medication administration course instructor ?· medication administration program focuses on...

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

Post on 21-Aug-2018

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

  • ACKNOWLEDGEMENTS

    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

    Medication Administration Program August 2013

    Commonwealth of Pennsylvania; Department of Public Welfare; 2013. All rights reserved. Reproduction in whole or in part without permissions is prohibited.

  • 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

    Medication Administration Program

  • TABLE OF CONTENTS

    COURSE OVERVIEW............................................................................................................ 1 TRAINER CLASSROOM PRESENTATION ........................................................................... 5

    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

    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

    INSTRUCTOR REMARKS ................................................................................................... 63 COURSE IMPLEMENTATION .............................................................................................. 64 HOW TO TRAIN THE STUDENTS ........................................................................................ 66 WEBSITE ........................................................................................................................... 68 TRANSFERRING CERTIFICATION ...................................................................................... 69

    TRAINERS WITH CURRENT MEDICATION TRAINER CERTIFICATION ................................ 69 PRACTICUM OBSERVERS ...................................................................................................... 69 NEW EMPLOYEES WITH MEDICATION CERTIFICATION FROM FORMER EMPLOYER ...... 70

    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

  • TRAINER MANUAL

    Page | 1

    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

    Trainer Candidate Student

    Practicum Observer^

    0 Trainer introduction x 1 Introduction x x x 2 Observation x x x 3 Report Changes x x x 4 Communication and Healthcare

    Practitioner Visit x x x

    5 Recording and Storage of Medication x x x

    6 Handwashing and Gloving x x x 7 Administration x x x 8 Documentation x x x 9 Medication Errors x x x

    10 Self-administration of Medication x x* x* 11 Classroom Presentation x x x 12 Training, Testing and Monitoring x x

    ^Licensed staff must complete all of the lessons prior to becoming a practicum observer. *Optional lesson

  • PA DPW MEDICATION ADMINISTRATION PROGRAM

    Page | 2

    [Put up SLIDE I-5] This new course uses a cli