Medication Administration Course Instructor ?· Medication Administration Program focuses on continually…

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<ul><li><p> ACKNOWLEDGEMENTS </p><p>Many people contributed to the development of this Medication Administration Program. Thank you to those who contributed their knowledge, time, and expertise with medication administration, training, and information technology. We hope that we have captured the important elements needed to teach safe medication administration and translated those accurately into the online technology. Many thanks to those who support the Program as well as those who participated in reviewing and piloting materials. Your input significantly improved this course and is greatly appreciated. Jill Morrow, MD Barbara Breen, RN Medical Director Lead Instructor Office of Developmental Programs Pennsylvania Department of Public Welfare </p><p> Medication Administration Program August 2013 </p><p>Commonwealth of Pennsylvania; Department of Public Welfare; 2013. All rights reserved. Reproduction in whole or in part without permissions is prohibited. </p></li><li><p>FORWARD The Pennsylvania Department of Public Welfare (DPW) is pleased to release the new Medication Administration Program to teach unlicensed staff to administer medication in applicable licensed settings. The Medication Administration course has been used by the Office of Developmental Programs (ODP) since 1981 with the most recent update of the course implemented in 2004. After this implementation, other DPW program offices joined the ODP in the use of this course making it standard across the Department and transferable between program offices. This updated program not only addresses the need to apply the course to a broader audience, but also updates the course to harness the new learning technologies available. The Program now uses online strategies through a dedicated Medication Administration Program website. This supports trainer registration for courses, online learning and testing, and online training resources. The course combines the best of online and classroom learning; teaching didactics through web-based lessons and hands on skills face to face with a trainer. In addition, the course includes guidance for trainers to use to help unlicensed staff learn the skills needed to administer medication safely and monitor its effects. Medication and medication administration continue to have substantial impact on the functioning and health of the people receiving services through DPW. The DPW Medication Administration Program focuses on continually improving the skills, knowledge, and practices around medication administration to optimize not only peoples health, but also their lives. We are proud to provide the medication administration trainers in Pennsylvania with this new Medication Administration Program. Use it in your quest for excellence in medication administration. Jill Morrow, MD Barbara Breen, RN Medical Director Lead Instructor Office of Developmental Programs Pennsylvania Department of Public Welfare </p><p> Medication Administration Program </p></li><li><p>TABLE OF CONTENTS </p><p>COURSE OVERVIEW............................................................................................................ 1 TRAINER CLASSROOM PRESENTATION ........................................................................... 5 </p><p>WELCOME AND COURSE ORIENTATION ................................................................................ 7 INTRODUCTION AND SCENARIO ............................................................................................. 8 OBSERVATION ........................................................................................................................ 10 REPORT CHANGES ................................................................................................................. 11 COMMUNICATION AND HEALTHCARE PRACTITIONER VISIT ............................................. 14 RECORD AND STORAGE ........................................................................................................ 19 ADMINISTRATION .................................................................................................................... 29 </p><p>TRAINER-LED DEMONSTRATION ...................................................................................... 37 PART 1 - PREPARATION ......................................................................................................... 37 PART 2 - ADMINISTRATION .................................................................................................... 39 PART 3 - COMPLETION ........................................................................................................... 40 PARTNER PRACTICE .............................................................................................................. 41 ADMINISTRATION OF MULTIPLE MEDICATIONS .................................................................. 42 DOCUMENTATION ................................................................................................................... 43 TYPICAL DOSE ........................................................................................................................ 44 MISSED DOSE ......................................................................................................................... 45 LATE ADMINISTRATION .......................................................................................................... 47 REFUSED DOSE ...................................................................................................................... 50 VACATION OR ABSENCE ........................................................................................................ 52 PRN OR AS NEEDED ............................................................................................................... 54 DISCONTINUED MEDICATION ................................................................................................ 57 NEW ENTRY FOR CHANGE IN DOSE ..................................................................................... 60 OBSERVATION ........................................................................................................................ 61 </p><p>INSTRUCTOR REMARKS ................................................................................................... 63 COURSE IMPLEMENTATION .............................................................................................. 64 HOW TO TRAIN THE STUDENTS ........................................................................................ 66 WEBSITE ........................................................................................................................... 68 TRANSFERRING CERTIFICATION ...................................................................................... 69 </p><p>TRAINERS WITH CURRENT MEDICATION TRAINER CERTIFICATION ................................ 69 PRACTICUM OBSERVERS ...................................................................................................... 69 NEW EMPLOYEES WITH MEDICATION CERTIFICATION FROM FORMER EMPLOYER ...... 70 </p><p>CONCLUSION .................................................................................................................... 71 APPENDICES ..................................................................................................................... 73 APPENDIX 1 ALFRED NICOLAI SCENARIO ................................................................... 75 APPENDIX 2 WRITING NOTES: ADDITIONAL PRACTICE ACTIVITIES ............................ 79 APPENDIX 3 PHARMACY LABELS AND MAR FOR ACTIVITY 6 ...................................... 83 APPENDIX 4 PHARMACY LABELS: ADDITIONAL PRACTICE ACTIVITIES ....................... 91 APPENDIX 5 COUNTABLE SUBSTANCE SHEET FOR ACTIVITY 8 ................................. 97 APPENDIX 6 COUNTABLE SUBSTANCE SHEET: ADDITIONAL PRACTICE ACTIVITIES 101 APPENDIX 7 DOCUMENTATION PRACTICE ACTIVITIES ............................................. 107 </p></li><li><p>TRAINER MANUAL </p><p>Page | 1 </p><p>COURSE OVERVIEW [Put up SLIDE I-4] The Medication Administration Program contains multiple lessons presented both online and face to face in a classroom setting. It uses a train the trainer model. The online lessons are completed by both the trainer candidates and the students prior to the presentation of the face to face material. Both licensed and unlicensed trainer candidates were required to complete all of the online lessons and pass the examinations in preparation for attending the face to face class. This preparation does a number of things. It reviews the concepts and makes trainer candidates familiar with the materials to be used by the students because they will not be reviewed in class. In addition, because not all students will complete the lesson on medication self-administration, completion of this assures that all trainers are familiar with this material. In the table, you will find a list of the lessons including an indication of which are applicable to each of the parts of the program: the trainers, the students, and the practicum observers. Lesson Number Lesson Name </p><p>Trainer Candidate Student </p><p>Practicum Observer^ </p><p>0 Trainer introduction x 1 Introduction x x x 2 Observation x x x 3 Report Changes x x x 4 Communication and Healthcare </p><p>Practitioner Visit x x x </p><p>5 Recording and Storage of Medication x x x </p><p>6 Handwashing and Gloving x x x 7 Administration x x x 8 Documentation x x x 9 Medication Errors x x x </p><p>10 Self-administration of Medication x x* x* 11 Classroom Presentation x x x 12 Training, Testing and Monitoring x x </p><p> ^Licensed staff must complete all of the lessons prior to becoming a practicum observer. *Optional lesson </p></li><li><p>PA DPW MEDICATION ADMINISTRATION PROGRAM </p><p>Page | 2 </p><p>[Put up SLIDE I-5] This new course uses a clicks and bricks model and has three components. As trainer candidates you completed the online lessons and testing. Now, you are participating in a face to face classroom experience which will be followed by an additional online lesson. In order to complete the testing, a score of 90 points or higher had to be achieved in order to attend the face to face class. Successful completion of this portion of the course requires not only attending the entire class, but also giving an individual presentation. You should have received a presentation that was assigned prior to the class so that you could prepare for your presentation in advance. After successful completion of this class, you will be required to view an additional online lesson about training, testing and monitoring in order to become a certified trainer. Trainers must recertify every three years to continue to teach the course. [Put up SLIDE I-6] The process to be certified to administer medication differs somewhat from the process to become a trainer. Medication administration students at the provider level must successfully complete four components to be certified to administer medication. These include the online lessons, the face to face classroom experience, online examinations and skill competency testing including observations of them administering medication. On-going monitoring of all unlicensed medication administrators including unlicensed trainers that administer medication is accomplished through the annual practicum consisting of 4 MAR reviews and 2 observations spread across the year. Any unlicensed trainer whose certification to administer medication has lapsed must demonstrate skill competency in administration by completing the observations required in the initial course in order to resume certification to administer medication. [Put up SLIDE I-7] Practicum observers act as trainer extenders and assist trainers in monitoring medication administration. They may only be trained by a certified trainer. Licensed staff like nurses may be trained to be a practicum observer by a certified trainer after completing the online lessons for the medication administration course. They are not required to complete the testing or skill competency activities as those are considered part of their scope of practice under their professional license. Unlicensed practicum observer candidates must complete the student certification to administer medication and then the practicum observer course. Practicum observers also have requirements for maintaining certification and monitoring proficiency. Remember that all unlicensed practicum observers that also give medication must complete the annual requirements for maintaining student certification. </p></li><li><p>TRAINER MANUAL </p><p>Page | 3 </p><p>[Put up SLIDE I-8] The face to face Classroom Presentation is where you begin your training of the students who will become medication administrators. Your job is to create a positive learning environment for the students. By making the students comfortable, you will facilitate discussion which will allow the students to ask questions and learn from each other. It is your responsibility as a trainer to present the material as written and assure that the students understand and master the material. For students who demonstrate difficulty mastering the material, there are additional scenarios and practice activities in the Appendices of this manual for you to use. You should be a positive role model for the students regarding learning and applying the medication administration principles in a manner that promotes safe administration. [Put up SLIDE I-9] After certification as a trainer, you are responsible to ready yourself to teach the course. This requires some additional preparation outlined in the following steps. </p><p> Review the training materials so that you know them and know how to use them. In addition to the trainer manual for the classroom presentation, Appendix 1 has the first scenario and Appendices 3 and 5 the materials for the scenario activities. Additional appendices contain other tools and resources to support you in teaching this course. </p><p> Know your provider medication administration policies and procedures including the forms and the student work environments so that you can build these into the training material. </p><p> Knowledge of the Commonwealth regulations related to medication administration in the relevant program environment. </p><p> Be prepared to answer questions or to know where to find the answers. Remember not to give an answer unless you are sure it is correct. It is better to look up the answer than to tell someone something wrong. </p><p> In addition to preparation to teach the course, trainers must know how to properly document testing and skill competency demonstration results for students and practicum observers. Maintaining complete and accurate student and practicum observer records for initial and on-going certification activities is crucial for demonstrating that they have met the requirements for these activities. </p></li><li><p>PA DPW MEDICATION ADMINISTRATION PROGRAM </p><p>Page | 4 </p><p>[Put up SLIDE I-10] Please note, for the train the trainer course today, we will not...</p></li></ul>