Directly Observed Therapy (DOT) Procedure

• Paul McDonald's DOT (Directly Observed Therapy) procedure involves the administration of oral medication from a blisterpack.
• Paul McDonald's date of birth is January 1st, 1950.
• The goal of the DOT process is to ensure safe and consistent administration of oral medication from blisterpacks.
• Supplies needed include the blisterpack, a glass of water or juice, and a small dish to hold the medication.
• The medication schedule is set for: Breakfast, Lunch, Supper, Bedtime, or Other.
• Storage space for the medication should be in a cupboard or a Med-lock box (if required).

Reportable Concerns:

• Inability to complete the task
• A change in the client's condition
• The client and/or family member(s) requesting a change in the DOT procedure
• Any observed tampering or missing pills
• Empty or broken compartments that should be intact

Procedure:

• Wash hands to maintain cleanliness as per standard precautions
• Gather supplies and assemble them on a clean, dry surface to complete the task in an organized manner.
• Check #1 and identify the Rights of Medication Assistance by having the MAR (Medication Administration Record) and collecting medication to ensure correct medication is given as ordered.
• Check #2, and open the blisterpack, identify the Rights of Medication Assistance, and see client-specific instructions to ensure correct medication is given as ordered.
• Push medication out the back of the blisterpack into dish or designated container to visualize pills and ensure the entire dose is poured.
• Check back of blisterpack for pills lodged in foil to ensure that all scheduled pills are given.
• Check #3 just before giving medication to the client, identify the Rights of Medication Assistance by the bedside with education now.
• Give medication to the client with water or juice and observe client swallowing medication to ensure that all scheduled pills have been swallowed safely.
• Return the blisterpack and the small dish or medication cup to the appropriate storage space to ensure safe storage of medication.
• Wash hands to maintain cleanliness as per standard precautions.
• Sign the MAR/flow sheet and report and record any reportable concerns to maintain accurate records.

This lesson outlines the steps and reportable concerns for Paul McDonald's Directly Observed Therapy (DOT) procedure, which involves administering oral medication from blisterpacks. Proper hygiene, gathering of supplies, and adherence to the medication schedule are crucial. Reportable concerns include inability to complete the task or observed tampering.