Medication Administration Step 1 and 2

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary goal of Medication Management?

To administer medications to residents

To support residents in taking medication safely and appropriately (correct)

To prescribe medications to residents

To control what medication a resident takes

What is the role of staff in Medication Management?

To prescribe medications to residents

To administer medications to residents

To follow the 6 Rights of Medication Management (correct)

To control what medication a resident takes

What is the first step in preventing medication errors?

Greeting and being discreet (correct)

Counting the medication

Documenting the medication

Administering the medication

What is NOT a right in the 6 Rights of Medication Management?

Right Diagnosis Signup and view all the answers

What is the goal of observing a resident taking medication?

To support the resident in taking medication safely and appropriately Signup and view all the answers

What is an example of administering a medication?

GIVING the resident a dose of medication from the bottle or blister pack to take Signup and view all the answers

Why is active communication important in Medication Management?

To prevent costly medication errors Signup and view all the answers

What is a benefit of correct Medication Management?

Decreasing the risk of medication errors Signup and view all the answers

What should always be used for positive patient identification?

Full first and last name Signup and view all the answers

What is the primary reason for ensuring the hallway is clear during medication administration?

To maintain patient privacy Signup and view all the answers

What should you do if the patient shows the incorrect content in the medication cup?

Instruct the patient to take the medication as prescribed Signup and view all the answers

Which of the following actions should NOT be performed by the staff during medication administration?

Opening the medication container for the patient Signup and view all the answers

What is the recommended pace for the patient to follow during medication administration?

Staff sets the pace Signup and view all the answers

Why is it crucial to visually inspect the medication before the patient ingests it?

To ensure the correct medication is being taken Signup and view all the answers

How should medication misuse be addressed in patients?

Therapeutically by trained professionals Signup and view all the answers

What is a key step to prevent medication errors during administration?

Administering one medication at a time Signup and view all the answers

What information should be documented on the Medication Return Form?

The resident's full name, name of staff member completing the form, and the date Signup and view all the answers

Within how many days should the medications be disposed of after the resident's discharge?

14 days Signup and view all the answers

Who should sign and date the Medication Return Form?

The resident and the staff member Signup and view all the answers

What should a staff member do if the patient refuses to sign the Medication Return Form?

Have a second staff member witness the medication return process Signup and view all the answers

Who can medication be returned to, besides the resident?

Only the resident's authorized representative Signup and view all the answers

What should staff members ensure before returning medications to the resident?

That all medication storage areas are checked Signup and view all the answers

When must all medications be documented?

Upon arrival, when taken/ingested, if changed or discontinued, when returned to the resident, and when disposed Signup and view all the answers

What is included in the Admission Medication List?

All medications brought to the program by the resident, including OTC products and on-person medications Signup and view all the answers

Why is it important to document all medications prior to storing them?

To establish a clear chain of custody of medications Signup and view all the answers

What should be done if the resident has no medications?

Check the box stating 'No Medications at time of admission' Signup and view all the answers

What should be transcribed from the pharmacy label or OTC product package when filling out the Admission Medication List?

The medication name, strength, and directions exactly as written Signup and view all the answers

Why is it important to count the medications brought to the program by the resident?

To prevent misunderstandings and confusion Signup and view all the answers

What should be done with the Admission Medication List after it is filled out?

The Nurse will decide whether to continue or discontinue the medications Signup and view all the answers

What is the purpose of documenting 'NKDA' or 'No Allergies' in the 'Allergies' field?

To indicate that the resident has no known allergies Signup and view all the answers

What should be reviewed before storing medications picked up from the pharmacy?

The patient's current Medication Order Records (MORs) Signup and view all the answers

What determines whether a medication is a refill or a new order?

The medication name and formulation Signup and view all the answers

What must be documented on the MAR sheet for a refill?

The date, time, and quantity of medication received Signup and view all the answers

What type of medication requires the resident's initials?

None of the above Signup and view all the answers

How long are medications kept after a resident is discharged?

14 days Signup and view all the answers

What is the purpose of the Medication Return Form?

To document the return of medications to the resident when discharging Signup and view all the answers

What information must match on the MAR sheet for a refill?

Medication name, formulation, strength, and directions Signup and view all the answers

What is required to confirm before documenting a refill?

That the medication received is a refill and not a new RX Signup and view all the answers

Study Notes

Medication Management Overview

Medication Management involves overseeing resident medications to ensure proper handling by staff and adherence by patients.
Aims to empower residents with knowledge and skills for self-administration.

Observation vs. Administering Medication

Self-Administering Medication: Residents handle their medication independently.
- Staff may hand over medication in a bottle or blister pack.
- Assistance may include helping residents open child-proof caps.
Administering Medication: Involves staff giving medication directly.
- Staff physically provide doses from containers.
- Medications can be poured into cups or extracted from packages.

Goals of Medication Observation

Support residents in taking medications safely and appropriately.
Immediate reporting to supervisors of any medication mismanagement or errors.

Principles of Medication Management

Shared responsibility between residents and staff.
Residents must take medication as prescribed, including both prescription and over-the-counter drugs.
Staff must adhere to the 6 Rights of Medication Management.

The 6 Rights of Medication Management

Right Person
Right Medication
Right Dose
Right Time
Right Route

Step-by-Step Medication Observation Process

Step 1: Greet and Be Discreet
- Use the patient’s full name for identification; privacy is essential to avoid HIPAA violations.
Step 2: Retrieve Medications
- Confirm the correct resident before retrieving their medication bin.
- Staff may open medication bins or assist with jar lids but cannot remove medications.
Step 3: One Med at a Time
- Patients should not open medications until ready; they can sort their medications as needed.
- Staff may prompt the resident to identify the first medication to take.
Step 4: Observe Resident Take Medication
- Review medication directions together; observe the removal of medication.
- Staff must visually inspect the medication before ingestion.
Step 5: Document Observation
- Address any signs of medication misuse, potentially indicating Substance Use Disorder.
- Reinforce correct medication use through reminders or directing patients to read instructions aloud.

Medication Management

Morning Nurse is responsible for checking the house medication expiration dates monthly, with expirations written as MM/YY, expiring on the last day of the month.

Medication Refills

Before storing medications picked up from the pharmacy, determine if a medication is a refill, review the patient's current MARs, and confirm if it's a refill or new RX.
A refill has the same medication name, formulation, strength, and directions as the current MAR.
A new order is a medication not currently documented on a MAR, or same medication with new dosage or directions, or same medication with a different formulation.

Documenting Refills

Confirm the medication received is a refill and not a new RX.
Determine if the medication received is a countable or non-countable medication.
Select the appropriate MOR sheet, document the date, time, and enter the quantity of medication received.
Resident does not need to initial, only staff.

Medication Cycle

ALL medications must be:
- Documented upon arrival, when taken/ingested, if changed or discontinued, when returned to the resident, and when disposed.
- Observed when taken by a resident.
- Stored securely in the refrigerator or cabinet/storage unit.

Medication Documentation

All medications that enter the program must be documented, including resident's Over the Counter (OTC) Medications.
Document all medication prior to storing them, including refills.

Admission Medication List

Filled out by the nurse doing the resident intake.
All medications brought to the program by the resident are documented and counted, including:
- Prescription medications.
- OTC products.
- On-person medications.
Proper documentation of all medications brought into! the program by residents establishes a clear chain of custody, ensures accountability, and prevents misunderstandings.

Filling Out Admission Medication List

Place patient sticker with resident's information on the top left of the form.
Fill out "Allergies" field, writing "NKDA" or "No Allergies" if none.
If the resident has no medications, check the box stating "No Medications at time of admission".
Transcribe medication name, strength, and directions exactly as written on the pharmacy label or OTC product package.
Count all medications brought to the program at admission using a medication counting tray and spatula.

Medication Return Form

Used to document the return of medications to the resident when discharging.
Medications left behind are kept for 14 days to allow for the resident to pick them up.
Document all medications being returned to the resident, including active, inactive held medications, OTC's, and refrigerated items.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Learn about the initial steps in medication administration, including greeting patients by name and ensuring privacy and discretion.