Podcast
Questions and Answers
When must ALL medications be documented?
When must ALL medications be documented?
- Upon arrival, when taken, if changed or discontinued, when returned to the resident, and when disposed (correct)
- Only when administered by a nurse
- Only when prescribed by a doctor
- Only when the resident is discharged
What is the primary purpose of documenting all medications brought into the program by residents?
What is the primary purpose of documenting all medications brought into the program by residents?
- To monitor the resident's medication adherence
- To ensure the resident's medication is not expired
- To determine the cost of the medication
- To establish a clear chain of custody of medications and ensure accountability (correct)
Who is responsible for filling out the Admission Medication List?
Who is responsible for filling out the Admission Medication List?
- The resident's family member
- The resident themselves
- The nurse doing the resident intake (correct)
- The program's pharmacist
What should be written in the 'Allergies' field if the resident has no allergies?
What should be written in the 'Allergies' field if the resident has no allergies?
What should be done with medications prior to storing them?
What should be done with medications prior to storing them?
Where should medications be stored?
Where should medications be stored?
What is the primary role of staff during medication observation?
What is the primary role of staff during medication observation?
What should staff do if they suspect medication misuse during observation?
What should staff do if they suspect medication misuse during observation?
Why is it important to inspect the medication cup before the patient ingests the medication?
Why is it important to inspect the medication cup before the patient ingests the medication?
What is a best practice for documenting medication observation?
What is a best practice for documenting medication observation?
What is the purpose of medication check-in and storage?
What is the purpose of medication check-in and storage?
What is a key principle for observing medication administration?
What is a key principle for observing medication administration?
What is the primary goal of Medication Management?
What is the primary goal of Medication Management?
What is the role of staff in Medication Management?
What is the role of staff in Medication Management?
What is NOT a primary responsibility of Medication Management?
What is NOT a primary responsibility of Medication Management?
What is the purpose of the Medication Observation Record (MOR) Sheets?
What is the purpose of the Medication Observation Record (MOR) Sheets?
What is the significance of the BSAS Regulation 105 CMR 164.406 (G) in Medication Management?
What is the significance of the BSAS Regulation 105 CMR 164.406 (G) in Medication Management?
Study Notes
Medication Administration and Observation
- Staff should observe residents as they take their medication to ensure adherence to prescribed directions.
- Medication should be visually inspected before ingestion to prevent any errors or misuse.
- Patient holds out the cup for staff to check the contents before taking the medication.
Documentation and Compliance
- Document observations of medication intake accurately, including any potential misuse.
- Recognize medication misuse as a symptom of Substance Use Disorder requiring therapeutic intervention.
- Staff should prompt patients to take medications as prescribed, reading directions aloud if necessary.
Observation Best Practices
- Maintain focus during observation; avoid distractions such as cell phones.
- Do not document while residents are taking medication.
- Administer one medication at a time and control the administration pace.
Medication Storage Procedures
- New medications must be stored immediately to prevent theft and protect privacy.
- All staff members are responsible for securely storing patient medications.
Medication Documentation Cycle
- Medications must be documented throughout their lifecycle: upon arrival, when taken, if changed/discontinued, returned, or disposed of.
- Documentation establishes accountability and clarity regarding medication custody.
Admission Medication List
- Complete an Admission Medication List for all medications brought by residents, including prescriptions and over-the-counter products.
- Include patient information, document allergies (if any), and note if no medications are present.
Training Content Overview
- Topics covered in training include medication observation, storage, documentation practices, and maintaining refrigerator temperature logs.
- Medication Management aims to ensure proper handling and administration of medications, fostering residents' skills for independent medication management post-program.
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Description
Test your knowledge of medication documentation rules! Learn when and how to document medications, including upon arrival, when taken, changed, or discontinued, and more. Ensure you're following proper protocols for storing and observing medications.
