Drug Classifications
Clozapine
What is a second-generation (atypical) antipsychotic?
True or False? A seizure can be confused with a person being under the influence of alcohol or drugs.
What is True?
Right Person, Right Drug, Right Dose, Right Route, Right Time, Right to Know, Right to Refuse, Right Documentation.
What are the four links that are present for infection to spread?
1. A germ such as (virus, fungus, bacterium, or parasite).
2. A place for the germ to live.
3. Susceptible host (a person who does not have resistance or immunity to the germ)
4. A vehicle or way for the germ to enter the host. (direct, indirect contact, droplet, air particles)
True or False? Your client obtains a new order for injectable GLP-1 once weekly subcutaneously. What is your first step as a CRMA?
Notify Nursing. CRMA's do not hold the scope of practice to administer. CRMA's are required to obtain additional nursing education for insulin ONLY.
What is a first generation (typical) antipsychotic?
True or False? If a client is unconscious during a seizure you should place them on their back.
What is False? Client's should be placed on their sides to avoid risk of aspiration.
This is required after PRN medication is administered.
(30min - 1hr) follow-up effectiveness documentation.
This is how many times we can use hand sanitizer before needing to wash with soap and water?
10
Define the "three checks" of medication administration.
1. Pull- pulling medication from the cart and comparing the label it to the EMAR.
2. Pour- popping the medication and comparing the label to the EMAR.
3. Put Away- Compare the medication label with the EMAR before putting the medication away. MUST BE DONE PRIOR TO ADMINISTERING MEDICATIONS!
Levothyroxine
What is a hormone?
What is the first thing you should do if you witness a client have a seizure?
Remove any objects that could cause harm, ensure their head does not hit against furniture, floor, or items nearby. Place client on their side!
What is required of the CRMA if documenting "Not administered" on EMAR?
Incident Report
Notify Provider
List four ways to break the chain of infection
GOOD HAND WASHING!
Using proper PPE (gloves, masks)
Not sharing personal items (razors, combs, toothbrushes)
Immunizations
In the “scope of practice” of the CRMA, it is vitally important to know and utilize a variety of resources when necessary. There are a variety of resources available to the CRMA. Name 5.
RN / LPN
Drug Handbook
Pharmacist
Drug inserts / pamphlets
Program Directors
Lacosamide
What is an anticonvulsant?
If a client has a seizure in their wheelchair what should you do?
Evidence-based research shows keeping client in their wheelchair is the safest option. If they have a safety belt you may keep it in place.
What temperature must the medication room refrigerator be maintained at?
41 degrees or below.
Inflammed, reddened skin.
Fever
Pus (Yellow or green drainage from an opening)
Nausea / Vomiting
Persistent Diarrhea
Sore throat / Cough
Painful Urination
Scenario? Client states they feel hot and has ongoing chest congestion. What is within your scope of practice to do FIRST?
Obtain Vital Signs, CRMA's must get comfortable with taking vitals. (T, B/P, P, 02%, and RR) This is important information to relay to RN, providers, or EMS (should they be called.)
Breo-ellipta
True Or False? If a client is having a seizure on a bus or train it is OK to keep them in the aisle.
What is TRUE?
You drop a client's medication on the floor. What is the protocol for administration, documentation?
Pop new tablet if dropped.
Add dropped medication to the destruction log with another CRMA witness / signature.
Document in EMAR.
How long should you wash your hands for?
Scenario? Your client states they don't want to take their meds today because "staff are incompetent". As a CRMA, was is your next action?
Acknowledge client's request.
Reapproach in 15 min.
Utilize another team member for third attempt.
X3 attempts before documenting a refusal. Then complete an incident report and notify provider.