TLOGs
What is the name of the tlog labeling matrix?
Therap Documentation Guide
What do you add after you prepare a med, before it is given?
A dot
What is the first step before you give medications and in between giving meds to different people?
Wash your hands with soap for 20 seconds.
Where are locked chemicals kept in the house?
Window bench next to white cabinets. Under sink locked cabinets.
Which medications require a witness for disposal?
Controlled medications. Call on call and they will arrange to dispose with a wintess.
If you observe pain, how would you describe this in a tlog?
Person said "I'm hurting"
Person signed pain. Person grabbed knee and grimaced / cried.
When asked how their knee pain was, person said "ahh" or "better" and limping had improved.
What does a circled initial on the MAR indicate?
See the back of the MAR for more information.
What are steps you can take to minimize distractions when preparing meds?
Close to curtain
Ask for quiet / music turned down
Redirect questions until after meds are taken
What is the scenario we would buy/have bleach onsite?
Pandemic (Covid, flu, etc) outbreak
Where does the Drug Disposal binder live?
Bottom right of the white medication cabinet. There is a page for each person.
What are reasons you write more than one tlog per person per shift?
PRN given, Protocol used during shift, appointment or community activity supported by another
At the start of the month we sign what after giving medications?
Back of the MAR signature key. Sign every page for a core member if you gave them meds.
Demonstrate puncture / pop / swoop / label
(Practice bubble pack available)
Please remember to date and initial each bubble not just controlled meds.
We label all incoming chemicals according to what binder?
Material Safety Data Sheets binder (each chemical has a specific number)
What do you mix crushed medication with for disposal?
Liquid dish soap or coffee grounds
If a medication was missed, you write a high tlog and what else do you write?
Why it was missed and if missed protocol followed
GER / Back of the MAR / *Count sheet
Link to each of these so paper trail easy to find. SEE GER dated x, SEE high tlog dated x, etc.
Which form documents med orders, order changes, and missed med instructions?
Physician Visit Order form. Remember, no dosing ranges!
After giving the second to last dose of a med/treatment, what should you do?
Set out the new bottle next to almost empty bottle. If no more is available, make a plan with on call to get a replacement same day.
Who do you call if you come into contact with a chemical at work?
L'Arche on call. Please also see MSDS binder and complete an 801 form.
Pop a replacement tab / dose from back of bubble pack
Call to reorder a replacement dose from ISSE
Write high tlog. Label zippered bag with medication information or immediately do disposal steps.
How do you document a resolution to a tlogged concern (ex: healing wound)?
Tlog follow-up. Link updates to the original "paper" trail helps show us attending to concerns.
What is the next step after giving a medication?
Initial for the administration / Document
Please check your work at the end of each med window. There has been an increasing number of documentation errors which can lead to admin errors.
If the MAR does not match the order, what should you do? Bonus: Where are orders kept?
Call ISSE then if needed the prescriber
Call on call
Bonus: Core member medical books in office
Reminder- always check warfarin on hand and dosage before INR appointment
Never mix bleach and which household liquid?
Vinegar! It creates a chlorine gas.
How many days do we have to dispose of expired/contaminated/DC'ed meds?
10 days. Please check the bottom right shelf of the medication cabinet each shift. Communicate if meds need disposing.