Patient safety: medicine prescription and administration record

Hours of learning: 2

Publication date: December 2014

Aim
To familiarise all clinical staff with the Northern Ireland medicine prescription and administration record for adults.

Intended learning outcomes
At the end of this course you should be able to:

• record patient information, including allergy status, risk factors, additional charts used and medicines management issues
• undertake the venous thromboembolism risk assessment for hospitalised adults
• document the prescribing and discontinuation of injectable, non-injectable and as required medicines
• adopt a consistent approach to documenting medicines that are to be administered less than once per day
• record the administration of medicines accurately
• document doses that have been omitted and the reason for omission
• prescribe oxygen in accordance with the NPSA recommendations and BTS guidelines.