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Drug Administration State Regulations
Wash hands
Verify MAR with order, check allergies
Assemble equipment: tray, med card, med, tissues, gloves, water
Check MAR with label when removing from storage and again
Place med with Identification on tray
Document on MAR
Knock on door and wait for permission
Identify self and explain purpose
Identify res. by name and ID
Position res. sitting or laying HOB elevated 30 degrees
Remove cap
Shake
Position container upside down
Tilt head back
Breathe out and release inhaler with inhaling
Res. hold breath 5-10secs
Breathe out slowly
At least one minute before second dose
At least five if different med
Res. rinse mouth after for steriod inhalers
Wash hands
Read label again
Report and record
MO Nursing Home Licensure Law & Regulations
MO Pharmacy and Nurse Practice Act
MO Controlled Substance Act
When removing med from storage
Before removing from package
When returning to storage
Failure of person responsible for an individual to provide necessary services to maintain
physical and mental health of the individual, when such failure presents an imminent or
probable danger or death to the individual. Example: walking away from a resident's
bedside without putting the side rails up when side rail use is ordered by the physician and
is included in the care plan.
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