Medication Administration Program

1. MedicationAdministration Program Administering Medication the Right Way

2. Successful Completion • 100% Attendance • Pre-Test

3. D&S Diversified Technologies Three Components 1. Computer Based Test-75 min. 50 questions (40/50 is passing) Must pass CBT to be eligible to take skills Skills 2. Transcription-15 min. 3. Med Administration-10 min. Apply knowledge of 5 Rights while verbally demonstrating 3 checks

4. Medication Certification • Meds may be administered to adults only in DDS/DMH funded, operated or licensed programs • Good for 2 years

5. Fictional Characters • Melissa • Chip • Freddy

6. Community Resources

7. MAPConsultant • Registered Nurse • Pharmacist • Licensed Practitioner

8. Learning Strategies • Objectives • Terms to Study • Apply What You've Learned • Exercises

9. Required for Medication Administration • Health Care Provider (HCP) Order • Pharmacy Label • Medication (med) Sheet

10. Medication Book Includes: • HCP orders • HCP visit form (if it includes an order) • Med sheets • Medication Information sheets

11. Countable Substances Book Three sections: • Index • Count sheets • Shift count sheets

12. Basics of Medication Administration

13. Safe Medication Administration • Standardization

14. Knowing the People You Support • Helps to recognize changes • Helps when reporting • Helps when documenting

15. Respecting Rights • To be treated with respect and dignity • To be free from too much medication • To know what meds they are taking • To know about risks and benefits • To refuse medication

16. Principles • Mindfulness • Maximizing Capabilities • Communication

17. Safe Medication Administration • Cycle of Responsibility

18. Cycle of Responsibility Observe Document the Med Administration Reportchanges Administer Medication Support Visits to HCP Store Medication Communicate with Pharmacist Record Information

19. Daily Routine Come to work ready to: • Talk with other staff • Greet person • Ask how person is doing • Pay attention to behavior

20. How to Prevent and Control Infection

21. Prevent and Control Infection • Hand washing • When • How

22. Prevent and Control Infection • Wearing Gloves • When • How

23. The Cycle of Responsibility General Guidelines Medication Administration

24. The Five Rights • Right Person • Right Medication • Right Dose • Right Time • Right Route

25. The Right Person If not certain get help • Ask other staff • Check picture

26. The Right Medication • If brand name written on prescription, pharmacist will usually substitute generic • If unsure, ask pharmacist

27. The Right Medication • If familiar with med but notice a change in color, size, shape, markings, etc. • Ask the Pharmacist

28. The Right Dose • HCP orders dose • Usually written in “mg”

29. The Right Time • Particular time of day • Number of times per day • Time between doses

30. The Right Time • Most meds can be given safely one hour before and up to one hour after time on med sheet • If unsure, ask pharmacist

31. The Right Route The form of med determines the route: • tabs, caps, liquids (usually oral) • ointment to skin (topical)

32. General Guidelines • Three cross checks of the Five Rights before administration

33. How to Administer Medications The Process

34. Medication Administration Process • Prepare • Administer • Complete

35. Med Pass Instructions • Chip Brown • 8pm med • Sept. 3, yr

36. Med Pass Instructions • Chip Brown • 8am meds • Sept. 4, yr

37. Specific behaviors that show us Chip is anxious: Pacing in a circle for more than 4 minutes. Head slapping for longer than 30 seconds or more than 5 times in 4 minutes. Staff will attempt to engage Chip in one on one conversation re: current feelings and difficulty. Staff will attempt to direct and involve Chip in a familiar activity such as laundry, meal preparation, etc. If unsuccessful with A or B staff may suggest/offer Chip: Ativan 0.5mg once daily as needed by mouth. Must give at least 4 hours apart from regularly scheduled Ativan doses. (Refer to HCP order) If anxiety continues after the additional dose, notify HCP. Support Plan for use of PRN Medication for Anxiety

38. Med Pass Instructions • Chip Brown • PRN med for anxiety • Sept. 4, yr • 3pm

39. Document Med Administration • Place initials in box that directly corresponds to time and date given • Initials and signature at bottom of med sheet (if first time giving) • PRN medication time/initials in same box and write a progress note

40. Oral Medication • HCP order required to crush and mix a med with food or liquid

41. Oral Medication • MUST have HCP order to: empty contents of a capsule

42. Oral Medication • May give half tabs ONLY if halved by the pharmacy

43. Liquid Med Administration Oral Med Cup: • Place on flat surface at eye level • Use thumbnail to mark correct measurement • Shake bottle of med well, if needed • Pour slowly

44. Liquid Med Administration • Oral dosing syringe

45. Liquid Med Administration • Dropper

46. OtherRoutes of Medication Administration Never administer a med by any route unless you have received training in that route

47. General Cautionary Guidelines Administering meds if: • Unable to read HCP order • Missing any piece of info • Unable to read label • Label is missing • Med was prepared by another staff

48. General Cautionary Guidelines Administering Meds If: • You have any doubts about the five rights • If person has a serious change • If person has difficulty swallowing • If person refuses • If med seems to be tampered with

49. MedicationRefusals

50. Dealing With Refusals • Offer 3 times • wait 15-20 minutes in-between • Contact HCP for recommendation • Notify Supervisor • Document