Documentation/Processes
This should be checked everyday to ensure there are no omissions in the delivery of medications.
What is the EMAR?
A way to determine if medication administration is being completed appropriately.
What is medication administration oberservations?
These consultants send a report monthly after their visits that include: Quarterly antibiotic utilization report, nursing recommendations, MD letters, and consultant pharmacist reports.
Who are the pharmacy consultant?
This document is completed to validate that a nursing associate is competent to complete the skills that they were hired to perform.
What are competency skills checks?
This area should be checked at least weekly to ensure there are no expired medications stored here (Hint: it's a room).
What is the Medication drug room?
This included in the communication provider to the providers to ensure that the patients are free from unnecessary drugs.
What are gradual dose reductions?
This should be completed for all ordered psychotropic medications that are ordered for the patients in the center--even is it is a reduction of the dosage.
What is a consent? What is behavior monitoring?
This item has to have temperatures checked twice daily to ensure a safe environment for medications.
What is the medication refrigerator?
This is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. This event should be communicated to the provider and/or family.
What is a medication error?
This should occur when one nurse is leaving the medication cart and another nurse is assigned to the medication cart?
What is narcotic reconciliation?
This is the illegal distribution or abuse of prescription drugs or their use for purposes not intended by the prescriber.
What is a drug diversion?
This consultant visits the skilled nursing center quarterly. They complete medication administration observations, review medications orders, medication carts, EMARs, and medication rooms while in the center. Their visit may take 1 to 2 days.
Who is the pharmacy nurse consultant?
This is the process where the nursing leadership review the narcotics in the medication carts to validate accuracy for controlled substances in the center.
What is controlled substance medication accountability?
This is the timeframe that point of care devices should be cleaned to ensure that it is disinfected.
What is the guidance provided on the product?
This should be reviewed every morning to identify any omissions in documentation in the medical record to include: Omissions on the EMAR, ETAR, late or overdue assessments, late behavior monitoring, etc.. Communication with the provider and/or family should occur depending on what is omitted.
What is the Clinical Dashabord?