The DAA should be clearly labelled with: Induction of PSA-specific T-cell responses in 5 patients following vaccination and administration of metronomic adjuvant dose IL-2. Pharmacist should refer to state specific guidelines. Care workers should have competency-based training in accordance with organisational policy and Australian, state or territory legislation. If clinicians elect to use percent free PSA as an aid in the detection of prostate cancer in men receiving JALYN, no adjustment to its value appears necessary. Provisions for registered nurses Quality assurance activities should be implemented to make sure packing processes are audited regularly. Prompts should be given on DAA labels that the consumer is taking other medicines. We want you to take advantage of everything Clinical Advisor has to offer. the name, strength and form of all medicines supplied in the DAA, to enable identification of individual medicines Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. date and day of week the medicine is to be administered Pharmacists should keep a master copy of each consumer’s medication profile and should only make changes according to written or direct communication from the prescriber. Where medicines are ordered for a defined short-course treatment, or in a complicated regimen, or where there are specific requirements regarding timing of administration in relation to meals and other medicines, such medicines should be in their original container or unit dose packs. Role of care workers A DAA is a device or packaging system for organising doses of medicines according to the time of administration. Role of care workers A care worker should only physically assist a consumer in using their DAA if the consumer is responsible for their own medication management, and where agreement has been reached between the consumer and service provider in accordance with relevant Australian, state or territory legislation. 5 Pharmaceutical Society of Australia (2002) Dose Administration Aid Standards. Version 2. Adapted from the NCI Cancer Bulletin.. A rapid increase in prostate-specific antigen (PSA) levels is not grounds for automatically recommending a prostate biopsy, according to a study published online February 24, 2011, in the Journal of the National Cancer Institute.. Labelling Please note : DVAÕs DAA Service only funds DAA types that are tamperproof and comply with the PSA Guidelines. Some consumers might find it difficult to use a DAA, for example, a person with rheumatoid arthritis or other physical disability. Where medicines are ordered for a defined short-course treatment, or in a complicated regimen, or where there are specific requirements regarding timing of administration in relation to meals and other medicines, such medicines should be in their original container or unit dose packs. It is preferred that a registered nurse administer medicine from the container in which the medicine was originally dispensed, however, if a consumer has been supplied with a DAA (which has not been packed by a registered nurse), a registered nurse should only administer these medicines if they have a prescriber’s order and the medicines can be clearly identified from labels that state the name, colour, shape and details of manufacturers’ marks. Care workers should have competency-based training in accordance with organisational policy and Australian, state or territory legislation. Labelling should include both the brand and the active ingredient names, reference to the colour, shape and size of the medicines, as well as manufacturer's marks that have been made on each product. This practice should be restricted to ‘special circumstances’ and should comply with relevant Australian, state or territory legislation, as some states restrict the re-filling of DAAs by registered nurses, as well as being in accordance with organisational policy. Care workers should have competency-based training in accordance with organisational policy and Australian, state or territory legislation. Nurses and Aboriginal Health Workers and Torres Strait Islander Health Workers should refer to relevant legislation, guidelines and service provider policies for when this may occur. Procedures medicines that might be affected when the backing of a DAA is heat-sealed, for example, soft gel caps. Safety and quality All or part of a consumer’s medication regimen might be provided in a DAA. A care worker should only physically assist a consumer in using their DAA if the consumer is responsible for their own medication management, and where agreement has been reached between the consumer and service provider in accordance with relevant Australian, state or territory legislation. Version 2. DAAs should be packed and fully labelled either by a pharmacist or under the supervision of a pharmacist, in accordance with professional guidelines4. Care workers should monitor medication management by consumers and be guided by their organisations’ medication management policies and procedures if there are any suspected adverse medicine events. Where medicines are ordered for a defined short-course treatment, or in a complicated regimen, or where there are specific requirements regarding timing of administration in relation to meals and other medicines, such medicines should be in their original container or unit dose packs. The registered nurse, care worker or community care provider should liaise with the consumer about returning the DAA to the pharmacy and arrange alternate supply where necessary. The DAA should be returned to the pharmacist for repackaging if there are any changes to the consumer’s medicines. Pharmacists should keep a master copy of each consumer’s medication profile and should only make changes according to written or direct communication from the prescriber. Guiding Principle 1 - Information Resources, Guiding Principle 2 - Self administration, Guiding Principle 3 - Dose Administration Aids, Guiding Principle 4 - Administration of medicines in the community, Guiding Principle 7 - Alteration of oral formulations, Guiding Principle 8 - Storage of medicines, Guiding Principle 9 - Disposal of medicines, Guiding Principle 10 - Nurse-initiated non-prescription medicine, Guiding Principle 12 – Risk management in the administration and use of medicines in the community, medicines administered on an ‘as required’ basis, medicines unsuited to this form of storage due to their instability if exposed to heat, light, air or moisture, for example, effervescent, dispersible, buccal and sublingual tablets, and significantly hygroscopic (moisture absorbing) preparations, medicines that might be affected when the backing of a, details of the person packing the medicine(s) in the, the name, strength and form of all medicines supplied in the, date and day of week the medicine is to be administered, any specific instructions about the use of the medicine, including cautionary and advisory labels, including, any other details as required by relevant Australian, state and territory legislation, an indication in a prominent position that other medicines are contained in another. Preparation Preparation Administration medicines unsuited to this form of storage due to their instability if exposed to heat, light, air or moisture, for example, effervescent, dispersible, buccal and sublingual tablets, and significantly hygroscopic (moisture absorbing) preparations date of filling Provisions for registered nurses ClinicalAdvisor.com is for nurse practitioners and physician assistants, offering the latest information on diagnosing, treating, managing, and preventing medical conditions typically seen in the office-based primary-care setting. Safety and quality All or part of a consumer’s medication regimen might be provided in a DAA. A registered nurse cannot administer medicines that are not clearly identifiable. Assessment These communications should be recorded and stored according to professional guidelines. A registered nurse cannot administer medicines that are not clearly identifiable. A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. demand for dose administration containers and, where used in association with them, automated dose packaging systems. medicines unsuited to this form of storage due to their instability if exposed to heat, light, air or moisture, for example, effervescent, dispersible, buccal and sublingual tablets, and significantly hygroscopic (moisture absorbing) preparations Before packing a DAA, the nurse should liaise with the doctor and dispensing pharmacist to obtain all relevant information. The registered nurse, care worker or community care provider should liaise with the consumer about returning the DAA to the pharmacy and arrange alternate supply where necessary. According to a pair of recent studies, two of the most commonly used classes of medication —statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific antigen (PSA). Top of page employed in a medication packing company) who checks a DAA on behalf of the pharmacy, that includes The print font used should be of a size and type easily readable by the consumer. 5 Pharmaceutical Society of Australia (2002) Dose Administration Aid Standards. A registered nurse packing a DAA should document this activity in the consumer’s clinical record or notes. Communication protocols should be set up between the prescriber, the pharmacist, carer and care worker or nominated responsible person. Labelling The DAA should be returned to the pharmacist for repackaging if there are any changes to the consumer’s medicines. Labelling of the DAA by the registered nurse should also be in accordance with organisational policy. If a care worker is to help a consumer use their DAA and it is evident that the DAA has been tampered with, it should be returned to the pharmacist for repacking. July 1999. www.psa.org.au The registered nurse, care worker or community care provider should liaise with the consumer about returning the DAA to the pharmacy and arrange alternate supply where necessary. Consumer Medicine Information (CMI) Top of page JALYN reduces serum prostate-specific antigen (PSA) concentration by approximately 50%. These Guidelines do not address the staged supply of methadone or buprenorphine as part of an Opiate Dependence Treatment program. any specific instructions about the use of the medicine, including cautionary and advisory labels, including KEEP OUT OF REACH OF CHILDREN, and information about alteration of the dosage form where appropriate (refer to Guiding Principle 5 – Medication lists) In the event of a dosage or medicine change where the consumer is self administering medicine from a DAA, the DAA should be returned immediately to the pharmacy or Aboriginal Medical Service for re-packing and re-delivery. The legislation and service provider policies applying to DAAs will differ between states and territories. medicines unsuited to this form of storage due to their instability if exposed to heat, light, air or moisture, for example, effervescent, dispersible, buccal and sublingual tablets, and significantly hygroscopic (moisture absorbing) preparations any other details as required by relevant Australian, state and territory legislation The DAA should be returned to the pharmacist for repackaging if there are any changes to the consumer’s medicines. Version 2. Top of page A registered nurse should only pack or re-pack a DAA if a pharmacist is unable to do so, if a consumer will self-administer medicines, and if the consumer’s health and welfare is at risk if the registered nurse does not do so. Assessment Pharmacists should keep a master copy of each consumer’s medication profile and should only make changes according to written or direct communication from the prescriber. Pharmacists should keep a master copy of each consumer’s medication profile and should only make changes according to written or direct communication from the prescriber. Top of page The following should not be placed in a DAA with other medicines: date and day of week the medicine is to be administered These communications should be recorded and stored according to professional guidelines. Labelling should include both the brand and the active ingredient names, reference to the colour, shape and size of the medicines, as well as manufacturer's marks that have been made on each product. Care workers should monitor medication management by consumers and be guided by their organisations’ medication management policies and procedures if there are any suspected adverse medicine events. All or part of a consumer’s medication regimen might be provided in a DAA. medicines administered on an ‘as required’ basis Care workers should have competency-based training in accordance with organisational policy and Australian, state or territory legislation. Care workers should monitor medication management by consumers and be guided by their organisations’ medication management policies and procedures if there are any suspected adverse medicine events. T3B Dose Administration Aids Checklist Explanation of how there are adequate resources to cover the DAA service, through T14A Staff Roster. medicines that might be affected when the backing of a DAA is heat-sealed, for example, soft gel caps. A care worker should only physically assist a consumer in using their DAA if the consumer is responsible for their own medication management, and where agreement has been reached between the consumer and service provider in accordance with relevant Australian, state or territory legislation. Consumers who are using DAAs should be monitored in the same way as all other consumers to make sure that they continue to administer medicines safely (refer to Guiding Principle 2 – Self-administration). Care workers should monitor medication management by consumers and be guided by their organisations’ medication management policies and procedures if there are any suspected adverse medicine events. Preparation Role of care workers This form uses a CAPTCHA to ensure that it is submitted by a person, instead of a machine or automated software. Safety and quality Communication protocols should be set up between the prescriber, the pharmacist, carer and care worker or nominated responsible person. The pharmacist should verify a medication order with the prescriber where necessary. details of the person packing the medicine(s) in the DAA 1 of 2 DAAs) as applicable. During this service, pharmacists should refer patients to other appropriate clinical services such as Dose Administration Aid Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. 5 Pharmaceutical Society of Australia (2002) Dose Administration Aid Standards. A registered nurse cannot administer medicines that are not clearly identifiable. These communications should be recorded and stored according to professional guidelines. Even when medicine is supplied in a DAA, CMI should be provided, in accordance with professional guidelines. The pharmacist should check for potential interactions and other considerations and with the consumer’s consent, inform the prescriber. If a care worker is to help a consumer use their DAA and it is evident that the DAA has been tampered with, it should be returned to the pharmacist for repacking. Before packing a DAA, the nurse should liaise with the doctor and dispensing pharmacist to obtain all relevant information. Labelling should include both the brand and the active ingredient names, reference to the colour, shape and size of the medicines, as well as manufacturer's marks that have been made on each product. A care worker should only physically assist a consumer in using their DAA if the consumer is responsible for their own medication management, and where agreement has been reached between the consumer and service provider in accordance with relevant Australian, state or territory legislation. Prompts should be given on DAA labels that the consumer is taking other medicines. A consumer might want to have complementary health care products and non-prescription medicines included in the DAA. The DAA should be clearly labelled with: Consumer Medicine Information (CMI) any specific instructions about the use of the medicine, including cautionary and advisory labels, including KEEP OUT OF REACH OF CHILDREN, and information about alteration of the dosage form where appropriate (refer to Guiding Principle 5 – Medication lists) medicines administered on an ‘as required’ basis Care workers should have competency-based training in accordance with organisational policy and Australian, state or territory legislation. The print font used should be of a size and type easily readable by the consumer. A registered nurse cannot administer medicines that are not clearly identifiable. Administration Safety and quality The DAA should contain features that will show if the container has been tampered with before the medicine has been administered, depending on the individual requirements of the consumer receiving the medicines. The care worker might remove medicines from a DAA or prompt a consumer to remove and take the medicine. Version 2. Provisions for registered nurses The DAA should contain features that will show if the container has been tampered with before the medicine has been administered, depending on the individual requirements of the consumer receiving the medicines. A registered nurse should only pack or re-pack a DAA if a pharmacist is unable to do so, if a consumer will self-administer medicines, and if the consumer’s health and welfare is at risk if the registered nurse does not do so. A registered nurse should only pack or re-pack a DAA if a pharmacist is unable to do so, if a consumer will self-administer medicines, and if the consumer’s health and welfare is at risk if the registered nurse does not do so. The print font used should be of a size and type easily readable by the consumer. Administration A carer or another nurse cannot administer medicines contained in a DAA that has been packed by a registered nurse. Researchers at Vanderbilt University reached a similar conclusion about NSAIDs in the Nashville Men’s Health Study. an indication in a prominent position that other medicines are contained in another DAA pack/s and are to be administered (e.g. 4 Pharmaceutical Society of Australia (1999) Dose Administration Aid Guidelines. previous pagenext page, A care worker should only physically assist a consumer in using their DAA if the consumer is responsible for their own medication management, and where agreement has been reached between the consumer and service provider in accordance with relevant Australian, state or territory legislation. It is preferred that a registered nurse administer medicine from the container in which the medicine was originally dispensed, however, if a consumer has been supplied with a DAA (which has not been packed by a registered nurse), a registered nurse should only administer these medicines if they have a prescriber’s order and the medicines can be clearly identified from labels that state the name, colour, shape and details of manufacturers’ marks. ( 2002 ) Dose Administration Aid Guidelines follow the dilution and Administration ( 2.4 ) ] worker might medicines! Reported taking an NSAID, including 37 % who specified they were taking aspirin should check for interactions. Of correct procedure but will usually represent agreement by experts in the DAA the! Should verify a medication order with the consumer ’ s clinical record or notes in the consumer in a or. Daa by the registered nurse packing a DAA that has been packed by a.. 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