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what are the steps for discontinuing a medication?
cross out all open boxes on the medication sheet, draw a diagonal line through the left side and add DC date and initials, draw a diagonal line through the right side and add DC date and initials
what is a paradoxical effect?
a response to a medication that the opposite of what is expected
how do you prepare someone for an HCP appointment?
tell them date and time, what will happen, follow any ordered instructions.
how you prepare someone for an HCP appointment
what details must be included in PRN medication order?
specific target signs and symptoms for use, measurable objective criteria if needed, frequency, and parameters for use
what is anaphylactic reaction
very dangerous allergic reaction that can affect the whole body, causing difficulty breathing, hives and changes in blood pressure. can be life threatening and requires immediate medical attention.
what are the three principles of medication administration?
mindfulness, supporting abilities, communication
who may act as a MAP consultant?
a registered nurse, registered pharmacist, and an HCP who is an authorized prescriber
what should you make sure to bring to an HCP appointment?
person's insurance card, copy of medication list, HCP encounter/consult/order form
what does exhausting a current supply of medication mean?
if there is a change to dose or frequency of medication, it is acceptable to use up the current supply of medication until new prescription is filled, as long as that is approved by the pharmacist
what is brand name medication
medication made by a specific pharmaceutical company
what are factors that may influence how someone responds to a medication?
age, weight, gender, general health, medical history, level of physical activity., and use of other medications.
what is the first thing you should do if a person refuses to take their medication?
ask them why they do not want to take it, then report that to the HCP and your supervisor
what should you do during an HCP appointment with a patient?
assist of needs and advocate, encourage participation, and support abilities
what are the ways in which an HCP can provide a prescription to a pharmacy?
electronic, telephone, paper
when should you request a medication refill?
when there is no less than a seven-day supply of medication remaining
how must countable medication be stored?
double key locked in temper resistant packaging
What is documenting a missed dose?
Draw a circle in the box on the med grid that corresponds to the time the medication was supposed to be given. initial inside the circle and write a note explaining the reason for the missed dose.
what do you do with information for an HCP telephone order?
document order word-for-word on telephone order form, read it back, transcribe the order, an provide pharmacy contact info
What is posting and verifying a med?
1. place colored check mark next to order being transcribed.
2.write "posted", the date, time and your name on the order under HCP signature.
3. ask another certified staff to review orders you transcribed and write "verified," date, time, and their name on order
What are examples of an identifier for a countable controlled medication?
C stamped, Rx number starting with a C or N, or color coded packaging
what are steps for administering medication?
1.read med sheet to identify meds being given.
2.clear and clean area.
3.wash hands
4.gather equipment
5. identify and bring person to area
6.unlcok med storage area
7.first 2 crosschecks
8. prepare med correctly, remove meds from container
9. 3rd crosscheck
10.tell them what they're taking, adminster
11. make sure they take it
12.observe
13.look again, check 5 rights
14. document you gave the med and lock it up
15. wash your hands
What are cycles of responsibility?
1. observe/watch for changes
2. report changes
3. support visits to HCP
4. communicate with pharmacist
5.record information
6.store medication
7.administer medication
8. document the medication administration
what are the steps to complete when an HCP order is received?
transcribe order onto med sheet, post (documentation the staff who competed the transcription), and verify (review of the transcription by a second staff member)
how you correct a documentation error?
draw a single line through the error, write "error," and write your initials and document what you meant to write the first time
when and why you complete an accuracy check?
prior to the first medication administration of the new month, two staff (ideally together) will check the new months med sheets for accuracy and to ensure all ongoing transcriptions were copied onto the new sheet