Chapter 2 - Administering Medications in the Athletic Training Setting
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Questions and Answers

What is the primary requirement for administering medication to minors in a school setting?

  • Written consent from a parent or guardian (correct)
  • Consent from a healthcare provider
  • Oral agreement from the minor
  • Permission from the school board

    • What has been identified as a consistent concern regarding ATs' compliance with medication management?

  • Complete adherence to federal regulations
  • Excessive storage of prescription drugs
  • Over-reporting of medication distribution
  • Failure to track OTC medication distribution (correct)

    • Which educational guideline is emphasized for entry-level ATs regarding therapeutic medications?

  • Knowledge of legal loopholes in medication administration
  • Distribute medications on their own authority
  • Educate patients about pharmacological agents (correct)
  • Ability to create medications

    • What discrepancy was noted between assistant ATs and head ATs in terms of regulation compliance?

    <p>Assistant ATs showed better compliance than head ATs</p> Signup and view all the answers

    What is required before an AT can administer medications or therapeutic agents?

    <p>An order from a legally authorized provider</p> Signup and view all the answers

    Which of the following is NOT recommended practice for ATs when providing medications?

    <p>Allowing students to distribute medications</p> Signup and view all the answers

    What does the CAATE say an entry-level AT should know about pharmacological agents?

    <p>Indications and contraindications for management</p> Signup and view all the answers

    In what year were the guidelines for administering medications in athletic training first published?

    <p>1992</p> Signup and view all the answers

    Which of the following factors is NOT associated with medication errors?

    <p>Medications prescribed only by specialists</p> Signup and view all the answers

    What is the main purpose of confirming that a patient understands the medication information provided?

    <p>To minimize the risk of misunderstanding that could lead to errors</p> Signup and view all the answers

    Which of the following rights of medication administration pertains to the verification of the patient's identity?

    <p>Right patient</p> Signup and view all the answers

    What type of medications typically require monitoring to maintain safe therapeutic levels?

    <p>Medications known for requiring testing, like lithium and warfarin</p> Signup and view all the answers

    When advising patients about medication use, which of the following is NOT one of the seven key points an advisor should reinforce?

    <p>Provide a detailed history of the medication's development</p> Signup and view all the answers

    Which of the following represents a type of medication that could lead to significant errors due to patient allergies?

    <p>Commonly used antibiotics and opiates</p> Signup and view all the answers

    What is a critical strategy for pharmacists to avoid providing the wrong medication due to name confusion?

    <p>Confirm the patient's identity using name and birth date</p> Signup and view all the answers

    Which of the following factors contributes to the risk of medication errors in polypharmacy situations?

    <p>Simultaneous use of multiple medications for a single condition</p> Signup and view all the answers

    What is the significance of checking the pharmacy package against the prescriber's orders?

    <p>To ensure the patient receives the correct dose of the right drug</p> Signup and view all the answers

    What is the main purpose of developing a medication policy and procedures manual for an athletic training clinic?

    <p>To create a framework for managing medications and protocols</p> Signup and view all the answers

    What should be done with expired medications in an athletic training facility?

    <p>Disposed of using a reverse distributor</p> Signup and view all the answers

    Who must register the athletic training facility with the DEA to manage controlled substances?

    <p>The medical director or lead team physician</p> Signup and view all the answers

    How long must records of medication dispensation be stored according to state and federal laws?

    <p>3 years</p> Signup and view all the answers

    Which of the following is true regarding sample medications in an athletic training facility?

    <p>They must be owned by a licensed physician</p> Signup and view all the answers

    What key responsibility should be established within the chain of command for managing medications?

    <p>Assigning prescription distribution solely to staff ATs</p> Signup and view all the answers

    Which of the following actions is necessary for securely storing medications in an athletic training facility?

    <p>Maintaining a locked cabinet with limited access</p> Signup and view all the answers

    What is required when documenting the distribution of over-the-counter (OTC) medications?

    <p>Documentation must be maintained, even for readily available items</p> Signup and view all the answers

    Who is ultimately responsible for all phases of managing prescription medications in a facility?

    <p>The physician in charge</p> Signup and view all the answers

    What is essential about the labeling of medications in an athletic training facility?

    <p>Labels must identify the intended recipient exclusively</p> Signup and view all the answers

    Which document provides guidance for athletic trainers on managing medications?

    <p>Consensus Statement on Managing Prescription and Non-Prescription Medications</p> Signup and view all the answers

    For facilities where athletic training is practiced, who should ultimately be held accountable for the management of over-the-counter medications?

    <p>The designated physician</p> Signup and view all the answers

    Which guideline emphasizes the need for secure packaging of medications administered to patients?

    <p>Ensuring medications are dispensed in secure packaging</p> Signup and view all the answers

    What is considered repackaging in terms of medication handling?

    <p>To transfer medication from the original container to a new container without changes</p> Signup and view all the answers

    Which of the following is NOT a type of drug order as defined in medication management?

    <p>Continuous order</p> Signup and view all the answers

    What must be done to minimize concerns regarding the safety and efficacy of medications?

    <p>Administer medications in their original container</p> Signup and view all the answers

    Which of the following is a requirement of a prescription according to regulations?

    <p>Date the prescription is written</p> Signup and view all the answers

    What role does e-prescribing play in reducing medication errors?

    <p>It creates a digital record which enhances accuracy</p> Signup and view all the answers

    What is the time frame for a 'now order' for medication administration?

    <p>Within 1.5 hours</p> Signup and view all the answers

    Which component is NOT typically included on a prescription label?

    <p>Pharmacy’s promotional offers</p> Signup and view all the answers

    What type of order is defined as a one-time prescription to be given immediately?

    <p>Stat order</p> Signup and view all the answers

    What is one common misconception about controlled substances in prescription handling?

    <p>Only a physician can dispense controlled substances</p> Signup and view all the answers

    Which of the following is a potential consequence of sloppy handwriting in prescriptions?

    <p>It may lead to medication errors</p> Signup and view all the answers

    What key element is necessary for a prescription involving medication strength?

    <p>Quantity and frequency of doses</p> Signup and view all the answers

    Which statement best characterizes the use of abbreviations in prescriptions?

    <p>Shorthand notations continue to be common for certain components</p> Signup and view all the answers

    What procedural aspect must be followed when putting medication into inventory?

    <p>Periodic reconciliation of medications is essential</p> Signup and view all the answers

    What must ATs ensure before providing treatment to freshmen younger than 18 years old?

    <p>Written consent from a parent or guardian</p> Signup and view all the answers

    It is acceptable for athletic training students to distribute medications without supervision.

    <p>False</p> Signup and view all the answers

    What is one responsibility of an entry-level athletic trainer regarding pharmacological agents?

    <p>Educate patients about appropriate pharmacological agents.</p> Signup and view all the answers

    ATs must obtain __________ from a parent or guardian before administering any medication to minors.

    <p>consent</p> Signup and view all the answers

    Match the following terms with their correct definitions:

    <p>OTC medications = Over-the-counter drugs that do not require a prescription Controlled substances = Drugs regulated by law due to potential for abuse Prescription medications = Drugs that require a licensed healthcare provider's order Adverse reactions = Unintended and harmful effects of medications</p> Signup and view all the answers

    Which guideline emphasizes the importance of proper documentation in medication administration?

    <p>Compliance with federal regulations</p> Signup and view all the answers

    Written guidelines for administering medications in sports settings have been in place since 2000.

    <p>False</p> Signup and view all the answers

    What should be tracked to comply with regulations when distributing OTC medications?

    <p>The dissemination of the medications.</p> Signup and view all the answers

    The right documentation is one of the six rights of medication administration.

    <p>True</p> Signup and view all the answers

    Name one of the ways to confirm that the right patient receives the intended medication.

    <p>Identifying the patient by both name and birth date.</p> Signup and view all the answers

    The simultaneous use of multiple drugs by one patient is referred to as _____

    <p>polypharmacy</p> Signup and view all the answers

    Match the following rights of medication administration with their descriptions:

    <p>Right patient = Verification of the patient's identity Right drug = Ensuring the correct medication is given Right dose = Confirmation of the medication amount Right route = Administration method verification</p> Signup and view all the answers

    What should healthcare providers clarify with patients about their prescribed medications?

    <p>The basic nature of how the medication works</p> Signup and view all the answers

    Medications that are not commonly used or prescribed are less likely to cause medication errors.

    <p>False</p> Signup and view all the answers

    What is one of the seven aspects that should be reinforced when advising patients on medication?

    <p>Confirming that the patient understands the information provided.</p> Signup and view all the answers

    Commonly used medications to which many patients are allergic include _____ and _____

    <p>antibiotics, opiates</p> Signup and view all the answers

    Which medication requires monitoring to maintain safe therapeutic levels?

    <p>Warfarin</p> Signup and view all the answers

    What is one major concern that the FDA has regarding repackaging medications?

    <p>Interference with drug stability</p> Signup and view all the answers

    A stat order must be given within 1.5 hours of the order being written.

    <p>False</p> Signup and view all the answers

    List the four types of drug orders.

    <p>Standing order, Stat order, Single order, PRN order</p> Signup and view all the answers

    Medications should be kept in the original ______ from the pharmacist.

    <p>package</p> Signup and view all the answers

    Match the following prescription requirements with their descriptions:

    <p>Prescriber information = Details such as name, address, and phone number Patient's data = Identifying information including home address and date of birth Specific medication = Includes drug name, strength, and quantity Instructions for use = Established guidelines for how and when to take the medication</p> Signup and view all the answers

    What is the role of electronic prescribing in medication management?

    <p>It streamlines the prescription process and reduces errors</p> Signup and view all the answers

    Documentation is not necessary for prescription medications dispensed to patients.

    <p>False</p> Signup and view all the answers

    What is a 'PRN order'?

    <p>A medication order given as needed based on patient need.</p> Signup and view all the answers

    The FDA defines repackaging as taking a finished drug product from its original ______.

    <p>container</p> Signup and view all the answers

    Which of the following is a common abbreviation used in pharmacology?

    <p>All of the above</p> Signup and view all the answers

    Controlled substances can be administered by anyone within an athletic training setting.

    <p>False</p> Signup and view all the answers

    What must be done to minimize repackaging concerns?

    <p>Medications must be administered to the patient in the original container from the pharmacy.</p> Signup and view all the answers

    Match the drug order type to its description:

    <p>Standing order = Administered until discontinued or for a specific number of doses Stat order = One-time order to be given immediately Single order = One-time order administered at a specified time PRN order = Administered as needed</p> Signup and view all the answers

    What is the responsibility of personnel regarding the distribution of prescription medications?

    <p>Only physicians are allowed to distribute prescription medications.</p> Signup and view all the answers

    Athletic training students are allowed to administer over-the-counter medications to patients.

    <p>False</p> Signup and view all the answers

    What must be done with expired medications in an athletic training clinic?

    <p>Expired medications must be destroyed using a reverse distributor.</p> Signup and view all the answers

    The proper way to dispose of expired medications is by using a ________.

    <p>reverse distributor</p> Signup and view all the answers

    Match the guideline with its description regarding the handling of medications:

    <p>Distribution = Physicians are the only personnel allowed to distribute prescription medications. Documentation = Records of medication administration must be maintained. Disposal = Expired medications must be disposed of appropriately. Personnel = A physician supervises the management of medications.</p> Signup and view all the answers

    What does the acronym DDUKPESC stand for in the context of medication management?

    <p>Develop, Destroy, Understand, Keep, Provide, Establish, Secure, Correct</p> Signup and view all the answers

    It is permissible for shared medications to be labeled for multiple patients.

    <p>False</p> Signup and view all the answers

    Records of medication distribution must be stored for _______ years.

    <p>3</p> Signup and view all the answers

    Who owns sample medications in an athletic training clinic?

    <p>A licensed physician</p> Signup and view all the answers

    Athletic trainers are responsible for documenting every dose of medication they administer.

    <p>True</p> Signup and view all the answers

    What is the purpose of a medication policy and procedures manual in an athletic training clinic?

    <p>To provide a framework for managing medications.</p> Signup and view all the answers

    Controlled substances must be stored in an area that is only accessible to _________.

    <p>physicians</p> Signup and view all the answers

    Which of the following is NOT part of the responsibilities of athletic training personnel regarding medications?

    <p>Administer medications without supervision</p> Signup and view all the answers

    Match the following medication management responsibilities with their roles:

    <p>Athletic Trainer = Only staff ATs should access medications. Physician = Responsible for all phases of medication management. Pharmacist = Works with the team physician. Administrator = Supervises the sports medicine staff.</p> Signup and view all the answers

    What is the main principle regarding medication administration for minors?

    <p>Written consent from a parent or guardian is required.</p> Signup and view all the answers

    Assistant ATs are less compliant with federal regulations compared to head ATs.

    <p>False</p> Signup and view all the answers

    What should entry-level athletic trainers be able to educate patients about regarding pharmacological agents?

    <p>Indications, contraindications, dosing, interactions, and adverse reactions</p> Signup and view all the answers

    ATs must obtain __________ for the treatment of minors.

    <p>written consent</p> Signup and view all the answers

    Match the following medication guidelines with their descriptions:

    <p>Documentation = Essential for tracking medication administration Parental Consent = Required for minors Medication Storage = Must be secure and compliant with regulations Therapeutic Educating = Involves explaining pharmacological options to patients</p> Signup and view all the answers

    What aspect of AT compliance concerning medication has been consistently identified as a concern?

    <p>Distribution practices and tracking of OTC medications</p> Signup and view all the answers

    There are established educational standards for entry-level ATs related to medication management.

    <p>True</p> Signup and view all the answers

    What must be done before administering medications in the athletic training setting?

    <p>Follow federal and state regulations</p> Signup and view all the answers

    Which of the following is NOT one of the factors associated with medication errors?

    <p>Medications with unique packaging</p> Signup and view all the answers

    Patients should be advised to completely disregard the prescriber’s instructions when taking any medication.

    <p>False</p> Signup and view all the answers

    What is one of the six rights of medication administration?

    <p>Right drug</p> Signup and view all the answers

    The process of confirming the patient's name and _____ is vital to avoid medication errors.

    <p>birth date</p> Signup and view all the answers

    Match the factors associated with medication errors to their correct descriptions:

    <p>Similar names = Can lead to confusion between different drugs Polypharmacy = Increases the risk of interactions Uncommon medications = Miscalculation due to unfamiliarity Allergies = Negative reaction to certain drugs</p> Signup and view all the answers

    Which right of medication administration focuses on the timing of doses?

    <p>Right time</p> Signup and view all the answers

    Reinforcing medication educational points to patients is the sole responsibility of the prescriber.

    <p>False</p> Signup and view all the answers

    Name one thing that should be documented when advising patients about medications.

    <p>Patient feedback or concerns</p> Signup and view all the answers

    Commonly used medications to which many patients are allergic include _____ and nonsteroidal anti-inflammatory drugs.

    <p>antibiotics</p> Signup and view all the answers

    Which of the following actions is important for pharmacists to prevent name confusion?

    <p>Using both name and birth date</p> Signup and view all the answers

    What is a standing order?

    <p>An order administered until discontinued or for a set number of doses</p> Signup and view all the answers

    Repackaging medication does not affect its safety and efficacy.

    <p>False</p> Signup and view all the answers

    What are the two responsibilities of the team or directing physician regarding emergency medications?

    <p>Determine which emergency medications are available and address individual needs.</p> Signup and view all the answers

    A __________ order is given as needed based on patient need.

    <p>PRN</p> Signup and view all the answers

    Match the following prescription requirements with their corresponding details:

    <p>Prescriber information = Includes name, address, phone number, and licensure information Patient’s identifying data = E.g., home address and date of birth Specific medication = Includes name, strength, and number of doses Instructions for use = Frequency, route, refills, and warnings</p> Signup and view all the answers

    Which of the following is NOT a type of drug order?

    <p>Weekly order</p> Signup and view all the answers

    The original container of medication must not be altered before administration.

    <p>True</p> Signup and view all the answers

    What is one main advantage of electronic prescribing?

    <p>Reduces prescription errors.</p> Signup and view all the answers

    The prescription should include the frequency and __________ of administration.

    <p>route</p> Signup and view all the answers

    What does a 'stat order' require?

    <p>Instant administration</p> Signup and view all the answers

    A facility policy should clearly define __________ of drug orders.

    <p>types and procedures</p> Signup and view all the answers

    Why have prescribers moved away from using Latin abbreviations in prescriptions?

    <p>To reduce medication errors.</p> Signup and view all the answers

    What must be documented on a medication label?

    <p>Specific patient information and directions</p> Signup and view all the answers

    Which of the following is a requirement for destroying expired medications?

    <p>They should be rotated out of stock regularly.</p> Signup and view all the answers

    Athletic training students are allowed to participate in the distribution of prescription medications.

    <p>False</p> Signup and view all the answers

    Who should be the physician of record for an athletic training facility?

    <p>The medical director or lead team physician</p> Signup and view all the answers

    Medications should be stored in __________ cabinets within the athletic training facility.

    <p>locked</p> Signup and view all the answers

    Match the following aspects of medication management with their responsibilities:

    <p>Athletic Trainer = Manages daily access to medications Physician = Ultimately responsible for prescription management Pharmacist = Works closely with the athletic medicine department Administrator = Supervises the sports medicine staff</p> Signup and view all the answers

    What must be documented when providing sample medications?

    <p>A paper trail of when and to whom samples were given</p> Signup and view all the answers

    Controlled substances do not require a higher level of security scrutiny in athletic training facilities.

    <p>False</p> Signup and view all the answers

    What is the acronym used for guidelines regarding medications in the athletic training facility?

    <p>DDIPPLEI</p> Signup and view all the answers

    Individual records for prescription medications must eventually be transferred to the patient’s __________.

    <p>medical record</p> Signup and view all the answers

    Which of the following is NOT a guideline for medication management according to the CSOMPNPATF?

    <p>Distribution allowed by students</p> Signup and view all the answers

    Every medication must be labeled exclusively for the patient it was intended for.

    <p>True</p> Signup and view all the answers

    What document issued by the NATA provides guidance for ATs managing medications?

    <p>Consensus Statement on Managing Prescription and Non-Prescription Medications in the Athletic Training Facility</p> Signup and view all the answers

    Medications that have expired need to be disposed of in a __________ container.

    <p>destruction</p> Signup and view all the answers

    Match each medication handling principle with its correct description:

    <p>Documentation = Maintaining detailed records for safety Disposal = Proper handling of expired medications Distribution = Only specific personnel can dispense medications Packaging = Ensuring medication security during dispensing</p> Signup and view all the answers

    What documentation is essential for treating minors under 18 years old in a school setting?

    <p>Written consent and authorization from a parent or guardian.</p> Signup and view all the answers

    What are the two main competencies regarding therapeutic medications that entry-level ATs must know according to CAATE standards?

    <ol> <li>Educate patients about pharmacological agents; 2. Administer medications under the order of a legal prescriber.</li> </ol> Signup and view all the answers

    How should ATs manage the distribution of over-the-counter medications?

    <p>They must track the dissemination and ensure proper storage to comply with regulations.</p> Signup and view all the answers

    What significant issue was identified regarding ATs' adherence to federal regulations in medication management?

    <p>Half of the ATs admitted to marginal adherence, allowing students to distribute medications without tracking.</p> Signup and view all the answers

    What are athletic trainers required to do before administering medications to patients?

    <p>Verify the prescription order and ensure the patient's proper identification.</p> Signup and view all the answers

    What is a major concern noted in studies about medication storage in athletic training settings?

    <p>Lack of proper medication storage equipment.</p> Signup and view all the answers

    What should an AT do to ensure compliance with medication administration policies?

    <p>Establish clear policies and ensure all staff members are trained accordingly.</p> Signup and view all the answers

    What is one required action for tracking the administration of both prescription and OTC medications?

    <p>Maintain accurate documentation of all medication dispensed.</p> Signup and view all the answers

    What is a key strategy to prevent medication errors related to patients with similar names?

    <p>Identifying patients by both name and birth date.</p> Signup and view all the answers

    Name one of the factors associated with medication errors that involves the use of multiple drugs.

    <p>Polypharmacy or simultaneous use of multiple drugs by one patient.</p> Signup and view all the answers

    What should healthcare providers clarify concerning the medications prescribed to patients?

    <p>The basic nature of how the medication works and why it is being prescribed.</p> Signup and view all the answers

    What is the significance of documenting patient feedback regarding medications?

    <p>It ensures that any concerns or misunderstandings are addressed for patient safety and adherence.</p> Signup and view all the answers

    Which right of medication administration checks that the correct dose is given to the patient?

    <p>Right dose.</p> Signup and view all the answers

    List one medication class frequently associated with patient allergies.

    <p>Antibiotics.</p> Signup and view all the answers

    What must be confirmed to ensure the correct administration route for a medication?

    <p>The intended route as per the prescriber’s orders.</p> Signup and view all the answers

    What does it mean to have the 'right patient' in medication administration?

    <p>It requires verifying the patient's identity to avoid administering medications to the wrong individual.</p> Signup and view all the answers

    What is a critical aspect of communicating with patients who speak a different language?

    <p>Providing prescription information in the patient’s native language.</p> Signup and view all the answers

    Why is it important for healthcare providers to remember medication contraindications?

    <p>To prevent adverse reactions and ensure safe medication use.</p> Signup and view all the answers

    What are the main risks associated with repackaging medications?

    <p>Repackaging medications can affect stability, safety, and efficacy.</p> Signup and view all the answers

    How long does a standing order typically last before renewal is needed?

    <p>Standing orders usually expire after a certain number of days as dictated by facility policy.</p> Signup and view all the answers

    What is a 'stat order' in medication administration?

    <p>'Stat order' is a one-time order that must be given immediately.</p> Signup and view all the answers

    What information is critical to include on a prescription label?

    <p>The prescription label must include specific patient information and directions for use.</p> Signup and view all the answers

    What are the legal implications of only a prescriber administering controlled substances?

    <p>Only a prescriber can legally administer or dispense controlled substances, ensuring compliance with regulations.</p> Signup and view all the answers

    Why is electronic prescribing (e-prescribing) important in medication management?

    <p>E-prescribing reduces prescription errors and streamlines the prescription process.</p> Signup and view all the answers

    What distinguishes a 'PRN order' from a single order?

    <p>A 'PRN order' is given as needed based on patient need, while a single order is for a one-time administration at a specified time.</p> Signup and view all the answers

    What role does a prescription documentation serve in patient care?

    <p>Prescription documentation acts as a record of instructions from the physician to the patient.</p> Signup and view all the answers

    What are some common complications arising from sloppy handwriting in prescriptions?

    <p>Sloppy handwriting can lead to medication errors due to misinterpretation of dosage or drug names.</p> Signup and view all the answers

    What must be done to maintain inventory control of prescription medications?

    <p>Periodic reconciliation of prescription medications must be maintained to track inventory accurately.</p> Signup and view all the answers

    What is the primary purpose of attaching an instruction form to a prescription?

    <p>The instruction form provides specific instructions for use and ensures clarity in medication administration.</p> Signup and view all the answers

    What specific patient information should be included in a prescription?

    <p>Patients' names, identifying data such as address and date of birth, must be included in a prescription.</p> Signup and view all the answers

    How does documenting the distribution of over-the-counter medications protect patient safety?

    <p>Documenting OTC medication distribution ensures tracking and accountability in medication use.</p> Signup and view all the answers

    What are the risks related to using Latin abbreviations in prescriptions?

    <p>Latin abbreviations can contribute to medication errors if they are misunderstood or misinterpreted.</p> Signup and view all the answers

    Who is responsible for registering the athletic training facility with the DEA?

    <p>The medical director or lead team physician is responsible for registering the facility.</p> Signup and view all the answers

    Which type of medications can only be distributed by physicians in an athletic training facility?

    <p>Prescription medications can only be distributed by physicians.</p> Signup and view all the answers

    What documentation is necessary for the distribution of over-the-counter (OTC) medications?

    <p>Records must be maintained showing how OTC medications are distributed to patients.</p> Signup and view all the answers

    What fundamental guideline must athletic trainers follow regarding the labeling of medications?

    <p>Medications must be clearly labeled and exclusive to the patient they are intended for.</p> Signup and view all the answers

    How long must medication records be retained according to state and federal laws?

    <p>Records must be stored for 3 years.</p> Signup and view all the answers

    What should happen to returned medications in an athletic training clinic?

    <p>Returned medications should be placed into a destruction container immediately.</p> Signup and view all the answers

    What roles do pharmacists have in the management of medications in an athletic training facility?

    <p>Pharmacists work with the athletic medicine department and must be approved by the team physician.</p> Signup and view all the answers

    Which document issued by NATA provides guidelines for ATs managing medications?

    <p>The Consensus Statement on Managing Prescription and Non-Prescription Medications in the Athletic Training Facility.</p> Signup and view all the answers

    What security measures should be implemented for storing controlled substances?

    <p>Controlled substances should be stored in an area that only physicians can access.</p> Signup and view all the answers

    What types of staff should have access to prescription medications in an athletic training setting?

    <p>Only staff athletic trainers should have access to prescription medications.</p> Signup and view all the answers

    Why is it necessary to document the lot number of medications dispensed?

    <p>Documenting the lot number is essential for tracking in case of recalls or adverse events.</p> Signup and view all the answers

    What is the main responsibility of an athletic trainer regarding medication disposal?

    <p>They must coordinate the disposal of expired or returned medications in accordance with regulations.</p> Signup and view all the answers

    What is the presumed requirement for ATs before administering medication to minors?

    <p>ATs must obtain consent from a parent or guardian before administering any medication to minors.</p> Signup and view all the answers

    Why is documenting the administration of medications crucial for ATs?

    <p>Documenting medication administration helps ensure compliance with regulations and provides a record of treatment for patient safety.</p> Signup and view all the answers

    Which competencies related to therapeutic medications should entry-level ATs possess according to CAATE?

    <p>Entry-level ATs should educate patients on pharmacological agents' indications, contraindications, dosing, interactions, and adverse reactions.</p> Signup and view all the answers

    What are the potential consequences of ATs not tracking OTC medication distribution?

    <p>Not tracking OTC medication distribution can lead to compliance issues with regulations and increase the risk of medication errors.</p> Signup and view all the answers

    How can the lack of proper medication storage affect an athletic training facility?

    <p>Inadequate medication storage can lead to safety risks, improper medication use, and potential regulatory violations.</p> Signup and view all the answers

    What steps should be taken if a medication needs to be administered as a 'now order'?

    <p>A 'now order' requires immediate administration of the medication within 90 minutes of the order being issued.</p> Signup and view all the answers

    What is one critical responsibility of assistant ATs compared to head ATs regarding medication compliance?

    <p>Assistant ATs tend to show higher compliance with federal regulations compared to head ATs in managing medications.</p> Signup and view all the answers

    What is required for the management of controlled substances in an athletic training facility?

    <p>The athletic training facility must be registered with the DEA to legally manage controlled substances.</p> Signup and view all the answers

    What does the U.S. Department of Health and Human Services define as repackaging?

    <p>Repackaging is defined as taking a finished drug product from its original container and placing it into a different container without manipulating the drug.</p> Signup and view all the answers

    Name two types of drug orders described in the content.

    <p>Standing order and Stat order.</p> Signup and view all the answers

    What is the purpose of requiring medications to be kept in their original packaging?

    <p>This is to ensure the stability, safety, and efficacy of the drugs.</p> Signup and view all the answers

    List three core components that must be on a prescription.

    <p>Prescriber information, patient's name, specific medication details.</p> Signup and view all the answers

    What role does electronic prescribing play in modern medication management?

    <p>Electronic prescribing streamlines the prescription process, reducing errors and improving communication.</p> Signup and view all the answers

    What is required for a traditional medication bottle before it can be administered to a patient?

    <p>It must remain in its original, unaltered state.</p> Signup and view all the answers

    Describe the significance of proper labeling on medications.

    <p>Proper labeling provides specific patient information and directions for use, which are crucial for patient safety.</p> Signup and view all the answers

    Why do facilities conduct periodic reconciliation of prescription medications?

    <p>To maintain accurate inventory control and ensure the safe distribution of medications.</p> Signup and view all the answers

    What must ATs do before administering medications to minors?

    <p>ATs must obtain consent from a parent or guardian.</p> Signup and view all the answers

    What is the function of a prescription label?

    <p>The prescription label serves as a documented record of instructions from the physician to the patient.</p> Signup and view all the answers

    What constitutes a 'now order' in medication administration?

    <p>'Now order' requires the medication to be administered within 1.5 hours.</p> Signup and view all the answers

    What common medication error is associated with the use of Latin abbreviations?

    <p>Sloppy handwriting may lead to misinterpretation of medication instructions.</p> Signup and view all the answers

    Why is it crucial for ATs to be familiar with pharmacology abbreviations?

    <p>To avoid medication errors that could occur from misinterpretation of prescription instructions.</p> Signup and view all the answers

    What are two examples of medications that require monitoring to maintain therapeutic levels?

    <p>Lithium and warfarin.</p> Signup and view all the answers

    Identify two factors that contribute to medication errors associated with the names of medications.

    <p>Similar sounding names and similar packaging.</p> Signup and view all the answers

    What is meant by polypharmacy in the context of medication errors?

    <p>The simultaneous use of multiple drugs to treat a single ailment or by one patient.</p> Signup and view all the answers

    List three rights of medication administration.

    <p>Right patient, right drug, and right dose.</p> Signup and view all the answers

    Why is it important to clarify the basic nature of a medication when advising a patient?

    <p>To ensure the patient understands how it works and why it's prescribed.</p> Signup and view all the answers

    What should be done to ensure the correct patient receives the intended medication?

    <p>Confirm both name and birth date.</p> Signup and view all the answers

    What is one responsibility of a healthcare provider to prevent medication errors?

    <p>To document any patient feedback or concerns.</p> Signup and view all the answers

    What should patients be reminded of regarding medication contraindications?

    <p>Patients must follow special instructions, such as taking medications with food.</p> Signup and view all the answers

    When should pharmacists or providers clarify the patient's understanding of medication information?

    <p>At the end of the consultation after providing information.</p> Signup and view all the answers

    What role does patient education play in medication management?

    <p>It enhances compliance and reduces the risk of errors.</p> Signup and view all the answers

    What is the primary purpose of a medication policy and procedures manual in an athletic training clinic?

    <p>To provide a framework for managing medications and establishing dispensing protocols.</p> Signup and view all the answers

    Who should be responsible for the destruction of expired medications in an athletic training setting?

    <p>A reverse distributor should be used for the disposal of expired medications.</p> Signup and view all the answers

    What entity must register the athletic training facility with the DEA for managing controlled substances?

    <p>The medical director or lead team physician.</p> Signup and view all the answers

    What document outlines specific guidance for athletic trainers managing medications since its issue in 2009?

    <p>Consensus Statement on Managing Prescription and Non-Prescription Medications in the Athletic Training Facility.</p> Signup and view all the answers

    In the distribution of medications, who is allowed to distribute prescription medications in an athletic training clinic?

    <p>Only physicians are allowed to distribute prescription medications.</p> Signup and view all the answers

    What is required for the proper documentation of over-the-counter medications distributed in an athletic training facility?

    <p>Documentation must include individual records that ultimately transfer to the patient’s medical record.</p> Signup and view all the answers

    What should be done with sample medications that are brought into an athletic training facility?

    <p>Sample medications must be properly documented and should not leave the facility.</p> Signup and view all the answers

    What is necessary regarding the secure storage of controlled substances in an athletic training clinic?

    <p>Controlled substances should be stored in a locked area with access limited to physicians.</p> Signup and view all the answers

    Why is it important for every medication to be labeled according to the intended patient?

    <p>To ensure that medications are exclusive to the patient intended and prevent sharing.</p> Signup and view all the answers

    What makes up the chain of command regarding medication management in an athletic training setting?

    <p>The hierarchy includes team physicians and athletic trainers responsible for managing medications.</p> Signup and view all the answers

    What must be included in the disposal process for expired medications?

    <p>Medications should be disposed of in a destruction container in accordance with state regulations.</p> Signup and view all the answers

    What document is essential for tracking medications' lot numbers in case of recalls?

    <p>A medication documentation form must be maintained.</p> Signup and view all the answers

    Which group of personnel is permitted to have access to prescription medications in an athletic training facility?

    <p>Only staff athletic trainers should have access to prescription medications.</p> Signup and view all the answers

    Study Notes

    Treating Patients Who Are Minors

    • Athletic trainers (ATs) in secondary and middle schools frequently treat minors, and patients younger than 18 require parental consent.
    • School districts should create medication policies, presuming that minors require parental consent for any medication.
    • Intercollegiate ATs need written consent for treatment, including medications, from parents or guardians for patients under 18, for all staff, physicians, and involved parties.
    • Minors under 18 generally require parental or guardian consent for medication administration.
    • Minors' medication administration should follow school district policies.
    • ATs should obtain written consent for treatment from parents or guardians for underage patients and ensure that all involved parties are in agreement.

    Guidelines for Administering Medications

    • Medication administration guidelines exist since 1992, emphasizing drug classification, documentation, legal compliance, and adherence to federal and state regulations.
    • Early studies after 1992 showed mixed compliance with medication regulations by ATs, with some allowing student distribution and lacking OTC tracking.
    • Subsequent studies revealed inadequate medication storage and poor tracking of OTC medications, with assistant ATs showing better compliance than head ATs.
    • Modern AT education includes competencies in therapeutic medications. ATs must ensure adherence to all existing federal and state regulations.
    • Early reports indicated issues with student medication distribution and OTC tracking. Problems with medication storage and inadequate tracking of OTC medications were observed in follow-up studies. Assistant athletic trainers show better record-keeping compliance.
    • Half of surveyed ATs admitted to partially adhering to federal regulations, including allowing student medication distribution and lacking OTC tracking.

    CAATE Standards for Therapeutic Medications

    • Entry-level athletic trainers must educate patients about medications, including indications, contraindications, dosages, interactions, and adverse reactions.
    • They must administer medications as directed by a physician or other legally authorized provider.

    Administrative Principles for Prescription Medications (DDUKPESC)

    • Develop a medication policy and procedures manual (with annual review/adjustment).
    • Destroy expired and returned medications (including use of a reverse distributor).
    • Comply with federal and state regulations that apply to ATs, including DEA registration for controlled substances (site-specific permits). This is crucial for storing, receiving, administering, and dispensing controlled substances.
    • Maintain meticulous and complete medication records (3-year retention).
    • Provide sample medications with proper documentation (tracking who received and when).
    • Establish a clear chain of command for medication responsibilities (excluding athletic training students).
    • Securely lock medications, including all controlled substances (secure storage location). Medication cabinets must be in a physician’s office within the athletic training facility.
    • Clearly label all medications with specific patient identification (name & birthdate).

    NATA Consensus Statement on Managing Prescription and Non-Prescription Medications in the Athletic Training Facility (2009)

    • Reinforces AT compliance with all state and federal regulations for administering medications.

    Guidelines in CSOMPNPATF (DDIPPLEI)

    • Distribution: Physicians dispense prescriptions; sports medicine personnel dispense OTC medications. AT students do not administer any medications.
    • Documentation: Maintain individual records of both prescription and OTC medications, transferring to the patient's medical record, tracking lot numbers for recalls/adverse events. Documentation of OTC medications is crucial.
    • Disposal: Dispose of expired/returned medications in a designated destruction container per state regulations.
    • Personnel: ATs manage prescription and OTC medications under the supervision of the team physician. Pharmacists approved by the team physician. Administrative oversight of sports medicine is essential. Personnel authorized to manage medications include staff athletic trainers, physicians, and pharmacists.
    • Packaging: Medications must be in original, unopened containers from the manufacturer. This prevents repackaging issues.
    • Labeling: Medications must remain in original packaging. Attach a dedicated label with patient-specific information/directions at the time of dispensing.
    • Emergency Medications: Availability determined by the team/directing physician based on individual patient needs.
    • Inventory Control: Prescription inventories should be reconciled monthly, bi-monthly, or semi-annually.

    Types of Drug Orders

    • Standing order: Administered until discontinued/for a set number of doses (physician renewal required).
    • Stat order: Immediate administration.
    • Single order: Administered/dispensed at a specified time.
    • PRN order: Medication given as needed.
    • Now order: Healthcare provider has 1.5 hours to give medication; different from stat order.

    Filling a Prescription

    • Only a prescriber can dispense controlled substances.
    • Prescription labels are documented instructions to the patient.
    • Prescription components must be accessible to the pharmacist.
    • Electronic prescribing (E-prescribing) has reduced errors. Accuracy and readability are paramount for all orders.

    Prescription Requirements

    • Prescriber information (name, address, phone, licensure).
    • Patient information (name, ID data, date of prescription).
    • Medication details (name, strength, number of doses).
    • Instructions for use (frequency, route, refills, warnings).

    Medication Errors

    • Factors associated with errors:
      • Similar medication names/packaging
      • Less commonly used medications
      • Common medications with known patient allergies
      • Polypharmacy (multiple drugs for one condition)
      • Medications requiring specific therapeutic levels.

    Advising Patients on Medication

    • Key points when advising patients:
      • Confirmation of understanding.
      • Explanation of medication function/rationale.
      • Encourage questions.
      • Importance of following instructions.
      • Access to prescriber/pharmacist for clarification.
      • Reinforce contraindications/special instructions.
      • Document patient feedback.

    Six Rights of Medication Administration

    • Right patient
    • Right drug
    • Right dose
    • Right route
    • Right time
    • Right documentation

    Patients With Similar Names

    • Accurate patient identification (name & birthdate) is crucial to prevent errors. Use all possible identifiers to reduce confusion.

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    Description

    This quiz covers essential guidelines for athletic trainers when treating minor patients, focusing on consent and medication administration. It discusses the legal implications of treating minors, as well as compliance with medication policies established by school districts. Enhance your understanding of CAATE standards and the best practices for administering medications to young athletes.

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