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CBRF Medication Administration Training - PowerPoint PPT Presentation

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CBRF Medication Administration Training. Developed by: University of Wisconsin Oshkosh Approved by: Wisconsin Department of Health Services Division of Quality Assurance Bureau of Assisted Living . Training Topics. Resident Rights Legal and Ethical Responsibilities

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CBRF Medication Administration Training

Developed by:

University of Wisconsin Oshkosh

Approved by:

Wisconsin Department of Health Services

Division of Quality Assurance Bureau of Assisted Living

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Training Topics

  • Resident Rights

  • Legal and Ethical Responsibilities

  • Facility Policies and Procedures

  • Delegated Procedures

  • Medication Management

  • Medical Terms and Abbreviations

  • Medication Packaging, Labeling and Storage

  • Types of Medications

  • Medication Administration

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  • Under certain conditions

  • After successful completion of this training course

Resident assistants (RAs) may administer medication to residents:

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Role of the Caregiver

  • Approximately 800,000 drug-related injuries occur in long-term care every year

  • Errors occur at many levels - from prescription to administration

  • Most are preventable

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Honoring Resident Rights

Residents have the RIGHT to:

  • Receive medication as prescribed

  • Refuse medication

  • Participate in planning

  • Refuse care and treatment

  • Make decisions

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Med Administration Differences

  • Staff administered with supervision

  • Staff administered without supervision

  • Self administered

Ways that medication can be administered:

Activity: Residents’ Rights and Medication Administration

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Legal and Ethical Issues

  • Legal Responsibilities – Permitted by the law

  • Ethical Responsibilities – Nursing Code of Ethics

Activity: Code of Ethics for Caregivers

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Nurse Practice Act

Allows RNs to:

  • Delegate tasks

  • Provide direction and assistance

  • Observe and monitor

  • Evaluate

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Training and Supervision Related to Delegated Tasks

Conditions that must be met:

  • You must be trained

  • You are only permitted to perform nurse delegated-tasks that are EXACTLY the same as your training

Activity: Delegated Tasks

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  • This section covers:

  • Types and forms of medications

  • Factors that can affect medications

  • Classes of medications

  • Pain management systems

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Medication Terminology

  • Drug indication

  • Drug effect or action

  • Side effect

  • Drug allergies

  • Specific administration information

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Factors that Impact Drug Effectiveness

  • Age

  • Drug interactions

  • Fluids

  • Renal function

  • Gender

Activity: Drug Effects

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More Drug Classes

Activity: Using the Drug Classification Reference Tool

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Medical Abbreviations

PRN Medications

  • Means “as needed”

    Stat Medications

  • Means “immediately”

Activity: Understanding Abbreviations

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Be Careful About Drug Names

Generic vs. Trade Name Drugs

  • Acetaminophen vs. Tylenol

    Medications: Look Alike/Sound Alike

  • Zantac ↔ Xanax

  • Zestril ↔ Zyprexa

Activity: Look Alike/Sound Alike Medications

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Pain Management

  • Causes of Pain

  • Pain Management Scales

    • Numeric Rating System

    • Wong-Baker Faces Pain Rating Scale

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Pain Management Medication


  • Mild pain

    Non-steroidal anti-inflammatories (NSAIDs)

  • Mild to moderate pain


  • Severe and chronic pain

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Controlled Substances

Over 6 million people “divert” medications

Not restricted to any:

  • Socio-economic class

  • Culture

  • Geographic location

  • Profession

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Knowing Your Responsibilities

  • Report suspicions of drug diversion to a supervisor

  • Store, administer and dispose of controlled substances appropriately

It is your ethical responsibility to ensure the safety and well-being of residents

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Commonly Abused Prescription Medications

  • Opiods – pain

  • CNS Depressants – anxiety and sleep disorders

  • Stimulants -sleep disorders and ADHD

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Increasing Awareness: What Caregivers Can Do

  • Watch for red flags of drug abuse or medication diversion

  • Don’t enable the abuser

Activity: Developing Best Practices

Activity: Applying Best Practices

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Reporting Drug Diversion by Caregivers

Wisconsin’s Caregiver Law:

  • Abuse or neglect

  • Misappropriation of property

    Criminal Charges and Penalties:

  • Caregiver misconduct

  • Criminal violation

  • Permanent record

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  • Administrative records

  • Orders

  • Packaging requirements

  • Labeling

Medication Administration System

CBRF Policies and Procedures should cover:

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Medication Administrative Records

The MAR is a written record of each resident’s medication regimen – it tells when the resident is taking:

  • Prescription drugs

  • Over-the-counter medications

  • Dietary supplements

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Medication Orders

DHS 83 requires a physician’s or practitioner’s order in each resident’s chart or record for all prescription or over-the-counter medications.

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Medication Packaging and Labeling Requirements

  • Unit doses are required when no supervision

  • Permanent labels

  • Medications may not be shared

Activity: Review of Medication Packaging and Labeling

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Medication Procedures and Documentation

  • Name of the med-dosage, date and time of administration

  • Treatments

  • Effects or side effects

  • The need for PRN meds

  • Refusal by the resident to take meds

  • Omissions of meds

  • Medication errors

  • Drug reactions

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Medication Errors

Causes of Medication Errors

  • Wrong medication

  • Wrong dose

  • Wrong time/omission

  • Wrong route

  • Wrong technique

Activity: Recognizing Medication Errors

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Medication Storageand Disposal

DHS 83 requires that medications are secured in accordance with laws and regulations to prevent access by unauthorized persons

Activity: Medication Storage and Disposal

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CBRF Review and Monitoring Responsibilities

The CBRF’s Responsibilities:

  • Medication regimen review

  • Medication review for scheduled psychotropic medication

  • Annual review requirements

  • Other monitoring to assure oversight

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The Six Rights of Medication Administration:

  • Right Individual

  • Right Drug

  • Right Dose

  • Right Time

  • Right Route

  • Right Documentation

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Standard Precautions

Ways of doing your work to lower the chance of spreading disease

  • Hand hygiene

  • Protective equipment

  • Care of the environment

  • Safe injection practices

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Routes and Procedures Demonstration

You must demonstrate ALL EIGHT procedures before the training can continue

Oral Medications

Oral Inhalers

Eye/Ophthalmic Drops

Eye Ointment

Ear Drops

Nasal Medications

Transdermal Medication Patches

Topical Medications

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Using the Medication Administration Record

You must demonstrate the ability to read and understand the medication administration record

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Medication Administration Process Steps

  • Unlock the cabinet/cart

  • Observe medication rights

  • Check 3 times

  • Practice hand hygiene

  • Put on gloves

  • Inform the resident

  • Be respectful

  • Observe the resident

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More Medication Administration Process Steps

  • Administer meds

  • Allow the resident to assist

  • Assure ingestion

  • Remove gloves

  • Repeat hand hygiene

  • Document required information

Activity: Administering Medications

Activity: Understanding the Medication Process

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Training Topics Review

  • Resident Rights

  • Legal and Ethical Responsibilities

  • Facility Policies and Procedures

  • Delegated Procedures

  • Medication Management

  • Medical Terms and Abbreviations

  • Medication Packaging, Labeling and Storage

  • Types of Medications

  • Medication Administration