...crew member on the scene who provides support and guidance to the emergency services. The MIO works closely with the AIO to ensure the immediate care staff are safe and take clinical decisions to appropriately distribute the casualties to hospitals. The MIO works alongside the AIO to allocate tasks and roles and keep the ambulance control informed of the situation on the scene. If there are deaths on the scene, the MIO needs to provide a doctor to confirm the deaths once the casualties have been removed and liaise with a coroner. The MIO will need to keep the receiving hospitals informed and provide accurate risk assessments to the appropriate advisors. The Medical Emergency Response Incident Team (MERIT) commonly consists of a doctor or nurse or two of each. The key aim in providing a MERIT response is to get a specialist medical intervention to the casualties which can improve...
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...Nursing and Midwifery Council (NMC) Standards of Conduct Performance and Ethics for Nurses and Midwifes (2008). Mr John Jones had suffered a stroke and had severe difficulties with swallowing (Dysphagia). He was unable to take in any fluid or medicine orally. These had to be given via a Pecutaneous Endoscopic Gastrostomy (PEG) tube into his stomach. Mr Jones was aware of his treatment. However, during a shift a newly qualified nurse (NQN) tried to administer John’s medicine orally despite John’s refusal to accept the treatment. John was extremely upset and distressed by the nurse’s actions and verbally refused to take the drug orally. The drug was also documented to be given via the PEG tube. The incident was then witnessed by a more senior nurse who then administered the medication correctly. This incident outlines several issues concerning legal and professional accountability. According to Dimond (2011) ‘Accountability’ is defined as how far a person can be held in law to account for their actions. This seems an appropriate definition to give because a person who has to answer to the law then has a vital responsibility. Griffith & Tengnah (2008) however points out a distinct difference between ‘accountability’ and ‘responsibility’. A responsibility means a nurse can control the way they practice. Accountability on the other hand means they are answerable to a higher authority for their practice. Dimond (2011) tells us that every nurse is accountable to criminal law...
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...Regulating bodies set the standards for care for professions such as Nursing, Midwifery, Teaching, Psychotherapy, and Counselling. An example of the regulating bodies is The Nursing and Midwifery Council. The Nursing and Midwifery Council sets standards and guidance for practice. It is essential that they ensure that their standards and guidance, which need to be applied in practice, are easily accessible to individuals working across the UK. The Nursing and Midwifery Council regulates nurses and midwives in England, Wales, Scotland, Northern Ireland and the Islands. All midwives practicing in the UK must be registered with the NMC, and are expected to demonstrate high standards of practice. All qualified nurses and midwives must follow The Nursing and Midwifery Council’s standards and guidance and be fit to practice so that patients and the public can trust them with their health and wellbeing. Being fit to practice, means that the nurse or midwife must have the skills and knowledge to do the job effectively. The Nursing and Midwifery Council set a range of standards and guidance covering areas of practice, for example, medicines management and record keeping. Another example of the regulating bodies is the General Pharmaceutical Council. In order to practice in Great Britain, pharmacists and pharmacy technicians must be registered with the General Pharmaceutical Council. Anyone who is not registered with the General Pharmaceutical Council but practices as a pharmacist or pharmacy...
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...assignment will discuss relevant issues surrounding the subject of safe administration of medicines. The assignment will outline both legal and professional standards that have been set out by government and professional bodies for nurses and other health care professionals to follow whilst administering medicines. It will then go onto analyse actual and potential problems that may occur when a professional is trying to achieve these standards. This assignment will be supported by literature findings. The conclusion will reflect what is written. The administration of drugs could be defined as the way in which drugs are selected, obtained, delivered, prescribed, administered and reviewed to make sure that the medicine is having the desired affect (Dougherty et al 2004). Drug administration is an integral part of a nurse’s role and as such responsibility for correct administration of drugs rests with the nurse (O’Shea 1999). It is stated that nurses spend up to 40% of their time administrating medicine (Armitage et al 2003) In order to perform this intervention safely a nurse needs to know about the drug its immediate effect and any side effects it may cause. This role involves safe handling and administration of medicines, the role also includes the nurse being responsible for the patients knowing what medicines they are taking and why. Legal, professional and cultural boundaries are changing in health care settings, which mean that a nurse’s role is now medicines management. (Dougherty...
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...The law does not give permission to the health care professionals to disclose the medical information of the patients. It is the right of a patient to have his or her personal identifiable information to be confidential. This medical information is suppose too only be available to the physician of record as well as other necessary health care and insurance personal. Confidentiality of patient was protected by federal statute, as of 2003. Passing of federal regulations which was the Health Insurance Portability and Accountability Act of 1996 was facilitated by the requirement of having privacy as well as protection of personal records and data in an electronic medical records environment and third party insurance payers. The meaning of patient confidentiality is that personal and medical information that are provided to the providers of health care cannot be disclosed to others not unless the patient has provided authorization for the release. In fact permission is not supposed to be granted to health care professionals to disclose the patient’s medical information. This is because there could be professional or personal problems by disclosing the medical information of the patients for patients depends on the physicians in keeping private their medical information, American Psychological Association (2003). Normally it becomes difficult for medical records to be completely sealed up. The greatest factor that affects confidentiality is when clinicians turn to share medical information...
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...I was with was asked by a colleague to prescribe for a patient on her behalf. In my role as a vascular clinical nurse specialist, I run nurse led clinics working alongside other nonprescribing colleagues seeing patients with peripheral vascular disease, this can range from patients with leg ulcers or diabetic foot ulceration with wound infections to patients with intermittent claudication, Abdominal Aortic Aneurysm or varicose veins, all of whom may or may not need medications or wound management treatments prescribed. It is very likely that during these clinics once I qualify as a non-medical prescriber I will be asked the same. In this essay I will explore the issues of law, accountability and ethics raised by prescribing on behalf of others. The legal system of England and Wales has two branches of law; criminal and civil Criminal Law: Statues are acts of parliament which are presented via the House of Commons moves to the House of Lords where amendments are made, returns to House of Commons, for final discussion when complete the Bill is given Royal Assent and passes into law. Criminal law involves offences against the state, it is usually the Crown that brings the action against the defendant (Gagan 2010 cited by Courtnay & Griffin). In terms of non-medical prescribing there are two important statues The Medicines Act 1968 this regulates the licensing, supply and administration of medicines. The misuse of drugs Act 1971 this is a provision with respect...
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...Submission Date: 25th August 2015 Word Count: 3250 This essay will be exploring a patient pathway in a clinical environment. The pathway to be investigated is the national diabetes pathway from the National Institution for Health and Care Excellence (NICE), which was published in February 2015 (NICE, 2015). I will also exploring local agendas and guidelines that are available from a local trust. I will be exploring one patient in particular, who cannot be named for confidentiality reasons, in accordance with the Nursing and Midwifery Councils (NMC, 2008) the code of conduct governing patient confidentiality, (NMC, 2008). Diabetes is growing in the United Kingdom (UK) at an alarming rate, (Diabetes UK, 2012). In 2010, evidence showed that approximately 3.1 million people in the UK aged over 16 years old have diabetes. By 2030, this figure is estimated to rise to 4.6 million, (National Health Service [NHS], 2014). It is important as an adult nurse, that I understand the pathway of diabetes as individuals with the condition are at risk of developing further health complications (Diabetes UK, 2012). This includes conditions such as heart disease, stroke and blindness (Diabetes UK, 2012a). A pathway is a “foreseen care placed in an appropriate time frame, written and agreed by a multidisciplinary team. It has locally agreed standards based on evidence where available to help a patient with a specific condition or diagnosis, move progressively through the clinical experience”, (National...
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... The Human Rights and The Data Protection Act. The first one I will be covering is The Sexual Offences Act 2003. This Act lists the different types of sex offences. How sex offenders are monitored, how the police have to be informed if the sex offender has changed address or been away from home for more than seven days and it also covers sexual abuse of vulnerable people with mental disorder. This can help spot abuse within different environments, prevent abuse from occurring and stops sex offenders from abusing again within a matter of weeks. The second act I wanted and had to mention which I think is the most important is The Care Standards Act 2000. This act was set up by the National Care Standards Commission. The organisation regulates care work and inspects care services to check standards are high and stay high. The Care Standard Act was set up for care services like nursing homes, residential homes, domiciliary (home) care...
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...Safeguarding Adults In this report I will be outlining key legislation and regulation which govern safeguarding adults work, outlining strategies and types of abuse procedure used in health and social care to reduce the risk of abuse. Also I will be describing legislation and regulations, working strategies and procedures used in health and social care to reduce the risk of two types of abuse. P4: Outline key legislation and regulations which govern safeguarding adults at work Legislation | Main Points | Application | Safeguarding Vulnerable Groups Act 2006Protection of Vulnerable Groups Act 2007 Protecting Vulnerable Groups (PVG) 2010 | * Set for individuals who work with children and vulnerable adults to be registered * The independent safeguarding authority to be able to decide who should be barred from working with people that are vulnerable | * Applies to employed individuals and volunteers * They are separate, but like barred lists for those working with children and adults * Checks must take place before an individual can work with vulnerable people | The Rehabilitation of Offenders Act 1974 | * Allows for convictions to become 'spent' after a certain period of time of rehabilitation or non-offending | * All healthcare employment is usually exempt from this act and requires full disclosure of prior convictions. | The Police Act 1997 | * CRB checks (now known as a DBS) have to be done under this act, and are the norm in health and...
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...BTEC National Diploma in Health and Social Care Unit 6 Personal and Professional Development in Health and Social Care LO1 Understand the learning process * Theories of learning * Influences on learning * Skills for learning * Support for learning * Learning opportunities LO2 Be able to plan for and monitor own professional development * Review at start of programme * Knowledge * Skills * Practice * Values and Beliefs * Career aspirations * Action plan for own development * Consider personal goals LO3 Be able to reflect on own development over time * Monitor and evaluate plan * Changes * Contexts * Professional development portfolio * Relevant experience * Support for development * Reflect on own development LO4 Know service provision in the health or social care sectors * Provision of services * Local health or social care * Health and social care workers What you will be taught 1. Understand the learning process * Theories of learning: theorists, * Skills for learning; * Support for learning; * Learning opportunities; 2. Be able to reflect on own professional development over time * Review at start of programme; * Knowledge; * Skills; * Practice; * Values and beliefs; * Career aspirations; 3. Be able to reflect on own development over time * Monitor and evaluate plan in terms of own development; * Professional development portfolio; * Relevant evidence;...
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