Medications
You must always verify these prior to administering any medication
What are the 6 Rights of Medication Administration?
Idaho code mandates that the facility must maintain a daily count, reconciliation, and tracking log for this specific, highly regulated class of drugs.
what are controlled substances
If you do not document a task, shower, or meal percentage before your shift ends, this is how state inspectors legally view that task.
it didn't happen
What does a full set of vitals include?
What is blood pressure, spo2, temperature, heart rate
What is our crisis line used for?
Crisis is to be called when a member is having increased behaviors, symptoms, or disruptive behaviors. Crisis may also be called by staff if they are unable/unsure of how to handle a behavior.
Narcotics should be spaced out this many hours apart
2 hours unless nurse specifies otherwise
When a bubble pack is empty
Cross out members name and place in trash. Unless it is a narcotic then we keep the bubble and attach the narc sheet with it for nurse/admin rev.
You have a resident that is reporting that someone stole their items. What should staff do in this situation
Staff find out exactly what member is missing- color, what it is, etc and document. Staff to aide member in finding missing items in room/laundry/alf. If unable to find it report to team and next shift to continue to try to look. Admin needs to be notified if item cannot be find as an investigation will have to be done.
What includes a change of condition
Falls, unexplained bruising or wounds, members behaviors increased, member not sleeping or sleeping more, after procedures, changes in toileting, changes in everyday routine.
This term describes a false, fixed belief held by a resident that cannot be changed by logic, such as believing staff are poisoning their food.
What is a delusion?
This documentation record must match the medication label and physician’s order exactly.
What is the MAR (Medication Administration Record)
A resident has a complete right to refuse these, but staff must carefully document the refusal, monitor the resident, and notify the administrator or physician.
What are psychiatric medications (or medical treatments)?
According to Idaho state guidelines, this document must be reviewed by staff regularly because it outlines every specific care task a resident needs.
what is ADLS/care plan/service plan
If a resident has a fall while at the ALF what should staff do first?
What is leave member where they fell, address for any extreme pain or inability to move neck and head. Then staff to do full set of vitals and report to nurse and admin.
During this phase of Bipolar Disorder, a resident may display racing thoughts, extreme energy, rapid talking, and a severely decreased need for sleep.
What is a manic episode (or mania)
Idaho law states that medication intervention using these behavioral-altering drugs must never be used as a "first resort".
What are psychotropic (or behavior-modifying) medications?
Name the 6 rights of Medication administration
What is Right patient, Right medication, right dose, right time, right route, right documentation
These items should NEVER be plugged into an extension cord and need to be pulled in directly to wall outlet
What are oxygen concentrator, microwaves, fridges, CPAP machines
The acronym "POST" is often found in an Idaho resident's medical file. It stands for these actionable medical directives.
What are Physicians Orders for Scope of Treatment? Will tell providers if member is DNR or not and what life saving measures that person wants.
This is the single most critical safety concern for staff to monitor when a resident is diagnosed with severe Major Depressive Disorder.
What is suicidal ideation (or self-harm risk)
This is the required action a staff member must take after handing a resident their medication to ensure compliance.
What is observing the resident actually take the medication
Explain step by step how you are pulling meds from the cart and passing
1. Open members MAR on BS
2. Pull out members scheduled meds for that time
3. Read each label on the med and compare to mar to ensure matching (if they do not match let admin know)
4. Pop each med in the cup after checking that it is correct
5. Place meds back in the cart (do not give med cup to resident yet)
6. Give member cup and watch them take med
7. Check members mouth to ensure they took med and take their cup and throw away. Then click save on members MAR.
These items are not allowed in the resident rooms
What are extension cords without surge protector
Candles that have been lit already
chemicals of any kind
medications of any kind unless they have a bedside order
Sharps- razors, knives, scissors, etc.
What happens if someone is diabetic and comes out shaking, clammy, dizzy, and reports they don't feel well. What is the first thing ALF staff should do?
Check members blood sugars. If BS is below 70 or under staff to offer 100% fruit juice have member drink and recheck in 15 minutes. If does not increase BS over 80 give them another glass of juice, wait 15 minutes and recheck. If continued contact facility nurse.
When a resident experiencing paranoia or mania rapidly escalates into explosive anger, staff must completely avoid these two natural physical reactions, which the brain interprets as a direct threat.
What are matching their loud volume and making intense, direct eye contact?