QMA Study Guide Questions with 100% Complete Solutions Rated A+

Tasks the QMA is PROHIBITED from performing. - Assess a resident's condition. Call a physician. Take a physician's written or verbal order. Administer medication by injection. Administer any medication inhalation treatment OTHER than a metered dose inhaler. Administer medication per nasogastric tube. Instill irrigation fluids of any type including, but not limited to, colostomy, catheter and enema, EXCEPT a commercially packed prepared disposable enema. Administer a treatment that involves an advanced skin condition, including Stage II, III, and IV decubitus ulcers. The QMA Scope of Practice - Observe and report to licensed nurse. Measure and document vital signs. Administer regularly prescribed meds which the QMA has been trained to administer only after personally preparing the meds to be administered. Initiate oxygen per nasal cannula or non sealing mask only in an emergency. Obtain oxygen saturation using oximeter. Administer, apply physician ordered oral, ophthalmic, otic, nasal, vaginal and rectal meds. Crush and administer meds if such preparation is appropriate per manufacturer or physicians order. Alter capsules if prescribed to be administered in this altered manner by the physician. Count, administer, and document controlled substances. Administer meds per G-tube or J-tube. Administer previously ordered PRN meds only if authorization is obtained, then the QMA must chart resident symptoms indicating the need for the med and time symptoms occurred, Chart that the facility nurse was notified the symptoms of the resident and that permission was granted to administer med, obtain permission each time the resident needs the med, ensure that the resident's record is soigné do by the LPN or RN who gave the permission for the PRN meds. Apply topical meds to minor skin conditions such as dermatitis, scabies, pediculosis, fungal infection, psoriasis, eczema, first degree burn, stage I decubitus ulcer. Administer meds via metered dose inhaler. Conduct hemoccult testing and report result to licensed nurse. Provide site care and apply dressing to a healed G-tube or J-tube site (ordered). Empty and change colostomy bag. Instill a commercially disposable enema (120 ml or 4.5 ozs) after the resident has been assessed by the nurse. Administer a sitz bath if ordered by a physician. Apply cold, dry compress as directed by nurse or physician. Conduct diabetic urine testing. Collect fecal or urine specimens as ordered Negligence - The omission or neglect of any reasonable precaution, care or action. Residents are protected from health care negligence or malpractice by a law called Duty of Care. Malpractice - Any improper or injurious practice, or any unskillful or faulty medical or surgical treatment. The Six Rights of Medication administration - Right Medication. Right Dose. Right Resident. Right Route. Right Time. (1hr before or 1 hr after). Right documentation. Initial Steps - Obtain info from licensed nurse about resident's needs abilities, limitations, and known allergies. Gather supplies and equipment. Knock on resident's door. Identify yourself. Explain procedure to the resident. Wash your hands or use antiseptic foam or gel. Wear gloves to maintain Standard Precautions as necessary. Final Steps - Observe resident for any immediate reaction to med or procedure. Assure the resident is in a comfortable position. Make sure call light is within resident's reach. Remove supplies and discard of medication cups/disposable supplies. Thank resident. Remove gloves. Wash hands. Document meds administered or procedure preformed. Report any abnormalities to the nurse. Sundowning - Increased confusion and restlessness in late afternoon, evening, and night. Hand washing - Lather all areas of hands and wrists, rubbing vigorously for at least 10 seconds. Putting on Gloves - Remove one glove by grasping the outer surface just below the cuff with the other gloved hand.