Administration And Handling Of Medications

    1. Handling of medications is restricted to authorized personnel.
    2. Professionals that are administering medications are accountable for: knowing what medications are prescribed, administering them correctly, understanding the need for medication, knowing and monitoring therapeutic and non-therapeutic effects, and education regarding the medication. 
    3. All authorized personnel will first refer to the client’s medication prescription each time medication is administered using the “Seven Rights of Medication Administration” (see Appendix II) and verify date, time and method of last medication administration.
    4. A verbal order followed by a written order must be obtained prior to giving any medication.
    5. Direct Observed Therapy (DOT) for clients taking TB medications must be documented on the DOT form
    6. SHS personnel and contracted physicians must follow and document an independent double-check procedure between two healthcare professionals before administering or assisting with self-administration of high-alert medications; except where the medication has been prepared and checked at the pharmacy or where a health care professional working in a setting alone. In case of exception alternate means must be used to double-check.
    7. No IVs are used in radiology.
    8. SHS personnel or physicians do not administer I.V. antineoplastic, narcotic or psychotropic medications at any time.
    9. SHS personnel and physicians do not insert or assist with central line therapy under any circumstances.
    10. Authorized nursing personnel are not permitted to administer I.V. High Alert medications.
    11. V. medication is always secondary to a primary infusion; therefore, the primary line must be present and consist of Normal Saline or other compatible solution to medication.
    12. Parenteral IV medications for Pediatric and Adults Clients: Pediatric and adult clients should receive I.V. medications at the Stoney Health Center for first and second doses; or, exceptionally when it is necessary to closely monitor compliance with a full course of treatment at the Health Centre.
    13. Central Lines: No central lines or I.V. pumps are used at the Stoney Health Centre
    14. Emergency Situations :In an emergency situation (i.e. Code Blue, continuous seizures, resuscitation, etc.), an intravenous infusion of Normal Saline may be initiated by Registered Nursing personnel while the Nurse Practitioner, the on-site physician or the Nakoda EMS (as the case may be) is being contacted
    15. Home Care does not initiate IV infusion therapy in the home, but will support client/family self-management with IV infusions initiated by an external agency.
    16. Pre-loading of medications for clients will be available pursuant to an assessment by the nurse and only in cases where the client is unable to self-load either due to visual, cognitive or physical deficit