IVY ONE
Must be locked at all times when not in visual range of the QMA (or nurse)
What is the medication cart?
This is kept on the medication cart and must be emptied promptly when full so as to not overflow
What is a sharps container?
When a QMA is in charge of the medication cart, these must be carried by the QMA.
What are the keys to the medication cart and Med Room?
This is the preferred location to administer medications to a resident?
The resident's room.
Oral medications may be administered to a resident in a public area of the facility if the resident does what?
Agrees to it.
After preparing a resident's medication (in a medicine cup), the meds should never be left here.
At the resident's bedside.
Residents should be encouraged to do this when they are taking their medications.
Drink a full glass of water.
If a resident is out of a particular medication, this is strictly prohibited.
"Borrowing" the medication from another resident's supply.
Medications should be administered ONLY by the person who does this.
What is the person who prepares them?
This must be done before and after administering medications to a resident?
What is washing hands or using an ABHR?
This is performed using a stethoscope and listening at the mid/mid-left location of the chest?
Taking an apical pulse rate.
Residents have to right to refuse their medications; nurses and QMAs have the responsibility to do this.
What is the responsibility of explaining the possible negative outcomes of not taking their meds?
When removing med container from the bin or drawer.
When removing med from its container.
Before returning container back to bin, drawer or cart.
What are the three checks performed before administering medications to a resident?
Right Medication--Right Dosage--Right Route--Right Resident--Right Time--Right Documentation
What are the Six Rights of Medication Administration?
Giving this type of medication requires the QMA to notify the nurse and get his/her permission to give it.
What is a PRN medication?
Interruptions or distractions, lack of medication knowledge, and poor communication between medication personnel can lead to this.
Medication errors.
This is considered to be a legal document.
What is the Medical Record?
Do this as soon as possible after administering medications to a resident.
What is documenting it?
This must be done after administering a PRN medication, usually 30-60 minutes afterwards.
What is whether the medication was effective?
This item of documentation is never referred to in the Medical Record, and is not part of the Medical Record.
What is an Incident Report or Medication Error Report?
"If it is not charted......"
What is...."it wasn't done".
This function is performed by two nurses, or by one nurse and one QMA.
What is the narcotic count at the beginning and the end of each shift.
This position places the resident on their back with head up 30 degrees or more, knees bent up and apart, and feet flat on the bed; used for peri care and insertion of vaginal suppositories.
What is the dorsal recumbent position?
This position places the resident laying on their left side with right knee drawn up; used for insertion of a rectal suppository or instillation of a Fleet's enema.
What is the Sim's position?
This position places a resident on their back with head elevated 45-60 degrees; used for oral medication administration, medications give via g-tube, and oral care,
What is Fowler's position?