associated with medication.
Every setting has policies and procedures in place to report any issues with medication. You will have to keep clear records of all medication making sure you note down the amount of dosage, name of child, date and time of medication took. If there are any issues involving medication you need to report it to the highest manager within the setting, the parents or carers and emergency services. You need to make sure that all medical information is accurate and up to date. If there are any minor issues you need to ensure that you tell the parents and carers just in case problem, occur at a later time.
You can administer medication through-
• Sublingually- which is tablets or liquids administered under the tongue to be absorbed quicker.
• Inhalation- this is mostly used for people who have raspatory problems such as asthma and the medication are inhaled.
• Injections- this is where medicine is injected into large muscles in the body.
• Intravenous- this is when medicine is injected straight into the veins to be absorbed the quickest, this usually helps in life threatening situation.
• Subcutaneous injection- is when medicine is administered underneath the skin.
• Instillation administration- is a liquid medicine that can be administered in the eyes, nose and ears.
• Rectal administration- this is the quickest way to get medicine to be absorbed into the body.
Most medicines are created for oral administration which means they are taken through the mouth in forms such as tablets, capsules or liquids. Medicines come in different shape, size, colours and tastes. Tablets and capsules are solid forms of medicine that are made to aid compliance and reduce adverse effects. Liquid medicines are measured in 2.5ml or 5ml by using a cup, spoon or syringe.
Most liquid medications are normally administered through plastic cups, spoons or syringes. Injections are usually injected with needles. EpiPen’s are used to treat anyone with an extreme allergic reaction. Medications could be given to people through plaster or patches and creams. All medication needs to be kept in the appropriate storage sometime may need to refrigerate.
It is vital that you get clear written permission and instruction on use of medication and that it is clear that staff have fully consent before administering medication to a child.
For older children who may self-medicate such as EpiPen’s and inhalers must again have clear permission and consent from both carer and medical professionals. It needs to be clear to staff how, when and where the procedures are carried out before and self-administration of medication is carried out. All medication needs to be kept confidential even if you are not the one giving the medication.
You need to keep the persons dignity and privacy in mind no matter their age as there may be sensitive issues to an illness or the process of receiving the mediation. You should be able to find a quiet and comfortable place for information to be shared however still be in sight of another member of staff.
You must not discuss and medical information with other parents or carers unless it was an issue that would affect them in which case the issue should be fully explain and why is was necessary to share the information.
A risk assessment will not take away the ricks but will enable staff to identify them and do as much as possible to reduce them. For example, if a child was self-administrating them selves for diabetes the risk assessment may include the storage and location of medication, a place to dispose of needles/syringes, it will list any possible side effects or reaction to look out for. You will need to have clear written consent and a care plan would need to file next to the medication to ensure the best possible outcome.
In some situation families my request that medication is to be stopped, this may be because they feel that the persons quality of life has deteriorated, and they should not go on. another issue could be the family’s religion or personal beliefs for example the person could be a vegetarian so will not take medication such as capsules as they contain gelatine which is an animal product. These issues can be resolved for example a doctor prescribing other medication.