Med Certification Final Test Study Guide

Med Certification Final Test Study Guide What is p? (post) - ANS After What is ac? - ANS before meals qd - ANS daily What is a bid? (biweekly) - ANS two times daily What is a tid? - ANS three times daily qid - ANS four times daily what is hs? - ANS hours of sleep what is qod abbreviation for? - ANS every other day gtt - ANS drops what is opth abbreviation for? - ANS opthalmic OD - ANS right eye what is OS abbreviation for? (scrubs - L) - ANS left eye OU - ANS both eyes what is prn abbreviation for? - ANS as needed NPO - ANS nothing by mouth PO - ANS by mouth what is cc abbreviation for? - ANS cubic centimeter ml - ANS milliliter tsp - ANS teaspoon tbsp - ANS table spoon oz - ANS ounce mg - ANS milligram cap - ANS capsule tab - ANS tablet liq - ANS liquid elix - ANS elixir supp - ANS suppository tpr - ANS temperature, pulse, respiration rom - ANS range of motion vs - ANS vital signs wnl - ANS within normal limits loc - ANS level of couciousness s/s - ANS sigs and symptoms c/o - ANS compliants of d/c - ANS discontinued bm - ANS bowel movement what does good hygiene enhance? - ANS good hygiene enhances self esteem and dignity bathing - ANS cleansing, increased circulation, good time for excersizes, and observe skin shaving - ANS clean skin w/ electric shaver use sharp blades and shave in the direction of hair growth nail care don't cut mycotic toenails - ANS prevents germs and injury/infection oral care - ANS brush 2x and floss prevention of cavities, gingivitis, and periodontal diseases what should you not do? - ANS share someones personal information what are 4 things make up cardovasicular system? - ANS heart arties veins what is cardovasicular system - ANS Transport oxygen and nutrients to cells and Carrie's away waste Heart resistory(breath or oxygen) - ANS Oxygen for the body and exhale carbon dioxide Mouth - ANS Saliva and teeth small intestine - ANS Digest and absorbs nutrients large intestine - ANS water absorption Stomach - ANS Secrets acid and mechanically churns to break down food Esophagus - ANS Transports good to stomach if a person has a seizure, which body systen is affected? - ANS nervous a person on an anticonvulsant for a long time is more prone to which disease? think depression - ANS osteporis which body organ produces insulin? - ANS pancreas kidneys (urinary) - ANS blood is filtered through this organ to produce. urine what is thyroid? - ANS secretes thyroid hormone to regulate body metabolism carbon dioxide and oygen are exchanged in this organ - ANS lungs Gallbladder - ANS stores bile what is the first step to do when you arrive for your shift as a med cert staff member? - ANS count over narotics and sign controlled drug count sheet vital signs: temperature - ANS rectal :99.6 oral:98.6 axillary: 97.6 temporal: 98.6 vital signs: pulse if the irregular count is 60 sec - ANS normal: 60 -90 beats per min vital signs: respirations if the irregular count is 60 sec - ANS normal 12-22 beats per min vital signs: blood pressure (bp) - ANS normal systolic is 90-140 and normal diastoic is 60-90 In a non verbal perosn, what are some s/s of GI upset? - ANS consitipation diaherra vomiting nausea In a non verbal perosn, what are some s/s of GI upper body? - ANS facial expressions,stomach,crying Gastrointestinal (GI) system function - ANS to digest food to absorb nutrients and expel waste products that cannot be used by the body what are 2 blood borne pathogens? - ANS hiv and hepatis b name a test that is required upon hire for all staff to determine exposure to tuberculosis - ANS PPD and t - spot list 2 signs and symptoms of tuberculisis - ANS cough and night sweats list 3 standard percautions - ANS hand washing gloves mask if you exposed to blood or body fluids and you have completed first aid, what should you do next? - ANS Call RN what is the most effective way to prevent the spread of infection? - ANS hand (washing) hygiene list 5 exmaples of communicable dieases - ANS chicken pox flu strep thorat lice rabies what is the purpose of the "info" button in the medication title? * think side ____________ - ANS adverse effects where would you find side effects if the info button is empty? - ANS RMS binder list steps of triple check - ANS check pharmacy label on medication and QMAR to ensure it matches with the 5 rights (twice) punch or pour meds, initial blister pack and date and put a check on QMAR when doing a triple check , if there is a dicrenacy in orders what should you do? - ANS Call RN what are the 5 rights of medication and administration? *I MUST DO THIS RIGHT - ANS right individual medication dose time route what shouldn't you do if the nacotic count is wrong? - ANS accept keys when do you document in QMAR that a medication was adminstered? - ANS after meds are swallowed the most imprtant objective signs is what? - ANS vs - data to reflect any changes what 2 things need to be includesd in a medical progress notes for a prn medication given? - ANS name of prn and reason why what are the types of medications/treatment orders that each person has? - ANS nursing orders routine treatment prn: stock and individual list 5 reasons to write a medical progress note (MPN) - ANS any medical concerns falls/injuries hospital shifts RN instructions meds declined after passing meds if needed what are the 2 purposes of medical refferal form/ appt sheet? - ANS reasoning communication for concerns and recommendations what do you need to take with you to MD appointment besides the individual? - ANS insurance cards personal items medical chart current physican orders consult form what do you need to do if during an appt there is a new med/medication change? - ANS call nurse call pharmacy mpn call guardian what 4 things you should include on the morning and afternoon report - ANS bm weight med extensions prn Jill has ordered stock PRN Tylenol 325 mg PO q 4 hrs PRN pain. May give 2 consecutive doses w/o informing RN. This morning Jill reported having an arm and received the Tylenol at 8 am. She reported alleviated pain @ 9 am but requested another dose at 11 am. Can you give the dose @ 11 without informing RN? Explain answer. - ANS no because the next dose needs to be given @ 12 lisrt 3 routes for adminstration of medications - ANS g-tube rectal oral if you are unable to reach the on - call nurse (RN) @ 340-5776, what are the steps you take to reach a nurse? - ANS check schedule; call down the phone list wait 30 mins, if they do not answer call nurse management what are s/s of depression - ANS anxiety irritability sadness loss of appetite what would you want to ensure you do when supporting a person who is aging or has dementia - ANS consistent routine allow time no overstimulation maintain skills don't tell them their wrong be patient list 4 examples of unsafe medication practices? - ANS no 3rd check hand hygiene giving wrong meds to a different individual How do you accurately pour a medication that measures less than 2.5cc? - ANS syringe or dropper why shouldn't you accept keys if the nacotic count is wrong? - ANS because you need to try to figure out ehy its wrong with a shift coordinator or manager before calling the RN what happens if you take the keys from the lock box? - ANS you should count with another staff if one is present on site what is the second thing to do when you arrive for your shift as a med cert staff member? - ANS what is the third step to do when you arrive for your shift as a med cert staff member? - ANS what is the fourth step to do when you arrive for your shift as a med cert staff member? - ANS what is the fifth step to do when you arrive for your shift as a med cert staff member? - ANS after the steps are done above you can pass meds what is the sixth step to do when you arrive for your shift as a med cert staff member? Don't forget I Must Do This Right - ANS 1. wash hands 2. complete triple checks 3. ensure you did the 5 rights 4. document after they swallow the med 5. wash your hands in between giving another person meds 6. lock the med room door when you are not in the med room what happens if the triple checks don't match the 5 rights? - ANS do not give meds and inform the RN what is the seven step to do when you arrive for your shift as a med cert staff member? - ANS lock the cupboards when you are finished passing meds what is the eight step to do when you arrive for your shift as a med cert staff member? - ANS what is the ninth step to do when you arrive for your shift as a med cert staff member? - ANS what is the tenth step to do when you arrive for your shift as a med cert staff member? - ANS what is the 11 step to do when you arrive for your shift as a med cert staff member? - ANS what is the 12th step to do when you arrive for your shift as a med cert staff member? - ANS what are the 5 rights of I Must Do This Right? - ANS Right individual, medication,dosage,time and route What is IMDTR stand for? - ANS I Must Do This Right what the 6th right of I Must Do This Right? - ANS right documentation what does blue box mean on the QuickMar? - ANS not done what does gray box mean on the QuickMar? - ANS already done What do you do for the 1st check of medication? - ANS check the pharmacy label on meds to match with QuickMar making sure they all 5 right match What do you do for the 2nd check of medication? - ANS check the pharmacy label on meds to match with QuickMar making sure they all have 5 right matches. Pour or punch the meds, initial the pack, and date it. Place a check on the blue box What do you do for the 3rd check of medication? - ANS check the pharmacy label on meds to match with QuickMar making sure they all 5 right match what are you not supposed to do when you triple-check on topical medications /drops/liquids? - ANS punch out the med what do you need to do before adminstering meds? - ANS complete all 3 checks before adminstering the med what must you do when admistering individual PRN medications? - ANS follow the triple-check procedure above. after administrating the meds, click submit in QuickMAR what must you do when admistering STOCK PRN medications? - ANS follow the triple check procedure above. You will not be able to check the name of the person with the label on the bottle or tube what must you do when giving PRN medications? - ANS write a medical progess note documenting what med was given and for what purpose what must you do after giving PRN medications? - ANS follow up on the effectiveness in QuickMAR what must you make sure that individuals do when giving medications? - ANS swallow their meds what must you do after an individual is declined (after informing the nurse)? - ANS 1. go to QuickMAR 2. go to the exceptions tab 3. mark has declined 4. write an MPN what must you do if a individual is in hospital in QuickMar? - ANS 1. menu 2. go to the exceptions tab 3. mark as hospitalization what must you do if an individual is on leave w/ a family member and they are given meds? - ANS 1. menu 2. go to the exceptions tab 3. mark as on leave what should you do if RN instructs you to not give a medication? - ANS 1. go to the exceptions tab 2. on hold per RN when should be completed at med pass? - ANS the med checks should be completed during the afternoon times and 2 checks should be done how many check should be done with staff? - ANS 2 checks what should you do before the med pass window has ended? - ANS you will check the blister pack or bottles of meds to ensure all 5 rights were followed and signed off in QuickMAR what should the check include at the end of the night? - ANS all documentation that is necessary is completed: data sheets and intakes, vitals are recorded and MPN are written as needed how should MPNs be written? - ANS 1. when the nurse says to observe and doc on an issue 2. when NSP says (vitals, body checks, bruises) 3. any illness or communication on a medical concern 4. when in doubt how do you write a MPN? - ANS 1. select health and high status for new entry 2. make summary tittle MPN (your shift) What is SOP? - ANS Standard operating procedures (SOP) are a detailed explanation of how a policy is to be implemented. What does S stand for S.O.P.? - ANS standard how should you write S part in the S.O.P. format ? - ANS what the person says in direct quotes If the person is non verbal in the S part of the S.O.P. format ? - ANS N/A What does O stand for S.O.P.? - ANS Observations how should you write O part in the S.O.P. format? - ANS describe the situation, list observations and vital signs What does P stand for S.O.P.? - ANS Plan how should you write P part in the S.O.P. format ? - ANS write what you did for the person and who you spoke to (RN - full name and title) and their instructions repeat their instructions and don not add anything else to instructions write instructions for follow up care and what the next shift has to do what hours does residental rn work on Monday through Friday? - ANS 7 am - 5 pm what hours does residental rn work on hospital admissions? - ANS 24 hr how to contact residental nurse (RN)? - ANS 1. call residental nurse cellphone 2. leave a voice mail 3. RN has 30 mins to return call 3.5. call back up nurse if no one answers and repeat steps 4. continue calling nurses on the list until nurse responds what do to if its a urgent sistuation with the residental nurse (RN)? - ANS don't wait 30 mins. for a response, continue to call the nurses on list until nurse answers the phone what hours does on-call rn work on Monday through Friday? - ANS 5 pm - 7 pm does the on-call nurse work on weekends and holidays when the residental rn is off? - ANS yes how to contact on-call nurse (RN)? - ANS 1. call main line 2. no answer leave a voicemail 3. check on - call scduele for nurse on duty; call phone number listed at the bottom of the schudele 4. rn has 30 minutes to return call 5. call nurse management team with NSS and ending DOHMR on call list what do to if its a urgent sistuation with the on-call nurse (RN)? - ANS 1. use priority line to on-call main line 2. if they don't answer call the nurse management team until you speak to a nurse side effects - ANS What is Stevens-Johnson syndrome? - ANS Is a severe side effect of some meds that is a rash and blisters on all skin (mouth,palms and eyes) and fever. Skill can cause dehydration and infection What is the result of SJS? - ANS Permanent complications or death who should check for SJS and why? - ANS RN musculoskeletal system - ANS Provides structure and support for the body, protection of the organs reproductive system - ANS Lumps/masses/sores female reproductive system - ANS Mistrial irregularities, discomfort male reproductive system - ANS Change in size/appearance of test/ unusual discharge What are the concerns that the RN should be contacted and MPNs are being written? - ANS why should we contact the RN? - ANS emergency concerns for contacting RN - ANS medical progress notes (MPNs) - ANS Should be written for any medical concerns and refer to the attached document mpns and sop format nursing service plans (NSPS) - ANS medical appointments - ANS hospitalizations - ANS calling a doctor - ANS end of life - ANS