Definitions
What does PRN mean?
As needed.... Is there a difference between PRN and OTC?
Are mL and Mg the same when administering liquids medication?
No… mL and cc are the same. Not mL and Mg.
What are the most common ways of medication administration?
Oral - by mouth (pills, capusles, liquids) Topicals - medication that is placed directly on the skin.
Hour of Sleep/Bedtime
You attempt to give a resident medication and they refused, what should you do?
Attempt 3 times total. Reapproach and offer medication again after a couple minutes, Give choices with the medication, Encourage the individual to take the medication. If still refusing after 3 attempts; Notify RN, document med refusal and dispose of medication.
When do you complete the 3 checks?
Before you Remove, Before you POUR, Before you RETURN
Before starting any medication pass, what is the first thing you should do?
Wash your hands
Where would you place a medication that is given sublingually?
Sublingual = meds that are placed under the tounge and dissolved.
PO / NPO
PO = By Mouth
NPO = NOTHING By Mouth
The vital sign you took is outside of the parameters, what should you do?
Do not give the medication and call RN for further instructions
What are the 6 rights?
Time, Route, Amount/Dosage, Medication, Person, Documentation
How many pours do you need to complete and how long do you have to complete them before being considered AMAP? How often do you need to recertify your AMAP status?
3 pours within 3 months.
Need to recertify once a year... CS will notify you 90 days prior, send the RN an email when this appears.
How to dispose of a medication? (discontinued med, expired med, accidental drop on the floor or accidental pop)
Inform RN & Use the drug buster (and document on the medication disposale sheet found in MAR binder)
PM, PC
PM = After 12pm
PC = After meals
You are going to administer eye drops, what should you do?
Wash hands, put on gloves, have the individual sit or lie down, draw the lower eyelid down, prompt the individual to look up, administer the prescribed number of drops in the bottom of the lower eyelid, hand the client a tissue (or assist)
Systemic Effect vs Localized Effect?
Systemic = Enters the bloodstream; Localized = does not enter bloodstrem, usually a topical
After administering a PRN, what additional responsibility do you have?
Observe & monitor the client, document if the medication was effective or not per the follow up prompt.
How to dispose of a controlled medication?
Notify RN - follow directives of RN.
Staff cannot dispose of controlled med. RN must do so.
AM / AC
AM = Before 12pm
AC = Before meals
You check "all schedules" on CaraSolva, upon starting your shift at 2pm and notice the 1pm medication is appearing red? (showing late, not signed for). What do you do?
Call the RN. Check the blister pack, verify if the medication was signed for, gain directive from RN.
What is the definition of:
Interaction
Dependence
Tolerance
Desired Effect
Side Effects
Med Admin Record (MAR)
Interaction - another medication or food/drink that is affecting the way a drug should work.
Dependence - Emotional or psychological need for a med.
Tolerance - medication no longer seems to be affective.
Desired Effect - the medication is working how it should be.
Side Effects - symptoms that can develop after a normal dose of medication... caused by the medication (dry mouth, upset stomach, headache, etc.)
MAR - where documentation is completed in real time.
Who can write orders for the clients?
Physicians, Nurse Pracitioners, Physician's Assistants (PA) or Dentsits.
Where are controlled meds kept?
In the double lock box.
QD, BID, TID
QD = Every day
BID = Twice a day
TID = Three times a day
A client is going into Anaphylactic shock. What do you do?
Main responsbility: Maintain breathing, treat for shock, call 911, get the Epi-pen if available.