UNCONTROLLED WHEN PRINTED

Medications are only to be administered by trained and authorised staff.

Rights of Medication Administration

Prior to medication administration, the following six rights of safe medication administration must be observed:

Right PatientEnsure this medication is indicated for this patient and not contraindicated.
Right MedicationEnsure that the medication chosen to be administered is correct and in date. Read aloud the following (ideally to partner, but in general as is good practice), the medication label, the presentation and expiry date.
Right DoseStaff should not rely on knowledge of the Medication Protocols and are encouraged to cross check the latest version of the Clinical Resources and to confirm with partner that the dosage and concentration match the protocol and is correct for the patients presenting condition.
Right TimeIf the medication administration is to be repeated or if the patient has already self-administered a medication, ensure the appropriate time has passed before re-administering.
Right RouteStaff should not rely on knowledge of the Medication Protocols and are encouraged to cross check the latest version of the Clinical Resources and to confirm with partner that the medication being administered is being done so in the correct dosage via the correct route.
Right DocumentationThe minimum documentation standard for any medication administered (which is automatically populated when entered into ePCR interventions) is:
  • The name of the medication
  • The time that the medication was administered
  • The route administered
  • The dosage/size of the medication administered
  • The effectiveness of medication treating the indicated cause
  • The AP number of the administering officer

Medication Handling

  • Medications must be labelled where medication labels are provided. St John provides labels for the following medications:
label-adrenaline
label-amiodarone
label-atropine
label-fentanyl
label-ketamine
label-lignocaine
label-metoclopramide
label-midazolam
label-naloxone
label-ondansetron
label-saline

ePCR Incident/Patient Assessment Details

  • For full disclosure to the receiving facility, it is good practice to document in the ePCR free-text all medications administered in total amounts, their effectiveness and clinical rationale.

References
References

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Date

Review Date

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