Meds
Random
Policies/Procedures
Health Conditions
Equipment/Documentation
100
SS takes Lorsartan, what is this used for
What Is- Blood Pressure
100
What is the number 1 prevention strategy for preventing infections
Wash hands for at least 20 seconds
100
What do you need to bring with to all appointments
Any forms needed (ask :)- examples, consultation form, medical insurance card/ ID, any medical equipment that may be needed
100
What persons served have high blood pressure (hypertension)? What should we do about this?
JP and SS
Check their BPs regularly, make sure they take their medications regularly as scheduled, make sure they attend their doctor appointments regularly and as needed.
100
How often does JP get nail cares
1x a week at least on fingernails and toenails
200
JP takes Keppra, what is this used for?
What is- seizure prevention
200
What are the 6 rights of medication administration
Right Person
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
200
Where do you find forms needed to print off (ie; medical appt checklist)
Sharepoint -> Search
(I would encourage everyone to explore Sharepoint, you can find a lot of helpful info, like Therap tips)
200
What persons served have a history of seizures?
JP, EM, and JH
200
How often do you sanitize SS's bathroom/ shower chair?
PM/overnights sanitize once a day at least
300
Who takes Divalproex for Epilepsy (seizure d/o)?
EM
300
What do you do if you give a PRN medication?
-contact dc/ director for approval, notify nurse
-check standing order medication list for instructions, follow 6 rights of med admin
-document under OTC medication list in Therap
-Complete follow up documentation in 1 hour
*If administration of Psychotropic medication, complete a PRN Medication Psychotropic Med Use Report Case Note in Therap
300
What's the procedures for a medication error?
1. all medication errors must be documented as a GER, including documentation errors
2. D/DC will discuss med error with staff and make sure GER is completed.
Could lead to retraining, PIP, or termination of employment.
300
What persons served have a higher risk of getting pressure sores and how do you prevent them?
JP and SS- because they are not able to walk independently.
Preventing pressure sores by frequently changing position (turns every 2 hours or more for JP), keeping skin clean and dry, use moisture barrier creams, reduce friction and shear
300
How do you keep catheters and site clean
What is-
-Always washing hands and wear gloves before and after touching catheter
-Washing catheter tube with soap and water daily
-Keep site clean and dry
-Regularly empty catheter bag, keep end clean.
-Check for signs of infection
-Sanitize catheter bag on schedule
400
Why does SS take Calcium Acetate?
It helps her kidney health.
Her potassium also helps with kidney health, she has chronic kidney disease, so it's important for her to take these medications regularly.
400
What do you do if JP has a seizure
do NOT restrain, place him side-lying, time the seizure.
Give Diazepam nasal spray according to MAR, call 911 if not effective in 10 mins
Inform DC and nurse ASAP
400
What is the full procedure before bringing a persons served to appointments?
What is-
1. Get the specific form for appointment (annual, mental health, or consultation form)
2. Print any specific protocols for the person
3. Check with DC or nurse for any specific instruction for appointment
4. Make sure you have any medical insurance card, money for parking (if needed), directions before leaving
400
How do you prevent skin breakdown with SS and her self-cathing needs?
discussion
400
Tell me about documentation
discuss
500
What meds does JP take for helping blood pressure regulation? (Name 2 out of 3)
1.Amlodopine besylate
2. Hydrochlorothiazide (this works as a diuretic to help with BP and fluid retention)
3. Lisinopril
500
What are psychotropic medications and what is example (bonus if it's what persons served have on MAR)
Antidepressants, Antipsychotics, Antianxiety, Hypnotics
Examples:
-JH and SS takes Lorazepam (Ativan) PRN for aggressive behaviors, anxiety
*Remember that these need a separate form filled out per administration for Psychotropic PRN documentation
500
What's the full procedure after bringing a persons served to appointments?
1. Review the medical form, have DC sign form after, update DC and nurse
2. Document in therap -scan document in therap
3. If a new medication change occurs- update DC, nurse, and team ASAP
500
Why does JP take baclofen, diazapem and tizanidin
for muscle spasms
500
What are signs of infection in JP's baclofen pump and what do you do
Fever over 100, increased redness, bleeding, drainage, problems with bowel movements or urine output
Notify DC and nurse- they will contact baclofen clinic surgeon for next steps
*If there is swelling, with NO signs of infection, use abdominal binder, contact DC and nurse, they will contact baclofen clinic during business hours
