3 sections of count book - ✔✔ANSW✔✔..-index
-count sheets
-count signature sheets
3 types of parameter - ✔✔ANSW✔✔..1) when to give med
2) when not to give med
3) tells you when to notify HCP
3 ways HCP can provide prescription - ✔✔ANSW✔✔..-electronic
,-telephone
-paper
4 parts of medication reccord - ✔✔ANSW✔✔..1) emergancy fact
sheet
2) HCP orders
3) medication sheets
4) medication information sheets
5 potential wrongs in an occurance - ✔✔ANSW✔✔..-wrong
person
-wrong medication
-wrong dose
-wrong time or ommision of time
-wrong route
5 rights of medication administration - ✔✔ANSW✔✔..1) right
person
2) right medication
3) right time
4) right dose
5) right route
A (as an abrevation on med sheet) - ✔✔ANSW✔✔..-absent from
site
-medication was not adminstered due to authorized reasons
beyond the staff's control as the person left the program without
agreement or supervision)
a late entry in documentation includes - ✔✔ANSW✔✔..-date
-time
-explanation
-signature
,accuracy checks - ✔✔ANSW✔✔..-prior to the first med admin of
new month
-2 staff ceck the med sheet for accuracy using HCP order,
pharmacy labels in order to make sure orders were transcribed
onto new months med sheets
-to doccument completion need signature, date, and time on
bottom of sheet
add to medication count on med sheet when - ✔✔ANSW✔✔..-a
new med is added
-a med is refilled
-a transfer is done from a previous page
-recieved med from another program
-recieved from the pharm after repacking or relaving
ADL - ✔✔ANSW✔✔..activities of daily living
adverse responses - ✔✔ANSW✔✔..severe side effects
-the hcp may consider discontinuing that medication and ordering
a different one
After all orders are transcribed - ✔✔ANSW✔✔..-first staff
documents "posted" on the HCP order form under the HCP
signature
-the date and time
-then they sign
-THEN A SECOND STAFF verifies, writes verified bellow posted,
date, time, and signature
, After LOA - ✔✔ANSW✔✔..-staff must ask family if all meds were
admined
-any unused med not be returned for use. Family may keep for
other LOA
-if not must be disposed and documented
after medical appointment make sure - ✔✔ANSW✔✔..-pharmacy
has the script
-pick up new medication to the pharmacy
-bring back all forms, prescriptions, HCP orders, and next
appointment card to appropriate person
-transcribe all medication orders onto the medication
administration sheet and post and verify all orders
-secure the medication
-document visit
-communicate changes to all staff
allergic reaction - ✔✔ANSW✔✔..the body immune system reacts
to the medication as if it were a foreign substance
allergic reaction vs anaphalyatic - ✔✔ANSW✔✔..-allergic is rash
and spreads around body
-anaphylactic can make is difficut to breath, rash, and changed
vital signs
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