Medication Administration Module

1 1 | Page Medication Administration May 2017 Medication Administration Module 2 | Page Medication Administration May 2017 Table of Contents About this Module / 3 4-5 Chapter 6-11 Overview Role of the Nurse in Medication Administration Board of Nursing Assigning of Tasks to Unlicensed Assistive Personnel Supervision of the Certified Medication Aide Personal-Accountability Medication Stewardship Chapter 11-15 Medication Properties Special Considerations for the Administration of Medications to the Elderly Use of Antipsychotic medications in the residents with Alzheimer s disease or other dementia related conditions Assessment prior to Medication Administration Use of G-tubes in Medication Administration Chapter 15-18 Rights of Medication Administration Medication Administration Record (MAR) The Rule of 3 Chapter 18-27 Texas Board of Nursing and Medication Administration Federal Nursing Facility Regulations F176: Self- Administration of Medications F329: Unnecessary Medications F 332 & F333.

2 Medication Errors Impact of Working Conditions on Medication Errors Medication -Related Adverse Events State Nursing Facility Regulations Chapter 28-32 Resources Videos Learning Activities Scavenger Hunt Institute for Safe Medication Practices (ISMP) CMS hand-in-hand Module 4 Internet Resources 3 | Page Medication Administration May 2017 About this Module : When properly used, medications are a great resource for mankind; indiscriminately or improperly used, they can lead to anything from minor irritating problems to death.

3 Medications are chemical compounds that modify human body processes. They may alter chemical reactions, fight, cure, or prevent disease, relieve disease symptoms, maintain health, aid in diagnosis, or alter a normal process. For example, psychotropic medications change behavior through altering, blocking, destroying, or augmenting brain chemicals. FDA studies show that Medication errors injure about million people in the United States each year and cause the death of 7,0001. Safe Medication Administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a resident against a Medication error.

4 In order to ensure resident safety, the Medication Administration Module of this tool-kit was developed. Overview: Medications are administered to individuals to diagnose, treat, or prevent illness. Drugs are potentially dangerous, even if they are meant to improve our health. It is important that those you care for take any and all medications that they are prescribed, correctly, ensuring that the doctor s orders are always followed. Medications have different ways in which they need to be given in order for them to work properly. The responsibility that you as the nurse have in Medication Administration will vary and be based on the needs of your residents and the policies and procedures that are in place at the facility in which you work.

5 The Administration of medications is a very important task that requires a great deal of attention while being performed, in order to be done safely. Objectives: The objectives for this Module are: a. Describe the LVN s role in Medication Administration in a nursing facility. b. Identify the three factors that can make Medication Administration difficult in the elderly. c. Identify the federal regulations that involve Medication Administration . 1 Food and Drug Administration (FDA). Preventable Adverse Drug Reactions: A Focus on Drug Interactions.

6 4 | Page Medication Administration May 2017 Pretest: 1. Forgetting to administer a Medication on time is an example of neglect. True False 2. All medications can be crushed. True False 3. Medication errors must be documented. True False 4. It is okay to sign off on a Medication that someone else administers, even if you prepared the Medication . True False 5. In a Nursing Facility, the LVN can delegate to a Certified Medication Aide (CMA) the Administration of insulin. True False 6. If a resident refuses a Medication , your only responsibility is to document the refusal.

7 True False 7. You must have the informed consent for Medication of a resident or responsible party signed prior to the Administration of an antipsychotic Medication . True False 8. When administering a Medication , the right route must be considered. The nurse is responsible for ensuring that the Medication can be administered in the route ordered. True False 9. It is the nurse s responsibility to ensure that residents are free from any Medication errors. True False 10. Residents of long-term care facilities have the right to self-administer medications.

8 True False 11. According to federal regulations for nursing homes, a significant Medication error causes the resident discomfort or jeopardizes his or her health and safety. 5 | Page Medication Administration May 2017 True False 12. It is not necessary to have a clinical indication for Medication that is being administered to a resident. True False 13. A Medication review should be done when a resident is readmitted to the nursing facility, even if they were only out for less than 24 hours. True False 14. Falling is not considered a Medication related adverse consequence.

9 True False 15. According to the Texas Board of Nursing, an LVN is not responsible for the clarification of a Medication order that he/she does not understand. True False Answers: 1. T 2. F 3. T 4. F 5. F 6. F 7. T 8. T 9. T 10. T 11. T 12. F 13. T 14. F 15. F 6 | Page Medication Administration May 2017 Chapter 1: Overview: Medication Administration is an everyday part of the care that is provided to residents in a nursing facility. Due to the potential danger of Medication Administration , it is imperative that the nurse understand the importance of performing the task safely.

10 Becoming proficient in all of the aspects of Medication Administration will ensure that the residents are kept safe through all areas of the care provided to them. The nurse needs to understand not only the routes of Medication , but the ways in which medications affect the elderly residents in their care, as well as the federal regulations that discuss Medication Administration . In addition, the nurse must also be able to report Medication errors as required by facility policy and procedure and adequately supervise unlicensed personnel who are responsible for Medication Administration . Role of the Nurse in Medication Administration : The Texas Board of Nursing (BON) in their position statement directs the LVN to work within their scope of practice, as dictated by the Nurse Practice Act (NPA).