Health Care Coordination and Advocacy
Medication Administration: The Basics
Abbreviations
Medication Administration: The Six Rights
Potpourri
100
It is this person's role to make sure individuals have adequate health care coordination and advocacy.
What is MINE? (or EVERYONE'S?)
100
Each medication has a brand name and this name, most often a cheaper formulation.
What is a generic name?
100
Daily
What is QD?
100
The first of the six rights, WHO you are giving the medication to.
What is the RIGHT INDIVIDUAL?
100
Do these TWO things when you discover OR make a medication mistake.
What is call the nurse (voicemail or cell phone depending on severity of error) AND fill out Medication Incident Report?
200
The two people you must report changes an individual's change in medical health status to.
Who are the nurse and the legal guardian?
200
The purpose of He-M 1201 Medication Administration Training is to make sure you demonstrate the knowledge (which can be taught), skills (which can be learned), and "this" (which, hopefully, you have inside of you, because it cannot be taught or learned) to give medications.
What is judgment?
200
QOD
What is every other day?
200
The purpose of this whole training is WHAT we are giving, and this is the second right.
What is the RIGHT MEDICATION?
200
The procedure for disposing of a controlled/narcotic medication.
What is two people must dispose of the narcotic/controlled medication-- a staff member AND a nurse?
300
Any two examples of when you should contact an individual's legal guardian.
What is consent for a medical procedure/test/treatment, change in health status, ER visit, medication changes, before starting, stopping or changing a medication?
300
Explain how to document a PRN.
What is sign your initials and write time given on front, write date, time, medication, indication, and sign full name on back and RE-ASSESS effects of PRN (ideally within one hour)?
300
AU
What is both ears?
300
How much of the medication is being given, this is the third right.
What is the RIGHT DOSE?
300
Tylenol 650mg; 1 supp PR, q6 hours PRN pain or fever greater than 100 degrees, if unable to take PO State # of milligrams. State dosage. State route. State frequency. State indication. State special instructions.
What are # of milligrams: 650mg State dosage: 1 suppository, 650mg State route: rectal State frequency: PRN, every 6 hours State indication: as needed for pain or fever greater than 100 degrees State special instructions: give suppository if patient cannot take medications by mouth (I would look at PRN Protocol for further instructions)
400
The three essential components of successful health care coordination, as reviewed in the video "Communicating for Health." These components should be followed in preparation for all appointments.
What are Preparation, Communication, and Follow-through?
400
Two examples of information found on the PRN Protocol.
What is all of the information found on the medication order PLUS s/s that the medication should be given for, max daily dosage, special instructions, side effects, and adverse effects?
400
D/C
What is discontinue?
400
WHEN you give the medication is the fourth right and HOW you give the medication is the fifth right. Name them.
What are the RIGHT TIME and the RIGHT ROUTE?
400
At 10PM you notice an individual's HS medication was signed off by the AM staff. You try to call the AM staff and see why he/she signed off the medication. State what you would next.
What is not give the HS medication and call the nurse?
500
Three things you should have at all non-emergent medical appointments.
What are the reason(s) for seeking care, a list of the individuals medications/allergies, the individual's current health status/diagnoses?
500
Three examples of your role and responsibilities in medication administration.
What are include the individual in the medication administration process (asking the individual to help re-order and pick up refills from the pharmacy, ask the individual what they would like to drink with medications, allow individual to place medications in his/her own mouth or assist with topical medications), teach the individual about medications he/she is receiving, link routines such as mealtimes or bedtime with taking medications, allow some flexibility (within the "one hour window") about when the individual takes his/her meds (ask if he/she is ready for his/her meds now or would like to wait 15mins-30mins)?
500
four times a day
What is QID?
500
The sixth and final right protects you from that dreaded Medication Error/Incident Report. Make sure you WRITE DOWN what you did. Name the sixth right.
What is the RIGHT DOCUMENTATION?
500
Here is a toughie: name the seven important questions to ask yourself before giving a medication. Here is a hint: N – P – E – L – S – I – S.
What is Name of med Purpose of med Effect of med How long to work Side effects, adverse reactions Interactions with other meds Special instructions?
M
e
n
u