Finders Keepers !!
location of the medication cart is....
Medication room on nursing unit
5 Rights
Right med Right route
Right resident
Right time
Right dose
Insulin
What is subcutaneous
E-MAR
To be signed off at the time of administration
The receptacle used to dispose of medications?
Drug Buster
Allergies are found
What is the name band, mar, resident chart
Multi-use vial
Unless otherwise directed, a multi-use vial can be used up to 28 days
PRN medications
Document in the Progress Notes in the EHR prn medications prn
Pharmacy delivers medications ....
Two times a day
Roughly 3:30pm - 4 pm, 10:30 - 11 pm
Incident report
fill out when a medication error is made
Medication administered in error
document in resident's electronic health record medication or treatment given. DO NOT document "given in error". An incident report must be completed by the person finding the error with a statement completed by the nurse who made the error
Controlled Drug Record
Will be signed at the time of administration, NOT after the medication pass is completed
Stock medications are located
bottom drawer of the med cart
Matches the MAR
What is the medication label
A resident refuses medication
Scan barcode if able in E-Mar, document on the electronic health record the time, medication, reason and any education or re-approaches and who was notified.
Narcotic Blister pack
Licensed nurse sign their initials, date beside the blister the medication was taken from
Medication dispensary for emergency
The Omnicell
Review the order to confirm the medication is still and active order
Three checks prior to administration
Compare residents name, name of medication, dose, time with E-mar order
Pour dose from container to med cup: Check med order against E-MAR order during pour
Check label against E-MAR and return unused medication to residents drawer
Adverse/Allergic Reactions
Report all adverse reactions/side effects that are observed in residents receiving medications on the Incident Report Form SI-815