Week 10-14 Flashcards
What is involved with validating a drug order
- The medication chart needs to identify the patient
- Any allergy
- Medication order dated
- Medication written with the generic name and strength of medication
- Route of administration specified
- The dosage documented
- Time of administration documented
- Medication chart signed by the Doctor
- If NO to any of the above do NOT administer the medication.
What are the 5 Rights of drug administration
- The right patient
- The right medication
- The right dose
- The right route
- The right time/date
What is the NSW Legislation that controls drugs
Poisons and Therapeutic Goods Regulation (2008)
Poisons and Therapeutic Goods Act (1966)
What are Schedule 4 and 8 drugs
Schedule 4: Prescription Only Medicine Substances that are prescribed by a person permitted under state or territory legislation to prescribe, and available from a pharmacy by prescription
Schedule 8: Controlled Drug Substances with potential for dependence. E.g Morphine, Pethidine.
What are the medication categories in pregnancy
Category A: These drugs have been taken by a large number of pregnant women without identified risk
to the fetus.
Category B1: These drugs have been taken by limited numbers of women without evidence of increased
fetal malformation or other harmful effect. Animal studies have not indicated a higher than
normal incidence of fetal impairment.
Category B2: These drugs have been taken by limited numbers of women without evidence of increased
fetal malformation or other harmful effect. Animal studies are inadequate. There is no data
to suggest increased risk.
Category B3: These drugs have been taken by limited numbers of women without evidence of increased
fetal malformation or other harmful effect. Animal studies have shown increased incidence
of fetal effects.
Category C: These drugs have caused or been suspected to cause harmful fetal or neonatal effects, but
the effects are often reversible and not congenital malformations.
Category D: These drugs have caused, or have been suspected as causing, fetal malformation or
irreversible damage.
Category X: These drugs are not recommended for use in pregnancy due to a high risk of causing
permanent damage to the fetus.
What is the aim of quality documentation
- To provide evidence of care and the patient’s response to that care
- To be an important source of reference between members of the health care team
- To facilitate the continuity of quality care by keeping all members of the team informed of the current health status
- To improve outcomes for patients
- To protect staff if they are called upon to explain the care they have given in any circumstance
What are the general principles of documentation
- Line drawn across any empty space
- No blank lines
- Must be legible
- Incorrect entry must remain readable – draw single line through it, write ‘written in error’ and initial
- Must follow BU documentation guidelines
- ‘Taken over care’ report
- Minimum 2 hrs between reports or if changes
Under the Child and Young People Act 2008 (ACT)..
Define: Child and young person
- a child is a person under the age of 12 (section 7)
- a young person is a person aged 12 or older but not yet considered and adult (section 8)
What are the 6 strategies of the “Protecting children is everyone’s business” National framework for protecting Australia’s children 2009-2020
- Children live in safe and supportive families and communities
- Children and families access adequate support to promote safety and intervene early
- Risk factors for child abuse and neglect are addressed
- Children who have been abused or neglected receive the support and care they need for their safety and wellbeing
- Indigenous children are supported and safe in their families and communities
- Child sexual abuse and exploitation is prevented and survivors receive adequate support
What is the Keep It Safe initiative
Is part of a 5 year plan established by NSW Government to reform child protection in NSW
What is the NSW Child Protection Act
Children and Young Persons (Care and Protection) Act 1988 (NSW)
Children and Young Persons (Care and Protection) Act 1998
Section 8
What are the objects of this Act?
(a) that children and young persons receive such care and protection as is necessary for their safety, welfare and well-being, having regard to the capacity of their parents or other persons responsible for them, and
(b) that all institutions, services and facilities responsible for the care and protection of children and young persons provide an environment for them that is free of violence and exploitation and provide services that foster their health, developmental needs, spirituality, self-respect and dignity, and
(c) that appropriate assistance is rendered to parents and other persons responsible for children and young persons in the performance of their child-rearing responsibilities in order to promote a safe and nurturing environment.”
Children and Young Persons (Care and Protection) Act 1998
Section 9- Principles for administration of Act
What is the principle of this Act
Subsection One: “This Act is to be administered under the principle that, in any action or decision concerning a particular child or young person, the safety, welfare and well-being of the child or young person are paramount.”
Children and Young Persons (Care and Protection) Act 1998
Section 12- Aboriginal and TSI participation principles
What are the Aboriginal and TSI participation principles
Aboriginal and Torres Strait Islander families, kinship groups, representative organisations and communities are to be given the opportunity, by means approved by the Minister, to participate in decisions made concerning the placement of their children and young persons and in other significant decisions made under this Act that concern their children and young persons
Children and Young Persons (Care and Protection) Act 1998
What sections have reports relevant to midwifery
Section 23: Child or young person at risk of significant harm
Section 24: Report concerning child or young person at risk of significant harm
Section 25: Pre-natal reports
Section 27: Mandatory reporting
Children and Young Persons (Care and Protection) Act 1998
Section 38A- Parents responsibility contracts
Explain: parent responsibility contract
The Act states: a parent responsibility contract is an agreement between the director-General and one or more primary care-givers for a child or young person that contains provisions aimed at improving the parenting skills of the primary care-givers and encouraging them to accept greater responsibility for the child or young person
Children and Young Persons (Care and Protection) Act 1998
Section 44- Assumption of Care
Explain: assumption of care in the act
The Director-General may assume care responsibility of child or young person in hospital or other premises
- (a) suspects on reasonable grounds that a child or young person is at risk of serious harm, and
- (b) is satisfied that it is not in the best interests of the child or young person that the child or young person be removed from the premises in which he or she is currently located