Agency Form
This form is filled out each shift by the staff who is administering medication.
The responsibility form
Anyone supported by CLC can administer their own medication as it is their right.
True or false
False
To administer their own medications they must have a self administration plan signed by a doctor
Who is the main person responsible for ordering medications other than the weekly blister packs?
The medication counselor
What is the rule about documenting care?
If it wasn’t documented, it wasn’t done (legal record)
What does PRN mean?
“As needed” or “when required”
This form is filled out when an individual goes for a home visit, to program, or out with staff.
The medication transfer form
What is the “Right Time” window for medication administration?
1 hour before or 1 hour after the scheduled time
If a medication has not been administered for any reason, what should the staff place on the MAR?
A number from the coding legend
Where do staff document the administration of an appointment PRN and what must be included?
In the medical appointment note
The time of administration ( must be as per PRN protocol)
What should you do if a person refuses their medication?
( 3 items)
Initiate the medication refusal incident report and follow the steps listed
Reapproach every 15 minutes
Document refusal on MAR
This form is used when we remove a bsp/seizure/inhaler from the home
The PRN release form
Which “Right” ensures you are using the MAR and label to confirm who receives the med?
Right Person
An individual is out of the home for medication time, what gets put on the MAR?
The code for LOA
A family declined to take the medication transfer form. What should staff do?
Respect their wishes and document this in ShareVision journal note
What must be in place before giving a PRN medication?
A PRN protocol with matching labels on the protocol, medication and verbiage on the MAR
Staff would reference this form if a medication was missed
What is the missed medication and medication discrepancy form.
Why is the right to refuse not one of the 6 rights of medication administration?
Individuals have the right to refuse anything in their life
List the steps to transcribe on the MAR
(6 items)
Add the date
Write out the name and strength of the medication
Write out all the instructions on the label
Cross out the dates that have passed
Add the administration time
Have two staff verify the order and intial
You identify a missing signtature on the MAR, list ALL the steps to take
(4 items)
Circle the missing signature in the MAR
Check to see if the medication has been administered, if possible
Report error to a manager
Fill out a medication error incident report
What must be done for all controlled medications?
(2 items)
counted at the start of each shift
double locked
Staff sign this only after giving medication.
What is the MAR (medication administration record)
What are ALL six rights?
Right Person
Right Medication
Right Dose
Right Route
Right Time
Right Documentation
List the 17 steps to administering medication
1.Inform peers that you are completing medication administration
2.Ensure there are not any distractions before preparing the medication
3.Wash hands
4.Assemble supplies ( water, medication cup, applesauce, gloves if required)
5.Unlock medication lock box/cabinet
6.Select medication binder - picture and name corresponding to person
7. Select corresponding medication package/blister card/cream
8.Check your 6 rights of medication administration
9.Dot the MAR confirming it matched the medication being dispensed
10.Open medication and dispense appropriately
11.Lock cupboard
12.Bring medication with picture to person
13.Repeat your 6 rights of medication administration
14.Administer medication and ensure it has been taken
15.INITIAL the MAR and place empty blister pack in bag to be returned to pharmacy.
16.Complete second check and ensure documentation is filled in.
17.Repeat steps above for others requiring medication
What should you do if a medication is dropped?(6 items)
Reassure the person
Pick it up with gloves and bag it or clean up spill
Dispense new medication from the last blister
Place in the return-to-pharmacy pouch
Fill out the pharmacy discard form
Order new dose from pharmacy
List all the requirements in PRN administration
(5 items)
Sign the MAR
Initial and date PRN card, if applicable
Fill out the reverse of the MAR
Document the administration and effectiveness on ShareVision
Follow protocol Monitoring