Verification
This "Right" ensures you are giving the pill to the correct person.
What is the Right Individual?
Unless specified otherwise, this is the standard medication window.
What is one hour before and one hour after the scheduled time?
This is how long you must wait after giving a PRN to document its effectiveness on the MAR.
What is 1 hour?
You should never do this if you still have questions or haven't reached a supervisor for clarification.
What is administer the medication?
This is the answer to: "Can I do a nurse-delegated task with only manager approval?"
What is No, Never?
These are the 4 places you must check to verify medication accuracy.
What are the Bubble Pack, Drug Detail Mode (Therap), MAR, and Med Verification Intake?
You should ask an individual if they want their meds this many times during the window.
What is 3 times?
These two extra forms of documentation must be completed every single time a PRN is administered.
What are a Medium GER and a TLog?
If you have any discrepancy or doubt, you should call these people in order until someone answers.
Who are the Manager, On-call Manager, or On-call Admin?
If you are not delegated for a specific med, you must call the manager/on-call admin to do this.
What is get someone in who is delegated?
You must verify the 8 Rights this many times before administration.
What is 4 times (against all verification places)?
These are the three specific times you should offer meds if the individual initially declines.
What are the start of the window, the scheduled time, and 15 minutes before the window closes?
If Therap is down, you should look in these two locations for a paper MAR.
What are Program Books or the File Cabinet?
After replacing a dropped pill with the last dose, you must immediately call this place.
What is the Pharmacy (to order a replacement)?
If a manager hasn't verified a med, the on-call person may ask you to do this so they can verify it remotely.
What is send a picture?
The 8 Rights include Client, Medication, Dose, Route, Time, Documentation, Reason, and this final right.
What is the Right to listen to refusal?
You must check medications at these three times while on shift: Shift change, when giving the med, and this third critical time.
What is before the close of the med window?
When checking med packs, you are looking to ensure everything is verified, dated, time-stamped, initialed, and what else
What is no loose or forgotten pills?
If a pill is refused, dropped, or contaminated, your first step is to do this to the medication.
What is bag and label it?
If a manager verifies a med over the phone, you must put a note on the pack stating this.
What is verified via phone, and the name of the person who verified, the date, and time?
If a manager has verified a med, you will see this specific information written in red ink at the top of the pack.
What is "Checked by" or "Verified by," the manager's name/initials, and the date?
Checking meds at the end of the window is vital for this reason when you are double-staffed.
What is to ensure other staff gave the meds so you aren't held responsible for a med error?
When documenting a discrepancy, you must include the clear instructions you were given, who gave them, and document in these three places.
What are TLog, Scomm, and GER?
If a pill is dropped or contaminated, you should replace it by taking a pill from this specific spot.
What is the very last dose of the verified medication?
Excluding sub-steps, this is the total number of steps in the Medication Administration process.
What is 8 steps?