Problem 15: Drug Management for Transferring Care Flashcards
Explain how you can ensure medicines compliance aids are used appropriately?
Every patient identified as having medicines adherence issues should have a robust individual assessment to identify the best intervention based on their needs. This assessment includes clinical review, reasons for non-adherence, med suitability and consideration of all options.
Options include reminder packaging such as
monitored dosage systems, calendar blisters, dose administration aids with sliding lids, or unit
dose packaging.
To obtain a marketing authorisation for a medicine, data must be submitted to the licensing
authority that demonstrates the medicine in its packaging remains within its product specification
throughout its entire shelf life. The removal of a medicine from the manufacturer‟s original
packaging and its repackaging into an MCA will often be an unlicensed use of the product which
will impact upon the stability of the medicine and increase the level of responsibility for decisions
made, risks and liabilities. To illustrate this point, generic omeprazole is
reported to be hygroscopic and unsuitable for inclusion in a compliance aid, while Losec capsules,
a proprietary form of omeprazole, are stable for 14 days at room temperature and up to 75%
relative humidity.
The UK Medicines Information (UKMi) executive is developing an open access, web accessible,
searchable database to provide information and guidance about the stability of solid dosage
forms of medicines stored outside of their original packaging
Describe the factors you should consider before putting medicines into a dosette box
Stability of the medicine once removed from the original packaging (light, water etc)
Other medications packaged in the MCA at the same time (atenolol and aspirin).
Can’t include as much information in the labelling etc.
Depending on the medication prescribed for a particular patient, this is likely to mean that care
providers or patients will have at least two different medicines administration systems operating to
ensure that all medicines are administered to the right patient at the right time at the right dose.
This results in a more complex medicines administration system, compared to the use of only one
system (i.e. the use of original packs for all medicines supported by a Medicines Chart and/or
Medicines Administration Record
Explain what your answer would be should your patient be prescribed liquid medicines
Biodose MDS are available for solid dosage forms and liquid dosage forms.
Virtual dispensing, from prescription to pod, sealed and delivered, check in (patients medication premeasured and sealed is delivered to patients care home or home with MAR chart and PIC charts. Resident photos on each tray as means of identification, final checks.
When patients go out they can transfer the pods to a HandyPak
