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  • MEDICATION ADMINISTRATION

    MANUAL

    Revised September 2012

  • DO NOT COPY

    Medication Administration Manual (Updated September 2012) Page 2 of 157 2012 Vecova Centre for Disability Services and Research

    2012 Vecova Centre for Disability Services and Research All rights reserved. The use of any part of this work, whether it is reproduced, stored in a retrieval system or transmitted in any form by any means (including electronic, mechanical, photographic, photocopying or recording), without the prior written permission of Vecova Centre for Disability Services and Research is an infringement of copyright law. Disclaimer The content of this Medication Administration Manual is provided for information purposes only and does not constitute legal advice. No legal liability or other responsibility is accepted by or on behalf of Vecova Centre for Disability Services and Research or its members, officers, employees or advisors for any errors, omissions, or statements contained in the work. Vecova Centre for Disability Services and Research accepts no responsibility for any loss, damage or inconvenience caused as a result of reliance on the work.

    For further information contact:

    Chief Executive Officer Vecova Centre for Disability Services and Research 3304 - 33 Street NW Calgary, AB T2L 2A6

    Phone: (403) 284-1121 Fax: (403) 284-1146

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    Medication Administration Manual (Updated September 2012) Page 3 of 157 2012 Vecova Centre for Disability Services and Research

    TABLE OF CONTENTS

    SUBJECT PAGE

    Purpose ............................................................................. 7

    Objectives ......................................................................... 8

    Scope of Practice ............................................................... 9

    Communication .................................................................. 12

    Roles and Responsibilities of Team Members ............................. 13

    Client .......................................................................... 13

    Doctor ......................................................................... 13

    Pharmacist ................................................................... 14

    Support Workers ........................................................... 15

    Legal Authority ............................................................. 16

    Family/ Significant Others ............................................... 16

    Forms of Communication ....................................................... 17

    What Makes Communication Effective ...................................... 18

    Policy and Procedure ............................................................. 19

    Infection Control................................................................ 20

    Chain of Infection .......................................................... 20

    Breaking the Chain of Infection ....................................... 21

    Prevention and Control of Infection .................................. 22

    o Medical Asepsis ..................................................... 22

    o Universal Precautions ............................................. 23

    o Body Substance Isolation ........................................ 24

    o Standard Precautions ............................................. 24

    Medication Administration Process ..................................... 26

    Assessment .................................................................. 26

    Implementation ............................................................ 28

    o 3 Check System .................................................... 28

    o 7 Rights of Medication Administration........................ 28

    Evaluation .................................................................... 29

    Documentation ............................................................. 30

    o Guidelines for Medication Administration Records ........ 31

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    Medication Administration Manual (Updated September 2012) Page 4 of 157 2012 Vecova Centre for Disability Services and Research

    SUBJECT PAGE

    o Client Information .................................................. 32

    o Support Worker Identification .................................. 32

    o Medication Information ........................................... 33

    o Discontinued Medication ......................................... 33

    o New Medication ..................................................... 34

    o Periodic Medication ................................................ 34

    o Short Term Medication............................................ 35

    o Medication Dosage Range ....................................... 36

    o Medication Time Change ......................................... 36

    o Medication Reminder .............................................. 37

    o Medication Monitored ............................................. 37

    o Medication Signed in Error....................................... 38

    o Transdermal Patches .............................................. 38

    o PRN Medications .................................................... 39

    Medication Incidents & Errors ............................................ 41

    Documentation of Medication Errors/Incidents ................... 44

    Refusal of Medication ..................................................... 45

    Levels of Medication Administration ................................... 48

    Monitoring Client Self-Administration of Medication ........... 50

    Assessment .................................................................. 51

    Implementation of Strategies .......................................... 52

    Understanding Prescriptions & Abbreviations ..................... 55

    Prescriptions ................................................................. 55

    Tips for Safe Transcribing Prescriptions ............................. 56

    Common Errors in Transcribing Prescriptions ..................... 57

    Abbreviations ............................................................... 58

    Over The Counter Medication ............................................. 59

    PRN Medications ................................................................ 62

    PRN Judgments ............................................................. 63

    Guidelines for the use of Medications that Influence

    Behaviour .......................................................................... 65

    Re-packaging Medication ................................................... 66

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    Medication Administration Manual (Updated September 2012) Page 5 of 157 2012 Vecova Centre for Disability Services and Research

    SUBJECT PAGE

    Tips to Remember for Medication Administration................ 67

    Medication Storage and Disposal ........................................ 68

    Receiving Medication ......................................................... 69

    Understanding How Drugs Work ........................................ 70

    Absorption ................................................................... 70

    Distribution .................................................................. 79

    Metabolism................................................................... 79

    Excretion ..................................................................... 80

    Adverse Reactions and Side Effects .................................... 81

    Examples of Adverse Reactions & Side Effects by body

    system ........................................................................ 81

    Medication Emergencies & Responses ................................ 85

    Allergic Reaction Anaphylactic Shock ............................. 85

    Poisoning ..................................................................... 86

    Appendix 1: Terminology (Glossary) .................................. 87

    Appendix 2: Prescription Abbreviations .............................. 99

    Appendix 3: How To Give Medications Procedures ........... 101

    Medication Administration Master Procedure ................... 102

    Oral Medications ........................................................... 105

    o Liquid Preparations ................................................ 105

    o Oral Sprays........................................................... 107

    o Mouthwashes & Oral Rinses ..................................... 108

    o Oral Liquid Syringe ................................................ 109

    o Bubble Pack, Dosette, Pill Bottle ............................... 111

    o Solid Form by Mouth .............................................. 113

    o Crushed Medication ................................................ 114

    o Buccal Tablets ....................................................... 116

    o Sublingual Tablets ................................................. 117

    Eye Medications ............................................................ 118

    o Eye drops ............................................................. 118

    o Eye Ointment ........................................................ 120

    Ear Medications ............................................................. 122

    o Ear Drops

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