PAs Role in Helping to Administer Medication
This guidance is based on that given by Care Inspectorate, Royal Pharmaceutical Society of Scotland and Social Work Scotland in ‘Prompting, assisting and administration of medication in a care setting: guidance for professionals.’ The full document can be accessed below in resources.
Should a Personal Assistant (PA) be required to help with medication, this should be clearly documented and agreed in the support plan with the HSCP.
Decisions on the support required around medication should be made, wherever possible, by the person who needs to take the medication. Sometimes, they will require the assistance of others to help with the decisions and these people may include: their carer, their guardian or a health professional.
Prompting, assisting and administration of medicine
There are different levels of support a person may require from their PA to help them with their medication:
This is when the PA reminds the person about their medication. It may be to alert them to the time so that the person can choose whether or not to take their medication. The person is in full of control about the choice they make about taking their medication. The PA offers no further advice or intervention.
The person remains in control of their medication but requires the help of their PA with mechanical tasks, for example:
- Ordering and collecting repeat prescriptions
- Making packs of medication available to the person e.g. passing the pack to the person
- Opening bottles or packets of medication including multi-compartmental compliance aids (MCAs)
- Reading the label on the medication to the person
- Making a drink available to the person to take with their medication
When a person cannot take responsibility for managing their medication, the PA may be responsible for ensuring that the person gets offered or is given:
- The correct medication
- At the correct time
- In the correct way
Administration of medication by the PA is one or a combination of the PA doing the following:
- Deciding which medicine(s) have to be taken or applied and when this should be done
- Being responsible for selecting the medicines
- Giving a person medicines to swallow, apply or inhale, where the person receiving them does not have the capacity to know what the medicine is for or identify it
- Giving medicines (even at the request of the person receiving care) where a degree of skill is required to be exercised by the care worker to ensure it is given in the correct way
- PAs must follow the instructions on the container when administering medication
Medicines not routinely given by PAs
This includes giving medicines via an ‘invasive’ technique, for example:
- Via the rectum e.g. suppositories
- Insulin via injection
- Via Percutaneous Endoscopic Gastrostomy (PEG) tubes.
PAs can be trained by an appropriate health professional to administer medication via invasive routes.
When something goes wrong
The PA must follow appropriate action in the event of the person reacting badly to their medication. This might include seeking medical advice (and emergency attention via 999 should the reaction be life threatening). The PA must record such incidences and advise their employer of them at the earliest opportunity.
Should the PA make an error with assisting or administering medication, the above steps must also be taken.
Training and good practice
PAs must be trained to prompt, assist or administer medication. Local independent support services and HSCPs should be able to advise on appropriate training.
PAs must liaise with their employer and health and social work professionals to ensure good practice is adhered to.
Employers should ensure their insurance provider is aware of the requirement for the Personal Assistant to assist or administer medication.
Employers should work with their HSCP to ensure appropriate paperwork is in place to record the administration of medication.
Take a look at the additional resource below on prompting, assisting and administration of medicines.