Maintaining patient safety in medication administration

Despite being a relatively new professional role, the Registered Nursing Associate (RNA) has a key part to play, working alongside registered nurses and other healthcare staff, to ensure patient safety. The Nursing and Midwifery Council (NMC) provides a framework for professional practice and behaviour for nurses, RNAs and midwives in the form of The Code (NMC, 2018a). This clearly sets out several key principles, including those relating to ensuring patient safety, which guide the practice of the RNA.

RNAs have a duty to protect patients from harm. This includes identifying and mitigating risks, promptly reporting any concerns about patient safety, and collaborating with the wider healthcare team to ensure a safe care environment. More specifically, the RNA can contribute to patient safety through a variety of actions including, but not limited to, monitoring patients, infection control, communication, patient advocacy, documentation, collaborative working, and medication administration.

Within the Standards of Proficiency for Nursing Associates (NMC, 2018b), the NMC clearly states that the RNA has a role to play in safe medication administration (Box 1). The specific responsibilities of the RNA may vary, depending on the healthcare setting and their level of training and certification. Safe medication administration is crucial to prevent adverse events, improve patient outcomes, enhance the overall quality of health care and fulfil legal and ethical obligations. The RNA must adhere to best practice, employ effective communication, and continuously update their knowledge and skills. Safety in this area is not only a professional duty but also a moral imperative that RNAs must uphold to maintain the trust and wellbeing of their patients.