Transcript Medication Administration Refresher Course for nurses

Medication
Administration
Refresher Course
Fatal Four
•
•
•
•
Aspiration
Constipation
Dehydration
Seizures
• Why do we care?
Nursing Outcomes at CCS
• Aspiration
• Constipation
• Dehydration
• Seizures
• Skin Care
• Preventable ER visits
Six Rights
Right Medication
Right Dose
Right manner/route
Right time
Right person
Right documentation
Medication/Treatment
Administration
• Check MAR and Medication/Treatment 3
times
• Sign for medication/treatment when taking
it from the medication station
• Follow up on PRNs within 2 hours
Documentation
If it isn’t written down, it did not happen.
Charting Codes
Charting Code When do you use it
YR
(your initial)
YR
W
When you sign for a
medication
When the medication is not
given
When the client is at work
Timing of Medications
• Know when to give medicines to gain most
benefit
• No laxatives within 1 hr of any other
medication
• Iron should not be taken with milk
• GERD meds – ½ hr before meal
• Use your drug guide
• Ask the doctor
Charting
You are telling a story with your charting
Each house will want you to chart in their
way
Abbreviations
Errors in Medication Administration
• Medication Administration Error
– Forget to administer a medication
• Documentation Error
– Forget to sign for a medication
– Forget to do a follow-up
• What happens - IR
• Intent
A prescription
• Written by a doctor
• Parts of a prescription
– Client name – first and last
– Name of drug
– Dosage of drug
– How frequent to take it and how long
– What route
Handwashing
• List times to wash hands
• Use plenty of soap
• Lots of friction
• Dry hands with paper towel
• Turn off faucet with paper towel
Vital Signs
• Blood pressure
• Temperature
• Pulse
• Respiration
• Pain
Pain
• Defined by the resident
• Will be manifested differently by different
residents
• Can lead to other symptoms/behaviors
which are not desirable
• What to do first if you suspect someone is
in pain
• When should you be concerned
Residents, Living and Meds
• Our residents have lives
• Some work or have lives outside
our homes
• They need their medication
• We need to figure out a way so they can
get their meds but have lives
• Communication is the key
Rights regarding medications
• Right to:
– know what they are getting
– have an explanation
– refuse or consent
– confidentiality and privacy
– appropriate services
Nurses at CCS
• Nurse patient relationships
• When to call
• Protocol for paging
Evaluation
Thank you