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Medication Administration Principles and Practices, Exams of Nursing

Key principles and practices for the proper administration of medications, including identifying the correct medication, dosage, and administration method, as well as procedures for handling medication refusals, reporting medication errors, and ensuring the safety and well-being of individuals receiving care. It provides guidance on topics such as medication ordering and receiving, liquid medication administration, and the importance of accurate reporting and communication with healthcare providers. The document emphasizes the need for diligence, mindfulness, and adherence to established protocols to minimize medication-related risks and promote the best possible outcomes for those under care.

Typology: Exams

2023/2024

Available from 09/21/2024

Registered_Nurse
Registered_Nurse 🇺🇸

3.6

(5)

506 documents

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Download Medication Administration Principles and Practices and more Exams Nursing in PDF only on Docsity! MAP CERTIFICATION EXAM 2024 | 3 CURRENTLY TESTING VERSIONS WITH A COMPREHENSIVE STUDY GUIDE | ACCURATE REAL EXAM RESOURCES | EXPERT VERIFIED FOR GUARANTEED PASS Cheryl frequently takes a medication, but spits her medication out after you leave. Your best course of action is to: - CORRECT ANSWER Stay with her for awhile after administering the medication Joe is learning to self administer his medications. The best way to handle Joe forgetting his evening medication is to: - CORRECT ANSWER Ask him why he is forgetting to take his medication You must obtain and bring back from a health care provider visit: - CORRECT ANSWER A signed HCP form with any new orders When disposing of medications, the number of certified staff needed to be present with the supervisor is: - CORRECT ANSWER 1 When documenting your observations you should always: - CORRECT ANSWER Sign your name and date Lucy suddenly complains of chest pain that continues for more than two minutes. You should first: - CORRECT ANSWER Call the emergency telephone number The pharmacy delivers 100mg tablets when the HCP ordered 50mg of medication. You should: - CORRECT ANSWER Contact the pharmacy Daniel, Cathy, and Esther all receive medication at 4pm. You should: - CORRECT ANSWER Pour and administer each person's medication individually If the HCP orders 50mg of medication and the pharmacy delivers 100mg tablets you should: - CORRECT ANSWER Return the medication A health care provider orders 100mg dose of medication. The pharmacy supplies the medication in a liquid form with a notation of 50/3ml. You would expect the pharmacy label directions to instruct you to administer: - CORRECT ANSWER 6ml Actophone is used to treat(refer to documents) - CORRECT ANSWER Pain The start date John Morton began taking Epinoctrine was (refer to documents): - CORRECT ANSWER February 12 If the HCP orders 50 mg of Tegretol and the pharmacy delivers 100mg tablets. You should contact pharmacy then: - CORRECT ANSWER Return Tegretol to the pharmacy The number of refills Judy Willett has for Lypotrigine (refer to documents): - CORRECT ANSWER 1 When accepting a telephone order, the person accepting the order must: - CORRECT ANSWER Document on the medication sheet what is to be given To ensure a pharmacy delivered the correct medication you must: - CORRECT ANSWER Compare the label with the health care provider order Medications that can be bought in a drug store without a prescription are called - CORRECT ANSWER Over the counter medication The pharmacist uses a prescription from the health care provider to: - CORRECT ANSWER Prepare and label the medication Massachusetts DPH requires that phone numbers are posted clearly and near the phone for emergency numbers and the: - CORRECT ANSWER MAP consultant Posting a health care provider order is completed after: - CORRECT ANSWER Transcribing An expired HCP order is one that is: - CORRECT ANSWER Outdated When disposing of a medication you should have a supervisor present and: - CORRECT ANSWER Remove the medication from the shift count page "Verifying" a health care provider order is done after: - CORRECT ANSWER Posting To correct an error you should: - CORRECT ANSWER Draw a single line through it, write error and include your initials After taking new education a new medication for the first time a person tells you they are having difficulty breathing and you also observe they have hives. You should: - CORRECT ANSWER Call the emergency telephone number Drug sensitivity is influenced by: - CORRECT ANSWER Age, body weight and height The HCP ordered Prednisone 3 mg by mouth everyday in the a.m. The pharmacy label strength is 1mg. The right amount to administer would be: - CORRECT ANSWER 3 tablets Mary Stevens takes a medication four times a day. She usually gets up at 6:00am and likes to go to bed at 9:00pm. The best times to administer her medication are: - CORRECT ANSWER 7am, noon, 4pm and 8pm During the night Carlos begins coughing and has a temperature of 101 degrees. There is no order for his symptoms. You should: - CORRECT ANSWER Report that Carlos is coughing and has a temperature of 101 degrees. Telling Susan's parents that she had a great time at the water park that day is an example of: - CORRECT ANSWER Certain time reporting The reason for crosscheck three is to verify that the amount of medication prepared is the same as what is indicated on the: - CORRECT ANSWER Medication sheet and pharmacy label The HCP orders 50 mg of medication and that pharmacy delivers 100 mg tablets. You should contact the pharmacy then: - CORRECT ANSWER Destroy the medication according to policy The HCP orders Tegretol 400mg. The pharmacy supplies 200mg tablets. The number of tablets to be administered that you would expect to find printed on the pharmacy label is: - CORRECT ANSWER 2 After reporting medication information to a MAP consultant you should: - CORRECT ANSWER Document the instructions An error in administration of medication is called a medication: - CORRECT ANSWER Occurence An order for a new medication usually begins with a: - CORRECT ANSWER Visit to the health care provider The medication Richard Wilson receives as needed for headaches is (refer to documents) - CORRECT ANSWER Toxenol When taking an individual to a health care provider visit you must now his/her symptoms of illness so that the health care provider can: - CORRECT ANSWER Prescribe appropriate medications While completing the shift count you notice there are fewer Ativan tablets in the blister pack than the number entered in the count book. The staff person before you subtracted incorrectly. The discrepancy is considered: - CORRECT ANSWER Suspicious An individual begins a new medication three times a day and one of the times chosen is 12pm. To ensure medication is administered at the day program you should notify: - CORRECT ANSWER Day program staff An individual is going to visit his family for less than 72 hours. Medications may be prepared by certified staff if they cannot be prepared by the: - CORRECT ANSWER Pharmacy The number of tablets John Morton took on February 12 at 2pm would be( refer to documents): - CORRECT ANSWER 4 Posting and verifying is a process done after: - CORRECT ANSWER Transcribing The index should contain the names of all people on countable medications, the medication name,: - CORRECT ANSWER Strength and the count sheet page number You are being more mindful when you are giving medications if you: - CORRECT ANSWER Say out loud what you need to do before you perform a step To avoid making mistakes when administering medications you should: - CORRECT ANSWER Remain mindful when administering medications Melissa Spring has an order written for administration of 1 mg of a medication. You accidentally give her 2 mg of the medication. Your first action is to: - CORRECT ANSWER Immediately call your map consultant It is important to accurately report what you see in the behavior of those you support because: - CORRECT ANSWER Without your reporting, small changes and medication interacts may be missed Immediately after completing the medication administration process and returning the medication to the proper storage location you should: - CORRECT ANSWER Lock the storage area A health care provider writes an order for 300mg of a medication. The strength of a tablet is 100mg. You should administer_____tablets: - CORRECT ANSWER 3 You administer a medication using normal procedures when: - CORRECT ANSWER You are sure the five rights agree You see that the names of the medication are different. Your first action is to: - CORRECT ANSWER Call your map consultant You are being more mindful when you are giving medications if you: - CORRECT ANSWER Say out loud what you need to do before you perform a step To avoid making mistakes when administering medications you should: - CORRECT ANSWER Remain mindful when administering medications Melissa Spring has an order written for administration of 1 mg of a medication. You accidentally give her 2 mg of the medication. Your first action is to: - CORRECT ANSWER Immediately call your map consultant It is important to accurately report what you see in the behavior of those you support because: - CORRECT ANSWER Without your reporting, small changes and medication interacts may be missed Immediately after completing the medication administration process and returning the medication to the proper storage location you should: - CORRECT ANSWER Lock the storage area A health care provider writes an order for 300mg of a medication. The strength of a tablet is 100mg. You should administer_____tablets: - CORRECT ANSWER 3 Harry's supply of medication is low. You should: - CORRECT ANSWER Order a refill from the pharmacy You must wash your hands before: - CORRECT ANSWER And after each medication administration The most important aspect of medication occurrence is: - CORRECT ANSWER Focusing on the cause of the occurrence Harry is starting a new day program. Sharing information about his medications is the responsibility of: - CORRECT ANSWER The residential staff The best time for completing medication counts would be: - CORRECT ANSWER Every time the certified staff changes During the medication administration process, after preparing the medication, you then compare the label to the medication sheet and you: - CORRECT ANSWER Administer the medication A person should not be administered a medication if it is: - CORRECT ANSWER Expired The indication of a medication is the: - CORRECT ANSWER The intended use of a medication A PRN medication is administered: - CORRECT ANSWER Based on a specific reason ordered When getting prepared for medication administration you must first: - CORRECT ANSWER Open the medication book to the person you have identified To add a refill into the count book two certified staff must record the: - CORRECT ANSWER Quantity received from the pharmacy Reporting is an essential part of the: - CORRECT ANSWER Cycle of responsibility The best way you can help a person during a health care provider visit is to: - CORRECT ANSWER Communicate changes to the HCP since the last visit The start date Joh Morton began taking Epinoctrine was (refer to documents): - CORRECT ANSWER February 12 The health care provider HCP asks you why an individual is being seen in the office today. You let the individual answer first. This is an example of: - CORRECT ANSWER Promoting independence A fax order from a health care provider is considered: - CORRECT ANSWER A legal document You can learn best about medication interactions by: - CORRECT ANSWER Reading the medication information sheet Count books all have the same three basic sections; shift count sheets, count sheets and - CORRECT ANSWER Index The best time to conduct a medication count is: - CORRECT ANSWER Every time the shift changes During the medication administration process, after comparing the HCP order to the label - CORRECT ANSWER Compare the label to the medication sheet All the prescriptions are given a number. On the pharmacy label, the number is known as the: - CORRECT ANSWER Rx A medication information sheet includes: - CORRECT ANSWER Side effects and uses When transferring information from a completed count page to a new count page your next step would be to: - CORRECT ANSWER Update the index You administer a medication using normal procedures when: - CORRECT ANSWER You are sure the five rights agree You see that the names of the medication are different. Your first action is to: - CORRECT ANSWER Call your map consultant Talking, listening, and telling what you have observed are examples of medication: - CORRECT ANSWER Principle Barbara Adams last administered Darylphine to John Morton on(refer to documents): - CORRECT ANSWER February 24 Mary Jones has been given a new medication. Three hours later Mary breaks out in a rash. The rash is most likely due to: - CORRECT ANSWER An allergic reaction You observe John shouting obscenities at a staff person. You should report this incident by telling: - CORRECT ANSWER John's health care provider to see if he wants to change John's medication. Anna, an individual who is in your care becomes unconscious. You should immediately: - CORRECT ANSWER Call emergency services Always administer a medication: - CORRECT ANSWER At the times indicated on the medication sheet The best reason to administer a PRN medication is because: - CORRECT ANSWER The person is complaining of a specific symptom When a person refuses to take a medication you should: - CORRECT ANSWER Leave the person alone and return in a few minutes to try again An example of encouraging a person who is verbal to participate in a visit to a health care provider is to - CORRECT ANSWER Encourage the person to ask questions about the medication At the end of the shift, while counting the medications, you discover that the count is incorrect and that there is one tablet missing. You should first: - CORRECT ANSWER Check the count book and medications sheet for errors in addition or subtraction A good way to make sure you don't forget important information is to: - CORRECT ANSWER Write it down If you are using a pharmacy container, read the directions for opening and first tap the medication into: - CORRECT ANSWER A cup Epinoctrine is used to treat( refer to documents) - CORRECT ANSWER Bipolar disorder A possible side effect to look for when an individual is taking Actophone would be to observe for(refer to documents) - CORRECT ANSWER Uncontrolled eye movements If you are using a blister pack, press down on the packaging so that the medication falls directly into: - CORRECT ANSWER The cup The HCP orders a medication that needs to be administered using a transdermal patch. You have never administered medication this way. You should: - CORRECT ANSWER Call your supervisor The strength of a tablet is located on the: - CORRECT ANSWER Pharmacy bottle label The expiration date of a medication is the: - CORRECT ANSWER Last date it can be administered The number found on all pharmacy labels needed to obtain a refill from the pharmacy is known as the: - CORRECT ANSWER Rx number When adding a refill into the count book, two certified staff must record the quantity received from the pharmacy and update the: - CORRECT ANSWER Amount left column An expired HCP order is one that is: - CORRECT ANSWER Outdated When disposing of a medication you should have a supervisor present and: - CORRECT ANSWER Remove the medication from the shift count page "Verifying" a health care provider order is done after: - CORRECT ANSWER Posting To correct an error you should: - CORRECT ANSWER Draw a single line through it, write error and include your initials After taking new education a new medication for the first time a person tells you they are having difficulty breathing and you also observe they have hives. You should: - CORRECT ANSWER Call the emergency telephone number Drug sensitivity is influenced by: - CORRECT ANSWER Age, body weight and height The HCP ordered Prednisone 3 mg by mouth everyday in the a.m. The pharmacy label strength is 1mg. The right amount to administer would be: - CORRECT ANSWER 3 tablets Mary Stevens takes a medication four times a day. She usually gets up at 6:00am and likes to go to bed at 9:00pm. The best times to administer her medication are: - CORRECT ANSWER 7am, noon, 4pm and 8pm During the night Carlos begins coughing and has a temperature of 101 degrees. There is no order for his symptoms. You should: - CORRECT ANSWER Report that Carlos is coughing and has a temperature of 101 degrees. Telling Susan's parents that she had a great time at the water park that day is an example of: - CORRECT ANSWER Certain time reporting The reason for crosscheck three is to verify that the amount of medication prepared is the same as what is indicated on the: - CORRECT ANSWER Medication sheet and pharmacy label 2. Know what their meds are and the reasons they are taken 3. Know the risks associated with taking med 4. Know the benefits of the med 5. Refuse med 6. Be given med only as ordered by HCP Observation - CORRECT ANSWER The process of watching someone carefully in order to obtain information. Objective Observation - CORRECT ANSWER Factual information you see, hear, feel, smell, or measure. Subjective Observation - CORRECT ANSWER Observations that come from working with a person who communicates how they are feeling. Reporting - CORRECT ANSWER Giving spoken or written information of something observed or told. I am responsible for making note of any physical or behavioral changes in pt. Immediate Reporting - CORRECT ANSWER Reporting without delay as soon as possible after a change is observed; may prevent a small change observed from becoming a major health issue and allows the appropriate treatment to be ordered ASAP. 911 - CORRECT ANSWER The person to call when: -Pt falls and can't get up -Pt complains of chest pain, has difficulty breathing, or is choking -Pt is unresponsive -MAP Con. recommends you hang up and call Poison Controll - CORRECT ANSWER The person to call when: -Pt ingests a foreign substance such as detergent -MAP Con. recommends you hang up and call MAP Consultant # - CORRECT ANSWER The person to call when: -An occurrence (error) is made when administering med -Med received from pharmacy seems different from HCP order -I notice medication is different in color, size, shape, and/or markings from the last time it was obtained -I am not able to administer med based on the strength of med received from pharm Prescribing HCP - CORRECT ANSWER The person to call when (*a pt screws up/is affected): -Med is refused -Med is not available from pharm -There are no refills left -A med parameter for notification has been met -MAP Con. recommends you hang up and call -An order is missing the pt's name, dose, med, frequency, route, or date and the ____ signature -Allergic reaction, sick/side effect My Supervisor - CORRECT ANSWER The person to call when: -There is a math error in Countable Controlled Substance Book -The shift count pages in a Count Book are almost full -The Count Book binding is loose -A med seems to be tampered with -The med is low and I am unsure if a refill has been ordered -I cannot locate a med to administer Medication Progress Note - CORRECT ANSWER Note that includes date, time, medication, dose, given/not given/refused, reason (for giving/not giving), results and/or response, and staff signature. Documenting - CORRECT ANSWER Process that tells a story from start to finish. Guidelines: use ink, write clearly and in complete sentences. include: date, time, full name. Documenting an Error - CORRECT ANSWER 1. Draw a single line through the mistake (can circle as well) 2. Write "error" 3. Write initials 4. Write what you meant to write DO NOT: scribble, mark over, erase, use white out Brand Name Medication - CORRECT ANSWER Medication created and made by a specific pharmaceutical company, which they named. Generic Medication - CORRECT ANSWER Medication known by the chemical name and manufactured by many different pharmaceutical companies (less expensive). IC - CORRECT ANSWER Abbreviation for 'interchange,' which means the generic name medication was supplied in place of the brand name medication. Controlled (Schedule VI) Medication - CORRECT ANSWER Medication that requires a prescription, written by HCP, in order to obtain the med from pharm. Requires: HCP order, labeled and packaged by pharm, secured in locked area, tracked (using Med Ordering/Receiving Log, Med Sheet, Transfer Document, DPH Disposal Record); not counted. E.g. Antibiotics, antidepressants, antipsychotics Countable Controlled Medication (Schedule II-V) - CORRECT ANSWER Medications that require a prescription, written by HCP, in order to obtain med from a pharmacy. Requirements include: HCP order, labeled and packaged by pharm in tamper resistant package with an identifier, secured in double locked area, tracked (using Med Ordering/Receiving log, Count 3. HCP Encounter/Consult/Order Form 4. Driving directions 5. Money for parking, gas, food/drink 6. Provider on-call info 7. Family/Guardian info 8. Name of pharmacy/phone # 9. Charged phone Pt Appointment with HCP - CORRECT ANSWER 1. Assist pt if needed 2. Advocate, encourage participation and support abilities 3. Obtain the written results and recommendations from the apt including HCP Encounter/Consult/Order form After Appointment with HCP - CORRECT ANSWER 1. Ensure pharmacy received prescription 2. Pick up new meds or check on delivery 3. Bring back all forms, any prescriptions, HCP orders, and the next apt card to give to appropriate person 4. Transcribe all medication orders onto the med admin sheet (Post and Verify all orders) 5. Secure the medication 6. Document the visit 7. Communicate changes to all staff Medication Reconciliation - CORRECT ANSWER The process of comparing an individual's new medication orders to all of the medication orders that were in place prior to the new orders (must be done during every transition of care). HCP Order by Telephone - CORRECT ANSWER 1. Record the order word-for-word on HCP Telephone Order form 2. Read back the info given to me to confirm 3. Ask for spelling 4. Draw lines through any blank spaces 5. Make sure HCP signs original order within 72 hours (I can administer medication while waiting for the signature in the first 72 hours) 6. Provide pharm contact info to the HCP Posted and verified twice: First when order is initially obtained, second after the HCP has signed the order, ensuring there were no changes. Exhausting a Current Supply of Medication - CORRECT ANSWER The use of a a current supply of a med until a new prescription is filled with the change of dose or frequency of the med. Requirements: -New HCP order reflecting the change (old order D/C'd on med sheet, new order transcribed on meed sheet) -Medication strength on hand allows for easy admin (e.g. 10 mg dose increased to 20mg dose) -Medication container has 'directions change' sticker or a bright colored sticker (may be used for maximum of 30 days) Pharmacy Label - CORRECT ANSWER Label with the following information: Prescription Rx #, pharm name, pharm phone #, name of pt, date medication was dispensed, name of med (generic/brand), strength of med, total of amount of medication dispensed, amount of tablets/capsules/mLs to be administered, route to administer, special instructions, HCP's name, Lot number, expiration date, number of refills. Medication Storage Requirements - CORRECT ANSWER Requirements including: 1. All medication is locked 2. Countable meds must be: -Double locked -Packaged in tamper resistant packaging -Liquid countable meds must be packaged so that, once used, the container is empty 3. Only items required for med admin may be stored in locked med area 4. Med must remain in original, labled packaging received from pharm 5. Each person must have own medical storage container with their name 6. Meds separated by route (mouth separate from other routes) 7. Med storage/prep area should have minimal distractions 8. Meds stored away from food and/or toxic substances, excessive heat, moisture, and/or light Medication Sheet - CORRECT ANSWER Document that tracks the administration of medications for each person who has a medication ordered; typically done on a monthly basis. Posting - CORRECT ANSWER Documentation of the staff who completed the transcription (completed by two staff members). Helps ensure all medication orders are transcribed accurately onto medication sheets so that med is administered and ordered. Verifying - CORRECT ANSWER Documentation by second staff member who reviews the transcription completed by the first staff, ensuring the HCP order and pharm label info was accurately transcribed onto the med sheet. PRN Medications - CORRECT ANSWER Medications that are administered only 'as needed.' In addition to the 5 rights of med administration, these med orders must also include: -Specific target signs and symptoms for use -Measurable objective criteria (if needed) -PRN frequency -Parameters for use Note on documentation: write initials and time administered in the same med box + progress note 5 Rights of Medication Administration - CORRECT ANSWER 1. Right Person 2. Right Medication 3. Right Dose 4. Right Time 5. Right Route -I cannot read HCP order -There is no HCP order -I cannot read pharmacy label -There is no pharmacy label -Any concern that 5 rights do not agree -A medication seems to be tampered (altered) -A med was prepared by someone else -The pt has a serious change, has difficulty swallowing (dysphagia), refuses to take the med -The pharmacy supplied a liquid form of med, I have been giving the tablet form, and there is no change in HCP order -The medication was 'pre-poured' *NEVER use another person's med to give to someone else for any reason* Liquid Medications - CORRECT ANSWER See: p. 138-142 for liquid med instructions Medication Refusal - CORRECT ANSWER An occurrence when a pt: -Says 'no' -Spits the medication right back out or never takes med from me -Spits the med out later -Intentionally vomits the med within half hour of taking it If person refuses, wait 15-20 minutes and offer med again. When offered a second time if the person still refuses, secure it, wait another 15-20 minutes and offer the medication a third time. When offered a third time if the person still refuses the medication, this is considered a final refusal. A person has up to three times to refuse a medication before you are to consider it a final refusal --> Report refusal to HCP Chain of Custody - CORRECT ANSWER Unbroken documentation trail (of accountability) that ensures the physical security of a medication. Every med, from the time the med is requested from the pharmacy, either as a new medication or a medication refill, until the time the medication no longer exists in the program (administered, disposed, transferred etc.), the medication must be tracked. Medication Ordering and Receiving Log - CORRECT ANSWER Tracking documentation that is ordered by a program and when received from the pharmacy. Must be filled out each time I: request a medication refill from the pharmacy or receive a medication refill from the pharmacy. Pharmacy Receipts - CORRECT ANSWER Tracking documentation from the pharm of all meds dispensed to a program; whether delivered to the program or picked up by staff. Compare this to the medication received. Must be kept at program for at least 90 days. Count Book - CORRECT ANSWER Tracking documentation of countable medication that is added to the count book and/or subtracted. Three sections = index, count sheets, count signature sheets. Medication Sheet - CORRECT ANSWER Tracking documentation of medication that is administered and (if) not administered. Medication Release Document (Transfer Form) - CORRECT ANSWER Tracking documentation of medication that is transferred from one location to another. Must include: -Where med is being transferred from and to -Med name and strength -Total amount of med transferred -Signature of person transferring med -Signature of person receiving med Disposal Record - CORRECT ANSWER Tracking documentation of medication that is destroyed and disposed of. Count Book Index - CORRECT ANSWER Part of the count book that identifies: name of pt, medication name and strength, count sheet page # of countable med, signature space if med is removed from count (only supervisor may remove a med from count). Shoulder-to-Shoulder Count Procedure - CORRECT ANSWER Procedure when conducting a 2 person count of the countable controlled medication in which: 1. The off-going staff holds the count book and leads the count 2. The on-coming staff locates the corresponding pack of meds 3. The off-going staff verifies that the directions listed on the count page is accurate and that the number of pills in the 'amount left' column is the same as the number as the number counted by on-coming staff 4. Both staff looks at and verifies the number of pills remaining in package and in the 'amount left' column are the same 5. Process completed for each countable med 6. After all countable meds have been counted both staff sign the count signature sheet 7. Medication storage keys transferred to on-coming staff Two Signatures Required in the Count Book - CORRECT ANSWER What is required when: -Adding a newly prescribed medication into count -Adding a medication refill from pharmacy into count -Disposing medication -Count sheet page is transferred, including both the bottom of the completed page and top of newly transferred page -Medications are counted each time the med storage keys change hands Leave of Absence - CORRECT ANSWER When a medication will be administered outside of residence home and medication must be sent with the pt to be administered. Pharmacy must prepare medication if: -Scheduled ahead of time or 3. Call MAP Con. -Tell them: medication(s) involved, type of occurrence, date and time of occurrence 4. Follow all recommendations given to you by the MAP Con. 5. Notify supervisor 6. Document: -What happened -Who was notified -MAP Consultant's recommendations -What I did -Sign name -Date + time 7. Complete a Medication Occurrence Report (MOR) -If med occurrence is hotline, notify DPH and MAP Coordinator within 24 hours of discovery -Submit report within 7 days of discovery of the med occurrence to MAP Coordinator Discontinue - CORRECT ANSWER When the HCP orders a medication or treatment to be stopped; abbreviated as D/C. Lot Number - CORRECT ANSWER The number assigned to each 'batch' of medication produced; used in the event of a medication is required to be taken off the market. Omission - CORRECT ANSWER Subcategory of wrong time medication occurrence; occurs when medication is not administered. Types of Medication Occurrences - CORRECT ANSWER 1. Wrong Person 2. Wrong Medication 3. Wrong Dose 4. Wrong Time 5. Wrong Route A MAP consultant must be a... - CORRECT ANSWER physician, registered nurse, or registered pharmacist who provides advice and technical assistance to certified staff members. Acute - CORRECT ANSWER illness that is sudden, brief, and severe Mindfulness - CORRECT ANSWER state of being attentive, careful, observant, always paying attention to details when giving meds Pharmacist - CORRECT ANSWER person skilled in preparing meds and having the license to do so, a druggist Health Care Provider HCP - CORRECT ANSWER person medically trained to care for sick people, can be a doctor, nurse practitioner, physicians assistant, or psychiatric nurse whose licensed to prescribe medications and treat the people you support. PRN - CORRECT ANSWER latin abbreviation for medications that you give as needed standarization - CORRECT ANSWER process of always following the same steps in administering medications topical - CORRECT ANSWER medication that you apply to a persons skin Two rights of the people you are giving medication to are... - CORRECT ANSWER 1. Right to be free from too much medication 2. Right to know what meds they are taking and its risks/benefits Three principles to keep in mind when giving meds are... - CORRECT ANSWER Mindfulness, maximizing capabilities, and comunication Cycle of Responsibility - CORRECT ANSWER 1. Observe/watch for changes 2. Report changes 3. Support visits to HCP 4. Communicate with pharmacist 5. Record information 6. Store medication 7. Administer medication 8. Document the medication administration ORSCRSAD Only Red Starbursts Can Really Stop A Diet When you report information regarding medications, it is important to document the... - CORRECT ANSWER MAP consultants instructions (such as progress notes or consult forms) You must bring a completed health review checklist to all - CORRECT ANSWER PCP visits including the annual physical exam Anaphylactic reaction - CORRECT ANSWER very dangerous allergic reaction that can affect the whole body, causing difficulty breathing, hives, and changes in blood pressure. Can be life threatening and requires immediate medical attention. Brand name medication - CORRECT ANSWER medication made by a specific pharmaceutical company What are the three crosschecks to do before administering medication? - CORRECT ANSWER 1. Check 5 rights (HCP order to pharmacy label) 2. Check 5 rights (Pharmacy label to the med sheet) Prepare medication correctly, remove meds from container. 3. Check 5 rights (Pharmacy label to the med sheet) Tell person which med they're taking, give med. Make sure they take the med.