Automated Drug Distribution Devices Policy

Purpose

The Washington State Nursing Care and Pharmacy Quality Assurance Commissions have developed recommendations regarding the use Automated Drug Distribution Devices (ADDD). The commissions agree that nurse students must have access to all medication delivery systems.

Procedures:
    1. The PLU School of Nursing program will provide students with orientation and practice experiences that include demonstration of competency of skills prior to utilizing medications distribution systems.
      1. A formal orientation to the Automated Drug Delivery Device (ADDD) will occur in the Junior 1 semester of the prelicensure program.
      2. ADDD competency will be measured by the student demonstrating:
        1. Login
        2. Identify correct patient via each system’s unique process
        3. Can accurately select the medications to be given
        4. Secure ADDD when complete
        5. Follow 6 Rights of Medication Administration
        6. Demonstrate inventory control measures (wasting medications).
    2. The School of Nursing clinical faculty, in collaboration with the healthcare facility will provide adequate training for nursing students accessing ADDDs within the clinical setting.
      1. Procedures for each clinical site will need to be delineated.
    3. Student medication errors will be documented and the record maintained by the School of Nursing.
      1. Student medication errors or near misses must be reported by the clinical faculty to the School of Nursing within 12 hours of occurrence, via the Clinical Incident Reporting form located in the Documents and Forms page of the SoN website.
      2. Student medication errors or near misses that cause patient harm or unreasonable risk of patient harm are to be reported to the Washington Nursing Commission within 2 days.
      3. A record of student medication errors and near misses will be maintained by the School of Nursing and be used for on-going program improvement.
    4. Alleged or actual diversion of legend drugs or controlled substances by students will be documented and a record maintained by the School of Nursing.
      1. Student diversion or alleged diversion must be reported by the clinical faculty to the School of Nursing within 12 hours of occurrence, via the Clinical Incident Reporting form located in the Documents and Forms page of the SoN website.
      2. Student diversion of drugs (legend drugs or controlled substances) or allegations of diversion are to be reported to the Washington Nursing Commission within 2 days.