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 CodeWhen do you use it YR (your initial) When you sign for a medication When the medication is not given WWhen the client is at work YR
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
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
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