Medication Administration

Refresher Course

Fatal Four

• Aspiration

• Constipation

• Dehydration

• Seizures

• Why do we care?

Nursing Outcomes at CCS

• Aspiration

• Constipation

• Dehydration

• Seizures

• Skin Care

• Preventable ER visits

Six Rights

Right MedicationRight DoseRight manner/routeRight timeRight personRight documentation

Medication/Treatment Administration

• Check MAR and Medication/Treatment 3 times

• Sign for medication/treatment when taking it from the medication station

• Follow up on PRNs within 2 hours

Documentation

If it isn’t written down, it did not happen.

Charting Codes

Charting Code When do you use it

YR

(your initial)

When you sign for a medication

When the medication is not given

W When the client is at work

YR

Timing of Medications

• Know when to give medicines to gain most benefit

• No laxatives within 1 hr of any other medication

• Iron should not be taken with milk

• GERD meds – ½ hr before meal

• Use your drug guide

• Ask the doctor

Charting

You are telling a story with your charting

Each house will want you to chart in their way

Abbreviations

Errors in Medication Administration

• Medication Administration Error– Forget to administer a medication

• Documentation Error– Forget to sign for a medication– Forget to do a follow-up

• What happens - IR

• Intent

A prescription

• Written by a doctor

• Parts of a prescription– Client name – first and last– Name of drug– Dosage of drug– How frequent to take it and how long– What route

Handwashing

• List times to wash hands

• Use plenty of soap

• Lots of friction

• Dry hands with paper towel

• Turn off faucet with paper towel

Vital Signs

• Blood pressure

• Temperature

• Pulse

• Respiration

• Pain

Pain

• Defined by the resident

• Will be manifested differently by different residents

• Can lead to other symptoms/behaviors which are not desirable

• What to do first if you suspect someone is in pain

• When should you be concerned

Residents, Living and Meds

• Our residents have lives

• Some work or have lives outside

our homes

• They need their medication

• We need to figure out a way so they can get their meds but have lives

• Communication is the key

Rights regarding medications

• Right to:– know what they are getting– have an explanation– refuse or consent– confidentiality and privacy– appropriate services

Nurses at CCS

• Nurse patient relationships

• When to call

• Protocol for paging

Evaluation

Thank you