Observing & Reporting
What a person tells you about how they feel is
a. objective information
b. routine reporting
c. subjective information
d. mandatory reporting
Subjective information
True or False
You are being mindful if you turn off your cell phone while you are administering medications.
True
The more medications a person takes at one time the greater the possibility of a
a. medication interaction
b. pharmacy interaction
c. weight gain
d. drug interference
Medication Interaction
On the medication sheet, in addition to a medication progress note explaining the reason for a missed dose of medication what must you also do?
Circle your initials
The HCP ordered Prednisone 3 mg by mouth every day in the A.M. The pharmacy label strength is 1mg. How many pills would be administered each morning?
Three
A good way to make sure you don't forget important information is to
a. keep repeating it to yourself
b. ask another staff to remind you
c. memorize it
d. write it down
Keep repeating it to yourself
You should stop administering a medication when
a. there is no health care provider order
b. you are sure the five rights agree
c. the person has other medication allergies
d. the person is in good health
There is no health care provider order
The way some people react more strongly than others to the same amount of medication, is an example of
a. medication sensitivity
b. drama effect
c. drug insensitivity
d. unknown effect
Medication Sensitivity
Helen takes a medication every day at 4:00 PM. Today her bus was delayed and she arrives home at 5:30 PM. What should you do first?
Give the medication immediately
Call your MAP consultant
Call your supervisor
File a complaint with the bus company
Call your MAP consultant - pharmacy
The HCP has ordered a dose of Tegretol 400mg. The pharmacy has sent 200mg tablets. How many tablets will the pharmacy label say to administer?
Two
You observe Helen, a person you support, shaking her head continuously, something she does not usually do. An objective report of what you saw would be: Helen
was shaking her head, which she does not usually do.
You don't want to report anything that ins't factual, ex: has a headache, isn't feeling well, was behaving oddly earlier today which is unusual.
The number of checks required before administering a medication is?
Three
After taking a new medication for the first time a person tells you they are having difficulty breathing and you also observe they have hives. You should
a. drive the person to the hospital
b. report that the person is feeling sick
c. report that the person is having a heart attack
d. call the emergency telephone number
Call the emergency telephone number
You receive a fax order, signed by the HCP, is this an acceptable form of documentation?
Yes
What would you do if the pharmacy delivered 100mg tabs of a medication, but the doctor ordered 50mg?
Return the medication to the pharmacy.
Just as important as what you report is the
a. timing of the reporting
b. frequency of any reporting
c. brevity of your reporting
d. purpose of the reporting
Timing of the reporting
If staff do not follow the medication administration process it could result in a medication...
Occurance
How long are most HCP orders good for until they expire?
One year
Psych orders are good for 3 months
What should you do with expired medication?
Dispose of the medication according to procedure
When transferring information from a completed count page to a new count page your next step would be to
a. administer the medication
b. notify your supervisor
c. conduct a count
d. update the index
Update the index
A client's parent calls and states they just got off the phone with their child and they seemed upset and the parent wants you to give their child a PRN. When you check in with the youth they are engaging happily with their peers. Do you administer a PRN?
No.
You can check in and see if they need one, but if the client isn't asking for a PRN (or displaying any reasons to administer one), they you do not give them one.
Unless written otherwise on the HCP order or pharmacy label, medications are given with?
Water
Most medication occurrences are likely to occur when
a. controlled substances are administered
b. certified direct care staff is distracted
c. medications are administered late in the evening
d. individuals show obvious side effects of a medication
Certified direct care staff is distracted
When adding a new medication into the count book two certified staff must record the quantity received from the pharmacy and update what else?
The index
A health care provider orders a 500mg dose of medication. The pharmacy supplies the medication in a liquid form with a notation of 250mg/10mL. How many mL would the pharmacy label instruct you to administer?
20mL