medication administration class

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Medication Administration Class. Catholic Community Services. Format for Class. Medicines Giving them Proving you gave them Doctors, Nurses and Medicines Core Competencies Skills And (Ahhhh) THE TEST. Protocol for Passing Medications. Medication Class - PowerPoint PPT Presentation

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  • Medication Administration Class

  • Format for ClassMedicinesGiving themProving you gave themDoctors, Nurses and MedicinesCore CompetenciesSkillsAnd (Ahhhh) THE TEST

  • Protocol for Passing MedicationsMedication Class

    Pass test with 75%

    Medication Assignment

    Shadowing

  • Fatal FourAspirationConstipationDehydrationSeizures

    Why do we care?

  • Nursing Outcomes at CCSAspiration

    Constipation

    Dehydration

    Seizures

    Skin Care

    Preventable ER visits

  • Six RightsRight MedicationRight DoseRight manner/routeRight timeRight personRight documentation

  • Right Medication A drug order is written for specific medication

    Double check that youobtained the right drugYour responsibility:ObtainPrepareAdministerthe correct medicationCheck three times themedication containerto the MARRight medication

  • Right Dose Your responsibility it to confirm what dose within the dose range was orderedMake sure that the dose of the medication you are giving matches the MAR orderNever assume what dose of drug will be administeredYou cannot give a different dosage than what is orderedRight dose

  • Right Manner or Route Most drugs have differentroutes for different needsNever assume what form of the drug will be administeredAlways confirm the right route with the MAR orderMost used:PO = oralSL = sublingualRectal = by rectumTopical = on skinRight Manner/Route

  • Right Time Administering dosesToo close together orTo far apartalter the therapeutic effect of the medicationDouble check with MAR when to administer medThe drugsPurpose andPharmacokineticsDetermine how often the medication is administeredYour responsibility is to administer:Stat meds ASAPSingle ordered medications at time orderedStanding ordered meds on timePRN medications when needed

  • Right Person A drug order is written for a specific residentDouble check that you have the right residentYour responsibility is to:ObtainPrepare, andAdministerthe medication to the correct person

  • Right Documentation Right documentation includes correct drug order and a signatureUsing the correct form to record the administration of the med assures that the resident does not receive another dose, preventing overdosing of the resident

    Your responsibility is to document the administration of the med immediately.

  • Five AlwaysPhysician's order for every med/treatmentWash your handsPour medication into cupIdentify and stay with resident until medication is swallowedKeep med storage area locked, clean and orderly

  • Five NeversNever leave meds with client or outNever give a med prescribed for one client to anotherNever give meds prepared by another person.Never use a med that is outdated or from an illegible or unlabeled containerNever give meds if you have questions.

  • Five MustsHave correct MARRead label and compare it with MARGood positionDocumentUnderstand the medicine

  • Storage of MedicationsLocked

    Clean

    Refrigeration

    Separate orals from topicals

    Separate meds for different clients.

  • Preparing MedicationsChanging the form

    Crushing meds

    Measuring liquids

  • PharmacyUse Olsons Pharmacy

    Not all clients use just one pharmacy

    Important to know how each house connects with Olsons

    Use them as a resource

  • Medication Administration RecordForever after known to you as MARPreparation of MARTranscription of ordersSigning backTime limited medicationsDiscontinuing medications

  • DocumentationIf it isnt written down, it did not happen.

  • Charting CodesYR

  • PracticeYou give a medication.Your HM tells you that Jessie needs to have a Dilantin blood test and not to give the 8 AM Dilantin.Adam went home for the weekend.Johnny spit out the medicine you gave him.

  • PRN MedicationsEstablish the need for the medication

    Ensure there is a current order

    Administer the medication

    Sign the back of the MAR

    Follow up within two hours

  • Practice on PRN MedicationsJohnny complains that his head hurts.

    Ronny has a cough

    Mark has a groin rash

    Susie has not pooped in two days.

  • Controlled SubstancesDefinition

    Why they are handled differently

    Examples

    Special Tracking and charting

  • Abbreviations

  • Charting You are telling a story with your charting

    Each house will want you to chart in their way

  • Self Administrated MedsSelf determination is determined through ISP processAt present we have no residents who self-administerPlease see packet for process

  • Different kinds of medicationsVia the mouth!TopicalsSublingualsEye drops/ointmentsEar dropsRectal medsVaginal medsNasal meds

  • PO MedicationsDo not crush unless you have an orderSlower to be absorbedTaste is importantFood can impact the medicineTake with full glass of waterDo not mix in hot drinksShake all liquids before pouring out

  • TopicalsUsually used for skin conditionsAlways use glovesCheck expiration datesPrivacyBe aware of residents tendency to put body parts in their mouthsMake sure you note effectiveness

  • Sublinguals

    Under the tongue

    Do not offer water right away

    Use gloves

    Stay with resident until you are sure the medication has been absorbed

  • Eye Drops/OintmentsUsed to treat infections, inflammation, irritation and lack of moisture

    Wash hands

    Use Gloves

    Explain to client

    Drops before Ointments

  • Ear DropsWarm ear drops to body temperatureWash handsWear glovesHave resident lie on side opposite to the ear being treatedHave them stay that way 5-10 minutes

  • Rectal MedicationsUsed to stimulate bowel movements, relieve pain, relieve vomiting, reduce fevers, stop seizuresWash handsWear glovesPrivacy!!!!Usually kept in refrigeratorDocumentation of this one is important

  • Vaginal MedicationsDetermine if administration will involve 1 or 2 staff Wash handsWear glovesExplain procedurePrivacy!!!Best time to insert is after shower or bath

  • Nasal MedicationsWash hands

    Wear gloves

    Explain procedure

    Spray vs. drops

    Work with client

  • Medication ErrorsDefinition of a medication errorExamplesForgetting to signForgetting a follow upNot giving a suppository when dueWhat happensIntent

  • Where is the error?

  • Residents, Living and MedsOur residents have livesSome work or have lives outside our homesThey need their medicationCommunication is the key

  • Work site responsibilitiesWork site needs a copy of doctors orderAdministered by designated staff personSame rules apply: i.e. MAR, 5 rights

  • Home responsibilitiesProvide work with necessary informationInform worksite of any changesWhat is the abbreviation for the MAR at home when a resident is at work?

  • When a client goes homePills in envelopes one type of medication to an envelope

    Whole bottles go home

    Document on MAR

    Never take medicine back

  • Hospitalized Residents DO NOT TAKE MEDICINES TO HOSPITAL

    What is the appropriate documentation?

  • Disposal of Non-controlled MedicationsMedication that is outdated, recalled, or unused shall either be disposed of in a manner that assures that the medication cannot be retrieved or it will be returned to the providing pharmacy for client credit.

    Documentation of this!

    Any two staff can do this

  • Disposal of controlled medicationsMedication that is outdated, recalled, or unused shall either be disposed of in a manner that assures that the medication cannot be retrieved or it will be returned to the providing pharmacy for client credit.Documentation!Of the two staff, one must be an LPN or RN

  • Disposal DocumentationDateClients nameName of medication and dosageAmount of medication disposedReason for disposalMethod of disposalTwo signatures

  • Practice

  • What is a medicationMedication means any drug, chemical, compound, suspension or preparation in suitable form for use as a curative or remedial substance taken either internally or externally by any person.

    Any medication for our clientsmust be prescribed by a MD

  • Adverse reactionAllergy

    Side effects

    Your part

  • Kinds of medicationsAnticonvulsantsAntipsychoticsAntibioticsAntidepressantsMultivitamin/Minerals/Dietary SupplementsAntidiabeticTopicalsAnalgesicsLaxatives

  • Timing of MedicationsKnow when to give medicines to gain most benefitNo laxatives within 1 hr of any other medicationIron should not be taken with milkGERD meds hr before mealUse your drug guideAs the doctor

  • Nurses at CCSNurse patient relationships

    When to call

    Protocol for paging

  • Doctors and MedicinesThey have the degreeThey also do the prescribingThey prescribe based on information we provideWe know the resident better than they doIt is in the residents best interest to work closely and respectfully with the physician

  • Doctors VisitWho decidesHow to prepareWhat to do afterwards

  • A prescriptionWritten by a doctorParts of a prescriptionClient name first and lastName of drugDosage of drugHow frequent to take it and how longWhat route

  • Telephone orders

    Who can take themNurses LPNs or RNsHouse ManagersAssistant House Managers

    Getting them on the MAR

  • Rights regarding medicationsRight to:know what they are gettinghave an explanationrefuse or consentconfidenti

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