Misc.
What are the 3 colors of med logs?
White (scheduled), Yellow (controlled), Pink (PRN)
When do med orders expire?
After 1 year from the date it is written (example: 10/21/26 to 10/21/27).
How many hours do you have to send in the HCV form?
24 hours
Is a PRN medication is controlled, do you document it on pink log or yellow log?
Yellow log
Who is in charge of doing QAs?
Nurse Trainer
How often do diet orders need to be renewed?
Every year, just like med orders.
The doctor increases the dose of your client's trazodone. Who do you need to obtain consent from before starting the new dose?
client's guardian and the Nurse Trainer
What form would you fill out if your client has a fall?
Incident Report (IR)
In addition to your triple checks, what else do you need to check before giving a PRN medication?
The PRN Protocol, expiration date, last time medication was administered
You move to a new home with your client. How frequently do the QAs need to be and for how long?
After 30 days, it will be monthly QAs for 3 months.
The doctor says to stop the client's melatonin. What document do you need from them before you can do this?
discontinue (d/c) order
Your client's order says to give one 100 mg tablet. The label on the bottle says to give two 50 mg tablets. What should you do?
Get an order from the provider that matches the label exactly so that you can do your triple checks.
What 2 forms would be required if your client has a seizure?
Incident Report (IR) and seizure report
How long should you wait to determine if a PRN is effective or not?
30-60 minutes
You have insulin that needs to be kept unlocked in the fridge. What form do you need to have in the med book and who signs it?
Unlock form; the Nurse Trainer
How many years of annual physicals do you need to keep in the med book?
The last 2 years
How often after receiving a new order should you start the medication?
Your client just scored a 4 in the "Falls" category on the HRST. When is the earliest possible time (in months) that this score to decrease?
12 months
acetaminophen (Tylenol) 325 mg
Give 2 tabs by mouth every 4 hours as needed.
You give a dose at 10:30 AM. When is the earliest they can have another dose?
2:30 PM
You picked up Vitamin D3 over the counter and it does not have a label. What 2 forms do you need to keep with that medication?
Explain why some categories on the HRST have 2 boxes.
The left-handed box is the score (looks at the past 12 months), and the right-handed box is the number of occurrences for that month.
The client is prescribed ibuprofen 600 mg tablets. You get an order for Tylenol 600 mg tablets. What is wrong with this order?
They are for different medications. ibuprofen = Advil, Motrin and Tylenol = acetaminophen. Always check the generic and brand names!
Which 3 forms do you need to bring to the annual physical exam?
Healthcare Visit Form (HCV), annual health screening recommendation form, annual physical exam form
Your client was given his PRN Ativan 5 times this month. Where should you document this on the HRST?
Right-hand box in "chemical restraint" category
Name 3 documents that the Nurse Trainer will look for at every QA.
ISA, NH Health History, copies of last 2 physicals, consent form, etc.