On 21 Sep 2015 12:52, "Rachael Sever" <[log in to unmask]> wrote:

Hi List

I have a member of staff who has epilepsy.  The seizures are usually nocturnal and a risk assessment is in place at work etc.  Unfortunately the individuals condition  has changed and they are now experiencing 'need seizures' in the day.  Whilst the company and myself can work together to implement adjustments and reduce risk to an extent  I have a concern regarding the administration of the individuals own medication (Buccal Midazolam).
My concern is between duty of care and legalities around medication administration.  If I was able to rush out to the individual in the event of a seizure (which could prove difficult as I am not on site 27/7), I have no drug protocol to cover me to administer the Midazolam as it is prescribed under his GP/ specialist.  My PGDs do not cover this.  Our staff could administer the medication as they have training and it is a care environment and have experience in this field, but  they work from their MAR chart for the service users. They would be administering is as a colleague providing assistance instead. I am in a dilemma as if the medication is administered we may not covered legally as it is a POM medication and require a directive /protocol, and if we don't give it we fail in our duty of care and the person would have to wait for an ambulance to arrive.

Any advice would be greatly appreciated

Many Thanks

Rachael

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