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Contents Acknowledgements Preface Introduction 1. The professional role of the nurseYour starting point Introduction Professional practice The Nursing and Midwifery Council Professional accountabilityWhy is registration with the NMC necessary?When things go wrongDuty of care establishedBreach of that duty of carePatient harmUnderstanding your limitations Making ethical decisions Chapter summary So what have you learned? References and key texts Additional reading Websites 2 The inter-professional team Your starting point Introduction Who's who in the inter-professional team PharmacistsDoctorsWho else? The importance of teamwork What makes a team effective? Role of the nurseSafe medicines managementTheexpanding role Boundaries Chapter summary So what have you learned? References and key textsAdditional readingWebsites 3 Safe systems Your starting point Introduction Why do systems checks? System failures Key organisations and government bodiesDepartment of HealthMedicines and Healthcare Products Regulatory Agency (MHRA)National Institute of Clinical Excellence (NICE)National Patient Safety Agency (NPSA)Nursing and Midwifery Council (NMC) Key documents on medicines management A systems approach to safe medication Key legislation on medicines and drugs Chapter summary So what have you learned? References and key textsAdditional readingWebsites 4 Errors in medicines management and their preventionYour starting point Introduction Mistakes - what are they and why do they happen?A working definitionSo why do errors occur? Types of error Omission errors Patient identification errors Prescribing errors Dispensing errors Administration errorsMonitoring errors Children are potentially more vulnerable Error preventionSome additional points Tips for safe practiceThe Five RightsCalculation tips Other measures for error prevention Chapter summary So what have you learned? References and key texts Additional readingWebsites Pharmacological principles 5 Improving knowledge and safety: pharmacological principles Your starting point Introduction How do drugs work? Absorption Distribution Metabolism Elimination A closer look at drugsDrug nomenclatureSome legal aspectsDosage, formulation and routeSide effects and adverse events Safe practice and the prevention of errors Routes of medicine administrationOral routeSublingual and buccal routesSubcutaneous route Intramuscular routeIntravenous routeRectal routeInhalation routeTopical route Chapter summary So what have you learned? References and key textsAdditional readingWebsites 6 Clinical decision making Your starting point Introduction Evidence-based practice The Mental Capacity Act 2010 Establishing consent The Human Rights Act 1998 The Data Protection Act 1998 Health and safetyTips for safe practice in medicines management Chapter summary So what have you learned? References and key textsAdditional readingWebsites Answers to chapter questions Glossary Index
Sherri Ogston-Tuck is a Lecturer at the Florence Nightingale School of Nursing and Midwifery, Kings College London.