4.3 Management of Medication

Management of Medication

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4.3 Management of Medication Contents Preamble ............................................................................................................................. 3 4.3.1 Medication Records................................................................................................. 3 4.3.2 Medication Management Training ........................................................................... 3 4.3.3 Safe Storage ........................................................................................................... 5 Procedures .......................................................................................................................... 5 Medication ........................................................................................................................ 5 Assisting a Client to Self-medicate ................................................................................... 6 PRN Medication ............................................................................................................... 6 Summary ............................................................................................................................. 6 Supporting Documents ........................................................................................................ 7 Policies ............................................................................................................................. 7 Forms ............................................................................................................................... 7 Information ....................................................................................................................... 7 NGO Training ................................................................................................................... 7 Legislation ........................................................................................................................ 7 NDIS Practice Standards and Quality Indicators ................................................................. 8 4.3 Management of Medication ........................................................................................ 8 Human Services Quality Standards ..................................................................................... 9 4 Safety, Wellbeing and Rights ........................................................................................ 9 6 Human Resources......................................................................................................... 9 Delegation of Authority......................................................................................................... 9 Version Details ................................................................................................................... 10

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Preamble BigDog Support Services Pty Ltd and Scottvale Health Club Group (BigDog) has a commitment to the maintenance of safe and effective practices in assisting clients in the management of their individual medication regimes to the level of support they require.

Each client requiring medication is confident that BigDog administers, stores and monitors the effects of their medication and works to prevent errors or incidents.

4.3.1 Medication Records Medication received on behalf of clients by workers will be recorded on a Medication Receipt/Disposal form. Outgoing empty packs will also be recorded on this same form.

Medication Registers will be created for each client’s medication detailing the names and dosages of all medications contained in the medication packs. This information will also be recorded on the Client Medication Register.

Each worker will record the time the medication assistance is given on the appropriate Client Medication Register form.

The worker assisting the client will observe while the client ingests the medication.

In cases where the client refuses the medication or is unable to ingest the medication (e.g. vomiting) a note should be made on the Client Medication Register. A medical practitioner needs to be consulted via the office should refusals continue to occur.

4.3.2 Medication Management Training All BigDog support workers are required to undertake NGO Training Medication Management module at the time of their induction and thereafter every 12 months.

One of the recommendations to reduce medication errors and harm is to use the “seven rights” when assisting someone to take their medication. Even though the role of the support worker is to assist the client only, there is still a duty of care to ensure that the following aspects are considered.

The seven rights of medication assistance are as follows: 1. Right Medication – ensure that the medication is the right medication 2. Right Client – ensuring that the medication is labelled for that client 3. Right Dosage – ensuring that the dosage recorded is the same as that taken 4. Right Route – ensuring that the self-medication is in the correct manner 5. Right Time – ensuring that the medication is being taken at the time recommended 6. Right Reason – taken only as necessary 7. Right Documentation – use the appropriate documentation to record the event

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Common Forms of Medication

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4.3.3 Safe Storage In all situations where BigDog is involved in medication assistance it will be the responsibility of support workers to ensure the security of all medication.

Where there are specific storage requirements (e.g. refrigeration) it will be the responsibility of the client to provide appropriate facilities.

Injectable medications (e.g. insulin) are to be retained in a locked facility and a used sharps container is to be provided for disposal of used implements.

All sharps and syringes are to be logged as used and disposed of in the Sharp’s Container.

It should be noted that only registered nursing personnel, other appropriately trained staff or the individual themselves are to use these products. Support workers have a responsibility to maintain the register and the security of these implements. Protocols will be in place on an individual basis.

BigDog considers the following medical practitioners to be qualified or authorised with assisting clients with medication.

General Practitioner Medical Specialist Registrars of Hospitals Attending Ambulance Officers Attending District Nurses (RN’s) Pharmacist Registered Community Mental Health workers with appropriate documentation from qualified personnel

Procedures Medication If a client requires assistance to take medication that can only be obtained via prescription, a written permission form must be completed and signed by a general practitioner or specialist.

BigDog will only assist with medication where a pharmacist has dispensed medication into a Webster-Pak. Staff will not handle medication in any other form of containers unless directly requested by the client, Statutory Health Attorney or qualified medical officer. Staff will only assist clients to take medication that is available without a prescription if authorised in writing to do so, by the client, Statutory Health Attorney or qualified medical officer.

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Assisting a Client to Self-medicate 1. Support worker will show the medication to the client 2. Support worker will assist the client to identify their name as per blister pack 3. Support worker will assist the client in identifying the appropriate time and dosage.

4. When the client has identified their medication the support worker will assist the client in releasing the medication from the pack.

5. On emptying the capsule, the support worker will remove any remaining foil/paper from the rear of the pack and ensure no medication remains within the capsule.

6. The support worker is to ensure medication is placed in a hygienic accessible position for the individual client (this may require individual consideration)

PRN Medication PRN medication is to be clearly identified and the medical directives for usage clearly established and included in the client’s file.

No staff member is to assist a client with PRN medication without having conferred with a director, or the coordinator on call.

Some clients who self-determine medication needs including PRN will be identified to support staff. In these situations, staff shall record all such assistance as above on the required Medication PRN Form.

Staff will report any issues of concern regarding medication to On-Call e.g. missing medication, client non-compliant behaviour, and adverse reactions or unaccounted for discrepancies in registers.

Staff should report to a coordinator in the first instance for each client if stocks of regular medication are insufficient for the support period. Rostered Friday staff will ensure adequate supplies of medication for the ensuing week including long weekends.

It will then become the responsibility of the Directors to assist the client in the gaining and filling the necessary prescriptions.

Coordinators will routinely, on a monthly basis, check medications for expiry dates. All out of date medication is to be recorded on Medication Receipt Disposal Form and returned to the office or returned to the Pharmacy of origin with advice to the office.

Summary BigDog records clearly identify the medication and dosage required by each client, including all information required to correctly identify the client and to assist with self-medication.

All workers understand the steps to take in the event of an incident involving medication.

All medications are stored safely and securely, can be easily identified and differentiated, and are only accessed by appropriately trained workers.

The National Principles for Child Safe Organisations outline the importance of BigDog having effective policies and procedures that document how BigDog is safe for children and young people and also emphasise the importance of embedding child safety and wellbeing in organisational leadership, governance and culture.

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Supporting Documents Policies 3.4.5 Code of Conduct Individual Needs Safety, Well-being and Human Rights

Forms Incident Report Form Medication PRN Medication Receipt/Disposal Client Medical Form Client Medication Register Client Risk Assessment

Information Human Services Quality Framework October 2021 Version 8 Management of Medication Manual 2022 NDIS Practice Alerts NDIS Practice Standards November 2021 Version 4

NGO Training Child Safe Organisations Code of Conduct Comprehensive Health Assessments (PA03) Dysphagia (PA04) Epilepsy Management (PA05) Management of Medication Medicine and Swallowing Problems (PA07) Polypharmacy (PA01) Transitions of Care (PA02)

Legislation Child Safe Organisations Act 2024 (QLD) Disability Services Act 2006 (QLD) Disability Services and Inclusion Act 2023 (Cwth) Health Act 1937 (QLD) Health Regulation Act 1996 (QLD) National Disability Insurance Scheme Act 2013 (Cwth) NDIS (Provider Registration and Practice Standards) Amendment Rules 2021

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NDIS Practice Standards and Quality Indicators BigDog Support Services Pty Ltd (BigDog) is a registered NDIS provider and is required to apply the scheme’s practice standard and quality indicators.

The standards have been developed to create an important benchmark to assess provider performance and ensure that high quality and safe supports and services are provided to NDIS participants.

The four core modules are: 1.0 Rights and Responsibilities; 2.0 Governance and Operational Management; 3.0 The Provision of Supports; and 4.0 The Support Provision Environment.

The supplementary modules cover: 5.0 Specialist Support 5.1 High intensity daily personal activities.

5.3 Implementing behaviour support plans.

4.3 Management of Medication Each participant requiring medication is confident their provider administers, stores and monitors the effects of their medication and works to prevent errors or incidents.

4.3.1 Records clearly identify the medication and dosage required by each participant, including all information required to correctly identify the participant and to safely administer the medication.

4.3.2 All workers responsible for administering medication understand the effects and sideeffects of the medication and the steps to take in the event of an incident involving medication.

4.3.3 All medications are stored safely and securely, can be easily identified and differentiated, and are only accessed by appropriately trained workers.

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Human Services Quality Standards The Human Services Quality Standards set a benchmark for the quality of service provision.

Each Standard is supported by a set of performance indicators which outline what an organisation is required to demonstrate to meet that standard.

4 Safety, Wellbeing and Rights The safety, wellbeing and human and legal rights of people using services are protected and promoted.

4.2 BigDog proactively prevents, identifies and responds to risks to the safety and wellbeing of people using services.

4.3 BigDog has processes for reporting and responding to potential or actual harm, abuse and/or neglect that may occur for people using services.

6 Human Resources Effective human resource management systems, including recruitment, induction and supervisory processes, result in quality service provision.

6.1 BigDog has human resource management systems that are consistent with regulatory requirements, industrial relations legislation, work health and safety legislation and relevant agreements or awards.

6.3 BigDog provides people working in BigDog with induction, training and development opportunities relevant to their roles.

Delegation of Authority Name

Position

Details

Courtney Carroll

Director

Authorise review and implementation

Ann Paull

Company Secretary

Manage Finances

Steven Paull

Policy Management

Policy management, review and training

Monique Paull

HR Lawyer

Ensure compliance by workers

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Version Details This policy will be reviewed every twelve (12) months unless circumstances deem it necessary to review earlier. The review process will involve an analysis of the usefulness of the policy and to note any changes which are required to improve the policy.

If minor changes are made in wording or to clarify the intent, the version number will indicate this by adding a ‘point’ i.e. Version 1.0 indicates the original version and 1.1 with the first round of minor changes made. A significant change or intent of the policy will be indicated by a whole new number i.e. Version 2.0.

The following rules also apply in interpreting this policy: • Headings are for convenience only and do not affect interpretation.

• A singular word includes the plural and vice versa.

• A word that suggests one gender includes the other genders.

Date

V

July 2009

1.0 New Policy Medication

March 2011

1.1 Replace BDS with BigDog Replace Service Provider with BigDog

March 2012

1.2 Header includes new logo and page of pages

October 2013

2.0 HSQF Standards replace Service Standard Indicators Training sub-heading added to Supporting Documents Word converted to Office 2013 DOCX

February 2015

2.1 Updated term 'Client' to NDIS term 'Participant'

July 2016

3.0 Changed to a procedure Added information regarding permission for different types of medication Added 5 Rs paragraph Added Community Mental Health to CMH Changed eg. To e.g.

Changed policies to procedures Changed ‘designated medical officers’ to ‘coordinator on call.’

3.1 Removed Procedure Updated logo Included Common Forms of Medication section

June 2018

Details

January 2019

4.0 Updated to new logo and style guide

January 2020

5.0 Removed HSQF Standards Indicators and Policy matched with NDIS Practice Standards and Quality Indicators Front cover updated to Standards colour identification Supporting Policies updated 5.1 Updated Responsible Officers details

January 2021

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Date

V

January 2022

5.2 Updated responsible officers, training, and practice alerts NDIS Practice Standards November 2021 Version 4

January 2023

6.0 Included Human Services Quality Standards and Child Protection Act and the term “Participant” is returned to “Client” to allow for policies to cover NDIS and Child Safety.

Term “Employee” changed to “Worker” for consistency.

January 2024

6.1 Disability Services Act 1986 replaced with Disability Services and Inclusion Act 2023 and policy review process included.

Included Medication Training in NGO Induction Group

June 2025

6.2 Scottvale Health Club included in policy Steven Paull has retired, responsible officers updated

January 2026

6.3 Updated Responsible Officers details Included Child Safe Organisations Act 2024 (QLD)

4.3 Management of Medication

Details Changed ‘the director’ to ‘the directors’ Introduction of BigDog NGO Training Portal and modules

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