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MTTP > Med Tech Day 1 > Flashcards

Med Tech Day 1 Flashcards

1
Q

4 rules of medication administration

A
  1. Unlicensed people can only administer medication AFTER completing MTTP and receiving certification from MBON.
  2. Only the RN, case manager delegating nurse may delegate medical administration to a CMT
  3. All medications must have a PMOF (doctors order) and pharmacy label.
  4. All OTC meds must have a PMOF (doctors order) and pharmacy label.
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2
Q

2 things ALL medications must have? Prescription and OTC meds

A
  1. A PMOF (doctors order)

2. Pharmacy label

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3
Q

What is needed before someone can administer medication.

A

MTTP certification and certificate from MBON

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4
Q

Who delegates medication administration to a CMT?

A

RN (registered nurse or a case manager delegating nurse (RM CM or DN)

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5
Q

8 components of medication administration cycle

A
  1. Observe for changes
  2. Report observations
  3. Assist with visits to HCP
  4. Obtain medications
  5. Store meds correctly
  6. Administer meds correctly
  7. Ensure meds are taken correctly.
  8. Document promptly/correctly
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6
Q

Reasons medications are used (4)

A
  1. To Cure
  2. To prevent
  3. To manage (disease or symptoms)
  4. To relieve symptoms
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7
Q

How to ensure personal rights, privacy, dignity?

A 
Do not hang signs on wall. 
Do not line people up
Offer privacy
Address by name
Support Self-medication as appropriate
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8
Q

Does the individual (guardian) have the right to refuse treatment? Y/N

A

Yes

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9
Q

What do you do if individual refuses medication?

A 
Ask why?
Overcome (discuss) objections. 
Educate why med is important. 
Report to nurse and supervisor. 
Document in MAR
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10
Q

Behavior modifying meds may be used as a substitute for programming? T/F

A

False

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11
Q

What do you do If there is a change in the physical or behavioral condition of an individual?

A

Call the RN

NOTATE

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12
Q

3 effects of medication

A
  1. Desired effect - medication is working.
  2. Unwanted/adverse effect - something unexpected happened.
  3. No apparent effect - nothing happened or med doesn’t seem to be working.
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13
Q

What is important to remember about drug interactions?

A

The more the meds the higher the chance of drug interactions.
Each medication you add increases likelihood of drug interactions.

*know the baseline of the individual.

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14
Q

Define: Objective

A

You can see it, touch it, measure it

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15
Q

Define: Subjective

A

Something that is not seen or measured but reported by the individual.

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16
Q

3 classifications of medications?

How often re-ordered?

A
  1. Somatic - used to treat medical conditions
    - yearly
  2. Psychiatric - used to treat psychiatric or mental health related conditions.
    - 90 days
  3. Class II - controlled substances (addictive)
    - 30 days
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17
Q

What is a PMOF

A

Doctor’s order form

Somatic and psychiatric meds must be on separate PMOF’s

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18
Q

3 reporting categories. Give examples

A
  1. EMERGENCY medical condition. Call 911. Inform nurse as soon as logically possible (post crisis)
    - heart attack, stroke, seizure
  2. Non-emergency - call nurse and inform supervisor.
    - headache, minor injuries, flu
  3. Other or behavioral changes. Inform nurse and supervisor.
    - change in weight or sleep patterns
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19
Q

What documents to bring to medical appointments?

A 
Appointment record
Photo ID
Insurance card (or photocopy)
Medical records
Doctors orders
List of meds
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20
Q

What questions to ask when a new med is prescribed?

A
  1. Purpose of medication
  2. How much (dosage)
  3. How often
  4. How long
  5. Potential side effects
  6. Route
  7. Drug interactions
  8. What is required before taking (vitals or tests etc)
  9. What happens if individual refuses (missed dose)
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21
Q

Define refill and reorder

A

Refill - # of times pharmacy will re-supply medication before a reorder is needed.
Reorder - when a doctor is required to re-issue or re-write the prescription.

Somatic = yearly
Psychiatric = 90 days
Schedule II = 30 days

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22
Q

What is generic vs brand name of medication?

A

Generic = original or actual name of drug

Brand name = given by manufacturer.

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23
Q

Sample medications require:

A
  1. Doctor’s orders

2. Pharmacy label

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24
Q

3 important things to remember about the pharmacy.

A
  1. All medications should come from the same pharmacy.
  2. Pharmacists are a valuable member of the team
  3. Pharmacists are excellent resources for information about drugs, uses, side effects, interactions etc
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25
Q

Factors that can influence a persons response to medications?

A

Age
Weight
Hormones
Physical condition

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26
Q

Most common routes of medications

A

Oral

Topical

27
Q

Forms of medications

A 
Tablets
Drops
Patches
Suppositories
Capsules
Sprays
Ointments
Liquids
Creams
28
Q

What is a suspension?

A

Often opaque liquid in which medication is mixed in or “suspended”

Shake well - evenly distribute the medication

29
Q

What is toxicity?

A

The body’s inability to eliminate or metabolize the amount of medication.

  • often sue to poor organ function.
  • more common in children and elderly.
30
Q

What factors influence a person’s response to medication?

A 
Age
Weight
Hormones
Physical condition
Route of delivery
31
Q

Def

Medication allergy

A

An undesired physical reaction to a drug. Often causing swelling.

Emergency

32
Q

Def

Tolerance

A

Medication no longer working.

Body has become accustomed to the drug. No longer as effective.

33
Q

Def

Addiction

A

A physical or psychological dependence on a substance

34
Q

Def

Desired effect

A

The intended effect of a medication

The medication is working

35
Q

Def

Unwanted effect

A

An unexpected or undesired effect of a medication.

36
Q

Def

No apparent effect

A

Medication is not working or stopped working.

Medication fails to provide any or the desired effect

37
Q

How to store schedule II narcotics?

A

Inside a locked box, inside a locked cabinet.

38
Q

3 ways medications are packaged?

A

Bottles
Blister packs
Syringe

39
Q

3-way check

What must match?

A

Dr orders
Pharmacy label
MAR

40
Q

What form is required to record the administration of medication?

A

MAR

Medication administration record

41
Q

What information is included on the MAR?

A 
Medication name
Doctor’s name
Start date 
Dose
Route
Diet
Diagnosis 
Time
42
Q

How should medication requiring refrigeration be stored?

A

In a locked box

43
Q

T/F

Oral and topical medication should be kept separately in the medication cabinet

A

True

44
Q

Is the MAR a legal document

A

Yes

45
Q

Two ways medication should be stored?

A
  1. Locked storage area

2. In original container eg blister pack

46
Q

When is it necessary to dispose of or not administer medication? CRED

A
  1. Expired
  2. Refused
  3. Contaminated
  4. Discontinued

(CRED)

47
Q

Pharmacy label should never be _________ or _________.

A

Altered or changed

48
Q

Who Should have access to the keys to the medication cabinet?

A

Only the RN and CMT

49
Q

When do you perform the 3-way check?

A

Remove from cabinet
Prior to dispensing (before popping the blister pack)
Prior to giving the medication (when it is in the cup)

50
Q

Permission for administering PRN medication can be obtained by:

A
  1. Referring to the administering PRN medication nursing delegation order.
  2. Calling the RN in call.
  3. Referring to the nursing care plan for instructions about administration
51
Q

Examples of medication error

A

Any violation of the 6 rights.

  1. Person
  2. Medication
  3. Route (method)
  4. Dose
  5. Time
  6. Charting/documentation
52
Q

T/F

A chemical support medication can be given without approval of the standing committee?

A

False

53
Q

Medication Administration Safety

A
  1. Wash hands
  2. Read PMOF (doctor’s order), and compare with the MAR
  3. Pull out the medication (correct time: read label)
    - First 3-way check completed.
  4. Second 3-way check. Compare Dr order, pharmacy label and MAR.
  5. Check for allergies and/or pre-med directions.
  6. Dispense medication into med cup.
    - do final 3-way check before giving meds to individual.
  7. Introduce yourself and explain you are giving them their medication.
  8. Ensure they swallow their medication.
  9. Document on Mar
    - ensure your name/signature is on back of MAR
54
Q

6 rights of medication administration

A
  1. Right person
  2. Right medication
  3. Right route
  4. Right dose
  5. Right time
  6. Right documentation
55
Q

3 way check uses

A

PMOF (doctors order)
Pharmacy label
MAR

56
Q

Safety principles. 5

A 
Wash hands
Avoid distractions
Check for allergies 
Full attention to task
3-way check
57
Q

Is a CMT Licensed to give medication?

A

No. A CMT is NOT licensed

58
Q

Where are schedule II drugs documented?

A

MAR

Controlled substance sheet

59
Q

When does a medication error occur?

A

When there is a mistake with any of the 6 rights.

When a right becomes a wrong.

60
Q

Blank box on MAR

A

Considered a medication error.
Notify nurse immediately (figure out why)
Needs to be documented on the back of the MAR.

Missing medication or
Missing document.

61
Q

What do non-medicated OTC’s need before use?

A

Recommended by the nurse

Written instructions in the PCP or care plan

62
Q

What do you need to be mindful of with OTC’s

A

Side effects
Ingredients
Usage
Storage

63
Q

How to encourage an individual to participate in HCP appointment?

A

Encourage individual to speak up.
Discuss goals beforehand
Write down questions

64
Q

Questions to ask HCP when new medication is prescribed?

A 
Purpose
Time
Dose
Route
Interactions 
Side effects
How long med to take effect
Prior tests? Eg BP, blood sugar

MTTP (2 decks)

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