1. Medication Administration Refresher Course

2. Fatal Four Aspiration Constipation Dehydration Seizures Why do we care?

3. Nursing Outcomes at CCS Aspiration Constipation Dehydration Seizures Skin Care Preventable ER visits

4. Six Rights  Right Medication  Right Dose  Right manner/route  Right time  Right person  Right documentation

5. 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

6. Documentation If it isn’t written down, it did not happen.

7. 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

8. 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

9. Charting You are telling a story with your charting Each house will want you to chart in their way

10. Abbreviations

11. 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

12. 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

13. Handwashing List times to wash hands Use plenty of soap Lots of friction Dry hands with paper towel Turn off faucet with paper towel

14. Vital Signs Blood pressure Temperature Pulse Respiration Pain

15. 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

16. 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

17. Rights regarding medications Right to: –know what they are getting –have an explanation –refuse or consent –confidentiality and privacy –appropriate services

18. Nurses at CCS Nurse patient relationships When to call Protocol for paging

19. Evaluation

20. Thank you