Legislation and national guidance related to the administration of medication

Deddfwriaeth a chanllawiau cenedlaethol sy'n ymwneud â rhoi meddyginiaeth

Drug Capsule

Legislation and national guidelines are in place to ensure that medications are safely administered.

These include:

  • Social Services and Well-being (Wales) Act 2014
  • Misuse of Drugs Act 1971 (regulations 1972 and 2001)
  • Health Act 2006 (Controlled Medication)
  • Control of Substances Hazardous to Health (COSHH) 1999
  • Hazardous Waste Regulations 2005
  • Mental Health Act 2007
  • Mental Capacity Act 2005 and associated Code of Practice
  • All Wales Guidance for Health Boards/trusts in respect of medicines and Health Care Support Workers November 2015

Mae deddfwriaeth a chanllawiau cenedlaethol ar waith er mwyn sicrhau bod meddyginiaethau'n cael eu rhoi'n ddiogel.

Mae’r rhain yn cynnwys:

  • Deddf Gwasanaethau Cymdeithasol a Llesiant (Cymru) 2014
  • Deddf Camddefnyddio Cyffuriau 1971 (rheoliadau 1972 a 2001)
  • Deddf Iechyd 2006 (Meddyginiaeth a Reolir)
  • Rheoliadau Rheoli Sylweddau Peryglus i Iechyd (COSHH) 1999
  • Rheoliadau Gwastraff Peryglus 2005
  • Deddf Iechyd Meddwl 2007
  • Deddf Galluedd Meddyliol 2005 a Chod Ymarfer cysylltiedig
  • Canllawiau Cymru Gyfan ar gyfer Byrddau Iechyd/ymddiriedolaethau iechyd mewn perthynas â meddyginiaethau a Gweithwyr Cymorth Gofal Iechyd Tachwedd 2015

Legislation and national guidance related to the administration of medication

Deddfwriaeth a chanllawiau cenedlaethol sy'n ymwneud â rhoi meddyginiaeth

Which of these pieces of legislation and guidance relate to the administration of medication? Drag the pieces of legislation and guidance to the correct columns.

Pa rai o'r darnau o ddeddfwriaeth a'r canllawiau hyn sy'n ymwneud â rhoi meddyginiaeth? Llusgwch y darnau o ddeddfwriaeth a'r canllawiau i mewn i'r colofnau cywir.



      Roles and responsibilities of those involved in prescribing, dispensing and supporting the use of medication

      Rolau a chyfrifoldebau'r rheini sy'n gysylltiedig â rhagnodi meddyginiaeth, ei rhoi a helpu i'w chymryd

      Pharmacist

      Policies and procedures in settings related to medication are put in place to ensure that legislation is being followed so that both practitioners and those being cared for are safe. Policies will outline the roles of different individuals in the administration of medication within organisations.

      It is the role of the doctor to prescribe medication indicating the dose, type and amount of medication to be given. The doctor should explain what the medication is for and any side effects that might be experienced.

      It is the chemist’s/pharmacist’s role to dispense the medication, checking that the medication dispensed matches the prescription. The medication should be labelled with details such as the name of the individual who is to take the medication, the name of the medication, the date it is supplied and expiry date, the dose to be taken, how it is to be taken (e.g. orally / intravenously) and how often. Any special instructions (e.g. eat before or after food) should be recorded.

      In the case of ‘over the counter’ medicines, the pharmacist has a responsibility to make sure the medicine is suitable for the individual and the medical condition they want it for. The risks associated with administering non-prescribed medication occur when there is not sufficient knowledge about potential interactions with other medicines already taken. In a social care setting, the manager should ensure that policies and procedures are in place that meet regulatory requirements and that staff have regularly updated training on the administration of medication. They should ensure that care plans and record keeping systems are in place.

      Before administering over the counter medicine, care workers should be familiar with organisational policy in relation to those medicines.

      Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 states that: ‘The registered person must protect service users against the risks associated with the unsafe use and management of medicines, by means of the making of appropriate arrangements for the obtaining, recording, handling, using, safe keeping, dispensing, safe administration and disposal of medicines used for the purposes of the regulated activity.’

      In the case of ‘over the counter’ medicines, the manager has a responsibility to confirm with the resident’s General Practitioner that they will not interact with prescribed medication.

      It is the carer’s role to ensure that the patient gets their medication. They need to ensure they give the correct dose of the correct medication at the correct time. The respect and dignity of the individual should be maintained during the administration of medication. Records of administration of medication with date, time and dose should be kept.

      Carers should be aware that ‘over the counter’ medicines shouldn’t be taken with prescribed medicines unless a doctor or pharmacist has confirmed that it is safe.

      Caiff polisïau a gweithdrefnau sy'n ymwneud â meddyginiaeth eu rhoi ar waith mewn lleoliadau er mwyn sicrhau bod deddfwriaeth yn cael ei dilyn fel bod ymarferwyr a'r rhai sy'n derbyn gofal yn ddiogel. Bydd polisïau'n amlinellu rolau gwahanol unigolion yn y broses o roi meddyginiaeth mewn sefydliadau.

      Rôl y meddyg yw rhagnodi meddyginiaeth gan nodi'r dos, y math o feddyginiaeth i'w rhoi a faint ohoni. Dylai'r meddyg esbonio beth mae'r feddyginiaeth yn ei wneud ac unrhyw sgil effeithiau.

      Rôl y fferyllydd yw dosbarthu'r feddyginiaeth, gan sicrhau ei fod yn gwneud hynny'n unol â'r presgripsiwn. Dylai'r feddyginiaeth gael ei labelu gan roi manylion fel enw'r unigolyn a fydd yn cymryd y feddyginiaeth, enw'r feddyginiaeth, y dyddiad y caiff ei chyflenwi a'r dyddiad dod i ben, y dos i'w gymryd, sut i'w chymryd (e.e. drwy'r geg / drwy wythïen) a pha mor aml. Dylid cofnodi unrhyw gyfarwyddiadau arbennig, (e.e. cymryd cyn neu ar ôl bwyd).

      Yn achos meddyginiaethau ‘dros y cownter’, mae cyfrifoldeb ar y fferyllydd i sicrhau bod y feddyginiaeth yn addas i'r unigolyn a'r cyflwr meddygol sydd ganddo. Bydd y risgiau sy'n gysylltiedig â rhoi meddyginiaeth heb eu rhagnodi yn codi pan nad oes gwybodaeth ddigonol am ryngweithio posibl â meddyginiaethau eraill sydd eisoes wedi'u cymryd. Mewn lleoliad gofal cymdeithasol, dylai'r rheolwr sicrhau bod polisïau a gweithdrefnau ar waith sy'n bodloni gofynion rheoliadol a bod y staff yn cael hyfforddiant cyfredol yn rheolaidd ar roi meddyginiaeth. Dylai sicrhau bod cynlluniau gofal a systemau cadw cofnodion ar waith.

      Cyn rhoi meddyginiaeth dros y cownter, dylai gweithwyr gofal fod yn gyfarwydd â pholisi'r sefydliad mewn perthynas â'r meddyginiaethau hynny.

      Mae Rheoliad 13 o Ddeddf Iechyd a Gofal Cymdeithasol 2008 (Gweithgareddau a Reoleiddir) Rheoliadau 2010 yn nodi: ‘The registered person must protect service users against the risks associated with the unsafe use and management of medicines, by means of the making of appropriate arrangements for the obtaining, recording, handling, using, safe keeping, dispensing, safe administration and disposal of medicines used for the purposes of the regulated activity.’

      Yn achos meddyginiaethau ‘dros y cownter’, mae cyfrifoldeb ar y rheolwr i gadarnhau gyda meddyg teulu'r preswyliwr na fydd unrhyw feddyginiaethau dros y cownter yn rhyngweithio â'r feddyginiaeth a ragnodwyd.

      Rôl y gofalwr yw sicrhau bod y claf yn cael ei feddyginiaeth. Mae angen iddo sicrhau ei fod yn rhoi'r feddyginiaeth gywir ar yr adeg gywir, ac yn rhoi'r dos cywir. Dylid cynnal parch ac urddas yr unigolyn wrth roi meddyginiaeth. Dylid cadw cofnodion o roi meddyginiaeth sy'n cynnwys y dyddiad, yr amser a'r dos.

      Dylai gofalwyr fod yn ymwybodol na ddylai meddyginiaethau ‘dros y cownter’ gael eu cymryd ar y cyd â meddyginiaethau a ragnodwyd, oni bai bod meddyg neu fferyllydd wedi cadarnhau bod hynny'n ddiogel.

      Roles and responsibilities of those involved in prescribing, dispensing and supporting the use of medication

      Rolau a chyfrifoldebau'r rheini sy'n gysylltiedig â rhagnodi meddyginiaeth, ei rhoi a helpu i'w chymryd

      Drag the roles and responsibilities to the correct individuals.

      Llusgwch y rolau a'r cyfrifoldebau at yr unigolion cywir.

      Terms

      Termau

      Definitions

      Diffiniadau

      Correct answers

      Atebion cywir

            The links between misadministration of medication and safeguarding

            Y cysylltiadau rhwng rhoi'r feddyginiaeth anghywir a diogelu

            Administering treatment

            Mistakes can be made at each stage of the medication process by the General Practitioner, pharmacist, manager or carer. Many errors occur through procedures not being followed correctly.

            The misadministration of medication is considered to be a safeguarding issue when there are concerns that there has been:

            • medication withheld without a valid reason
            • incorrect use of medicine other than for the benefit of a resident/patient
            • deliberate act of harm using medication
            • accidental harm caused by an administration of medication error
            • deliberate falsification of records relating to the administration of medication
            • misuse or over-reliance on sedatives to control behaviour.

            Staff in social care settings should be aware that concerns regarding the administration of medication should be reported under safeguarding procedures.

            Gall camgymeriadau gael eu gwneud ar bob cam o'r broses o roi meddyginiaeth, gan y meddyg teulu, y fferyllydd, y rheolwr neu'r gofalwr. Bydd llawer o wallau'n digwydd am nad yw'r gweithdrefnau wedi cael eu dilyn yn gywir.

            Ystyrir bod rhoi'r feddyginiaeth anghywir yn fater diogelu os oes pryderon bod y canlynol wedi digwydd:

            • meddyginiaeth wedi cael ei dal yn ôl heb reswm dilys
            • defnydd anghywir o feddyginiaeth heblaw er budd preswyliwr/claf
            • gweithred niweidiol fwriadol yn defnyddio meddyginiaeth
            • niwed damweiniol a achoswyd drwy wall mewn perthynas â rhoi meddyginiaeth
            • ffugio cofnodion yn fwriadol mewn perthynas â rhoi meddyginiaeth
            • camddefnydd neu orddibyniaeth ar dawelyddion i reoli ymddygiad.

            Dylai staff mewn lleoliadau gofal cymdeithasol fod yn ymwybodol y dylid rhoi gwybod am bryderon mewn perthynas â rhoi meddyginiaeth o dan weithdrefnau diogelu.