Medication Administration Refresher Course

1. Medication Administration Refresher Course Catholic Community Services

2. Fatal Four • Aspiration • Constipation • Dehydration • Seizures • Why do we care?

3. Nursing Outcomes at CCS • Aspiration • Constipation • Dehydration • Seizures • Skin Care • Preventable ER visits

4. Six Rights • Right Medication • Right Dose • Right manner/route • Right time • Right person • Right documentation

5. 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

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

7. Charting Codes YR

8. 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

9. Charting You are telling a story with your charting Each house will want you to chart in their way

10. Abbreviations PRN QD PO noc supp TID tab g-tube

11. 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

12. 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

13. Handwashing • List times to wash hands • Use plenty of soap • Lots of friction • Dry hands with paper towel • Turn off faucet with paper towel

14. Vital Signs • Blood pressure • Temperature • Pulse • Respiration • Pain

15. 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

16. 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

17. Rights regarding medications • Right to: • know what they are getting • have an explanation • refuse or consent • confidentiality and privacy • appropriate services

18. Nurses at CCS • Nurse patient relationships • When to call • Protocol for paging

19. Evaluation

20. Thank you