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6 Rights of medication administration
- Right Client
- Right Time
- Right Med
- Right Dose
- Right Route
- Right Documentation
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6 components of Physician order
- Clients full name
- Date of order
- name of med
- Dose and administration info
- Route
- Dr.'s Signature
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Controlled substance
Medis that have the potential to be addictive and used in a way other then how the med was prescribed; a system must be in place to accout for receipt, admin and disposal of each med
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Document
- To record or write; Doc of th the admin of meds is required on the MAR
- (med admin record)
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Label
Info on the med package; referred to aslso as med label or scrip label
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MAR
- a record that lists all the meds ordered for the resident, including routine or regularly scheduled meds and PRN meds;
- it is also to doc or record the admin of meds
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Med/Drug
another word for drug; a substance or mixture of substances used in the diagnosis, cure, treatment, or prevention of disease
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OTC Med
over the counter; can be purchased w/out scrip; you still need Dr. order to admin them
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Prescription Med
Meds that can only be obtained or purchased through an order or scrip written by a Dr. or prescribing practioner
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PRN definition
- PRN meds are not scheduled to be admin'd at specific times or routinely.
- Residents should be able to ask for, if they can't an assessment of the client must be made.
- Admin of PRN meds needs to be documented in MAR
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Prescribing practitioner
- Licensed health care professional who is authorized to prescribe or order meds;
- Usually a Dr. or PA, Nurse practitioner, Dentist
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Report
To make known, to give info about something
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Side effects
any effect other then the desired effect; unwanted effects or adverse reaction from med
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transcribe
to transfer written info from one place to another; info on the physicians order must be transcribed to the MAR
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Monitoring
- Does not require QMAP
- Deliever
- Observe
- Remind
- Document with the note monitored
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4 routes
- injestion
- application
- inhalation
- insertion
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ingestion
- oral tabs,
- lozenges
- sublingual
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application
- ointments, drops, creams
- sprays
- gargles
- patches
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QMAP no nos
- no - admin meds through gastrstomy tube or IV, or insulin pens
- no - draw or inject insulin or dial up insulin pen
- no - finder sticks
- must have documented training by licensed professional at your facility
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Difference between solution and suspenstion
- solution = clear, like cough syrup
- suspension = settles, like pepto
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solid
- tablets - only cut with dr orders
- enteric coat - never cut, irritates stomach
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local drug action
specific area - like creams drops
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systemic drug actions
whole body - like tylonal, antibiotic
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labeling of prescription drugs
- Dr. ordered
- pharmacy info
- directions of use
- date filled
- prescription number
- Dr. name
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gerenic
universal name - aspirin
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Diversion of drugs
Reportable occurrence to appropriate regulatory agency
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Enteric coat
- does not dissolve in stomach,
- in intestine
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phone order
QMAP cannot take
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Rules of documenting meds
- MAR is legal doc and must be accurate
- doc after giving
- doc each time
- only doc what you admin or monitor
- intial meds given or monitored in the right box
- use black ink
- never use white out
- not documented, not administered/monitored
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New MAR
- Copy from Dr. orders
- Never copy from old MAR sheet
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MAR error
draw line through, initial and explain on back
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refused med
circle box and explain
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wrong med to wrong client
- initial and circle
- explain and contact appropriate person
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MRB
- Med reminder box
- Can be filled up to 14 days in advance
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cross check MRB label
- with
- Dr. order
- MAR
- Pharmacist prepared med bottle
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Hand washing
Single most important measure to prevent contamination as well as the spread of infection
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application of ear drops
- if in bed, have bed flat and turn head to opposite direction
- if sitting up, tilt head sideways until ear is horizontal as possible
- Do not insert
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Nose drop
sniff on count of 3
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rectal & vaginal
- suppository;
- lie client on left side if possible, colon on left side and will go into GI tract easier
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XL
- not= extra long or large
- = long acting med
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med error
- immediately document, and notify supervisor & Dr.
- know protocol for med error
- must be reported to regulating agency
- error on MAR =
- circle, intial, document on back,
- route, name of med, time, amount
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controlled substances
- must be double looked
- counted and signed for using second person to verify
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Meds that have to expiration date
then default to one year after med was filled or purchased
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