ethical and legal standards - ANSWER-to protect residents and rma's
ethical standards - ANSWER-Guides to moral behavior
legal standards - ANSWER-guides to legal behavior
clients rights (meds and treatments) - ANSWER--to be informed & decide when/where they get meds
-to be informed of facility rights
-to refuse care
-to privacy during medical care
-to choose their physician
clients rights (confidentiality) - ANSWER--only staff working with the pt has access to their file
-to release their medical records and to who
drug control act of va - ANSWER--allows (unlicensed) rma's to administer meds in alf
-requires bon to have education regulations for rma's
-bon to keep a registery of rma's
-allows rma's to administer self-administered meds in alf
-prohibits rma's to make oral orders for new drugs
virginia board of nursing regulations - ANSWER--determines requirements to get rma's
-creates & evaluates state board exam
-renewal of license requirements
-certification / training requirements mar - ANSWER-medication administration record
virginia department of social services regulates - ANSWER--alf's
-med management plans
-meds, diet, treatments
-physicians orders, oral orders
-med storage
-med administration by rma
-adr's and side effects
-documentation
-new med orders after hospital admission
-med disposal
-prn meds
-stat boxes
-drug regimen review
-o2 therapy
board of pharmacy regulations - ANSWER--pharmacy services in alf's
-requirements for a prescription
-transcription of prescription into mar
-med storage / disposal
-stat boxes
-drug regimen review
acts allowed for rma's - ANSWER--administer meds in dss approved alf
-administer self-administering meds
-administer insulin injections -administer epi pens & glucagen in emergent situations
acts prohibited for rma's - ANSWER--administer meds in nursing home
-transmit oral prescriptions to pharmacy
-make assessment of pt
-deviate from mar
-mix, dilute, or reconstitute 2 or more drugs
-administer iv, im, or sub q meds
-administer meds via g-tube
-remove or administer meds from stat box
-repackage or relabel meds
-write or order a new prescription
-wound care or dressing change
abuse - ANSWER-Willful infliction of physical pain, injury, mental anguish, or unreasonable confinement.
neglect - ANSWER-failure to provide services to maintain physical and mental health, and overall wellbeing
exploitation / misappropriation - ANSWER-illegal use of clients resources for personal profit or advantage
mandated reporting in va - who - ANSWER--any person licensed, certified, or registered
by health regulatory boards
-any guardian or conservator of an adult
-any one working in a medical facility
-anyone giving care to adults for compensation
-any law enforcement officer mandated reporting in va - what must be included - ANSWER--age
-identity & location of abused adult
-circumstances regarding suspected abuse
mandated reporting in va - who to report to - ANSWER--adult protective services or dss
-law enforcement or medical examiner
osha - ANSWER-set standards for equipment use when working in healthcare facilites
standard precautions reduce the chance of contracting diseases caused by - ANSWER-
blood born pathogens (bbp's)
the 3 most common bbp's - ANSWER-hep b
hep c
hiv
sharps - ANSWER-devices used to puncture the skin such as needles
procedure for standard precautions - ANSWER--always wear gloves when in contact or possible contact with bodily fluids
-when assisting pt with insulin or a blood glucose monitor, use a rigid sharps container
-clean spills with blood or body fluids with bleach or a spill kit
ppe - ANSWER-mask
gloves
gown
goggles
the best protection against hep b is - ANSWER-the vaccine