Resultados Obtenidos Mediante Pruebas Sintéticas

When You Give a Medication:

Each time you administer medication to a resident, you must immediately document the following on the resident's Medication Administration Record (MAR):

• the time

• the date

• dosage

• your name (person administering medication)

Your facility may refer to the MAR by another name. Write in the space below the name your facility uses to identify the form in which the administration of medication is recorded:

When Re-fill Medication Arrives (Including Over-The-Counter Drugs):

1. Compare the medication pharmacy label to the resident's Medication Administration Record. The information on the MAR and prescription label should be identical. If it is not, notify the registered professional nurse.

2. Some facilities have a special form for "logging in" medications from the pharmacy. In other facilities the person who receives the medication from the pharmacy initials and dates the receipt to indicate that it has been reviewed and is correct. If you have any questions, call the registered professional nurse. Do not give the medication until your questions are answered by the registered professional nurse.

3. If the medication is a generic, its color and/or shape, and/or size may be different from what you have seen before. ALWAYS check with the registered professional nurse if you have any questions, then write down the response for other staff who may be administering medications at a later time, according to facility policy.

4. Explain any differences to the resident when the medication first comes from the pharmacy. This will help the resident understand why the medication "looks different." You may want to have the registered professional nurse explain the change to the resident.

Note: Allow plenty of time for the pharmacy to refill the residents’ medications. Certain

medications may require the pharmacist to order from other sources, which could delay dispensing time. Have the registered professional nurse discuss this with the pharmacist.

Duty Area 6 Trainee Handout

When a New Medication (or Change in a Medication’s Dosage, Frequency, Form of Administration, Route of Administration, or Time) is Prescribed:

1. In some cases, the registered professional nurse may call to inform you that a new medication has been ordered, or that the dosage, frequency, form of administration, route of administration, or time of administration has been changed on a resident's medication. When this occurs, follow the registered professional nurse's instructions to amend the resident's MAR, adding the necessary information.

a. When the new medication or new dosage of a current medication is delivered from the pharmacy, compare the medication pharmacy label to what you have written on the resident's MAR. The information on the MAR and pharmacy label should be identical. If it is not, notify the registered professional nurse.

2. In some cases, the resident may return from the physician or prescriber’s office with a new written prescription or a newly filled prescription. When this happens, locate the resident's MAR, and call the registered professional nurse.

a. Report the information from the prescription or pharmacy label to the registered professional nurse. With the registered professional nurse's approval, add the information about the new drug to the MAR and to any other master medication list used by your facility. Caution: Do not attempt to interpret a prescription if it is not absolutely clear. In those instances, send the prescription to the pharmacy and request that the registered professional nurse contact the pharmacy and/or practitioner who issued the prescription.

b. If the written prescription must be filled, send it to the pharmacy after you have spoken with the registered professional nurse and recorded information from the prescription on the MAR.

c. When a new medication is delivered from the pharmacy, compare the pharmacy medication label to what you have written on the resident's MAR. The information on the MAR and pharmacy label should be identical. If it is not, notify the registered professional nurse.

3. If the dosage of a resident's medication is changed, it may be necessary to return the current medication to the pharmacy, and if allowable by regulation and/or facility policy, have the pharmacy issue a credit to the resident. In all instances, the certified medication aide should follow the facility policy regarding any discontinued or unused medications. a. If there is a discrepancy between the dosage on the pharmacy label and the dosage

on the MAR, notify the registered professional nurse. Do not give a medication if you are uncertain about the correct dosage; call the registered professional nurse first.

Duty Area 6 Trainee Handout

When a Medication is Discontinued:

1. In some cases, the registered professional nurse may call to inform you that a medication has been discontinued; the resident should stop taking the medication. When this occurs, follow the registered professional nurse's instructions to amend the resident's MAR and any master medication list used by your facility, indicating that the drug is discontinued.

2. In some cases, the resident may return from the physician or prescriber's office with a written prescription stating that a medication should be discontinued. When this happens, locate the resident's MAR and any master medication list used by your facility, and call the registered professional nurse.

a. Report the information from the prescription label to the registered professional nurse. With the registered professional nurse's approval, amend the resident's MAR and your facility's master medication list, indicating that the drug is discontinued.

3. Explain to the resident that the medication has been discontinued. If allowable by regulation and/or facility policy, the registered professional nurse is to return any unused, discontinued medication to the pharmacy, or make arrangements with the resident to discard or remove the discontinued medication.

Duty Area 6 Trainee Handout

DUTY AREA 6