ZOE MENEILLYLABOUR WARD SISTER

SUPERVISOR OF MIDWIVESSOUTH EASTERN TRUST

Supervision In ActionGuiding Midwives Through

The Medicines Maze

2010

New medicine kardex introduced province wide

Training rolled outMedicines workshops

for SOM’sAudit of kardex

included in SOM record keeping audit

Som workshops

Midwives and medicines

LSA medicines management for midwives working party set up

The medicines nerd is born!

Meanwhile, back at the ranch..........

THE EXTENT OF THE PROBLEM

out of date PGDs No PGD register No midwife able to give exact

details of existing PGDs No formal PGD/ exemptions

training Midwives not utilising

exemptions legislation No agreed method of

documenting admin under exemptions

PGD working group (2011)

Supervisor representation Included: PD midwife, governance MW, pharmacy

governance, medical representationStreamline number of PGD’s / eliminate unnecessaryUpdate required PGD’sReduce duplication of medicines covered by

exemptions legislation / increase use of exemptions by midwives

Create PGD registers for all areasAgree exemptions recording methodLook at training needs

16/01/12 PETHIDINE 100MG IM MW EXEMPTION

16/01/12 PHENERGAN 50 MG IM PGD

Medicine Kardex Audit

AREA AUDITED YES % NO %

PATIENT LABEL/ NAME ON ALL IN USE PAGES 28 72ALLERGY STATUS RECORDED 96 4NAMED CONSULTANT RECORDED 84 16TIME RECORDED ON ALL ENTRIES 68 32ALL ENTRIES DATED 88 12ALL REGULAR PRESCRIPTIONS GIVEN AS PRESCRIBED 6 93REASON FOR OMITTED DRUGS CORRECTLY RECORDED 0 100ALL ADMINISTERED MEDICINES SIGNED FOR 60 40USE OF PGD CORRECTLY RECORDED 72 28USE OF MIDWIVES EXEMPTION CORRECTLY RECORDED 61 39MEDICINE CORRECTLY IDENTIDIFIED AS PGD OR MIDWIVES EXEMPTION

52 48

STAFF GROUP RECORDED FOR MEDICINES GIVEN UNDER PGD OR MIDWIVES EXEMPTION

0 100

More work was needed

More training sessions planned

Rolled out to midwifery led units

Medicines and PGD folders created for all areas

Laminated aide memoires created

Medicines Training (2012)

Agreement from HOM to role out medicines and exemptions training for midwives, trustwide.

Sessions arranged in ulster maternity, lagan valley and Downpatrick MLU’s and community

Certificates of attendance given

Drawbacks – not made mandatory so no time given for staff to attend. Not always staff who need it most that attend

2012 – Small Interruption In Progress!

2013- Back on Track

Some confusion still evident Formal training programme

negotiated and starting in FEB

All year groups at QUB now receiving consistent exemption and PGD training

Dreams…….

Northern Ireland midwives formulary

Province wide maternity medicine kardex

Pharmacology module at QUB

Questions?