Med admin

• Right Client
• Right Time
• Right Med
• Right Dose
• Right Route
• Right Documentation

• Clients full name
• Date of order
• name of med
• Dose and administration info
• Route
• Dr.'s Signature

cubic centimeter

1000 mg

• 30 cc; or
• 1 oz

before meals

after meals

twice a day

three times a day

four times a day

hours of sleep

by mouth

every

every day

every hours

every 6 hours

every other day

discontinue

both eyes

left eye

right eye

as needed

tablet

capsule

sublingual

Enteric coated

Melliequivalent

ear

ointment

suppository

solution

with

without

times

drops

ophthalmic

Rigth

Left

1, 2, 3

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

• To record or write; Doc of th the admin of meds is required on the MAR
• (med admin record)

Info on the med package; referred to aslso as med label or scrip label

• 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

another word for drug; a substance or mixture of substances used in the diagnosis, cure, treatment, or prevention of disease

over the counter; can be purchased w/out scrip; you still need Dr. order to admin them

Meds that can only be obtained or purchased through an order or scrip written by a Dr. or prescribing practioner

• 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

• Licensed health care professional who is authorized to prescribe or order meds; 
• Usually a Dr. or PA, Nurse practitioner, Dentist

To make known, to give info about something

any effect  other then the desired effect; unwanted effects or adverse reaction from med

to transfer written info from one place to another; info on the physicians order must be transcribed to the MAR

• Does not require QMAP
• Deliever
• Observe
• Remind
• Document with the note monitored

• injestion
• application
• inhalation
• insertion

• oral tabs, 
• lozenges 
• sublingual

• ointments, drops, creams
• sprays
• gargles
• patches

• rectal
• vaginal

• 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

• solution = clear, like cough syrup
• suspension = settles, like pepto

• tablets - only cut with dr orders
• enteric coat - never cut, irritates stomach

time released

specific area - like creams drops

whole body - like tylonal, antibiotic

• Dr. ordered 
• pharmacy info
• directions of use
• date filled
• prescription number
• Dr. name

universal name - aspirin

beyer aspirin

Reportable occurrence to appropriate regulatory agency

• does not dissolve in stomach, 
• in intestine

QMAP cannot take

• 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

• Copy from Dr. orders 
• Never copy from old MAR sheet

draw line through, initial and explain on back

circle box and explain

• initial and circle
• explain and contact appropriate person

• Med reminder box
• Can be filled up to 14 days in advance

• with
• Dr. order
• MAR
• Pharmacist prepared med bottle

Single most important measure to prevent contamination as well as the spread of infection

• 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

sniff on count of 3

• suppository;
• lie client on left side if possible, colon on left side and will go into GI tract easier

• not= extra long or large
• = long acting med

• 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

• must be double looked
• counted and signed for using second person to verify

then default to one year after med was filled or purchased