Stacks Pharmacy provides the training on its centre-specific policy and procedures medication management, including how and when
to crush medication, covert administration and PRN decision-making.
We review the different types of pain assessment tools available and how to choose an appropriate pain assessment.
We also review non-medication approaches to pain.
We review how the most common pain medication works.
We increase the awareness of pain relief dependency and how to recognise it.
We discuss the side-effects of the common pain relief medication and how to choose the right medication.
Establishing competency prepares an increasingly important role for managers. Stacks Pharmacy prepares the competency assessment appropriate for the unit, they must be site-specific and adapted depending on whether which are new members of staff or long-standing members of a team.
The key areas for competency assessment are professional practice (what does the law say etc), critical thinking and analysis (evidence-based and professional development etc), provision and co-ordination of care (assessments, establishing the target aims of treatment etc) and collaborative and therapeutic practice (able to input into medication usage reviews etc)
We perform the initial competencies in conjunction with the managers and train managers in how to assess competency regarding medication but the principles can be applied across the full spectrum of staff.
We discuss the medical definition of constipation, the misconceptions and provide assessment tools. We discuss the causes of constipation and the key
issues in residential care including diet and hydration. We review how laxatives work, their correct administration and how to choose the right laxative.
We go through the standards individually and ensure that your team is aware of what information the inspectors are looking for and what the
standards require of them.
We train on how to approach an inspection from a learning and improvement perspective.
We review the key fall risk indicators and assessments.
We discuss the geriatric dose restrictions particularly in anti-psychotics, and go through some of the common high-risk fall medication.
We review the importance of onset of action and half-life in commonly used medications.
We provide guidance on how to create a systems approach.
We help to promote an open culture with the use of open reporting and inclusion of errors/near-misses on the agenda of routine meetings.
It is also important to document the review of any audits (internal and external) plus error and near-miss reporting as this is seen as a key part of the quality improvement programme.