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Med Aide Written Practice - Nebraska.
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Med Aide Written Practice - NebraskaMedication Administration Record (MAR) - correct answer-a document that is completed as
per agency policy to verify that a patient's medications were administered as prescribed
Med Aide's responsibilities - correct answer-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 - correct answer-Report error to nurse immediately. Document.
Observe for side effects. Temp? Pain? Life-threatening breathing problems, irregular HB,
swelling of airway.
ml/cc - correct answer-millilitres, cubic centimetres - Same measurements/amts
Five (5) Rights - correct answer-Right Meds, Person, Time, Dosage & Route
Non-legend drugs - correct answer-Over the counter (OTC), advil aspirin, etc.
Legend drugs - correct answer-prescription drugs
How are medications stored? - correct answer-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? - correct answer-Pharmacist
Who gives a med aide permission to administer drugs? - correct answer-Dr or Charge nurse
Side effects - correct answer-Any effects of a medication other than the desired ones.
When do you wear gloves? - correct answer-ANYTIME chance of body fluids
PO - correct answer-orally, by mouth
gtt - correct answer-drop, drops
What are time-released drugs a form of? - correct answer-Sustained release aka: controlled
release
How many safety checks are performed while passing meds? - correct answer-Three (3)
Twice before giving, once after giving
Example of a medication error? - correct answer-Giving the wrong dose or at the wrong time
List some examples of DRUG ACTIONS - correct answer-reduce inflammation, pain, fever
, What signs/symptoms need reported to nurse ASAP? - correct answer-heart palps, irregular
breathing, seizures
Right to refuse treatment - correct answer-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? - correct answer-Draw one line through error & initial.
What to do when you hear co-worker discussing a resident in front of other residents or
people? - correct answer-Remind them of HIPPA. Ask them to change the subject or move
to another area.
Basic routes of medication provisions? - correct answer-Oral(PO), topical(skin), inhalation,
OTIC(ear), Opthomic(eyes)
What is the most important step to prevent spread of infection? - correct answer-Wash
hands. PPE
What position is the ear when administering meds adult? child? - correct answer-Adult: Pull
up & out Child: pull down & out
How to identify correct resident? - correct answer-Picture ID/photo in MAR
qid - correct answer-four times a day
Can medication aide do anything labeled STERILE? - correct answer-NO. Beyond scope of
practice.
Opthalmic - correct answer-Refers to the eye. For treatment of, around or in the patient's
eye.
Sublingual - correct answer-under the tongue
Buccal - correct answer-cheek
Otic - correct answer-ear
When are the three safety checks performed during medication setup? - correct
answer-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? - correct answer-Easier swallowing;
Sustained release, enteric coated, buccal or sublingual meds
Do you ever touch meds with your bare hands? - correct answer-NO - Glove up!
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