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RCFE > Medications > Flashcards

Medications Flashcards

1
Q

What is CSM?

A

Centrally Stored Medications

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2
Q

How are CSMs to be stored?

A
  • Shall be kept in a safe and locked place

- Not accessible to persons other than employees responsible for the supervision of the CSM

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3
Q

What medication related items shall be inaccessible to residents with dementia?

A
  • Over the counter medication
  • Nutritional supplements
  • Vitamins
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4
Q

How must all CSMs be maintained?

A
  • CSMs shall be labeled and maintained in compliance with state and federal laws
  • No persons other than the dispensing pharmacist shall alter a prescription label
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5
Q

What information is required to be labeled on a CSM?

A
  • Name of resident for whom prescribed
  • Name of the prescribing physician
  • Drug name, strength and quantity
  • Date filled
  • Prescription number
  • Name of issuing pharmacy
  • Expiration date
  • Number of refills
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6
Q

When shall CSMs be destroyed?

A
  • Not taken with resident upon termination of services
  • Not returned to the issuing pharmacy
  • Not retained in the facility as ordered by the resident’s physician and documented in the residents record
  • Not disposed of according to the hospices’ established procedures
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7
Q

Who is required to destroy CSM when applicable?

A
  • Facility administrator

- One other adult who is not a resident

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8
Q

How are the destruction of CSMs managed?

A
  • Both persons involved shall sign a record

- Records shall be retained for at least three years

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9
Q

What information is required on CSM destruction records?

A
  • Name of the resident
  • Prescription number
  • Name of the pharmacy
  • Drug name, strength and quantity destroyed
  • Date of destruction
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10
Q

What information is required for the CSM record for each resident?

A
  • Name of resident for whom prescribed
  • Name of the prescribing physician
  • Drug name, strength and quantity
  • Date filled
  • Prescription number
  • Name of issuing pharmacy
  • Instructions, if any, regarding control and custody of the medication
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11
Q

Who is responsible for CSM records?

A

RCFE Administrator Licensee

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12
Q

How long must CSM records be maintained?

A

1 year

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13
Q

Who shall assist residents with self administered medications?

A
  • RCFE Administrator Licensee
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14
Q

Who may assist residents, with approval of the RCFE Administrator Licensee, with the self administered medications?

A
  • Staff designated by licensee
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15
Q

What are the CSM packaging requirements?

A
  • Each residents medications shall be stored in its originally received container
  • No medications shall be transferred between containers
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16
Q

When shall the facility staff be permitted to assist the resident with self administration of his/her PRN (As Needed) medication?

A
  • Resident’s physician has stated in writing the resident is:
    • Able to determine and communicate his/her need for a prescription or nonprescription PRN medication
17
Q

When shall facility staff designated by the licensee be permitted to assist the resident with self-administered medications without restrictions?

A
  • Resident’s physician has stated in writing that the resident is able to determine his/her own need for nonprescription PRN medication can communicate his/her symptoms clearly
18
Q

What requirements must be met for facility staff to assist a resident with self-administered medications when the resident is unable to determine their need for a PRN but can communicate his/her symptoms clearly?

A
  • Written direction from physician on prescription blank including:
    • name of resident
    • name of medication
    • physicians order including
      - specific symptoms which indicate need for use
      - exact dosage
      - minimum number of hours between doses
      - maximum number of doses allowed in each 24-hour period
    • once ordered by physician the medication is given according to physician’s directions
    • Record each dose is maintained in the resident’s record
19
Q

What is required on PRN medication records for each resident?

A
  • Date and time the PRN medication was taken
  • Dosage taken
  • Resident’s response
20
Q

If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication and is unable to communicate his/her symptoms clearly, what is required of the facility staff in order to assist the resident with their PRN medications?

A
  • Facility staff contact the resident’s physician prior to dose:
    - relay description of resident’s symptoms
    - receive direction to assist the resident in self-administration of dose of medication
  • Record the following information in the resident’s facility record:
    - Date and time of each contact with physician
    - Physician’s directions
    - Date and time PRN medication was taken
    - Dosage taken
    - Resident’s response
21
Q

What does self-administration assistance by the facility staff not include?

A
  • Forcing a resident to take medications
  • Hiding or camouflaging medications in other substances without the resident’s knowledge and consent
  • Otherwise infringing upon a resident’s right to refuse to take a medication
22
Q

How must syringes and needles be disposed of?

A

IAW California Code of Regulations Title 8, Section 5193 concerning blood-borne pathogens

  • Shearing or breaking of contaminated needles is prohibited
  • Contaminated needles shall not be bent or recapped
  • Waste containers shall not be opened or emptied manually
  • immediately or as soon as possible after use, contaminated needles shall be placed in appropriate containers that:
    • rigid
    • puncture resistant
    • leak proof
    • Portable, if portability is necessary to ensure easy access by the user
    • Labeled as BIOHAZARDOUS WASTE or SHARPS WASTE

RCFE (4 decks)

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