Medication Education Module 6 Medication Transfer Trainer Preparation: Print for handouts -MAP Policy 10-10 Transfer/Transport of Medication -Power point handouts -Sample agency Transfer form -Print pg. 2 “Objectives” to test staff knowledge before and after the training. (Use as your training documentation) Corresponding training Information can be found on Pgs.155-156 and 175-179 Responsibilities in Action (RIA) Curriculum that can be downloaded at www.mass.gov/dph/map scroll down to "what would you like to do" and select View MAP training resources and curriculum, then select DDS MAP training resources; once there you will see MAP Curriculum and Adjunct Materials

Objectives 1. What is a medication transfer? 2. How is medication supplied to a Day Program? 3. Who can transport medication? 4. How is a transfer documented? What I know about Medication Transfer before the training: 1. 2. 3. 4. What I learned about Medication Transfer after the training:

Medication Transfer Meds may be transferred to a different location Day program/day hab Another MAP registered site Pharmacy for repackaging/relabeling Hospital requesting supply Specific list can be found in MAP Policy 10-10 LOA is a transfer of medication and is discussed in detail in Medication Education Module 5

Medication Transfer Current signed HCP order for the medication Appropriate label/no hand printed changes or directions change sticker Tamper-resistant packaging Dated medication release document Requirements for medication transfer

Medication Release Document Where the medication is being transferred to and from Medication name and strength Total amount of medication transferred Dated signature of person transferring and receiving medication The Medication Release Document is the Transfer Form. It is one of the tracking documents in the Chain of Custody. See Pg. 155-156 and Pg. 175 RIA Curriculum.

Transfer Form Review components of your agency transfer form. If unable to present, review this sample form (also found on Pg. 176 RIA Curriculum).

Medication Transfer Medication must be transported by MAP Certified or Licensed Staff Not allowed to send with individual or have non certified/licensed staff transport medication. Also, transporting of medications by MAP Certified staff must be done during the staff’s normal working hours and the transported medications must be for the individuals residing at the MAP site where staff formally work. MAP staff must not transport medications for individuals residing outside the staff’s work site or on the staff’s own time.

Day Program Medication Ask pharmacy to ‘split package” medication Whenever possible medication should be scheduled to be administered in the residential program. However, if a person will routinely be receiving medications at more than one location, such as the day program, ask the pharmacist to ‘split package’ the medication. A separate tamper resistant package will be prepared by the pharmacy that contains only the amount required for day program administration.

Day Program Medication Before Sending Document in Medication Ordering and Receiving Log as received in residence/add countable medication to count Complete a transfer form If countable medication, subtract from residential program’s count book

Day Program Medication At the Day Program Obtain dated signature of person accepting medications If countable medication, day program staff must add to count book Make a copy of transfer form and give to day program Return transfer form to residential program Only MAP Certified/Licensed staff may accept the medications at the Day Program and sign transfer form.

Day Program Communication Residential staff’s responsibility to ensure the day program has all required information for medication administration Including current copies of individual’s HCP orders Communication is essential for safe medication administration Review class discussion Pg. 178 RIA Curriculum Review the communication system between the day program and your residence.

Central Location Disposal If medications need to be transferred for disposal to a Central Location Before Sending Complete a transfer form If countable medication, subtract from residential program’s count book Transport to Central Location Central Location must be a MAP Registered site(current MCSR). Transport must be done by MAP Certified /Licensed staff. Transporting of medications by MAP Certified staff must be done during the staff’s normal working hours and the transported medications must be for the individuals residing at the MAP site where staff formally work. MAP staff must not transport medications for individuals residing outside the staff’s work site or on the staff’s own time.

Central Location Disposal At the Central Location Obtain dated signature of person accepting medications Make a copy of transfer form and give to Central Location Return transfer form to residential program Only MAP Certified/Licensed staff can accept medications for disposal at a Central Location.

Central Location Delivery If medications are delivered to a Central Location and then need to be transferred to individual residence At the Central Location If countable medication, must be added to Central Location’s count book and subtracted when transferred to individual residence Transfer form must be completed including dated signatures of person releasing and accepting medications Obtain copy of transfer form for residence Transport to residence Central Location must be a MAP Registered site(current MCSR). Transport must be done by MAP Certified /Licensed staff. Transporting of medications by MAP Certified staff must be done during the staff’s normal working hours and the transported medications must be for the individuals residing at the MAP site where staff formally work. MAP staff must not transport medications for individuals residing outside the staff’s work site or on the staff’s own time.

Central Location Delivery Upon return to the residence Store medications securely If countable medication, add to residential program’s count book File transfer form at residence

Questions

Resources MAP Curriculum- Responsibilities in Action www.mass.gov/dph/map https://shriver.umassmed.edu/programs/cdder/webinars/map-training-resources/dds-map-training-resources MAP Policy Manual https://www.mass.gov/lists/map-policy-manual