Emergencies
It is 730am on Monday morning, and you notice state here, who do you call?
Admin
What do you do if you are in need of calling in?
-Call at least 2 hours before start of shift
-Ask your coworkers to switch/cover
-Call the building
-The building should contact Hayley if no one is able to cover
1. Attempt three times
2. Chart that they refused
3. Send W2A if this is an important medications or a resident who doesn't normally refuse
A resident refuses there medications and you are now charting it. Do you put the refusal under refused or held?
-Refused
This law requires employees to maintain privacy and confidentiality regarding residents' information.
Health Insurance Portability and Accountability Act (HIPAA)
The weather station states that there are thunderstorms coming in, with a chance of a tornado, where do you find the emergency kits?
The storage room off the dining room, through bi- fold doors.
What do you do if a resident is out of a vital medication? (i.e. clozapine, warfarin, insulin)
-Call pharmacy
-Send W2A
Name three routes of medications
Oral
Topical
Inhaler
Sub-Q
Intramuscular
Find the error:
Acetaminophen 500mg- give 2 tabs (1000mg) every hour as needed for pain of 7/10 or higher.
Acetaminophen cannot be given every hour, why is this?
A resident refuses her medications and then comes back and says she wants to take them what do you do?
Send a W2A stating the resident took their medications after refusing.
You find a resident on the floor yelling for help, what do you do?
1. Make sure they are okay (assess area, ask if they hit their head, what they landed on, what they were doing.)
2. Check vital signs
3. Assist them off the ground
4. Fill out a fall incident report completing the first two pages and signing the bottom of second page
5. Call on-call and guardian
You want to take off next month and have never requested time off, what do you do?
Request time off in CBIZ. Communicate with Mandy if you have any questions.
Novolog, Lantus, and Lispro are all types of what medication?
Inuslin
Find the med error
Ziprasidone 25mg Capsules- Give 1 tab (50mg) by mouth twice daily as needed
Dose on medication states 25mg, order note states, 50mg
How long is an insulin pen good for after opening?
What do you do after you open it?
28 days
Write on pen the day the pen was opened and the day the pen expires.
The building is on fire and you are removing residents from there room. A resident refuses to leave, what do you do?
-Leave them in their room
-Close residents' door
-Tell firemen that a resident is in their room (make sure to give them their name and room number.)
You are doing a two-hour safety check on a resident and cant find them, what do you do?
1. Look around whole building inside and out
2. Check sign out book
3. Ask other staff if they have seen the resident
4. Contact Admin
What should you do before giving midodrine or metoprolol.
Where is the error?
Warfarin- Give 1 tab by mouth once daily **RECHECK INR 7/01/25**
There is no MG written on order
Reasons to send a W2A
-Resident change in condition physically or mentally
-Behavior issues (should also be sent in services)
-Medication orders that need to be changed in the mar
-If you have noticed a Medication not on hand
-Injection due
-Resident refusing medication for more than two days
-Resident requesting a medication that is not in the mar
-If a resident is running out of something that needs to be ordered
-Out of range VS
You find a resident in their bed unresponsive, what are five things you will want to do?
1. Call for help
2. Check their code status
3. Call 911
4. Start CPR
5. Call guardian/admin after
You notice a narcotic count is off at shift change, who do you call?
On call
What lifestyle choices influence medication effectiveness?
-Smoking (cigarettes or marijuana)
-Alcohol
-Caffeine
-Drugs
A resident wants a PRN that has been given already, how do you figure out how many doses they have already had that day?
-Eldermark
-Resident chart
-Orders
-Click specific order
-Delivery history
Explain the process of packing LOA medications
"Open discussion"
-Make sure to fill out medication name, strength, amount, and prescription number on LOA sheet