INP 100 Chapter 6 Exit Exam.

Give two advantages of using the Work List instead of the Due Meds report to review your patients' medications. Then give two advantages of using the Due Meds report instead of the Work List. - correct answer Work List: Can see ALL medications for ALL patients; can see other tasks at the same time; can document without opening a patient's chart. Due Meds: Can see ALL of one patient's medications due within the current shift; can see last administration time of all meds; can easily see administration instructions. What does an "!!" icon next to a medication on the MAR mean? How is the administration workflow different for that medication? - correct answer The medication requires dual sign-off. Another nurse will need to review and verify the administration and enter his user ID & password when documenting the administration. You're about to give a pain medication to a patient. You know the patient hasn't received any doses of this medication, but you'd like to see the last time he received any pain medications over the last 24 hours. How can you do that without having to scroll through multiple shifts of the MAR? - correct answer Use the MAR Report in the MAR activity. How do medications that are discontinued appear on the MAR? - correct answer The medication row appears with all the cells highlighted in yellow. What is the main difference between documenting a PRN medication compared to a scheduled medication? - correct answer PRN medications do not have scheduled times that appear on the MAR. To document giving the medication, the nurse clicks anywhere in the cell and documents administering the medication. Scheduled medications appear with a due time in the cell at the time the medication is scheduled to be given. To document administering the medication, click the due time on the MAR. Can a nurse document giving a medication that has NOT been verified by pharmacy? - correct answer Yes. He sees warnings that the medication has not been verified but can continue with the administration. What are two reasons why a nurse might need to pull a medication from an ADS cabinet on override? - correct answer No one has entered an order for the medication into Epic. An order has been entered in Epic, but pharmacy hasn't verified it yet, so it does not appear on the patient's ADS profile. What is a MAR? - correct answer The electronic Medication Administration Record (MAR activity) helps nurses see what medications need to be administered and record doing so. What is a PRN medication? - correct answer A PRN medication is a medication that is administered as needed. What is a scheduled medication? - correct answer A scheduled medications is due at a particular time. What is Dual sign-off? - correct answer Dual sign-off means a second nurse must verify the "rights" along with the nurse who is actually administering the medication. What is an overdue dose? - correct answer An overdue dose is a medication that has yet to be documented. What is Willow Inpatient Pharmacy? - correct answer Willow Inpatient Pharmacy is Epic's pharmacy system. What is an Automated Dispensing System (ADS)? - correct answer An ADS cabinet is like a computerized vending machine for medications. What is an override pull? - correct answer If a medication is not on the ADS patient's profile, the nurse can only pull it if it is available as an override pull. Each ADS cabinet has a list of medications in its inventory that can be pulled on override. How do you use the Due Meds report to review all of a single patient's medications? - correct answer To get a complete view of a patient's medications, a nurse can use the Due Meds report in Patient Lists or the Meds report in Summary. The Due Meds report shows all scheduled doses due this shift and any overdue doses from the last shift. The scheduled doses appear in chronological order. How do you identify when the last dose of a medication was given? - correct answer A nurse can use the "Last Admin" column in the Due Meds report and the MAR Report in the MAR activity. How do you read and navigate the MAR? - correct answer Each row in the MAR represents the different medications, and each column represents a different hour. Icons are used in the MAR to call attention to important pieces of information about the medication. How do you filter the MAR? - correct answer Nurses can use the tabs across the top of the MAR to filter the medications. How do you identify an active, future, completed, or discontinued medication? - correct answer The MAR groups orders based on their status and sorts them alphabetically within the active, future, completed, or discontinued medication groups. How do you identify a medication that has not been verified by pharmacy? - correct answer Unverified orders appear on the MAR with a red stop sign. How do you use the MAR Report to review med administrations across multiple shifts? - correct answer Each column in the MAR report shows an entire day's worth of administrations and due times. Click on an administration or due time to see more details about that action at the bottom of the report. Use the day range hyperlinks to zoom in or out or to shift your view forward or backward. How do you document giving a PRN medication? - correct answer In the MAR under the column for the current time, click the cell for the medication you are about to administer. Verify you have the right patient, medication, dose, and route. For PRN medications, confirm you are giving the med for the indicated PRN reason. If you haven't already, verify that enough time has passed since the last administration. If necessary, update the Time and Dose fields to reflect when