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Medication Aide Study Guide
• Do not Crush - ANS You MUST have a doctor's order to crush medications
ER
-Keep the crusher clean and free from debris of previous medications
H
• Managing the MAR - ANS MAR's are printed once a month; as each new order
IG
is faxed to pharmacy, a new MAR will be sent between the new monthly orders
The old order should be discontinued by writing "D/C", the Date and Your initials, and
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either drawing a line, or highlighting the order
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Anytime a resident goes to the doctor, or gets a new prescription, make sure if there are
new orders, that they get faxed to pharmacy
IN
- This includes discontinued medications, changes, or nondrug orders as well.
LY
Pay close attention to orders with special instructions or medications given once a
F
week, every other day, or those with start and stop dates
• Measuring - ANS - Always measure correctly using only graduated syringes,
dosing cups or spoons
- 1 teaspoonful = 5ml = Sec
- 1 tablespoonful = 3 teaspoonfuls = l 5ml = 15cc
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- 1 ounce = 30ml = 30cc
- When measuring liquids, hold the cup at eye level
- Remember that some liquids have special measuring tools that you have to use with
them
• Metric System -
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ANS 1 ounce (oz) = 30 ml
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1 Tablespoon (Tbsp) = 15ml
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1 teaspoon (tsp) = 5 ml
GH
1 milliliter (ml) = 1 cubic centimeter (cc)
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• Remember the 6 RIGHTS - ANS Right Resident
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Right Medication
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Right Dose
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Right Time
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Right Route
Right Documentation
• Right Documentation - ANS - Initial the MAR AFTER the medication is given
- You must have the MAR with you when assisting or administering medications; assist
with or give the medications, then sign the MAR immediately after
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- If the dose is refused or not taken, circle your initials, and note on the back the
medication, date, time and reason not taken
- If the dose is outside of the time window, circle your initials, and note on the back what
time the medication was given, and why it was outside the time frame
R
- If a medication is not available, circle your initials, and note on the back that
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medication is on order, waiting for family, etc.
H
- DO NOT CHART that medication is not available LONGER THAN approximately 48
hours!
G
- If medications are sent out with family, circle your initials, and note on the back that the
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medications were given to family because resident is out of building, (OOB) , on a LOA,
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etc.
G
- If meds are started AFTER the first of the month, draw a line through the days until the
first dose given (For regular, routine meds)
N
- If you cannot find a medication, or it is not there for the resident, do not just skip it.
I
Follow up and find out how to get the medication for the resident
Y
- You may "HOLD" a medication per family request, as a courtesy, for approximately 24-
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48 hours (until the family can reasonably contact MD). After that, you may not hold a
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medication per family request until you get a MD order (Please consult your community
policies)
- When Discontinuing or Changing an order on the MAR, you must write "DIC" or "Order
Changed, See below" AND the date and initials. MAKE Sure you have a copy of the
order in the resident's chart
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You may not mark through or change dosing times on the MAR with ink. This is a legal
document.
• Right Medication, Right Dose - ANS - Remember: Read the MAR 3 times
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- Kroger Health Solutions Pharmacy prints the color, identification markings, and shape
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of the tablet and capsules. Get in the habit of making sure it matches.
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- Check the medication name on both the MAR and package;
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- Check the dosage on both the MAR and package
G
• Right Resident - ANS - Even though residents may not change that often,
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always make sure you have the right resident by calling their name, and identifying with
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a picture on the MAR Also remember to respect their privacy by always knocking on
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their apartment door, and never exposing them to assist in applying a patch or cream.
route
FL
• Right Route - ANS - Read the MAR 3 times to make sure you have the right
Routes include oral, topical, rectal, vaginal, intramuscular, subcutaneous
Some Injectable (subcutaneous and intramuscular), vaginal and rectal are allowed in
Administration of meds by Certified Medication Aides