medicines administered on an ‘as required’ basis 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. 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. 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. The DAA should be clearly labelled with: 4 Pharmaceutical Society of Australia (1999) Dose Administration Aid Guidelines. Only solid oral medicines can be packaged in a DAA. July 1999. www.psa.org.au 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. It is important that consumers or their carers are supported in making informed decisions about the aid that most suits their needs. 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. The pharmacist should verify a medication order with the prescriber where necessary. an indication in a prominent position that other medicines are contained in another DAA pack/s and are to be administered (e.g. These communications should be recorded and stored according to professional guidelines. 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. Prompts should be given on DAA labels that the consumer is taking other medicines. directions for the use of each medicine Procedures Version 2. Procedures “PSA has in place guidelines and standards for dose administration aids and these were developed to help ensure a dose administration aids service meets the safety and quality requirements of professional practice,” Mr Kardachi said. A carer or another nurse cannot administer medicines contained in a DAA that has been packed by a registered nurse. 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. the name, strength and form of all medicines supplied in the DAA, to enable identification of individual medicines Where medicines are ordered for a defined short-course treatment, or in a complicated regimen, or where there are specific requirements regarding timing of administration in relation to meals and other medicines, such medicines should be in their original container or unit dose packs. Safety and quality 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. July 1999. www.psa.org.au This practice should be restricted to ‘special circumstances’ and should comply with relevant Australian, state or territory legislation, as some states restrict the re-filling of DAAs by registered nurses, as well as being in accordance with organisational policy. 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. medicines that might be affected when the backing of a DAA is heat-sealed, for example, soft gel caps. 4 Pharmaceutical Society of Australia (1999) Dose Administration Aid Guidelines. 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. solid dose cytotoxic preparations details of the person packing the medicine(s) in the DAA 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. date and day of week the medicine is to be administered Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. The DAA should be clearly labelled with: The pharmacist should check for potential interactions and other considerations and with the consumer’s consent, inform the prescriber. Top of page Follow the dilution and administration instructions for Simponi Aria [see Dosage and Administration (2.4)]. Safety and quality 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. 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 following should not be placed in a DAA with other medicines: Also addressed is advice on dealing with the supply of medicines to be issued periodically. Role of care workers Also addressed is advice on dealing with the supply of medicines to be issued periodically. All efforts should be made to have a DAA packed by a pharmacist. 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. 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. Find all of the news and departments you love from the print issue archived for easy online access, along with special Web-only content. A carer or another nurse cannot administer medicines contained in a DAA that has been packed by a registered nurse. Where medicines are ordered for a defined short-course treatment, or in a complicated regimen, or where there are specific requirements regarding timing of administration in relation to meals and other medicines, such medicines should be in their original container or unit dose packs. 1 of 2 DAAs) as applicable. A contract with any other pharmacist not employed by the pharmacy (e.g. The pharmacist should sign off that the correct medicine(s) have been packed into the DAA, in accordance with professional standards and guidelines5. A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. Prompts should be given on DAA labels that the consumer is taking other medicines. DAAs should be packed and fully labelled either by a pharmacist or under the supervision of a pharmacist, in accordance with professional guidelines4. Before packing a DAA, the nurse should liaise with the doctor and dispensing pharmacist to obtain all relevant information. Preparation If the pharmacist is not packing the DAA, information about medicines that might be unstable in a packaging system should be sought from a pharmacist, medicine information service or product information before the system is packed. date of filling July 1999. www.psa.org.au If the pharmacist is not packing the DAA, information about medicines that might be unstable in a packaging system should be sought from a pharmacist, medicine information service or product information before the system is packed. any specific instructions about the use of the medicine, including cautionary and advisory labels, including KEEP OUT OF REACH OF CHILDREN, and information about alteration of the dosage form where appropriate (refer to Guiding Principle 5 – Medication lists) The print font used should be of a size and type easily readable by the consumer. A consumer might want to have complementary health care products and non-prescription medicines included in the DAA. Consumer Medicine Information (CMI) Labelling of the DAA by the registered nurse should also be in accordance with organisational policy. Labelling of the DAA by the registered nurse should also be in accordance with organisational policy. Administration Communication protocols should be set up between the prescriber, the pharmacist, carer and care worker or nominated responsible person. All or part of a consumer’s medication regimen might be provided in a DAA. Quality assurance activities should be implemented to make sure packing processes are audited regularly. medicines that might be affected when the backing of a DAA is heat-sealed, for example, soft gel caps. The DAA should be clearly labelled with: The DAA should be returned to the pharmacist for repackaging if there are any changes to the consumer’s medicines. Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. All or part of a consumer’s medication regimen might be provided in a DAA. directions for the use of each medicine any specific instructions about the use of the medicine, including cautionary and advisory labels, including KEEP OUT OF REACH OF CHILDREN, and information about alteration of the dosage form where appropriate (refer to Guiding Principle 5 – Medication lists) Consumer Medicine Information (CMI) 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. Consumer Medicine Information (CMI) “Many men take NSAIDs for their cardiovascular health, so we need to know whether these agents reduce prostate cancer risk or simply reduce PSA, which would then be even less reliable as a marker of prostate cancer risk,” notes lead investigator Jay H. Fowke, PhD, assistant professor of medicine at Vanderbilt University School of Medicine. Version 2. This practice should be restricted to ‘special circumstances’ and should comply with relevant Australian, state or territory legislation, as some states restrict the re-filling of DAAs by registered nurses, as well as being in accordance with organisational policy. A carer or another nurse cannot administer medicines contained in a DAA that has been packed by a registered nurse. Procedures From the January 05, 2009 Issue of Clinical Advisor, Already have an account? Standards and Guidelines - In addition, PSA provides other services at no cost to government, including the design and delivery of a wide range of professional development and practice support activities; and the development of professional standards and guidelines. They might be difficult to label with medicine information or cautionary labels unless they have been specifically designed for such labelling and they might not be tamper-evident. Quality assurance 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. 2008;100:1511-1518). The print font used should be of a size and type easily readable by the consumer. Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. Quality assurance Labelling FACTS Management, the leader in school management solutions for private and faith-based K–12 schools, has acquired the business of Private School Aid Service (PSAS), a company focused on providing need analysis services for private schools. Labelling Provisions for registered nurses an indication in a prominent position that other medicines are contained in another DAA pack/s and are to be administered (e.g. Dosage in Adults with Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis The Simponi Aria dosage regimen is 2 mg per kg given as an intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter. Preparation It is reasonable to perform some dose rounding in the final dose calculations in order to achieve simplicity of drug administration. Enabling better medication compliance & health management. July 1999. www.psa.org.au If the pharmacist is not packing the DAA, information about medicines that might be unstable in a packaging system should be sought from a pharmacist, medicine information service or product information before the system is packed. Top of page 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. The print font used should be of a size and type easily readable by the consumer. the name, strength and form of all medicines supplied in the DAA, to enable identification of individual medicines The DAA should contain features that will show if the container has been tampered with before the medicine has been administered, depending on the individual requirements of the consumer receiving the medicines. 4 Pharmaceutical Society of Australia (1999) Dose Administration Aid Guidelines. The pharmacist should check for potential interactions and other considerations and with the consumer’s consent, inform the prescriber. DAAs should be packed and fully labelled either by a pharmacist or under the supervision of a pharmacist, in accordance with professional guidelines4. Top of page Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. 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