Competency Framework for the Administration of Medication ...



HS 8 Medication Competency

Westminster Homecare Ltd trading as

Independent Living Network East

MEDICATION PROCEDURE: ASSESSMENT OF COMPETENCE

To be taken in conjunction with HS 7 Medication Policy

All support staff will receive training in the Administration of Medication within their probationary period. The training consists of two parts, the delivered training and an assessment of competency. When both parts have been successfully completed a certificate will be issued verifying both delivered and assessed achievements.

Assessments will be undertaken by ILN East approved assessors who will have undertaken the delivered training within the previous 12 months.

Where there are significant changes to the Medication Administration Process all staff will be required to undertake further delivered training and an additional assessment.

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Name of Support Worker:

Name of Assessor:

Place of Work:

[Please print]

Competency Framework for the Administration of Medication to Individuals Based on HSC375a and b

Refer also to the Cambridgeshire Policy “Assisting People with Prescribed Medication in the Domiciliary Care Setting” and the Cambridgeshire Training Pack “Pills ‘n’ Potions”

| |Performance Criteria |Examples / Evidence |Competent |Comments / Further training needs |Carer signature |Assessor signature |

| |(What I have to do) |(How I do it) |Yes / Not yet |identified | | |

| | | |Date Observed | | | |

| |Prepare to administer medication to individuals |

|1 |Routinely applies standard precautions for infection |Washes hands before assisting with medicines. | | | | |

| |control and any other relevant health and safety measures |Wears gloves when helping with creams | | | | |

|2 |Checks all medication administration records are |Direct observation / discussion | | | | |

| |available, up to date, legible and understood. | | | | | |

|3 |Reports any discrepancies, ambiguities or omissions to the|Specific incidents / possible questions / discussion | | | | |

| |line manager. | | | | | |

|4 |Reads the medication administration record accurately, |Specific incidents / possible questions / discussion | | | | |

| |referring any illegible directions to the line manager |Further information can be found in the medication | | | | |

| |before it is administered. |Information leaflet. | | | | |

|5 |Checks that the individual has not taken any medication |Checks the administration record, confirms with the | | | | |

| |recently, and is aware of the appropriate timing of doses |individual. | | | | |

|6 |Obtains the individual’s consent and offers information, |Direct observation / discussion with individual | | | | |

| |support and reassurance throughout, in a manner which | | | | | |

| |encourages their co-operation and which is appropriate to | | | | | |

| |their needs and concerns. | | | | | |

| |Performance Criteria |Examples / Evidence |Competent |Comments / Further training needs |Carer signature |Assessor signature |

| |(What I have to do) |(How I do it) |Yes / Not yet |identified | | |

|7 |Checks the identity of the individual who is to receive |Confidently and accurately: | | | | |

| |the medication before it is administered, and selects, | | | | | |

| |checks and prepares correctly the medication according to |1. Checks the individual’s name matches that on the | | | | |

| |the medication administration record |pack and on the administration record. | | | | |

| |(The six rights) | | | | | |

| | |2. Selects the medication, | | | | |

| |The right person |checking that the name on the pack matches that on | | | | |

| |The right medicine |the administration record. | | | | |

| |The right dose | | | | | |

| |The right time |3. Selects the correct dose, according to the pack | | | | |

| |The right route |and the administration record. | | | | |

| |The right to refuse | | | | | |

| | |4. Selects the correct timing of the dose according | | | | |

| | |to that on the pack and on the administration record | | | | |

| | | | | | | |

| | |5. Selects the correct route of administration. | | | | |

| | | | | | | |

| | |6. Is aware of the person’s right to refuse to take | | | | |

| | |medication. | | | | |

|8 |Assists the individual to be as self- managing as |Direct observation / discussion with individual | | | | |

| |possible. Refers any problems or queries to the line | | | | | |

| |manager | | | | | |

|9 |Ensure the persons privacy and dignity is preserved at all|Direct observation / discussion with individual | | | | |

| |times. | | | | | |

| |Administer, report on and monitor individual’s medication |

| |Performance Criteria |Examples / Evidence |Competent |Comments / Further training needs |Carer signature |Assessor signature |

| |(What I have to do) |(How I do it) |Yes / Not yet |identified | | |

|10 |Selects the route for the administration of medication |Offers a full glass of water with tablets and | | | | |

| |according to the care plan and the drug and prepares the |capsules. | | | | |

| |individual appropriately |Ensures individual is sitting upright for oral | | | | |

| | |medicines. | | | | |

| | |Notes any special instructions, e.g. do not crush, | | | | |

| | |allow to dissolve under the tongue etc | | | | |

|11 |Safely assists with the medication |Direct observation / discussion with individual. | | | | |

| |Following the written instructions and in line with | | | | | |

| |legislation and local policies | | | | | |

| |In a way which minimises pain, discomfort and trauma to | | | | | |

| |the individual | | | | | |

|12 |Reports any immediate problems appropriately |May include refusal, inability to take medication | | | | |

| | |etc. | | | | |

|13 |Checks and confirms that the individual actually takes the|Direct observation | | | | |

| |medication | | | | | |

|14 |Monitors the individual’s condition throughout, recognises|Adverse effects may include swelling, skin rash, | | | | |

| |any obvious adverse effects and takes the appropriate |fainting / giddiness, constipation, drowsiness. | | | | |

| |action without delay |Checks medication information leaflet. | | | | |

|15 |Clearly and accurately enters relevant information in the |Accurately documents assistance given, doses refused | | | | |

| |correct records. |or missed for other reasons | | | | |

| |Performance Criteria |Examples / Evidence |Competent |Comments / Further training needs |Carer signature |Assessor signature |

| |(What I have to do) |(How I do it) |Yes / Not yet |identified | | |

|16 |Maintains security of medication throughout the process |Awareness of other people in the household, | | | | |

| |and returns it to the correct place for storage |grandchildren, visitors etc. | | | | |

| | |Attention to instructions to store in a fridge, etc. | | | | |

|17 |Monitors and rotates stocks of medication, paying |Ensures one pack of a medicine is used before | | | | |

| |attention to appropriate storage conditions, and reports |starting the next. | | | | |

| |any discrepancies in stocks immediately to the relevant | | | | | |

| |person (line manager) | | | | | |

|18 |Disposes of out of date and part-used medication in |Direct observation / discussion | | | | |

| |accordance with legal and local requirements, with the | | | | | |

| |permission of the client | | | | | |

|19 |Returns medication administration records to the agreed |Direct observation | | | | |

| |place for storage and maintains the confidentiality of | | | | | |

| |information relating to the individual at all times | | | | | |

Responsibility of Health and Social Care Staff

Health and Social Care staff have a responsibility to work within their areas of training and competence. They must not place themselves or the service user at risk. If they have any concerns they should contact their line manager in the first instance.

Glossary

1. Individual:

Service User who is being assisted with medication.

2. Medication Administration Record - Also known as the “Home Medication Record” and the “Administration Record”:

Form agreed by management to record the administration of medication

3. Line Manager:

The person who directly manages the person giving the care

4. Medication Information Leaflet:

Information leaflet supplied with the medication.

5. Route for administration of medicines:

Whether medication is to be taken by mouth, inhaled, applied to the skin, given rectally, injected etc.

Manager’s Comments:

Manager’s Name [please print]:……………………………………………………….

Manager’s Signature:……………………………………………………………………Date:………………………………………………..

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Recommended by: Phil Seal

Date Approved: August 2011

Document responsibility: Phil Seal

Version: 1

Date of publication: October 2011

Review date: October 2012

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