Abbreviations
TID
Three times a day
What's the first step on the Observation Checklist?
Wash hands prior to administering medications
1600
4pm
Name medication errors
Wrong med
Wrong person
Wrong time
Wrong reason
Wrong dose
Wrong route
Name some PRN meds used
Lorazepam
Advil
Tylenol
Cough medicine
Allergy medication
Creams (vagasil, antifungal meds, muscle rub)
Puffers
Pain meds (narcotics)
PO
by mouth
Medications may be administered ONLY on the written order of a a health care practitioner. Is this statement true or false?
True- in some circumstances a pharmacist can approve dispensing PRN's such as an Advil, cold medication, etc., however the person's family practitioner must add it to his or her standing order at next appointment.
2300
11pm
Name medication incidents
Refusal
Family member does not administer meds on family visit
Person supported self administers med
Not signing the MAR but the med was given
Not filling out the transfer sheet but the meds were properly given
Giving a PRN but not notifying the team/management
Improper tracking of administration (i.e a hold, an antibiotic)
Protocol for giving a PRN
Follow person supported's PRN protocol
Reason to administer must be justified by what is witnessed by the staff (verbally, objectively)
Follow the instructions and directions on the MAR
Documentation
Email the team
Consult with pharmacist or doctor if needed
OD
once daily
All medications must be double locked. Is this statement True or False?
False- medication must be stored in a safe locked location, however, Narcotic are ONLY double locked.
1300
1pm
How do you document a medication incident/error?
In Laserfiche
PRN placement on MAR
PRN's are at located at the bottom of the MAR
BID
twice a day
When dispensing medication, staff must give medications in a busy area, to ensure that people supported are being watched. Is this statement true or false?
False- staff should attempted to limit the distractions around them. Its important to concentrate and appropriately handle the distractions. (asking another staff to be available during that time)
12:00
12:00pm (noon)
What are the steps taken when someone finds a medication error?
Ensure the person supported is unharmed
Contact the staff responsible
Contact pharmacy for next steps
Contact supervisor
Fill out documentation in Laserfiche
When do you use a PRN effectiveness form?
PRN effectiveness are used for any medications that require third party review and doctor signature.
New medications
PRN
Pro re nata - taken as needed
List the 6 Rights you must adhere by when dispensing medications?
Right Person
Right Dose
Right medicationRight Date and Time
Right Route
Right documentation
00:00
Midnight
Discipline for Medication errors
Coaching
Retraining
Letter
Termination
Accountability
Responsibility
A PRN for behavior must be located in......
BSP- stating the instruction and direction when to give PRN, including the steps taken.