(QMAP) is a person who... - ANSWER is at least 18 years of age, has at least a basic under-
standing of math and English, and has completed and passed a state-approved QMAP
course, and is listed in the state QMAP Registry
A QMAP cannot make assessments or judgments regarding a patient or client's condition
and cannot perform injections
Where Can QMAPs Administer Medications?
QMAPs can administer medications in the following authorized settings that are regulated by
the Health Facilities and Emergency Medical Services Division (HFEMSD) within the Colorado
Department of Public Health and Environment (CDPHE) and the Child Services Division
within the Colorado Department of Human Services (CDHS): - ANSWER Adult foster care
facilities
Alternative care facilities
Assisted living residences
Residential child care facilities
Secure residential treatment centers
State certified adult day programs
Program-approved service agencies (PASA) servicing people with intellectual and develop-
mental disabilities
Assisted living situations and self administration - ANSWER In an assisted living setting, if
the QMAP administers some medications and the client self-administers other medications,
the facility is required to be aware of those self-administered medications and must have a
physician order for those medications that the client is self-administering.
1
,Encourage self-administering clients to check the expiration dates on their medications and
offer assistance if needed.
Self-Administration - ANSWER Self-administration is the client's ability to take medication
independently without any assistance from another person. The client keeps the medication
in their room and there is no responsibility by the QMAP or the client to document self-ad-
ministration of medication; however, self-administration should be included in the client's
care plan.
Monitoring of medication... - ANSWER means reminding individual clients to take medi-
cations and handing the medication containers to the client. This includes handing the client
a medication reminder box, called an MRB, and observing the client self-administering the
medications by the proper route. The QMAP must document the observation on the Medi-
cation Administration Record (MAR) with the note "monitored".
Medication administration means..
All over-the-counter (OTC) medications are considered medications and must have a physi-
cian order. They must also be documented when administered and labeled with the client's
full name. Examples of OTC medications are Tylenol, Benadryl, and vitamins purchased at
the store. - ANSWER handing staff-prepared medications to the client and assisting the
client with the medications according to the physician's order. Administration of medication
includes making a written record of each medication administered or refused, both prescrip-
tion and non-prescription.
All over-the-counter (OTC) medications are considered medications and must have a physi-
cian order. - ANSWER They must also be documented when administered and labeled
with the client's full name. Examples of OTC meterm-6dications are Tylenol, Benadryl, and
vitamins purchased at the store.
Every medication that is administered, must have the instructions transcribed onto a medi-
cation administration record, otherwise known as a... - ANSWER MAR.
2
,Never administer a medication that does not have a physician's order and corresponding in-
structions on the MAR.
MARs are developed by facilities, agencies, or pharmacies and can be handwritten, typed, or
electronic.
Medications that can be Administered
-
Administration Includes: - ANSWER Oral medication
Topical medication
Inhalant medication
Eye drops
Ear drops
Nose drops
Vaginal or rectal medication
QMAP limitations: - ANSWER A QMAP is NOT allowed to administer medications through
any kind of tube, including a gastrostomy tube (which is a tube placed through the abdo-
men), or a nasogastric tube (which is a tube placed through the nose, and into the stomach).
A QMAP is NOT allowed to administer medications by injection, including drawing up the
medication from a vial or dialing the dosage of a medication pen.
Only a QMAP who administers medications in a developmentally disabled group home set-
ting is the exception, and this QMAP receives additional training.
A QMAP is NOT authorized to perform assessments or make judgments regarding clients
(whether administering routine medications or medications ordered on a PRN (as-needed
basis).
3
, First right: The Right Medication
The first right of safe and accurate medication administration is to make sure you have the
right medication. - ANSWER Some medications have similar spellings but are completely
different. For example, Toradol is not Tramadol and Torsemide is not Furosemide. Pharma-
cists label prescription medications with the medication's trade name or generic name.
Sometimes both names are listed on the label.
The Seven Rights of Medication Administration. What are they? - ANSWER The Right
Medication
The Right Time
The Right Dosage
The Right Client
The Right Route
The Right Documentation
The Right to Refuse
Trade vs generic name: - ANSWER The trade name is the patented name chosen by the
original manufacturer to market the drug and is specific to that manufacturer.
The generic name is the universal name that all manufacturers can use after the original pa-
tent for the medication has been terminated. It is best practice to write both names on the
MAR to avoid errors.
Every medication has a trade name but may not have a generic name.
The QMAP is required to compare the label on the medication container with the MAR how
many times before administering the medication. - ANSWER three times
4
standing of math and English, and has completed and passed a state-approved QMAP
course, and is listed in the state QMAP Registry
A QMAP cannot make assessments or judgments regarding a patient or client's condition
and cannot perform injections
Where Can QMAPs Administer Medications?
QMAPs can administer medications in the following authorized settings that are regulated by
the Health Facilities and Emergency Medical Services Division (HFEMSD) within the Colorado
Department of Public Health and Environment (CDPHE) and the Child Services Division
within the Colorado Department of Human Services (CDHS): - ANSWER Adult foster care
facilities
Alternative care facilities
Assisted living residences
Residential child care facilities
Secure residential treatment centers
State certified adult day programs
Program-approved service agencies (PASA) servicing people with intellectual and develop-
mental disabilities
Assisted living situations and self administration - ANSWER In an assisted living setting, if
the QMAP administers some medications and the client self-administers other medications,
the facility is required to be aware of those self-administered medications and must have a
physician order for those medications that the client is self-administering.
1
,Encourage self-administering clients to check the expiration dates on their medications and
offer assistance if needed.
Self-Administration - ANSWER Self-administration is the client's ability to take medication
independently without any assistance from another person. The client keeps the medication
in their room and there is no responsibility by the QMAP or the client to document self-ad-
ministration of medication; however, self-administration should be included in the client's
care plan.
Monitoring of medication... - ANSWER means reminding individual clients to take medi-
cations and handing the medication containers to the client. This includes handing the client
a medication reminder box, called an MRB, and observing the client self-administering the
medications by the proper route. The QMAP must document the observation on the Medi-
cation Administration Record (MAR) with the note "monitored".
Medication administration means..
All over-the-counter (OTC) medications are considered medications and must have a physi-
cian order. They must also be documented when administered and labeled with the client's
full name. Examples of OTC medications are Tylenol, Benadryl, and vitamins purchased at
the store. - ANSWER handing staff-prepared medications to the client and assisting the
client with the medications according to the physician's order. Administration of medication
includes making a written record of each medication administered or refused, both prescrip-
tion and non-prescription.
All over-the-counter (OTC) medications are considered medications and must have a physi-
cian order. - ANSWER They must also be documented when administered and labeled
with the client's full name. Examples of OTC meterm-6dications are Tylenol, Benadryl, and
vitamins purchased at the store.
Every medication that is administered, must have the instructions transcribed onto a medi-
cation administration record, otherwise known as a... - ANSWER MAR.
2
,Never administer a medication that does not have a physician's order and corresponding in-
structions on the MAR.
MARs are developed by facilities, agencies, or pharmacies and can be handwritten, typed, or
electronic.
Medications that can be Administered
-
Administration Includes: - ANSWER Oral medication
Topical medication
Inhalant medication
Eye drops
Ear drops
Nose drops
Vaginal or rectal medication
QMAP limitations: - ANSWER A QMAP is NOT allowed to administer medications through
any kind of tube, including a gastrostomy tube (which is a tube placed through the abdo-
men), or a nasogastric tube (which is a tube placed through the nose, and into the stomach).
A QMAP is NOT allowed to administer medications by injection, including drawing up the
medication from a vial or dialing the dosage of a medication pen.
Only a QMAP who administers medications in a developmentally disabled group home set-
ting is the exception, and this QMAP receives additional training.
A QMAP is NOT authorized to perform assessments or make judgments regarding clients
(whether administering routine medications or medications ordered on a PRN (as-needed
basis).
3
, First right: The Right Medication
The first right of safe and accurate medication administration is to make sure you have the
right medication. - ANSWER Some medications have similar spellings but are completely
different. For example, Toradol is not Tramadol and Torsemide is not Furosemide. Pharma-
cists label prescription medications with the medication's trade name or generic name.
Sometimes both names are listed on the label.
The Seven Rights of Medication Administration. What are they? - ANSWER The Right
Medication
The Right Time
The Right Dosage
The Right Client
The Right Route
The Right Documentation
The Right to Refuse
Trade vs generic name: - ANSWER The trade name is the patented name chosen by the
original manufacturer to market the drug and is specific to that manufacturer.
The generic name is the universal name that all manufacturers can use after the original pa-
tent for the medication has been terminated. It is best practice to write both names on the
MAR to avoid errors.
Every medication has a trade name but may not have a generic name.
The QMAP is required to compare the label on the medication container with the MAR how
many times before administering the medication. - ANSWER three times
4
