Transcript Medicine Management Training Project Claire Waghorn Medicine

Medicine Management
Training Project
Claire Waghorn
Medicine Management Training
Project Pharmacist
Pat Warriner
Medicine Management Training
Project Nurse
What’s The
Project all About?
 Employed for 6 months (part-time) to
develop a medicine management
training project
 Multi disciplinary approach
 Based on e–learning
 Blended learning
 E-learning complementing practical
training
What’s The
Project all About?
 The ORH Medicines Policy
 The project supports the NPSA Alerts
 Working towards NHSLA level 2
 Annual Health Check Standards
Medicines Policy (2007)
MEDICAL STAFF
Allergy documentation
Handling CDs competency
Formulary and
antimicrobial
prescribing guidelines
PHARMACY STAFF
Allergy documentation
Handling CDS competency
NPSA Safety Alert
competencies
Screening and checking
competencies
NURSES
Allergy documentation
Handling CDs competency
NSPA Safety alert
competencies
Injectables administration
Project Plan
To determine the project infrastructure,
organisation and resources
Communication with key stake holders
Set up links with e-learning co-ordinator
To ensure key policies and procedures are in
place
Scoping of training needs
Purchasing of e-learning software
Project Plan
 To develop a mandatory medicine
management training programme
 To develop a Controlled Drug e-learning
module
 To evaluate the Controlled Drug e-learning
package
 To develop further medicines management
modules
Modules Completed….
 Controlled Drug Module
 Hypersensitivity
 General Administration of Drugs
 Methotrexate
 Verbal Ordering of Medicines
 Policy for the Preparation and Administration of
Prescribed Medicines by Non – Registered
Practitioners
Modules in Progress
 General Guidelines for Prescribing
 Preparing , Administering and
Monitoring Injectable Medicines
Modules Outside Our Remit
 Formulary and Antimicrobial Prescribing
Guidelines
 Screening and checking competencies
 NPSA
 Alert 18 – Anticoagulants
 Alert 22 – Hyponatraemia in children
 Alert 21 – Epidural injections and infusions
 NPSA patient safety alerts
How Do we Produce E-learning?
 Based on up to date Trust Policies
 Produced in PowerPoint
 Articulate software
 Quizmaker Quiz
 Articulate Engage
 Self taught!!!!
 Other hospitals used outside companies
Hypersensitivity Module - pilot
Author of the Policy
Nurses from NOC
Pilot Group
Medical Staff
Members of the
Practice
Development
Forum
Feedback From the
Hypersensitivity Pilot
“Improved knowledge of
specific antibiotics to
avoid in different
degrees of penicillin
allergy” F2 doctor
“Colourful and
engaging compared
to just reading a
policy” Nurse
“It will definitely
increase knowledge
especially of antibiotics
which are unable to be
used with penicillin
allergy” Nurse
“A quick,
simple way to
get across
very
important
info”
“Heightened
awareness of the
policy” Nurse
Controlled Drug Module - pilot
Author of the
Policy
Children's nurses
Midwife
Pilot Group
Practice Educators
Theatres
Practice
Development
Nurse
Feedback From the Controlled
Drug Pilot
“More (information) than
I required”
“Total number of
pages and page
numbers would
have helped”
“Quite busy slides –
difficult to obtain key
points”
“Some (of
the slides)
were
disatracting
because of
the way they
presented”
“Has reminded me
of CD policies and
procedures”
How Will Staff Access
The Training?
 NLMS (Oracle)
 Pilot in April 2009
 To be launched June 2009
 ? Training to be accessed via intranet
Implementation
 Launch on intranet site until NLMS
 ORH news
 Dissemination to professional groups
 Add to staff induction checklist paperwork
 Posters to display medicine management module
 Add to Learning and Development Programme
Constraints To The Project
 Delay in procurement of licences
 No knowledge of software
 Up to date policies
 Not available
 Not updated
 Not ratified
 Availability of NLMS
Potential Modules to Develop
 High risk medicines
 TTO Transcribing for
pharmacists
 Unlicensed medicines
 Pharmacy CD policy
 Medicine reconciliation
 Medication Incidents
 Clinical screening
 Endorsing
prescriptions
 Self administration of
medicines
Potential Modules to Develop
Management of
extravasation
Aseptic Non Touch
Technique (ANTT)
implementation
Cytotoxic training in
non-cancer area
 Opioid NPSA alert
 PCA
 Epidural
 Medical gases
Outcomes of Successful Implementation
Reduction/ increase
in medication incidents
Reduction in serious
untoward incidents
Enhanced job
satisfaction
Work towards the
achievement of NHS
Litigation Authority Level 2
Reduction in complaints
Work towards the Trust
aim of Safe Quality Care
Reduced length of stay
for patients
Future Plans…..
 Requires ongoing implementation,
dissemination and development




Business plan
Final report
Publish article
0.2 wte Pharmacist and nurse for next
3 months
Thank you!!!!
Pat Warriner
Medicines Management Training Project Nurse,
John Radcliffe Hospital, Headley Way, Oxford.
OX3 9DU
Email: [email protected]
Claire Waghorn
Medicines Management Training Project Nurse,
John Radcliffe Hospital, Headley Way, Oxford.
OX3 9DU
Email: [email protected]