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Adhere to to the scope/practice of a medication assistant
Assessment Strategies
Skill Demonstration-Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
you work within the medication assistant's scope of practice and the limits of training (administer approved routes only, ask RN/LPN questions)
you practice under the supervision of a nurse
your behaviors are in compliance with resident rights (respect, dignity, privacy, grievances, access, transfer or discharge and self-determination).
you explain medication information to the resident within the scope of practice (you inform the resident of the medication name, intended purpose, and side effects)
you maintain resident confidentiality (HIPPAA)
you report abuse or suspected abuse to appropriate person following the chain of command (nurse, charge nurse, nursing supervisor)
you follow standards, regulations, statues, and administrative rules (Federal and State)
you maintain professional boundaries (no personal relationships with residents, no gifts given or accepted, etc.)
you demonstrate professionalism (arrive on time, work entire shift, avoid chemical influence, no texting, clean uniform)
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Apply legal/ethical administration practices
Assessment Strategies
Skill Demonstration-Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
comply with the Federal Controlled Substance Act.
comply with the Wisconsin Controlled Substance Act.
adhere to the Seven Rights of medication administration in your practice.
comply with the Wisconsin Pharmacy Practice Act.
comply with the Nurse Practice Act.
comply with the Comprehensive Drug Abuse Prevention and Control Act of 1970
comply with HIPPAA regulations
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Follow standard practices for infection control
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
utilize appropriate hand washing techniques (when to wash and what to wash with)
follow facility and OSHA policies for maintaining medical asepsis (gloves, gown, goggles, and mask)
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Access information using drug references
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
use a drug reference that reflects the most current information
check for the “black box” warnings
locate usual dosage
locate usual route
identify any special administration instructions
identify the desired effect
identify the most common adverse effects
identify possible drug interactions
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Analyze the medication administration record (MAR)
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
identify whether the resident has allergies
identify the prescribed route of administration
define abbreviations on the MAR
identify what time the medication is ordered to be administered
confirm your understanding of the medication order with the RN when necessary
discern when to follow verbal medication administration instructions
follow written instructions
identify any discrepancies/issues on the MAR
report any discrepancies/issues on the MAR to the nurse
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Document all aspects of medication administration
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
chart in a manner that follows facility policy
follow standard principals of charting
record pulse and blood pressure, as appropriate to medication administration
verify the name of the drug, strength and/or amount of the drug, time at which the drug was given, and route by which the drug was given
initial/sign the chart entry
document when you have skipped a medication dosage and provide the reason
complete an incident report, per facility policy, if you make a medication error
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Apply standards/regulations to store/stock medications
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
use most current drug references to identify storage requirements (e.g., refrigerated medications, narcotics, or items that require special lighting)
follow the facility's storage and disposal policies (ex. if not in front of cart it must be locked, locked receptacle for disposal)
check expiration dates of medications
notify the nurse when a medication is expired/expiring
follow the state disposal regulations for destruction of medications per nurse instructions
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Report effects of drug on resident
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
gather information from the resident to determine whether the desired effects of the disbursed medication were met
gather information from the resident to determine if there were side effects and/or adverse reactions from the medications
verbally notify the nurse of adverse changes in the resident's condition
document, in the resident’s record, that you notified the nurse of adverse changes in the resident’s condition
document the resident’s response to the medication in the resident’s record
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Set-up for a medication pass
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
set up medications for one resident at a time
use appropriate metrics for measurements
determine correct dosing when the available dosage differs from ordered dose
follow the practices from the "seven rights of drug administration" related to set-up (Right Patient, Right Medication, Right Dosage, Right Route, Right Time, Right Reason)
follow infection control policies and practices
follow standard procedure to pour liquid medication (palm the label, tip away from label, and measure at eye-level)
follow standard procedure to prepare a unit dose tablet (place the packaged tablet directly into the medicine cup)
follow standard procedure to prepare a dose from a stock bottle (pour the required number of tablets directly into the bottle cap and transfer them to a medicine cup)
determine when medication should be mixed with liquid/food prior to dispensing
identify appropriate food/liquid to use when mixing medications
determine when a medication is/is not to be crushed
identify the resources and equipment used to safely set-up medications (pill crusher, MAR, water, spoons, internet, etc.)
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Administer medications as prescribed
Assessment Strategies
Skill Demonstration—Practicum (Simulation in given scenarios)
Written exam
Clinical Evaluation—Pass/Fail
Criteria
select the medication listed on the MAR
explain purpose of the medication
explain medication/dose abbreviations
identify the standard dosage for a medication
identify the standard routes of administration of a medication
identify the desired and adverse effects of a medication
explain why the resident is receiving the medication(s)
follow standard practice for infection control
use drug references as needed
set up medications for med pass
follow standard procedure for administering the medication
document medication related information
report effects of medication on resident/patient