Download Meds Training for Staff

Assembly Bill #2609
Health and Safety Code
Effective January 1,2008
MEDICATION TRAINING
FOR DIRECT CARE STAFF
9 Topics
 Role, Responsibilities and limitations of staff
assisting with self administration of
medication, including tasks limited to
licensed medical professional
 Terminology specific to medication
assistance
 Different Types of Medication orders
including prescription, over-the-counter,
controlled and other medication
Con’t
 Basic Rules and precautions of
medication assistance
 Medication forms and routes for
medication taken by Residents
 Description of Procedures for
providing assistance with self
administration of medication in/out of
the facility and Medication
documentation system
Con’t
 Guidelines for proper storage,
security and documentation of
centrally stored medication
 Description of processes used for
medication ordering, refills and the
receipt of medication from the
pharmacy
 Medication side effects, adverse
reaction and errors
Requirements
 Complete at least 2 hours on the job
training
 Complete written competency test
with a passing score or 90% or better
 Complete 4 hours continuing
education every year
I. YOUR ROLE AND RESPONSIBILITY
1.
2.
3.
4.
5.
6.
7.
8.
9.
Coordinating quality care by communicating with resident’s
Primary Physician, RN and family members regarding health
condition.
Dispensing medication and assisting resident take their
medication.
Assuring that the medication they take matches with what is
prescribed
Storing medication safely.
Ordering and refilling medication, never allowing residents to run
out of medication.
Documenting all medication taken.
Destroying medications as needed and in accordance with state
and facility procedures
Documenting all communication with Primary Care Physician, RN
and families.
Continual observation of each residents for potential adverse
reaction to medication and or signs/symptom indicating the need
for a change to medication regimen.
Limitations
Med Aide
- Can assist with oral
medications
- Can assist with
transdermal medication
- Can assist with topical
medication
- Can assist with inhalers
- Can administer eye,ear
and nose drops
- Hand a prefilled syringe
to a resident
Only Licensed Personnel
- Draw medication into a
syringe
- Administer an injection
- Insert suppository
- Administer enema
- Titrate a medication
(decide how much of
medication to give)
II. TERMINOLOGY
Absorb- to soak up or take in
Adverse Reaction -A range of untoward reaction
Controlled substance- Drugs that are potentially addictive
Discontinued-No longer taken
Dispense-Preparing and packaging a prescription
Document-to record
Dose-The amount of a drug to be taken
Interaction-A situation where drugs interfere or alter each others action
Label-information written on the medication package
Medication- Chemical used to treat or prevent illness
Medication Administration Record(MAR)- A record that list all medications
Medication Pass -Scheduled time of the day to administer medication
Over-the-counter -OTC, a drug that can be purchased or used without
prescription
Polypharmacy-many drugs
PRN- as needed or if necessary
Route-The way a drug is put into or onto the body
Side Effects -Physiologic effects not related to desired drug effects
III. MEDICATION ORDERS
 Prescription Medications: These
medications may not be purchased without
a physician’s order.
 Over-the-Counter Medications: Medication
that may be purchased without a
prescription.
 Controlled Medication: Is also known as a
scheduled drug. The distribution of these
medication is controlled because of the
drug abuse potential or risk.
TYPES OF ORDERS






ROUTINE ORDERS: This is an order that is carried out until
the physician cancels it by another order or until a prescribed
number of days elapse.
PRN Orders: This an order to be given when a resident
requires it.
SINGLE ORDERS(one time order): This is a medication to
be given only at a specific time.
STAT ORDERS: This is an order that is to be implemented
immediately .
HOLD ORDERS: Sometimes a physician will want to hold a
medication for a period of time. A medication may be held
provided order has been received.
DISCONTINUED ORDERS: Often times a medication may be
discontinued for a resident. Upon receiving the physician order,
the medication is permanently stopped and the medication
destroyed or returned to the pharmacy per protocol.
IV. BASIC RULES AND PRECAUTION
OF MEDICATION ASSISTANCE













Make sure all supplies are available for medication pass.
There must be a written, dated and signed physician’s order in the client’s record
before a Med Aide can assist with self administration of medication.
Only one staff should assist a client with medication at any given time.
Wash your hands before, after and between assisting with medications.
Always prepare medication in a clean, well lit, quiet area. Allow plenty of time,
avoid rushing, and stay focused.
To avoid errors, set up the medication immediately before assisting a client with
self administration.
Wear gloves as indicated with medications requiring protection and whenever
assisting with topical, transdermal medications, as well as eye, ear and nose
drops. This will protect the resident as well as avoiding absorption of medication
into your skin.
Do not allow interruptions when you are working at the med area.
When deciding how much medication to give, always verify any confusion with
RN.
Never give expired medication
Verify drug allergies.
Medication should never be disguised by putting it in food or liquid.
Always remember the 6 RIGHTS: 1. Right Client 2. Right Drug 3. Right Dose
4. Right Time 5. Right Route 6. Right Documentation
V. MEDICATION FORM and
ROUTES
 FORMS: Capsules
Tablets
Powders
Drops
Liquids
Inhalers & Sprays
Topical Skin Preparation
(ointments, creams)
Suppositories
 ROUTES:
Oral (tablets or liquids)
Sublingual/Buccal
Topical (ointments,lotions
& transdermal)
Eye Drops
Ear Drops
Nasal Drops or Sprays
Inhalers