DoDD Medication Certification Flashcards

Questions and Answers

Oral meds are also listed as?

PO, by mouth

How long until oral meds work?

30-45 mins

What does topical mean?

Applied to the surface of the skin

What should always be done before passing any meds?

Wash your hands! Signup and view all the answers

When applying topical meds you should always?

Wear gloves Signup and view all the answers

What does OTC stand for?

Over the counter Signup and view all the answers

What does the DoDD curriculum state about OTC meds?

Have prescription on medication in order to be given Signup and view all the answers

What is the only OTC med that can be given without a DR prescription?

Topical for musculoskeletal comfort for pre-existing condition Signup and view all the answers

According to the DoDD med pass 1 cert, what can you NOT do?

Adjust frequency, dose, or perform activity not outlined in curriculum Signup and view all the answers

What is nurse delegation?

Authority to perform a task as directed by a nurse Signup and view all the answers

Who are considered health care professionals?

Dr., Nurse, Pharmacist Signup and view all the answers

What does IST stand for?

Individual Specific Training Signup and view all the answers

How to identify a client?

Picture in MAR or by another staff Signup and view all the answers

In order for a client to self-administer, they must?

Identify what med looks like, why they take it, when they take it Signup and view all the answers

You should NEVER pass meds that?

Another person has prepared Signup and view all the answers

What does PRN stand for?

As needed Signup and view all the answers

What are the Six Rights of Medication Administration?

Right patient, right medication, right dose, right route, right time, right documentation Signup and view all the answers

What should you know about a client before passing meds?

Allergies Signup and view all the answers

What is listed on the MAR?

Individual, name and strength of med, dose, time, route, month and year, allergies, special instructions Signup and view all the answers

How many times should you check the med before administering?

What is the time frame for passing medication?

1 hour before and 1 hour after scheduled time Signup and view all the answers

What are types of med errors?

Wrong med, wrong time, wrong client, wrong route, wrong dose, expired, w/o DR order, not given, after discontinuation, improper documentation Signup and view all the answers

What to do when meds are refused or missed?

Initial MAR, circle initials, notate why not given on back Signup and view all the answers

Examples of PRN meds?

Imodium, acetaminophen, Pepto Bismol Signup and view all the answers

What to do after a PRN is administered?

30-60 mins after evaluate if it worked, and document Signup and view all the answers

How to warm meds?

In your hand, set on counter for a few minutes Signup and view all the answers

How to give liquid meds?

Pour away from label, cup on flat surface, pour slowly, never put over poured med back in container, exact amount Signup and view all the answers

What does sublingual mean?

Under the tongue - do not chew or swallow, absorbed through the mucus membrane, stay with client until dissolved, not food or liquid for 30 mins after Signup and view all the answers

How long for sublingual med to work?

5-10 mins Signup and view all the answers

What does buccal mean?

Between the cheek and gum, keep with client until dissolved, not food or liquid 30 mins after Signup and view all the answers

What should be done while administering eye meds?

Never touch applicator to any surface, keep eyes closed after admin, ALWAYS WEAR GLOVES Signup and view all the answers

What to do when administering ear (otic) meds?

Pull ear back and up, tilt head parallel with floor Signup and view all the answers

What are the procedures for nasal meds?

GLOVES, blow nose before admin, clean applicator after each use Signup and view all the answers

What are transdermal meds?

Skin patch, WEAR GLOVES, clean area to be applied, never apply new patch where old patch was, avoid rashes and scars, to dispose fold in half before Signup and view all the answers

What to do if a transdermal patch falls off?

Contact HCP before re-administering NEW patch, discard old patch Signup and view all the answers

What does HCP stand for?

Health care professional Signup and view all the answers

What does rectal medication refer to?

Anal ex: suppositories and enema. Needs to be lubricated water-based Signup and view all the answers

What to do before using vaginal medications?

Void bladder before use Signup and view all the answers

Inhaled meds can be either?

Short (rescue every so many hours or as needed asthma attack) or long (maintenance same time every day to prevent symptoms) Signup and view all the answers

What is a metered dose inhaler?

MDI shake, place in mouth, breathe in as puff released, hold breath, encourage to cough Signup and view all the answers

What is a spacer?

Extension on MDI for clients that can't time up puff and inhale Signup and view all the answers

What does dry inhaler mean?

No puff/spray, client does the work Signup and view all the answers

What should be noted about verbal med orders?

Can never be transcribed to MAR - must be prescription Signup and view all the answers

What to do when transcribing meds to MAR?

Date and sign when you transcribe, another certified staff must sign and date after verification Signup and view all the answers

How to store meds?

In a secure location (locked depending on IST) Signup and view all the answers

How to dispose of meds?

Document med name and strength, amount of meds, method, a witness needs to verify and doc. Mix with something undesirable such as vinegar, kitty litter, coffee grounds, place mixture in container and throw away. Never flush or down sink Signup and view all the answers

What are the steps for fixing MAR documentation errors?

Line through error, write 'error', initial and date, correct Signup and view all the answers

What are health-related activities?

Vital signs (temp, pulse, blood pressure), oral suctioning, external urinary catheter care, colostomy bag, blood sugar, oxygen, pulse ox, CPAP and BiPAP, percussion vest Signup and view all the answers

When documenting temperature, you should identify?

Route and reading normal range 97-99 Signup and view all the answers

How to take pulse?

Take by wrist, count beats for 30 seconds, multiply by 2, normal is 60-100 Signup and view all the answers

How to assess respirations?

Keep person still 5 mins before, count rise and fall of chest for 30 seconds, multiply by 2. Normal 10-20 Signup and view all the answers

What are symptoms of a UTI?

Frequency, pain, change in behavior, smell, dark or cloudy urine, incontinence, lower back pain, blood in urine Signup and view all the answers

What are controlled counts?

Every shift, 2 people count and both document what was counted Signup and view all the answers

When to call 911?

Poisoning, coma, uncontrollable bleeding, cardiac arrest, respiratory arrest, chest pain, possible stroke, seizure lasting more than 2-5 minutes, severe abdominal pain, sudden loss of vision, broken limb Signup and view all the answers

What situations warrant a visit to the hospital?

Temp less than 95 or more than 103, shaking/chills with no fever, moderate bleeding Signup and view all the answers

What situations should you call a doctor?

Rash, earache, onset incontinence, repeated vomit, diarrhea, increased seizures, 1st degree burn Signup and view all the answers

What is the safest place to be during a seizure?

On the ground away from objects that can fall Signup and view all the answers

What actions to take during a seizure?

Start timing, safely get to the ground, turn person on their side, pillow/soft item under head, shut off lights if possible, reassure them, never impede, never put something in their mouth Signup and view all the answers

What is Diastat?

Diazepam rectal gel count to 3 before, during, after admin used for long seizures or status epilepticus, should stop 5-15 mins Signup and view all the answers

What is type 1 diabetes?

Pancreas produces little or no insulin Signup and view all the answers

What is type 2 diabetes?

Develops often in obese individuals and is characterized by high blood glucose resulting from impaired insulin coupled with the body's inability to compensate with increased insulin production. Signup and view all the answers

What is the normal blood sugar level?

70-110 Signup and view all the answers

What does hyperglycemia mean?

High blood sugar Signup and view all the answers

What does hypoglycemia mean?

Low blood sugar Signup and view all the answers

When testing blood sugar, you should try to?

Use a different finger every time Signup and view all the answers

What are the signs of hypoglycemia?

Sweating, clammy, confusion, light headedness, double vision, tremors Signup and view all the answers

How to treat hypoglycemia?

Give 15 grams of sugar goal is to add 30-45 points Signup and view all the answers

What is Glucagon?

Emergency med kit prescribed for severe low blood sugar, delegation nursing before admin. Signup and view all the answers

What are normal oxygen levels?

95-100% Signup and view all the answers

What does MUI stand for?

Major Unusual Incident Signup and view all the answers

What does UIR stand for?

Unusual Incident Report Signup and view all the answers

What does MAR stand for?

Medication Administration Record Signup and view all the answers

How long is DoDD certification valid?

1 year Signup and view all the answers

What is required for DoDD certification renewal?

Before 1 year mark, 2-hour class, if not renewed 60 days from anniversary, must retake whole class if not renewed within those 60 days Signup and view all the answers

Where can you find DoDD certification?

On DoDD website Signup and view all the answers

What to do if DoDD certification is not on website?

Contact nurse that conducted class Signup and view all the answers

If a med looks different from your memory, what should you look at?

At the prescription for description Signup and view all the answers

How to tell if someone nonverbal is in pain?

IST should list behaviors associated with different pain/ needs Signup and view all the answers

Study Notes

Medication Administration Overview

Oral medications are referred to as "PO" (per os), meaning by mouth.
It typically takes 30-45 minutes for oral medications to take effect.
Topical medications are applied directly to the skin's surface.

Hygiene and Safety Practices

Always wash hands before passing any medications to prevent contamination.
Wear gloves when applying topical medications to protect both the administrator and the client.

Medication Classification and Regulations

OTC stands for "over the counter" medications.
According to the DoDD curriculum, OTC medications must always have a prescription to be administered.
The only OTC medication that can be given without a physician's prescription is topical for musculoskeletal comfort regarding pre-existing conditions.

Medication Administration Limitations

During DoDD Med Pass Level 1 certification, adjusting medication frequency, dose, or performing activities not explicitly outlined in the curriculum is prohibited.
The delegation from a nurse provides authority to perform specified tasks.

Client Identification and Self-Administration

Identify clients through a picture in the MAR or confirmation from another staff member.
For a client to self-administer their medications, they must know the medication's appearance, purpose, and administration schedule.

Medication Error Prevention

Never administer medications prepared by another individual to avoid errors.
The “Six Rights” of medication administration include: Right patient, Right medication, Right dose, Right route, Right time, and Right documentation.

Documentation and Handling Procedures

Always note any allergies a client may have prior to medication administration.
The MAR includes essential information such as the individual's name, medication strength, dose, timing, route, and any known allergies.
Check medications three times before administration to ensure accuracy.
Medications should be administered within a one-hour window before or after the scheduled time.

Medications and Administration Errors

Types of medication errors can include wrong medication, wrong time, wrong client, wrong route, wrong dose, using expired medications, and improper documentation.
If medications are refused or missed, document the incident in the MAR and record the reason on the back.

Various Medication Types and Administration Techniques

Examples of PRN medications include Imodium, acetaminophen, and Pepto Bismol.
After administering a PRN med, evaluate its effectiveness 30-60 minutes later and document the results.
Liquid medications should be poured away from the label, poured on a flat surface, and measured carefully.

Special Medication Administration Techniques

Sublingual medications are placed under the tongue, absorbed through mucous membranes, and should not be chewed or swallowed.
Buccal medications are placed between the cheek and gum and require the client not to consume food or liquid for 30 minutes after administration.
Eye medications should never touch the applicator to any surface, and gloves must be worn during administration.

Disposing and Storing Medications

Medications must be stored securely, which can include locked storage based on IST.
To dispose of medications, document names and strengths, and mix with undesirable substances before disposal. Never flush medications down the sink.

Health Monitoring and Incident Reporting

Regular health-related activities include checking vital signs, such as temperature, pulse, and respiration rates.
The normal blood sugar range is 70-110 mg/dL, while normal oxygen saturation levels range from 95-100%.

Emergency Situations

Call 911 for severe situations like poisoning, cardiac or respiratory arrest, severe abdominal pain, or seizures lasting more than 2-5 minutes.
Situations requiring a doctor’s visit may include very high or low temperatures, abnormal bleeding, or persistent incontinence.

Certification and Renewal Information

DoDD certification remains valid for one year and must be renewed within that timeframe through a two-hour class.
If certification is not visible on the DoDD website, the instructor from the class should be contacted for clarification.
If medication appearance differs from memory, consult the prescription for a visual description.

Nonverbal Pain Indicators

For nonverbal clients, identify pain through behavioral cues listed in the Individual Specific Training (IST) documentation.

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Description

Test your knowledge on medication administration with these flashcards focused on the DoDD certification. Learn important terms and procedures, including how to properly administer oral and topical medications. Brush up on essential practices to ensure safe medication delivery.