QMA INDIANA STUDY GUIDE QUESTIONS WITH CORRECT SOLUTIONS

Tasks the QMA is PROHIBITED from performing *Assess a resident's condition *Call a physician *Take a physician's written or verbal order *Administer medication by injection *Administer any medication inhalation treatment other than metered dose inhalers *Administer medication per nasogastric tube *Instill irrigation fluids of any type including, but not limited to, colostomy, catheter and enema, except a commercially prepared disposable enema *Administer a treatment that involves an advanced skin condition, including stage ll, 111 and lv decubitus ulcers The Qma scope of practice includes: Observe and report to a nurse reactions and side effects of meds, take vital signs prior to some medications, personally set up and give medications that you were trained on, not document what another person gave a resident pro re nata (PRN) medication only if authorization is obtained from the facility's licensed nurse on duty or on call QMA observations included what the QMA sees, hears or smell and document what is reported Resident Rights *Right to refuse medication and treatment *Right to be informed of consequences of refusing medication and treatment *Freedom from physical and mental abuse and neglect *Freedom from restraint w/o a physician's written order *Right to privacy *Right to confidential treatment libel/slander and assault/battery all individuals are legally protected from Negligence the omission or neglect of any reasonable precaution, care or action Malpractice any improper or injurious practice, or any unskillful or faulty medical or surgical treatment To avoid being negligent: *Perform only those tasks you have been trained to perform and that are within your scope of practice *Observe the legal rights of every resident *Complete all records carefully *Be knowledgeable of the medications you administer, including their actions and potential adverse effects *Follow the policies of your facility Negligence Examples *Leaving a dependent resident unattended in a shower or bath *Failing to report observations that later profound consequences for the resident's health *Causing an injury by using defective/broken equipment or supplies *Accountability for negligence *Legal Action euthanasia The painless killing of someone dying from a painful disease 6 rights of medication administration right medication, right dose, right resident, right route, right time and right documentation verbal abuse the use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult a person abuse any care that results in physical harm, pain, or mental anguish neglect Failure to provide the person with the goods or services needed Initial Steps 1. Ask nurse about residents NEEDS, ABILITIES and LIMITATIONS, if necessary. 2. Gather supplies and equipment. 3. Knock on resident's door. 4. Identify resident. 5. Identify self. 6. Explain procedure to the resident. 7. Wash your hands or use antiseptic foam/gel 8. Wear gloves to maintain Standard Precautions as necessary