P-116 ‘as required’ medication administered within the hospice in-patient unit

Phippen, Alison; Waterman, David; Codling, Jan; Blandford, Jessica

doi:10.1136/bmjspcare-2018-hospiceabs.141

Cited by 1 publication

(4 citation statements)

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“…It is known that patients in the last 2 days of life use a higher number of prn medicines than previously. 7…”

Section: Resultsmentioning

confidence: 99%

“…Each nurse on duty will hold a master key to these cabinets which enable access to these medicines quickly. However the most commonly administered prn medicines are controlled drugs such as opioids 7 and due to controlled drug legislation, it is required that these medications are stored in a locked cupboard in a secure area with a single key held by the nurse in charge. 8 A nurse administering a controlled drug requires a witness which may further delay the process as colleagues may not always be available to assist.…”

Section: Discussionmentioning

confidence: 99%

“…The patient estimated times are similar to a sample of actual times measured at the hospice where the mean time to receive prn medication was 8.6 minutes with a range of 2 to 25 minutes, the median being 8 minutes. 7…”

Section: Discussionmentioning

confidence: 99%

“…6 A quality improvement project at St Ann’s Hospice calculated that a mean time of 8.6 minutes was taken to administer prn medication. 7 As part of this project, a survey was undertaken to investigate from a patient’s perspective, the process by which prn medication are accessed in the hospice setting, gaining insight into the barriers that exist in order to overcome them.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the Patient Experience of “as-Required” Medication in a Hospice In-Patient Unit

Phippen¹,

Murray²,

Pickard³

et al. 2021

Am J Hosp Palliat Care

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Background: Timely administration of ‘as-required’ medication is important for managing patients’ symptoms in palliative care. There are no national or local standards around the maximum length of time for the process to administer ‘as-required’ medication and little in the literature to inform practice. Our aim was to understand the patient experience of receiving these medications in the in-patient setting of a hospice. Methods: A survey of hospice patients who had been on the ward at least seven days was conducted over a fifteen-week period looking at current practice, the patient experience of requesting medication and how long it took to be administered. Results: Thirty-one responses were obtained. Patients made their requests in a variety of ways but 33% did not use their call bell. When looking at their most recent ‘as-required’ medication request, 87% of patients estimated that they received it within ten minutes. When considering their longest wait, 16% of patients reported waiting longer than twenty minutes. Conclusion: This survey highlights the importance of there being a variety of ways for patients to request ‘as-required’ medication and staff being proactive with patients to facilitate these requests. Patients perceive nursing staff to be busy and do not want to bother them. Although usually patients get their medication within ten minutes, patients can be waiting more than twenty minutes. There is a need for national standards on time to administer as-required medication within a healthcare setting and a need for more data to inform such a standard.

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“…It is known that patients in the last 2 days of life use a higher number of prn medicines than previously. 7…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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