RMA EXAM STUDY GUIDE
Ethical and legal standards - Answers :to protect residents and rma's
Ethical standards - Answers :Guides to moral behavior
Legal standards - Answers :guides to legal behavior
Clients rights (meds and treatments) - Answers :-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) - Answers :-only staff working with the pt has access to
their file
-to release their medical records and to who
Drug control act of va - Answers :-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 - Answers :-determines requirements to get rma's
-creates & evaluates state board exam
-renewal of license requirements
-certification / training requirements
Mar - Answers :medication administration record
Virginia department of social services regulates - Answers :-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 - Answers :-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 - Answers :-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 - Answers :-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 - Answers :Willful infliction of physical pain, injury, mental anguish, or
unreasonable confinement.
Neglect - Answers :failure to provide services to maintain physical and mental health,
and overall wellbeing
Exploitation / misappropriation - Answers :illegal use of clients resources for personal
profit or advantage
Mandated reporting in va - who - Answers :-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 - Answers :-age
-identity & location of abused adult
-circumstances regarding suspected abuse
,Mandated reporting in va - who to report to - Answers :-adult protective services or dss
-law enforcement or medical examiner
Osha - Answers :set standards for equipment use when working in healthcare facilites
Standard precautions reduce the chance of contracting diseases caused by - Answers
:blood born pathogens (bbp's)
The 3 most common bbp's - Answers :hep b
Hep c
Hiv
Sharps - Answers :devices used to puncture the skin such as needles
Procedure for standard precautions - Answers :-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 - Answers :mask
Gloves
Gown
Goggles
The best protection against hep b is - Answers :the vaccine
Aseptic - Answers :free from disease-causing microorganisms
Cleaning - Answers :The process of removing dirt, dust, blood, or other visible
contaminants from a surface.
Disinfecting - Answers :killing germs with chemicals
Infectious waste - Answers :any waste capable of producing an infectious disease or
any contaminated waste
Health threatening conditions - Answers :-life threatening emergencies
-non emergencies, but health threatening conditions
-other significant changes in physical condition or behavior
Common emergency conditions - Answers :-uncontrollable bleeding
-accidents involving severe injury
-obstruction of the respiratory system
-uncontrollable behavior which is a danger to the pt
-loss of consciousness
, Emergency procedure - Answers :1.call 911
2.notify staff members & supervisors
3. Collect pt medical records
4. Assist pt as needed
Emergency follow up - Answers :-inform supervisor
-follow oral report with a written report
Non-emergency follow up - Answers :-report condition
-follow oral report with a written report
-observe pt
Significant changes responce - Answers :1. Report change asap
2. Written observation
3. Observe pt
Message - Answers :whats being said
Sender - Answers :whos talking
Reciever - Answers :whos listening
Communication fails if - Answers :one is missing
Good listening skills - Answers :-face pt
-give pt your full attention
-don't assume the pt can't understand
Communication barriers - Answers :-failure to listen
-multitasking
-assuming pt has nothing of value to say
Cognitive impairment - Answers :-the inability to think, reason, and/or remember
-can interfere with ability to function
-may be temporary or permanent
Causes of cognitive impairment - Answers :delirium
Depression
Dementia
Physical conditions
Mental disorders
Mental retardation
Substance abuse
Isp - Answers :individualized service plans
Ethical and legal standards - Answers :to protect residents and rma's
Ethical standards - Answers :Guides to moral behavior
Legal standards - Answers :guides to legal behavior
Clients rights (meds and treatments) - Answers :-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) - Answers :-only staff working with the pt has access to
their file
-to release their medical records and to who
Drug control act of va - Answers :-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 - Answers :-determines requirements to get rma's
-creates & evaluates state board exam
-renewal of license requirements
-certification / training requirements
Mar - Answers :medication administration record
Virginia department of social services regulates - Answers :-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 - Answers :-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 - Answers :-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 - Answers :-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 - Answers :Willful infliction of physical pain, injury, mental anguish, or
unreasonable confinement.
Neglect - Answers :failure to provide services to maintain physical and mental health,
and overall wellbeing
Exploitation / misappropriation - Answers :illegal use of clients resources for personal
profit or advantage
Mandated reporting in va - who - Answers :-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 - Answers :-age
-identity & location of abused adult
-circumstances regarding suspected abuse
,Mandated reporting in va - who to report to - Answers :-adult protective services or dss
-law enforcement or medical examiner
Osha - Answers :set standards for equipment use when working in healthcare facilites
Standard precautions reduce the chance of contracting diseases caused by - Answers
:blood born pathogens (bbp's)
The 3 most common bbp's - Answers :hep b
Hep c
Hiv
Sharps - Answers :devices used to puncture the skin such as needles
Procedure for standard precautions - Answers :-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 - Answers :mask
Gloves
Gown
Goggles
The best protection against hep b is - Answers :the vaccine
Aseptic - Answers :free from disease-causing microorganisms
Cleaning - Answers :The process of removing dirt, dust, blood, or other visible
contaminants from a surface.
Disinfecting - Answers :killing germs with chemicals
Infectious waste - Answers :any waste capable of producing an infectious disease or
any contaminated waste
Health threatening conditions - Answers :-life threatening emergencies
-non emergencies, but health threatening conditions
-other significant changes in physical condition or behavior
Common emergency conditions - Answers :-uncontrollable bleeding
-accidents involving severe injury
-obstruction of the respiratory system
-uncontrollable behavior which is a danger to the pt
-loss of consciousness
, Emergency procedure - Answers :1.call 911
2.notify staff members & supervisors
3. Collect pt medical records
4. Assist pt as needed
Emergency follow up - Answers :-inform supervisor
-follow oral report with a written report
Non-emergency follow up - Answers :-report condition
-follow oral report with a written report
-observe pt
Significant changes responce - Answers :1. Report change asap
2. Written observation
3. Observe pt
Message - Answers :whats being said
Sender - Answers :whos talking
Reciever - Answers :whos listening
Communication fails if - Answers :one is missing
Good listening skills - Answers :-face pt
-give pt your full attention
-don't assume the pt can't understand
Communication barriers - Answers :-failure to listen
-multitasking
-assuming pt has nothing of value to say
Cognitive impairment - Answers :-the inability to think, reason, and/or remember
-can interfere with ability to function
-may be temporary or permanent
Causes of cognitive impairment - Answers :delirium
Depression
Dementia
Physical conditions
Mental disorders
Mental retardation
Substance abuse
Isp - Answers :individualized service plans
