Med Aide Written Practice – Nebraska 2024 Graded A

Medication Administration Record (MAR) - a document that is completed as per agency policy to verify that a patient's medications were administered as prescribed Med Aide's responsibilites - To provide medications according to the 5 Rights, document meds given & observe/report changes to nurse. It is NOT your job to monitor!!! (Beyond scope of practice) Medication error is noticed - Report error to nurse immediately. Document. Observe for side effects. Temp? Pain? Life-threatening if breathing problems, irregular HB, swelling of airway. ml/cc - milliliters, cubic centimeters - Same measurements/amts Five (5) Rights - Right Meds, Person, Time, Dosage & Route Non-legend drugs - Over the counter (OTC), advil aspirin, etc. Legend drugs - prescription drugs How are medications stored? - In a labeled container, locked up, limited keys. Narcotics/controlled substances are DOUBLE-locked. Counted to prevent theft/misuse of the narcotics. Who packages and labels drugs for dispensing? - Pharmacist Who gives a med aide permission to administer drugs? - Dr or Charge nurse Side effects - Any effects of a medication other than the desired ones. When do you wear gloves? - ANYTIME chance of body fluids PO - orally, by mouth gtt - drop, drops What are time-released drugs a form of? - Sustained release aka: controlled release How many safety checks are performed while passing meds? - Three (3) Twice before giving, once after giving Example of a medication error? - Giving the wrong dose or at the wrong time List some examples of DRUG ACTIONS - reduce inflammation, pain, fever What signs/symptoms need reported to nurse ASAP? - heart palps, irregular breathing, seizures Right to refuse treatment - the legal right of patients to refuse certain forms of treatment or medications. Document refusal (R circled). (Try to encourage resident to take meds, remind them the meds make them feel better, look for other underlying reasons) How to document entry error on MAR? - Draw one line through error & initial. What to do when you hear co-worker discussing a resident in front of other residents or people? - Remind them of HIPPA. Ask them to change the subject or move to another area. Basic routes of medication provisions? - Oral(PO), topical(skin), inhalation, OTIC(ear), Opthomic(eyes) What is the most important step to prevent spread of infection? - Wash hands. PPE What position is the ear when administering meds adult? child? - Adult: Pull up & out Child: pull down & out How to identify correct resident? - Picture ID/photo in MAR qid - four times a day Can medication aide do anything labeled STERILE? - NO. Beyond scope of practice. Opthalmic - Refers to the eye. For treatment of, around or in the patient's eye. Sublingual - under the tongue Buccal - cheek Otic - ear When are the three safety checks performed during medication setup? - Removing from storage, opening container & returning containter to storage. Always verify with MAR. Pouring med is done AFTER second safety check Why crush meds? What meds do you NOT crush? - Easier swallowing; Sustained release, enteric coated, buccal or sublingual meds Do you ever touch meds with your bare hands? - NO - Glove up!