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1. Responsibilities in ActionUnderstanding the Connections
2. Contact InformationNameEmailCellOfficeFax
3. TestMaster Universe (TMU)
4. TMU
5. ma.tmuniverse.com
6. ma.tmuniverse.com
7. ma.tmuniverse.com
8. www.hdmaster.com
9. Student Tutorial
10. Successful Completion100% AttendancePre-test(s)Computer Based Test (CBT)Medication AdministrationTranscription
11. Computer Based Pre-test30 multiple choice questionsGeneral knowledge35 minute time limit80% or better is passing
12. Computer Based Pre-test
13. Computer Based Pre-test
14. Computer Based Pre-test
15. Computer Based Pre-test
16. Computer Based Pre-test
17. Computer Based Pre-test
18. Computer Based Pre-test
19. Medication Pass Pre-testMedication AdministrationYou will be observed as you apply your knowledge of the 3 checks of the 5 rightsFeedback by Trainer80% or better to pass
20. www.hdmaster.com
21. Transcription Pre-testTranscriptionDiscontinue (DC) one medTranscribe one new med15 minutes100% accuracy
22. D&S Diversified TechnologiesThree Timed Test ComponentsKnowledge CBT50 questions75 minutesSkillsMedication AdministrationVerbalize and point as you preform 3 checks of the 5 rights10 minutesTranscriptionDC one medication and transcribe one medication15 minutes
23. Medication CertificationMeds may be administered inDDS adultDMH/DCF adult and youthMRC adultfunded, operated or licensed programsGood for 2 years
24. Certification Letter
25. Re·spon·si·bil·i·tiesObserve and ReportAssist with HCP visitsObtain medication from pharmacyTranscriptionMedication securityMedication administrationDocumentation
26. Let’s Begin!Units 1-9Responsibilities you will learnSymbolsExercisesLet’s ReviewCase StudiesAppendixWords You Should KnowAnswer Key
27. Case StudiesJuanita GomezEllen TraceyTanisha JohnsonDavid Cook
28. Community Resources
29. MAP ConsultantRegistered NursePharmacistAuthorized PrescriberHealth Care Provider (HCP)Nurse PractitionerDentistEtc.
30. Required for Medication AdministrationHCP OrderPharmacy LabelMedication (Med) Sheet
31. Medication BookContentsHCP order(s)HCP visit encounter form if it includes an orderMedication Sheet(s)Acceptable CodesMed progress notesMedication Information Sheet(s)
32. Count BookThree SectionsIndexUsed to locate the correct Count SheetCount SheetsUsed to document when a med has been added or subtracted from countCount Signature SheetsUsed to document when the count has been conducted and the medication storage keys change hands
33. ResponsibilitiesObservingHelps to recognize changesReportingHelps to ensure best care possible
34. Medication BasicsPrinciples of medication administrationRights related to medicationDaily routine
35. Principles of Med Administration MindfulnessSupporting AbilitiesCommunication
36. Respecting RightsEveryone has the right toPrivacyTo be treated respectfullyKnow what meds they are takingHow it will helpPossible side effectsRefuse medicationBe given medication only as ordered by the HCP
37. Daily RoutineWhen you arrive at workGreet the personAsk how they are doingPay attention toBehaviorPhysical conditionReceive shift reportChanges must be communicatedPromote a home like environment
38. ResponsibilitiesObservingReportingDocumenting
39. ObservationObjective observationSeeHearFeelSmellMeasure
40. ObservationSubjective observationWhen a person tells you how they feel
41. ObservationsAn observation based on factFact- a piece of information that can be proven true with evidenceAn observation based on opinionOpinion- a statement that expresses feelings or emotions that cannot be proven trueObjectiveSubjective
42. ReportingEverydayBetween staff at shift changeImmediateAs soon as possible after a change is observed
43. ReportingIf unsure…..Report anywayKnowing who to report toIs your responsibility
44. DocumentationTells a story from start to finishInclude:Your question or concernThe response given to youThe name of who you contactedDate, time and your full name
45. Documentation CorrectionDraw a single lineWriteErrorYour initialsScribbleMark overUse white outEraseDoDo NOT
46. Correcting a Count Sheet
47. How to Prevent and Control InfectionInfection Control
48. HandwashingHandwashingWhenHow
49. Glove UseGlove useWhenHow
50. ResponsibilitiesMedication AdministrationGeneral Guidelines
51. The Five RightsRight PersonRight MedicationRight DoseRight TimeRight Route
52. Right PersonIf uncertain….Get helpAsk another staffCheck a pictureEmergency Fact Sheet
53. Right MedicationIf HCP writes brand name on prescriptionPharmacist will usually substitute with genericIf unsureAsk pharmacist
54. Right MedicationIf familiar with med but notice a change inColorShapeSizeMarking etc.Contact the pharmacist
55. Right DoseHCP orders the doseUsually written in ‘mgs’Milligrams
56. Right TimeParticular time of dayNumber of times per dayTime between doses
57. ‘On time’Meds may be given safelyOne hour before andUp to one hour aftertime scheduled on med sheetIf unsure,Ask a pharmacist
58. Right RouteThe form of med determines routeTabs, caps, liquidsUsually oralOintments to skinTopical
59. Other RoutesNever administer a med by any routeUntil you have received training in that route
60. General GuidelinesThree checks of theFive rightsBefore medication administration
61. T Three ChecksHCP order-Pharmacy labelPharmacy label-Med sheetPharmacy label-Med sheet
62. Medication AdministrationProcessPrepareAdministerComplete
63. PrepareWashAreaHandsLocate Med BookFigure out med to giveUnlock storage areaRemove med from storage areaOpen Count BookIf needed
64. T AdministerHCP order-Pharmacy labelPharmacy label-Med sheetPharmacy label-Med sheet Give Look back
65. CompleteDocumentMed SheetCount Sheet (if needed)Secure MedicationWash handsObserve
66. Medication Administration
67. Med Pass ScenarioTanisha Johnson4pm medicationMarch 3rd, yr
68. Med Pass ScenarioDavid Cook4pm medicationMarch 3rd, yr
69. HomeworkReview Units 1 and 2Pages 15-31Unit 7Pages 116-139 Complete exercises
70. ma.tmuniverse.comLog in to TMU to access your computer based pre-testTo end CBT click ‘end test’Check results- ‘Details’Percent answered correctlyMissed questionsTopics to be reviewed are listed
71. Med Sheet DocumentationInitials in box that directly correspond to date/time givenInitials and signature at bottomIf first time giving during monthPRN Medication Time/initials in same boxMedication progress note
72. Oral MedicationHCP order required toCrush and mix a med withFood or liquid
73. Oral MedicationMay give half tabs only ifSplit by the pharmacy
74. Cautionary GuidelinesStop administering meds ifYou cannot read the HCP orderThere is no HCP orderLabel is missingMed was prepared by someone elseMed seems to be tampered with
75. Tampered Packaging
76. Cautionary GuidelinesStop administering meds ifYou are uncertain if the 5 rights agreeThe personHas a serious changeHas difficulty swallowingRefusesThe med was pre-poured
77. Liquid Med AdministrationPlace med cupFlat surfaceEye levelLocate correct measurementShake bottleIf neededPour slowlyTo avoid pouring too much
78. Liquid Med AdministrationOral syringe
79. Liquid Med AdministrationDropper
80. Liquid Med AdministrationDosing Spoon
81. Liquid Med Exercise Dose Strength Amount150mg 75mg/10mL ____100mg 50mg/6mL ____ 100mg 50mg/2mL ____ 150mg 75mg/4mL ____ 200mg 100mg/5mL ____ 150mg 50mg/3mL ____ 100mg 25mg/2mL ____500mg 250mg/10mL ____100mg 100mg/15mL ____500mg 500mg/30mL ____500mg 125mg/5mL ____
82. Medication RefusalDefinition(s)Says ‘no’Never takes med from you or spits outSpits out laterFound on floor, bed, etc.Intentional vomitingWithin ½ hour of taking med
83. Dealing with RefusalsOffer 3 timesWait 15-20 min Notify Prescribing HCPSupervisor Document
84. Document a RefusalCircle initials Med progress noteRefusal descriptionWho was notifiedHCPSupervisor
85. MedicationsUsed to treatIllnessDiseasePainBehavior Taken to Eliminate or lessen symptomsImprove quality of life
86. MedicationSubstances that enter the bodyChanges one or more ways the body works
87. Brand Name MedicationMade by a specific pharmaceutical company
88. Generic Name MedicationSimilar to brand name medsMade by different companiesUsually less expensiveMay be differences inColorSizeShape Markings
89. Medication SchedulesAll prescription meds are controlled substancesControlled substances are placed into schedulesSchedule placed into Based on abuse potential
90. Prescription MedicationPrescription requiredSet of instructions from HCP to pharmacistWhat med to prepare and how to administerPharmacist uses to print a labelCan be electronic or paperIf paper, may not be copied and used as an HCP order
91. Medication CategoriesControlledSchedule VICountable ControlledSchedules II-VOver-the-Counter (OTC)
92. Controlled Schedule VIRequirementsHCP orderPharmacy labeledPackaging optionsBottledTamper resistantSecuredKey lockedTrackedMed ordering/receiving logMed sheet
93. Countable Controlled RequirementsHCP orderPharmacy labeledOnly packaging optionTamper resistantBlister packedOpti-PakOpus cassette etc.Identifier
94. Countable Substance PackagingSchedule II-V meds must beReceived directly from the pharmacyIn tamper resistant packaging
95. Countable ControlledRequirements continuedSecuredDouble key lockedTrackedMed ordering/receiving logCountable Controlled Substance BookMed sheetCountedEvery time the med storage keys change hands
96. OTC MedicationRequirementsHCP orderPharmacy labelPackaging optionsBottle orTamper resistantSecuredKey lockedTrackedMed ordering/receiving logMed sheet
97. Dietary SupplementsRequirementsHCP orderPharmacy labelPackaging optionsBottle orTamper resistantSecuredKey lockedTrackedMed ordering/receiving logMed sheet
98. Medication OutcomesDesired EffectNo Effect NotedSide Effects
99. Desired EffectExamplesAcetaminophenAdministered for a headacheHeadache goes awayPhenytoinAdministered due to seizuresPerson is seizure free
100. No Effect NotedReasonsMed has not had enough time to workEven after enough time for the med to workIt does not
101. Side EffectsResults not wanted or intendedRange from mild to severeMildMay be uncomfortableAdverse Response (severe side effect)AllergicAnaphylacticParadoxicalToxicity
102. Medication InteractionsMedications, dietary supplements mix in the bodyMay increase or decreaseEffect and/or side effects of one or more of the meds and/or dietary supplements
103. Medication InteractionsThe more meds/dietary supplements taken at one timeIncreases the possibilityChanges observedMay be due to a med interaction
104. Other SubstancesAlcoholNicotineCaffeine
105. Sensitivity to MedicationInfluencing factorsAgeWeightGender General healthMedical historyLevel of physical activityUse of other meds and/or dietary supplements
106. Medication InformationResourcesPrescribing HCPPharmacistPackage insertsReputable online sourceMedication reference book
107. Giving Multiple MedsComplete checks for each med #1 #2 #3Before moving to the next medAll meds due at the same time, for the same person may be given together
108. Med Pass ScenarioEllen Tracey8pm medicationMarch 3rd, yr
109. Med Pass ScenarioDavid Cook8pm medicationMarch 3rd, yr
110. Med Pass ScenarioJuanita Gomez8pm medicationMarch 3rd, yr
111. HomeworkRead Unit 6Complete transcription exercisePages 79-110ReviewRemainder of Unit 7 Pages 140-161
112. ResponsibilitiesTranscriptionInfo copied fromHCP order and pharmacy labelOnto the med sheet
113. Keep in MindWhat counts?SpellingHandwritingSpacing of med times
114. Spelling Counts‘Thee’ tablets‘Thee’ times a day‘Tree’ times a day‘My’ mouth3 ‘tats’
115. Handwriting Counts
116. AbbreviationsSafer not to use
117. AbbreviationsDC Discontinueam- morningpm- afternoon or eveningcap- capsuletab- tabletgm- grammg- milligrammcg- microgramIU- international unitmL- milliliterPRN- as neededIM- intramuscularODT- orally dissolving tabletSubcut- subcutaneous
118. Medication Sheet
119. FrequencyNumber of times per day to be givenSpecific hour chosen
120. Spacing Times Counts
121. Health Care Provider Order
122. Discontinued OrderOn the med sheetMark through all boxes where the med was scheduled to be givenDiagonal lines throughLeft side of med sheetDC, date, your initialsRight side of med sheetDC, date, your initials
123. Discontinue Process
124. Step 1
125. Step 2
126. Step 3
127. Health Care Provider Order
128. DoseFound in HCP order, usually in mgs
129. Transcribing Dose
130. Strength and AmountFound on pharmacy label
131. Transcribing Strength and Amount
132. Completed Transcription
133. ‘Post’ HCP OrderCompleted for new HCP ordersAfter transcribingWritten on HCP orderUnder HCP signatureWrite:PostedYour signatureDateTime
134. Health Care Provider OrderPosted Sam Dowd 3/3/yr 1pm
135. Transcription Workbook One
136. Worksheet
137. DoseFound on HCP order usually in ‘mg’s’The dose is: mg
138. Strength and AmountFound on Pharmacy labelThe strength per tablet to give is: mgThe amount of tablets to give is: tabs
139. Transcription PracticeINSTRUCTIONS You have taken Tina Lewis to the doctor and have received medication from the pharmacy. Pretend that the date is June 11, year. It is 1 pm. Use the health care provider’s order, pharmacy label and generic equivalents to discontinue the order and transcribe the new order on to the Medication Sheet. Please Note: Do not place your initials in the medication box. You are not administering a medication at this time. This is transcription only.
140. Name: Tina LewisDate: 6/11/yrHealth Care Provider: Dr. JonesAllergies: no known allergiesReason for Visit: Tina states she has a burning feeling in her throat during the day. Current Medications: Pantoprazole 40mg by mouth once daily in the eveningStaff Signature:John Smith, Program ManagerDate: 6/11/yrHealth Care Provider Findings:GERDMedication/Treatment Orders:D/C PantoprazolePepcid 20mg twice daily by mouth dose frequency routeInstructions:Follow-up visit:Lab work or Tests:Signature: Dr. JonesDate: 6/11/yrSTAFFHCPHEALTH CARE PROVIDER ORDER
141.
142.
143. Medication Administration Sheet
144. Medication Administration Sheet
145. Medication Administration Sheet
146. Name: Tina LewisDate: 6/11/yrHealth Care Provider: Dr. JonesAllergies: no known allergiesReason for Visit: Tina states she has a burning feeling in her throat during the day. Current Medications: Pantoprazole 40mg by mouth once daily in the eveningStaff Signature:John Smith, Program ManagerDate: 6/11/yrHealth Care Provider Findings:GERDMedication/Treatment Orders:D/C PantoprazolePepcid 20mg twice daily by mouthInstructions:Follow-up visit:Lab work or Tests:Signature: Dr. JonesDate: 6/11/yrHEALTH CARE PROVIDER ORDERPosted John Smith 6/11/yr 1pm
147. Transcription PracticeINSTRUCTIONS You have taken Tina Lewis to the doctor and have received medication from the pharmacy. Pretend that the date is June 20, year. It is 1 pm. Use the health care provider’s order, pharmacy label and generic equivalents to discontinue the order and transcribe the new order on to the Medication Sheet. Please Note: Do not place your initials in the medication box. You are not administering a medication at this time. This is transcription only.
148. HEALTH CARE PROVIDER ORDERName: Tina LewisDate: 6/20/yrHealth Care Provider: Dr. SmithAllergies: NoneReason for Visit: complaint of pressure on forehead, mild fever, dizziness, increase in head slapping behavior Current Medications: Synthroid 0.125mg by mouth once a day in the morningStaff Signature:Paula Jones, Program ManagerDate: 6/20/yrHealth Care Provider Findings: hypothyroid, elevated blood pressure, sinus infectionMedication/Treatment Orders:D/C SynthroidArmour Thyroid 30mg by mouth once daily before breakfast. Brand name only medication.Inderal 20mg by mouth once daily in the morningAmoxil 500mg by mouth three times daily for 10 days Instructions:Follow-up visit: 2 weeksLab work or Tests:Signature: Dr. Susan SmithDate: 6/20/yrdose
149. Rx#139 Greenleaf Pharmacy 111-222-3434 20 Main Street Treetop, MA 00000 6/20/yr Tina LewisArmour Thyroid 30mgI.C. Qty. 30 Take 1 tablet once daily before breakfast by mouth Dr. Smith Lot# 659 ED: 6/20/yr Refills: 3 Rx#285-97226 Greenleaf Pharmacy 111-222-3434 20 Main Street Treetop, MA 00000 6/20/yr Tina LewisPropranolol 10mgI.C. Inderal Qty. 60 Take 2 tablets once daily in the morning by mouth Dr. SmithLot# 323-334 ED: 6/20/yr Refills: 3 Rx#285-97227 Greenleaf Pharmacy 111-222-3434 20 Main Street Treetop, MA 00000 6/20/yr Tina LewisAmoxicillin 500mgI.C. Amoxil Qty. 30 Take 1 tablet three times daily for ten days by mouth Dr. Smith Lot# 323-335 ED: 6/20/yr Refills: 0 strength
150. Answer
151. Answer
152. Answer
153. Answer
154. Answer
155. Answer
156. Answer
157. Transcribing HCP OrdersDose- mg the HCP orders to be given each time med is administeredStrength- supplied by pharmacyAmount- tabs, caps, mLs etc. Dose = Strength x Amount
158. New OrdersIf the med is the same but theDoseFrequencyRoute orSymptoms if PRNChangeThen it is a new orderDC the old orderTranscribe the new order
159. Post HCP OrderCompleted for new ordersAfter transcribingOn HCP orderUnder HCP signatureWritePostedYour signatureDateTime
160. Verify HCP OrderSecond Certified staff double-checksOn HCP orderUnder HCP signatureWrite‘Verify’Your signatureDateTime May meds be given if not yet verified?
161. Responsibilities in ActionInteracting with a HCP includes but is not limited to:HCP visitEmergency Room (ER) visitHospitalAdmission DischargeFax ordersTelephone orders
162. HCP VisitBefore appointmentPrepare the personWhen, where, what will happenDay of appointmentInsurance cardCurrent med list (copy of med sheets)AllergiesHCP Consult/Encounter/Order form
163. HCP VisitDuring appointmentAssist if neededAdvocateRedirect HCP to individual to speakObtain written results and recommendationsHCP orderDiagnosisWhat to expect from new med
164. Communicating with Pharmacist PrescriptionHCP may Send electronically Call prescription into pharmacyGive prescription toStaff orPersonTo bring to pharmacy
165. HCP VisitAfter appointmentEnsure pharmacy received prescriptionPick up new medicationOr check on when it will be deliveredBring back all forms, orders, etc.TranscribeSecure medsDocument the visitCommunicate changes
166. Emergency Room VisitBringCurrent med listInsurance cardHCP order formDiscussAny scheduled med the person may miss due to the visit
167. Hospital Admission/DischargeMedication ReconciliationEnsures when individual returns homeNew meds ordered during the hospital stay are not omittedMeds DC’d during hospital stay are not administered
168. Fax OrdersLegalSigned by HCPPreferred Over a telephone order
169. Telephone OrdersCheck your agency policyRead back infoAsk another staff to listen, if neededRemind HCP to call pharmacyPosted/Verified twiceFirst after transcribingAgain after signed by HCPMust be signed by HCPWithin 72 hours
170. Sample Telephone Order Form
171. Exhausting Current MedicationResponsibilitiesMust verify with pharmacist if OKRequirementsNew HCP order reflecting changeNew order transcribed onto med sheetStrength on hand allows for easy preparationMed container is flagged withA ‘Directions Change’ orBrightly colored sticker
172. Pharmacy Label
173. ResponsibilitiesEnsure pharmacy provides correct medCompare HCP order with labelIf familiar with medOpen and lookIf different in color, shape, size, marking etc.Call MAP ConsultantIf not familiarLook up or ask
174. ResponsibilitiesAfter obtaining medicationTrackingStorageSecurity
175. ResponsibilitiesTrackingOrdering/Receiving LogPharmacy ReceiptsCount BookMed BookMed Release DocumentsLOATransferDisposal Record
176. ResponsibilitiesMedication StorageRequirementsAll meds key lockedCountable meds double key lockedLabeled med container per personSeparate oral meds from other routesRefrigerated medsMust be key locked
177. ResponsibilitiesMedicationSecurity RequirementsKeys must be carried by you if you are assigned medication administration duties
178. HomeworkReviewUnits 4-5-6Pages 48-110Complete exercises
179. Chain of CustodyAn unbroken documentation trail of accountabilityEnsures physical security of medication
180. Chain of CustodyDocuments and MethodsUsed to track medicationMedication Ordering/Receiving LogPharmacy ReceiptsCount BookMedication BookMedication Release DocumentsLOA/TransferDisposal RecordBlister pack monitoring (not MAP required)
181. Chain of CustodyMedication Ordering/Receiving LogUsed to track when medication isRequested andReceived
182. Chain of CustodyPharmacy ReceiptsProvided by pharmacyWhen medication is dispensed
183. Chain of CustodyCount BookIndexCount SheetsCount Signature Sheets
184. Chain of CustodyWhen entering a new countable med or transferring an existing countable to a new count sheetAdd to or update IndexComplete heading section of next available Count SheetDo not skip pages
185. Index
186. Count Sheet Page Transfer
187. Count Signature Sheet
188. Count ProcedureCount must be doneShoulder to shoulder withOff-going Certified staffOn-coming Certified staff
189. Count ProcedureOn-coming Certified staffManages the blister packsOff-going Certified staffHolds the Count Book andLeads the count using the index as their guide
190. Count ProcedureDuring the countBoth staff look atBlister pack andCount SheetFull signaturesOn Count Signature Sheet
191. Two Signatures RequiredAdding aNewly prescribed med into the countMedication refill from pharmacyDisposing medicationCount sheet page transferBottom of oldTop of newEach time med storage keys change hands
192. Chain of CustodyMedication SheetUsed to document when med is administered at the program orCodes used when individual is at a different location
193. Chain of CustodyMedication Release DocumentsTransfer formDay programLeave of Absence (LOA) formVisit with family
194. Day Program MedicationResidential staff’s responsibility toProvide day program staff withCopies of HCP ordersPharmacy labeled medsTransfer form requiredNotify DP staff if med is DC’dFax DC’d HCP order
195. Off-Site Medication Administration (OSA)OSA MedicationMedication administered at on off-site locationBy MAP Certified or licensed staffDuring the hours the person would typically receive medication in theirHome orDay program
196. Off-Site Medication Administration (OSA)Pharmacy must prepare OSA meds If staff will be administering for more than 24 hoursStaff may prepare OSA meds If the pharmacy cannot andStaff will be administering for less than 24 hours
197. Leave of Absence (LOA)LOA medicationMedication that is released from a person’s homeTo be administered byFamily memberResponsible friendNot a MAP Certified or licensed staff
198. Leave of Absence (LOA)Pharmacy must prepare meds ifLOA is planned or scheduledPerson will be away from their home for more than 72 hours
199. Leave of Absence (LOA)Certified staff may package the LOA meds only if thePharmacy is unable toLOA is unplannedLOA is less than 72 hours
200. Medication DisposalPurposeTo make meds useless
201. Chain of CustodyDPH Controlled Substance Disposal Record Form usedFor all prescription medication schedules II-VIMay also use forOver the counter meds andDietary supplements
202. DPH Disposal Form
203. Medication DisposalWhenDroppedRefusedExpiredDiscontinuedPerson leaves
204. Disposal ProcessExpired or discontinued medsDisposal must be completed withTwo Certified staff presentOne must be a supervisor
205. Disposal ProcessIf a med is refused or accidently droppedDisposal must be completed with two Certified staff presentIf unavailable, your supervisor is not required to be presentUnless your agency requires it
206. Disposal MethodsUnless prohibited by local communityRead the med information firstSee if there are specific disposal instructions, if notTake med out of original containerCrush and/or dissolve in water in a sealable bagMix with dish soap, hand sanitizer or moistened kitty litter ,etc.Place bag in non descript containerPlace in trashFollowing disposalRemove any personal identifying info from labelFlush only if the med info sheetProvides as a disposal option
207. Blister Pack Monitoring
208. Medication Supply DiscrepancySuspiciousMedication is missingNon SuspiciousMedication is not missing
209. Medication LossCount is offSuspicion ofTamperingTheftUnauthorized use of medicationReport to DPHWithin 24 hours after discoveryDPH Drug Incident Report Form
210. Missing Med Documentation
211. Missing Med Documentation
212. Non SuspiciousCount is offCan easily be resolved by checkingAdditionSubtractionBlister pack monitoringIf usedReportDocument in Count Book
213. Non SuspiciousPage Transfer12/20/yr 7:45p Morning dose not subtracted when removed. Linda White notified. Lisa Lane 12/21/yr 6a Late entry On 12/20/yr 8a med was given and not documented at that time. Reggie Newton
214. Medication Occurrence (Error)One of the 5 rights goes wrong
215. Medication OccurrenceWrongPersonMedicationDoseTime Omission (subcategory of time)Route
216. What To DoCheck to see if person is okIf no, call 911Call MAP ConsultantExplain what happened or what you discoveredFollow MAP Consultant recommendationsNotify your supervisorDocumentComplete MOR form
217. Medical InterventionLab workMedical testHCP visitClinic visitEmergency Room visitUrgent Care visitHospitalizationEtc.
218. Hotline Medication OccurrenceNotify DPH with 24 hours ifThese follow an occurrenceIllnessInjury Death
219. Reporting GuidelinesHotline MORsNotifyDPH andMAP CoordinatorWithin 24 hours of discoveryAll other MORsNotifyMAP CoordinatorWithin 7 days of discovery
220. Medication OccurrenceWrongPersonMisidentificationDistractionMedication was left unattended/not secured
221. Medication OccurrenceWrongMedicationAdministeredWithout a HCP orderUsing an expired HCP orderUsing a discontinued HCP orderPast the stop date of a time limited medOne med instead of another med
222. Medication OccurrenceWrongDoseToo much orToo littleMedication administered
223. Medication OccurrenceWrong TimeToo earlyToo lateParameters or instructions were not followedOmissionForgottenNot available
224. Medication OccurrenceWrongRoute
225. Following an OccurrenceTeachable momentLearn from what happenedOpportunity to improveMedication administration proceduresFocus on causeRather than who made the mistake
226. Med Pass ScenarioTanisha Johnson8pm medicationMarch 3rd, yr
227. Med Pass ScenarioDavid Cook8am medicationMarch 4th, yr
228. Med Pass ScenarioTanisha Johnson8am medicationMarch 4th, yr
229. Support Plan
230. Med Pass ScenarioEllen TraceyPRN med for anxietyMarch 4th yr3pm
231. Med Pass ScenarioTanisha Johnson4pm medicationMarch 4th, yr
232. Questions