6 Rights
This right makes sure the medication is being given to the correct individual.
What is Right Person?
This is the very first thing staff should do before starting medication assistance.
What is Recognize the time?
This tool tells staff what medication is due, the dose, route, and time it should be given and is where charting takes place.
What is the MAR?
A medication was scheduled for 8:00 AM. It is now 9:15 AM Staff should contact this person for direction before giving it.
What is RN On-Call
On the medication label, this section tells you who the medication belongs to.
BONUS Name 2 other sections on the Label and what they are for
What is the person’s name?
BONUS accepted Answers: What is Doctor, Prescription number, Instructions, Pharmacy
This right checks that the person gets the correct amount of medication.
What is Right Dose?
Staff assisted an individual with their medication, they signed the MAR, and then leave the medication bottles sitting on the kitchen table.
This step was not done correctly
What is store everything properly (11th step)
True or False: A GER has to be completed for all medication refusals
What is True
Staff should complete this 1 hour after assisting with a PRN medication.
BONUS: What should be included in the comments when completing documentation/charting PRN administration.
What is follow up?
Bonus: What the PRN was requested for, What RN approved the PRN, follow up should incude weather med worked
PRN Psychotropic medicaiton
The med is due at 8:00 AM. What is the time frame of the med window?
BONUS Which of the 6 rights is this an example of?
What is 7:00 AM to 9:00 AM?
Bonus: What is Right Time
After finding a quiet area complete this step before removing the correct dose
What is Compare the medication labels with the MAR?
On the medication label, these tell you how much to take and how often.
What are the instructions?
This is the action you should take if a medication is contaminated, expired, or otherwise cannot be given
BONUS Name at least 2 types of documentation that should be completed when this is action is taken.
What is D/C (Discontinue)
What are Destruction sheets, GER (in some circumstances), Label on the bag containing the med, crossover/control count if applicable
A severe allergic reaction, possible overdose, or severe side effects are examples of this.
What is a medication-related emergency?
If the MAR says acetaminophen but the bottle says ibuprofen, it is not the right ______
What is Right Medication?
This step includes signing or charting on the MAR after the person has been assisted with medication
What is Complete all documentation?
When charting on the MAR, This is what you document if individual is not home, and will not be home in time for an extension.
What is LOA (Leave of Absense)
Name 2 tasks DSP should always complete when leaving shift or when starting a shift.
What are: Control med count, Crossover logs, checking MAR for any new medications/changes in med times etc, communicating PRNs given during shift & any due follow ups, communicating any illness or conditions that are being monitored etc. (Host Discrestion)
In a medication-related emergency, this is the first call staff should make.
Bonus: Name two other actions that should be taken in this event.
What is 911?
Bonus: Notify RN On-Call, notify supervisor and team, GER, Gather documents (Healthcare passport/MAR/Consult form), Go with person to ER, Document in notes, etc. (Game host discrestion)
This right means the medication is given the correct way, like by mouth, topical, eye drop, etc.
What is Right Route?
Staff hand the medication cup to the person they are supporting, the person takes the cup and goes to their room. Staff complete documentation, and storage and start the next persons meds.
Which of the 11 steps was not completed
Bonus: What are some possible negative outcomes?
What is help the person take medication?
BONUS:
The person may not take the medication.
The medication could be dropped or lost.
The medication could be accidentally taken by another person.
Staff should triple check the Medication Label against the ___ to avoid medication erros
What is MAR
Licensed or certified personnel only may perform this task. It may involve the following: pre-delivery assessment, medication delivery via injection, or medication delivery for unstable medical conditions.
What is Medication Administration