MAR Documentation
(True or False) Staff should be signing the MAR as they are administering the medications.
True
What is the most common type of medication error?
Administering the wrong dose 41%
Followed by
Giving the wrong drug 16%
Using the wrong route 16%
1 hr before or 1hr after.
7 am-9 am
What is the definition of a mental disorder?
A mental disorder is characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behaviour.
What does PRN stand for?
Pro re nata or "as needed".
What should the MAR documentation look like for missed, late, or medication errors?
Initial circle & and record on the back of the MAR.
What do you do if you gave the wrong medication & or dosage?
Call poison control or 911 if needed
Document on MAR for (missed meds)
Write IR
(True or False). It is Ok to pass a medication without looking at the MAR if you have remembered the resident's medication?
False! Always look at the MAR as things can change at any time!
What are 3 withdrawal symptoms? (Alcohol or Drugs).
Raised blood pressure & pulse
Tremors
Insomnia
Vomiting
Nausea
Aches and cramps
Headaches
List 5 common medication abbreviations
Sloppy of illegible handwriting
Failure to date, time, and sign a medication entry.
Lack of documentation for omitted medications or treatments.
incomplete or missing documentation
Adding entries later on
Documenting subjective data
Not questioning incomprehensible orders
Using the wrong abbreviations
Entering information into the wrong chart
How can you prevent a medication error?
SLOW DOWN!
Always compare the name, dosage, & time to the MAR
Triple Check orders on the MAR
Ask questions when unsure
Don't assume anything, always ask.
What are the 5 rights of medication administration?
Right dose
Right person/client
Right route
Right time
Right medication
What is the best approach to treating mental health disorders?
Psychotherapy & medications.
We help support both the psychotherapy and medication side of things for the most successful outcomes.
List 5 common medication abbreviations
Which psychiatric medications require a lab draw to test for the right therapeutic amount in the bloodstream?
Clozapine
Lithium
Depakote
List the steps it takes reflect a DC order in the MAR.
1. Obtain DC order.
2. Highlight (yellow) the medication in the MAR to reflect that it was DC'd.
3. Write in the MAR when and who DC'd the med.
4. Remove the medication from the med drawer & dispose of.
What most commonly leads to medication errors?
Distractions!
What is the late medication administration protocol?
1. Review the late medication protocol formula in MAR
2. (If the med is not listed) -Call the pharmacy to ask if the medication can still be given.
3. Write IR
List 5 boundaries staff should have while working with clients.
-NO physical touch.
-Not being friends inside or outside of the workplace.
-Not playing favorites/showing any favoritism.
-Not purchasing or giving gifts to residents with personal finances.
-Not using inappropriate tone/volume, language, or body posture/language.
-Not sharing too much personal information
-Keep home life separate from work life
-Remember we are here for the residents-not the other way around.
Give a motivational example of encouraging a resident to take a medication when they are wanting to refuse.
1. Asking why they don't want to take the medication.
2. Explain what the medication does and how it will help them.
3. Answering any questions they might have about the medication.
4. Come to an agreement with the resident.
What are the ABCs of documentation?
Accurate, Brief, & Completely Objective.
(True or False). If a doctor gives you a verbal medication order, you may then administer that medication according to the order.
False! No. Only RNs can take a verbal order in the appropriate workplace setting. Not an RTH.
List the full proper medication administration protocol.
1) Check the medication label against the order on the MAR, 2) initial the appropriate box, 3) pop the med from the bubble pack, and 4) sign and date the back of the bubble pack. Do this with each medication, one at a time.
What are the 6 principles of a trauma-informed approach?
List 5 possible side effects of taking medications.
dry mouth, dizziness, blurred vision, weight gain that can lead to type 2 diabetes, tremor, rigidity, restlessness, sedation, headaches, and tardive dyskinesia.