1. Medication Administration: Getting it Right
Classroom Presentation

2. Course Purpose
The purpose of this course is to teach unlicensed staff to administer medications to people with the goal of improving their quality of life.
The course uses a standard method to teach medication administration so that it can be done in the most safe and accurate manner.
It is your job to administer medication correctly and to follow the steps you’ve been taught for accurate administration.

3. Course Completion Criteria
Complete the face to face training
Documentation Practice Activities
Take the skill competency tests for handwashing and gloving
Complete the online testing
Multiple choice
Written documentation
Complete four observed medication administrations

4. Medication Administration Cycle
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

5. Administration and Documentation
Observation
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

6. Administration and Documentation
Report Changes
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

7. Report Changes
Alfred Nicolai July 1, am Alfred is taking 40 mg of Fluoxetine in the morning and doing cognitive-behavioral therapy. There are no changes in the existing symptoms observed over the last two weeks and no new symptoms. Alfred has done well with taking the medication. John Thomas

8. Administration and Documentation
Visit to Practitioner
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

9. 5 Rights
I Must Do This Right
Individual
Medication
Dose
Time
Route

10. Activity 5: Identify the 5 Rights

11. Administration and Documentation
Record and Storage
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

12. MAR Review

13. Activity 6: Pharmacy Label

14. Activity 6: MAR Fluoxetine Entry

15. Activity 7: Pharmacy Label

16. Activity 7: MAR Methylphenidate Entry

17. Activity 8: Countable Substance Form

18. Activity 8: Countable Substance Form Entry

19. Administration and Documentation
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

20. Administration: Preparation
Step 1: Identify person and medications
Step 2: Prepare the space
Step 3: Gather the equipment
Step 4: Get the medication
Step 5: Wash your hands

21. Administration: Administration
Step 1: Check 1
Step 2: Check 2
Step 3: Check 3
Step 4: Administer the medication
Step 5: Observe the person taking the medication

22. Administration: Completion
Step 1: Check 4
Step 2: Documentation
Step 3: Return the medication and MAR to the storage area
Step 4: Handwashing
Step 5: Observe the person for response

23. Administration: Preparation
Step 1: Identify person and medications
Step 2: Prepare the space
Step 3: Gather the equipment
Step 4: Get the medication
Step 5: Wash your hands

24. Administration: Administration
Step 1: Check 1
Step 2: Check 2
Step 3: Check 3
Step 4: Administer the medication
Step 5: Observe the person taking the medication

25. Administration: Completion
Step 1: Check 4
Step 2: Documentation
Step 3: Return the medication and MAR to storage area
Step 4: Handwashing
Step 5: Observe the person for response

26. Administration: Multiple Medications
Part 1: Preparation
Part 2: Administration
Part 3: Completion

27. Administration and Documentation
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

28. Documentation: Typical Dose

29. Documentation: Missed Dose

30. Documentation: Missed Dose Note
Alfred Nicolai July 6, pm Alfred returned home late from work and missed his 4 pm dose of methylphenidate. Supervisor notified and healthcare practitioner’s instructions reviewed in the chart. John Thomas

31. Documentation: Late Administration

32. Documentation: Missed Dose Note Version 1
Alfred Nicolai July 6, :45 pm Alfred returned home late from work and missed his 4 pm dose of methylphenidate. Supervisor notified and healthcare practitioner’s instructions reviewed in the chart. Instructions state that if a dose is missed before 7 pm, then it can be given late. John Thomas 6 pm Late dose given at 6 pm.

33. Documentation: Missed Dose Note Version 2
Alfred Nicolai July 6, pm Alfred returned home late from work and missed his 4 pm dose of methylphenidate. Supervisor notified and healthcare practitioner’s instructions reviewed in the chart. Instructions state that if a dose is missed before 7 pm, then it can be given late. Late dose given at 6 pm. John Thomas

34. Documentation: Refused Dose

35. Documentation: Refused Dose Note
Alfred Nicolai July 7, :30 am When offered his fluoxetine at 8 am, Alfred refused to take it. He said that he didn’t feel like taking it this morning. Attempted to determine why he didn’t feel like taking it and continued to offer the dose to him until 9:20 am. Reviewed healthcare practitioner’s instructions and if one dose is missed or refused, then wait until the next dose is due and try again. Notified supervisor. John Thomas

36. Documentation: Absence

37. Documentation: Absence Note
Alfred Nicolai July 8, pm Alfred left on a visit with his friend and took his 8 am medication with him. He is due back late morning. John Thomas July 9, am Alfred returned from his visit with his friend at 11 am. He took his 8 am medication without problems. He had a good visit.

38. Internal Medicine Associates
PRN Fax Order
Thomas Burns, MD
Internal Medicine Associates
456 Main Street
Anytown, PA 16006
7/10/2004
Alfred Nicolai DOB: 12/1/78
Ibuprophen 200 mg Give one tablet by mouth every 6 hours until the headache is gone or three doses.
Thomas Burns MD

39. Documentation: PRN Front of MAR

40. Documentation: PRN Note
Option 1: Note in chart Alfred Nicolai July 10, pm Alfred complained of a headache. Healthcare practitioner called and faxed order for ibuprophen. Gave one dose and his headache went away in an hour. John Thomas Option 2: Note on back of MAR

41. Documentation: PRN on Back of MAR Only

42. Documentation: Discontinuation

43. Documentation: Discontinuation
Alfred Nicolai July 10, pm Returned home from a visit to review his fluoxetine dose with the healthcare practitioner. The current dose of 40 mg did not seem to have made a lot of difference and he was not showing any response to the dose. The dose was increased to 60 mg with the next dose which will begin tomorrow (7/11). John Thomas

44. Documentation: New Entry

45. Documentation: New Entry

46. Administration and Documentation
Observation
Visit to Practitioner
Record and Storage
Administration and Documentation
Observation
Report Changes

47. Course Completion Criteria
Complete the face to face training
Documentation Practice Activities
Take the skill competency tests for handwashing and gloving
Complete the online testing
Multiple choice
Written documentation
Complete four observed medication administrations