pART1.1.pptx

Introduction to Medication Observation © 2021 EMO Health. All Rights Reserved. What is Medication Management? Medication Management is the process of overseeing resident medications to ensure that medications are being handled properly by staff and taken as prescribed by patients The goal is for t...

Introduction to Medication Observation © 2021 EMO Health. All Rights Reserved. What is Medication Management? Medication Management is the process of overseeing resident medications to ensure that medications are being handled properly by staff and taken as prescribed by patients The goal is for the resident to develop the knowledge, skills, and habits necessary for them to take their medications appropriately, and on their own, BSAS Regulation 105 CMR 164.406 (G) Observing vs. Administering Self-Administering Medication HANDING the resident their medicine IN the bottle or blister pack Observing the resident remove the medication from the bottle and take it Helping a resident open a safety or child- proof cap, but not removing any medicine Administering a Medication GIVING the resident a dose of medication from the bottle or blister pack to take Taking a pill, film, patch OUT of bottle or blister pack and giving it to resident to take Putting medication into a med cup and giving it to the resident to take Pouring a liquid medicine for a Goal of Medication Observation Observation IS supporting residents take medication safely & appropriately and notifying a supervisor immediately when a medication is taken incorrectly or improperly. Observation IS NOT controlling what medication or how much medication a resident takes. Principles of Medication Management Medication management is a shared responsibility Resident is responsible for taking medication as prescribed (i.e., taking prescription and over the counter medications according to the labeled instructions on the bottle/container) Staff are responsible for following the 6 Rights of Medication Management THE 6 RIGHTS OF MEDICATION MANAGEMENT RIGHT PERSON RIGHT MEDICATION RIGHT DOSE RIGHT TIME RIGHT ROUTE Step 1: Greet and Be Discreet You can learn a lot about someone from the medications they take. Active communication and good documentation prevents costly med errors. Patients can look alike. Greet the patient by name (positive identification). Patients can have similar names. Always use the patient’s full first and last name on all medication records, bins, etc. Step 1: Greet and Be Discreet Patients have a right to privacy and the observation process should reflect this right. Make sure the hallway is clear to prevent people from overhearing medication information (potential HIPAA violation). Make sure medications and medication records are put away and out of sight. Step 2: Retrieve Medications Retrieve the patient’s bin(s) and binder and place them in front of the patient. Verify that the correct resident in front of you. Always double check! You can open the patient’s medication bin. You may assist with opening a medication container (such as a safety cap). Do NOT remove any medication (pills, films, etc.) from the Step 3: One Med at a Time The patient may remove the medications from their box but should not open them until you are ready (you set the pace) They can place the medications to the side to sort them. The patient should show you the first medication they wish to take Another method is to read the first medication to the patient and ask them if they want to take it. Step 4: Observe Resident Take Medication Staff and patient review the medication directions Observe the patient remove the medication and place it into the med cup. Patient HOLDS OUT the cup for staff to check. Visually inspect BEFORE the resident ingests a medication – once the medicine is ingested you can’t get it back. Step 5: Document Observation Medication misuse is a SYMPTOM of Substance Use Disorder and should be treated therapeutically by trained professionals/clinicians If the contents of the cup are incorrect or misuse is a concern: You can verbally remind or instruct the patient to take a medication as prescribed (according to the directions on the bottle/blister pack). You can read or ask the patient to read the directions out loud. Ultimately, your role is to OBSERVE and NOTIFY a supervisor when medication overuse, underuse, or misuse Observation – Best Practices PAY ATTENTION! Monitor carefully! No cell phones or other distractions Do not document while the resident is taking the medication One medication at a time YOU control the pace!