Med Admin in Community Settings (Class 10) Flashcards
0
Q
For med education within the home the nurse must provide written instructions for what?
A
- Any drug related lab tests
- Expected therapeutic effects and length of time to achieve response.
- Keeping adequate supply
- Drug food interactions or foods encouraged for specific nutrients.
- Alcohol, grapefruit or cranberry juice may be contraindicated with selected meds.
1
Q
For med education within the home, the nurse must assess for what?
A
- Physical abilities
- Any temporary cognitive impairments
- Safety with operating machines
- Medication storage
- Self-administration skills
2
Q
Written instructions should include what things?
A
- Contact HCP before beginning new OTC
- Follow up appointments
- Medic alert bands
- Available community resources: BP clinics, parish nurses, senior services, wellness centers, associations: AHA, ACS.
- How to self administer medication, care and cleaning of equipment, taking pulse, etc.
- Name of contact person for questions
- General side effects
- Cultural sensitivity and respect
3
Q
About medication administration in the home setting.
A
- Drugs administered must be FDA approved, must have compete order, and must be labeled in container from pharmacist or HCP; no meds given of not labeled.
- Check expiration dates, storage evaluated.
- Allergies
- 8 rights, 3 checks
- Certified home health aide: under supervision of RN-often asked to administer meds, but can only assist client with meds that client self-administers.
- Additional challenges: no primary caregiver present, quality and prep of meals may be an issue, getting meds may be difficult.
4
Q
School nurses are responsible for what?
A
School nurses are responsible for developing individual health plans for special needs students and defining when and what care can be delegated to assistive personnel.
5
Q
What is the role of the school nurse?
A
- To promote self-management programs
- Facilitator
- Care giver
- Advocate
6
Q
What are some basic requirements for medication administration in schools?
A
- Given only with parents written permission
- Meds requiring a prescription given only on written authorization of health care provider
- Prescription meds must be in original pharmacy labeled container
- Meds recorded by school personnel who administers them with their name, students name, medication, date, time, and dose.
- Meds secured in a secure locked cabinet.
7
Q
About medication administration in the work setting.
A
- Work site is ideal setting to promote health behaviors and decrease environmental hazards.
- Companies hiring occupational health nurses due to escalating costs of health care and insurance: healthy employees are more productive.
- Focus on health promotion, protection, and restoration of workers health.
- Individual policies for med administration at specific work site.
- Check patients history. Set goals. Provide literature and videos in workers language. Evaluate, set new goals.
