We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
Medication must be given as close as is practical to the specified administration time.
Patients in mental health settings often refuse doses or may be off the ward.
This guidance is intended to support nurses to administer medication in such circumstances.
The following medications should always be given within 2 hours of the prescribed time (not an exhaustive list)
Every patient/clinical situation is different. Consider the risk to patient of delayed/missed doses e.g. treatment failure, withdrawal effects etc. Contact medical/pharmacy staff for advice about delayed or missed medications.
The full guidance can be found here.
References
If a medication is marked as non-administered in HEPMA you cannot go back and administer at a later time.
If a patient refuses a dose of medication and you intend to offer at a later point, do not chart as non-administered in HEPMA. The Patient Notes function can used to record refused doses, with information noted for other staff to use if needed - examples of how the Notes can be used can be found in the full guidance.
Options for future offered doses are as follows:
If a second offer of medication is refused, mark as non-administered at this point; but if patient decides later, they do wish to take the dose it will need to be re-prescribed as a STAT dose.
To manage the recording of refusal information you can use the Order Notes function. Add an Order Note titled ‘DRUG NAME REFUSED MEDICATION’ when needed linked to the specific medication. Use the same order note to record all dose refusals and related information. As any amendments to the notes then are marked with the last users’ name, each addition should have the nurse’s name added to easily refer to if needed, rather than having to scan the previous versions to see who added the earlier comments.
MyPsych App