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Top 5 Myths About Compliance Aids In Social Care
By Generic Pharmacy is an online pharmacy offering a range of quality generic prescription medications manufactured in India
Compliance aids are used extensively in social care and I would like to take this opportunity to clear up a few myths about them if I may. Myth #1 In order to support a service user with his or her medication it must be in a monitored dosage system (MDS)
This is incorrect. There is absolutely no legal or ethical reason why medication needs to be in a monitored dosage system. It can just as easily and safely be supported from bottles, boxes and original packs as long as the correct checks are made, the dose instructions followed and good records kept. Incidentally these things have to happen for MDS too. Myth #2 All tablets and capsules can be put into a MDS
This is incorrect. Not all tablets and capsules will remain stable once out of their original packaging and therefore must be dispensed in their original packs. Myth #3 You can legally support a service user who has their medication put into the MDS by a friend or relative
This is incorrect. All monitored dosage systems must be filled by a pharmacist (or dispensing GP in rural areas). Supporting medication in trays filled by friends or relatives is not legal. If this is happening in your service you should take steps to make changes. Inform relatives or friends that from a certain date (e.g. a month's time) that you will no longer be able to support the service user if they continue to fill the trays themselves. They should go to the pharmacy and request an assessment under the Disability Discrimination Act in order to have the medication dispensed by the pharmacy into a suitable MDS. If the service user meets the criteria of the Disability Discrimination Act they will be entitled to this service free of charge from the pharmacy. Myth #4 All MDS systems are appropriate for use in social care.
This is incorrect. Any MDS system used in both care homes and domiciliary care must be dispensed by the pharmacy into a system that is able to be properly labelled to identify it's contents on the actual pack containing the medication. The system used should also be tamper evident and secure.
Any system that does not meet this requirement should not be dispensed into by the pharmacy for use in social care. This includes the little "finger" type systems that have a different "finger" per day that can be taken separately from the pack. These systems have historically been purchased by the service user and filled by the pharmacy which is fine if they are assessed and unsupported, for you though as care staff supporting service users they are not suitable. If you have clients using these systems please ask the pharmacy to provide a system that meets labelling and security requirements. Myth #5 The pharmacy dispensed the medication into the tray and therefore it's nothing to do with me,
not my responsibility to make any checks.
This is not correct. You have a legal obligation to check that the right patient receives the right medicine by the right route in the right dose at the right times. So, you then need to check the name on the pack is the right service user. You need to check that the contents of the pack match both what was ordered on the prescription and what is on the medication administration record. You need to check that the strength of the medication is what was expected and that the instructions for use are the same. Do the time slots in the pack match the administration times and do you know exactly how this medication is to taken, used or applied? I do hope that this has cleared up many common misperceptions about monitored dosage systems and that as a result you will check your policies and procedures and update where necessary. If you have any further questions about compliance aids or would like support in writing or reviewing polices please contact:- Tracey Dowe Email training@momentumpeople.co.uk Tel 01793 700929 www.momentumpeople.co.uk Tracey Dowe is a qualified pharmacist with over 25 years in the business, Life coach, Master Strategist and Trainer with a mission to "Inspire others to find the best in themselves and to give the best of themselves". Tracey has worked with many large social care organisations to deliver medication training, advise on policies and procedures and give lectures on the specialised and highly important area of medicines management in care. Tracey is passionate about people, health and pharmacy and combines them her business life to ensure that workers in social care get the best training in medicines management that there is out there delivered by an expert. It gives the care agencies peace of mind that their teams are knowledgeable and that they understand the importance of keeping good records. It allows the people receiving the care to be better supported and safely looked after. Tracey runs a variety of accredited medicines management and other courses through her company Momentum People Ltd. Courses include:- An Introduction to Medicines Management for Domiciliary Care An Introduction to Medicines Management for Home Care Foundation Course in Medicines Management for Domiciliary Care Foundation Course in Medicines Management for Home Care Accredited courses in medicines management for home care and domiciliary care workers Medication Needs Assessment Training Communication Skills Training Presentation Skills Training Leadership Training You can find out more by visiting http://www.momentumpeople.co.uk Email training@momentumpeople.co.uk or call 01793 700929
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