Term
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Definition
| the roles functions activities and responsibility which support workers are educated and authorized to perform |
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Term
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Definition
| knowledge skills attitude and judgments required to safely administer |
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Term
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Definition
| understanding of a skill shown by performing skill against well-known standards |
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Term
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Definition
| the assignment of an activity to a support worker who must receive training and demonstrates proficiency |
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Term
| Upon Meeting The Training Requirements |
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Definition
| Administer oral – pharmacy approved with label, name, name, Administer over the counter medication according to agency policy, Apply topical Medications, Eye ear nasal, Respiratory Medications, Epipen, Teach and or prompt and monitor clients, Ensure timely renewal of prescriptions, Ensure client took, Monitor side effects, Document |
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Term
| Restricted Activities Additional Training Required |
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Definition
| Insert rectal medication, Insert vaginal, Administer respiratory medication, Administer topical anti lice or anti scabies, Sub cutaneous medication via injection, Administer via gastronomy tube |
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Term
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Definition
| Most important, Have a right to be involved, Have right to be informed, Tell how medication is working, Right to refuse medication, Focus |
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Term
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Definition
| Asses, diagnose, prescribe and coordinate care, Important to communicate, Important top provide quality information, Legal authority, Might be client, parent or guardian, Must sign consent before any medication is given, Must be kept informed |
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Term
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Definition
| Dispense meds, Can prescribe under guidelines, Provide information on meds, Keep information on allergies, Maintains client drug profile, Always use same one |
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Term
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Definition
| May be involved through homecare or health link or through agency |
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Term
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Definition
| Establish policy and procedures, Ensure legislation and requirements, Ensure written consent, Provide education, Assess proficiency |
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Definition
| Should be kept in communication loop, Be aware of what information can be shared, Enlist help if necessary, Supervisor, Help problem solve, Monitor assess and coach, Ensure policy and procedures followed |
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Definition
| Provide frontline assessment, Recognize effect of meds, Communicate changes, Ensure continuity of care |
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Term
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Definition
| Written, Test, Form, Manuals, Communication books, Log or contact notes, MAR |
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Term
| Verbal Or Non Verbal Communication |
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Definition
| Words, Sounds, Pictures, Body language, Sign language , Facial expressions |
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Term
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Definition
| Clarification, Appropriate language, Importance, Good listening skills, Clear and concise, Legible handwriting, Accepted abbreviations, 24 hour clock |
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Term
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Definition
| Ask for clarification, Make sure you understand others, Make sure others understand you |
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Term
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Definition
| Protect you, Protect client, Protect agency, Level the playing field, Are excellent resources, Designed to keep you safe |
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Term
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Definition
| A guide or plan for carrying out the philosophy of an organization. Rules that tell you why you must do something |
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Term
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Definition
| Written instructions on how to carry out policy. |
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Term
| Medications Signed Consent Form |
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Definition
| be aware: where, Who gets copies, time frame valid |
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Term
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Definition
| A full review must happen at least once a year, Written prescription can be an order, Employees can take emergency order one time, Standing order written for as need PRN basis |
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Term
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Definition
| Not best practice, Not recommended, Not evidence based research |
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Term
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Definition
| Include herbs, vitamins, and nutritional, Intended for short term use, May be administered without doctors order if policy, Only if approved |
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Term
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Definition
| Can observe but not give, Administering Epipen with doctors’ orders |
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Term
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Definition
| 1. Infectious agent, 2. Reservoir, 3. Portal of exit, 4. Mode of transmission, 5. Portal of entry, 6. Susceptible host |
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Term
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Definition
| most effective way to prevent spread, Always use, After touching blood, body fluid, excretions and contaminated items, Immediately before administering meds, Between client contact, Wash for 20 – 30 second, pay attention under fingernails |
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Term
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Definition
| Blood, Body fluid, Secretions, Mucous membranes, Broken skin, Contaminated items |
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Term
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Definition
| Eyes nose and mouth, Most germs enter |
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Term
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Definition
| Appropriate and safe waste disposal, Handle soiled lines carefully, Clean reusable client care equipment, Place all used sharps in puncture, Approved barriers to avoid direct mouth to mouth contact during CPR |
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Term
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Definition
| Combines, Universal precautions which protect from blood borne infections, and Body substance isolation which protects from blood or bodily fluid |
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Term
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Definition
| When hands visibly dirty, After washroom, After blowing nose, Before and after eating or handling food, drinking or smoking, After raw meat, After garbage, When sick people, Pets |
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Term
| Alcohol Based Hand Sanitizer |
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Definition
| When not visibly dirty, No access to soap and water, After washroom, After blowing nose, Before and after food, drinking or smoking, Raw meat, Garbage, Sick people, Pet animal or animal waste, At least 60% alcohol |
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Term
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Definition
| Prevent spread of droplet, Always wash bands before, Three layers, Intended for single use only, Maximum of three hours |
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Term
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Definition
| Protect from infections agents in body fluids and prevent topical meds, Ensure right size, Trim fingernails, Do not use oil based products which damage, Don’ts tore at extreme temptations |
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Term
| Medication Administrator Must Accept |
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Definition
| Responsibility, accountability and liability |
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Term
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Definition
| away of making something happen using a number of steps |
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Term
| Medication Administration Process |
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Definition
| Assessment, Implementation, Evaluation, Documentation |
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Term
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Definition
| The step where you must ask questions |
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Term
| The Depth Of Assessment Determined By |
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Definition
| Values, Belief, Education, Experiences |
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Term
| Assessment Data Collection |
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Definition
| Ask questions, Nonverbal clients can tell you in many ways, Revie information and history, Get the facts but don’t diagnose that is the doctors job, Always ask questions before giving medication, |
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Term
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Definition
| Give Meds, Doing step, 3 Check and 7 Rights, Explain what and why you are doing to your client out of respect and to reduce errors, Always follow proper procedure and technique and ensure you are properly prepared before you start |
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Term
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Definition
| 1) Check the prescription label to verify that the dispensed medication matches the prescription label, 2) Check prescription label against the MAR then prepare medication, 3) After medication is prepared check the MAR against the prescription label again |
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Term
| 7 Rights Of Medication Administration |
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Definition
| 1) Person, 2) Drug, 3) Dose, 4) Route, 5) Schedule, 6) Reason, 7) Documentation |
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Term
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Definition
| Observe and evaluates client response, Ask questions |
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Term
| Observed Responses Include |
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Definition
| Objective data, Subjective Data, Therapeutic effect |
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Term
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Definition
| Factual information that can be observed |
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Term
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Definition
| How staff or a client’s thinks or feels |
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Term
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Definition
| If the drug is working based on symptom reduction |
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Term
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Definition
| An expected often unpleasant drug effect. Do not stop – if benefit outweigh the inconvenience, contact medical advice, Stop – is side effect severe and seek medical advice immediately |
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Term
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Definition
| an unexpected response that is unwanted and often unpleasant, Stop the medication and do to administer gain, Call the doctor, Seek immediate medical attention |
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Term
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Definition
| The step where all necessary forms completed. Anything printed, written or used to record and prove something later. Might include: Mars, Incident report, PRN effectiveness. Make single line and initial a mistake |
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Term
| Professional Documentation |
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Definition
| Accurate, clear and concise, Timely, Legible, and in ink, Accepted abbreviations, 24 hour clock |
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Term
| 4 Judgments Of PRN Medications |
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Definition
| 1) Symptoms, 2) Amount, 3) Time, 4) Effectiveness |
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Term
| Monitoring Client Self Administration |
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Definition
| Provide assistance only to the extent client requires, Continue to assess and observe the level of support required. Still follows steps, A client does not need to demonstrate knowledge in all areas in order to self-administer |
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Term
| Factors That Effect Clients Ability To Manage Medication |
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Definition
| Literacy skills, Ability to tell time, Memory problems, Individual beliefs, |
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Term
| Three Stages Of Implementations |
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Definition
| Teaching, assisting, adapting |
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Term
| 4 Levels Of Medication Administration |
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Definition
| Self administration, Medication Reminders, Medication Assistance, Medication Administration |
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Term
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Definition
| Client independent in all aspect of Medication admin, Obtain medication from pharmacy, Regularly monitor and document, Do not sign off each on MAR but document monitoring |
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Term
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Definition
| Reminded but not provided assistance, Self-administers, May receive medication for client, Remind client to take, Do not sign off each Medication on MAR but document reminder |
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Term
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Definition
| Recognize need to take medication and consents, Self-administers, Supervise monitor and provide support while client prepares and takes, Obtain from locked cupboard, or open container, Do not sign off each medication on MAR, Document that taken at correct time and any incidence that might occur |
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Term
| Medication Administration |
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Definition
| Client has no direct responsibility, Administer Medications with consent following process, Order receive and store medications, Document every medication on MAR |
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Term
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Definition
| Something that you cause, or that is under your control. Usually the result of failing to follow policy or procedure. Medication orders, Incomplete information, Confusion language or abbreviations, Poor handwriting, Misunderstand verbal order, Failing to follow policy and procedure, Not checking that all documentation available, 3 check system, 7 rights of Medication admin, Lack of knowledge, Transcribing errors, Not understanding Medication order of abbreviations, Using wrong type of medication, Wrong procedure, Failures in the system, Transcribing errors, New orders not communicated to others, Medication delivery or availability problems, Labeling errors, Distraction |
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Term
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Definition
| something that is not under your control, Spitting or refusal, Vomiting, Client not available, Check and swallowing sublingual, Adverse reaction and side effects |
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Term
| Doctors Order For Treatment Plan |
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Definition
| Medication therapy, Physical therapy, Exercise plans, Special diets, Wound care |
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Term
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Definition
| Client, Drug, Dose, Route, Schedule, Prescribing doctor |
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Term
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Definition
| Transferring the information from the prescription or prescription label to the MAR or another record Drug à doseàroute àschedule. List orders separately and ensure purpose of drug written on mar |
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Term
| Common Transcribing Errors |
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Definition
| Failure to identify drug, Unclear dosage, Unclear schedule, Purpose of medication, Use if incorrect abbreviation, Unable to read poor handwriting |
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Term
| When Using Decimal Positions |
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Definition
| Whole numbers – not required, Doses less than one – write leading zero |
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Term
| Prescription Abbreviations |
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Definition
| Universal knowledge of Medication admin, Best practice is to avoid abbreviations, Prescription abbreviated provide a shortened way to describe: Frequency, Time, Route, Amount |
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Term
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Definition
| Q, h, d, prn, qd, od, qod, bid, tid, qid, |
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Term
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Definition
| Qm, qam, qhs, ac, pc, stat |
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| Classifications Of Medication |
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Definition
| Prescription, PRN, Over the Counter, Narcotics |
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Term
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Definition
| Available only from pharmacy with doctors’ orders |
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Term
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Definition
| Given in response to certain situations only as needs |
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Term
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Definition
| Describe behavior specifically, Specific behavior, How many times, For how long, Best practices for use of medication that influences behaver, Conduct a thorough medical investigation before starting a new medication, States a realistic reason for cause of behavior, Obtain formal consent, Develop objective outcome for medication effects, Monitor side effects, Maintain active treatment options, Maintain optimal functional status, Positive behavioral approaches |
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Term
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Definition
| Symptoms, amount, time, effectiveness. |
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Term
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Definition
| Drugs intended for short term us, Available at pharmacy corner store or grocery store. No prescription required, Kept behind counter if pharmacist advice is required, Not used to treat life threatening illness. Before, Be aware of precautions and interactions, Following Medication Administration process, Use 7 right of Medication admin, Consider the alternatives, Always read the package insert, Have 8 digit drug identification number, Natural product number, or Homeopathic medicine number |
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Term
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Definition
| There are strict controls for the use and handling of narcotics, including double locked storage. Common cautions Addiction, Constipation, Sedation |
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Term
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Definition
| Check for errors, Verify that the prescription label is correct and includes, Name, Drug, Dose, Route, Schedule, Confirm number and quantity, Report problems to pharmacy immediately and complete documentation |
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Term
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Definition
| Ensure stored securely, Double lock narcotics, Refrigerate certain, Store package separate from creams, Always store in cool, dark, dry, and secure location and in original container |
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Term
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Definition
| Filling another container with a single dose from clients own blister pack or prescription bottle so someone else can administer it. Must ensure, Clients name, Dose, Frequency, Time and date of administration, Signature of packager, Not allowed to full dossette, contact pharmacy |
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Term
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Definition
| Expired discontinue or contaminated, Packed medicated for return to pharmacy, Never flush or trash, Empty bubble packs, or other packaging with client information must be shredded or destroyed |
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Term
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Definition
| All are chemicals, Vitamins, Minerals, Natural health products, Dietary supplements |
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Term
| Four Stages Drugs Go Through In The Body ADME |
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Definition
| Absorption, Distribution, Metabolism, Excretion |
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Term
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Definition
| How a drug is introduced to the blood for delivery to the tissues – occurs from the time the drug enter the body, until it enters the blood stream. 4 body systems: Gastrointestinal, Respiratory, Integumentary, Circulatory |
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Term
| Gastrointestinal Routes Of Absorption |
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Definition
| Sublingual, Buccal, Stomach, Small intestine, Rectum |
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Term
| Forms Of Gastrointestinal Medication |
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Definition
| Solutions, suspensions, oral sprays, mouthwashes and oral rinses, gels, gelatin capsules, capsules, sustained release capsules, compressed tablets, enteric coated tablets, lozenges, effervescent, rectal, suppositories |
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Term
| Conditions That Interfere With Gastrointestinal Absorption |
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Definition
| Sublingual: Growth or traumas to tongue, Lack of saliva, Mechanical change, Change in route. Oral: Stomach acid problems, Presence or absence of food, stomach disease, Vomiting – do not replace or repeat if client unable to keep it down. Small Intestine: Diarrhea, Stomach or bowel illness, Motility – the speed at which solids move through the small intestine. Rectum: Blockage of stool, Tumors, growth or wounds. Other Factors: Age, Vitamins or interactions with other drugs and natural health products |
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Term
| Respiratory Sets Of Absorption |
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Definition
| Oral, Nasal, Local or systemic, Target lung: Bronchioles and alveoli |
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Term
| Forms Of Respiratory Medication |
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Definition
| Mists: Fine particles sometime delivered using nebulizer, Need additional training. Aerosols: Metered dose, inhalers, Propellant used to help drive medication particle into lungs, 1st bronchodilators, 2nd corticosteroid or anti-inflammatory. Powders: Not as fine as aerosols, Disk inhaler or turbuhalor, Deep breath to draw in |
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| Conditions That Interfere With Respiratory Absorption |
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Definition
| Smoking, Diseases that cause lung tissue damage, Size of particle, Technique, Environmental pollutants |
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Term
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Definition
| Skin largest organ, Medications absorbed quickly, Can treat locally or systemically |
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Term
| Forms Of Integumentary Medication |
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Definition
| Medicated creams or ointments: Creams – water soluble appear solid, Ointments – greasy, semi clear, oil soluble, Wear gloves, Local or systemic. Mists: Medications sprayed on skin, Powers: Antifungal, wound treatment and gold bond. Lotions: Sunscreen insect repellent and scalp treatment, Wear gloves. Transdermal patches: Contain supply of medication for one day or longer, Drug absorber at a steady rate patches, Never cut, Old removed first |
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Term
| Conditions That Interfere With Integumentary Absorption |
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Definition
| Conditions that interfere with absorption |
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Term
| Routes Of Circulatory Medication |
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Definition
| Intravenous, Intermuscular: Injected into muscle tissues, Use longer needle, Nurse or doctors only except Epipen. Sub cutaneous: Injected into fat layer, Short needle, Not within scope. Intradermal |
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Term
| Conditions That Interfere With Circulatory Medication |
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Definition
| Reduced circulation, Disease, Shock |
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Term
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Definition
| how drugs are carried by circulatory or blood system throughout the body to the tissues or target organ |
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Term
| Conditions That Interferes With Distribution |
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Definition
| Dehydration, Gender, Disease, Age, Poor circulation |
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Term
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Definition
| How the body changes a drug into a form that it can excrete from the body – the stage where the drug reaches its therapeutic effect. Liver main organ |
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Term
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Definition
| processes involving the liver, Chemical change occurs in liver to convert drug to water soluble stage |
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Term
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Definition
| Starts drug therapy, Larger first dose of drug |
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Term
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Definition
| the point at which the drug is at the highest concentration in the blood |
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Term
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Definition
| amount of time for 50% of drug to be eliminated from body, Different for each drug, but heels determine when to administer each dose |
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Term
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Definition
| amount given at certain times to give constant state of medication |
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Term
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Definition
| when a drug is given at certain time period, the amount of drug absorbed, minus eliminated, reaches an average concentration |
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Term
| Therapeutic Level Or Range |
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Definition
| Amount of drug needed for maximum therapeutic effect with minimum side effects. The range between minimum effective concentration and toxic levels. To early or late can |
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Term
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Definition
| harmful effects produced by some drugs caused by how drugs affect certain tissues or organs, occurs when drug level is to high |
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Term
| Conditions That Interfere With Metabolism |
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Definition
| Alcohol: Prolonged use causes liver damage or diseases which affects metabolism, Alcohol is a drug and interacts, Age: Liver becomes smaller, Metabolism slows down, Consider early aging traits associated with down syndrome. Genetic factors or gender: genders are different and affect response to drug, Gender takes into account hormonal differences. Liver or kidney disease |
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Term
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Definition
| How drug is illuminated from body, Kidneys main organ, Small amounts excited through: Sweat, Lungs, Breastmilk, Saliva, Tears. Liver converts fat soluble drugs into water soluble that is excreted through kidney, remained go to feces |
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Term
| Conditions That Interfere With Excretion |
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Definition
| Kidney disease, Liver disease, Age, Blockage |
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Term
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Definition
| expected often unpleasant drug effect, Produced by a drug at usual therapeutic level, Usually unavoidable |
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Term
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Definition
| unexpected response that is unwanted and often unpleasant, Range from mild to severe, May occur immediately or take months or years |
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Term
| Gastrointestinal Side Effects And Adverse Reactions |
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Definition
| Constipation: Fiber, Increased fluid intake, Possibly medication. Loss or increase of appetite: Decrease, Monitor clients weight and nutrition, Usually decreases withy time, Increased, Be aware, plan to avoid weight gain. Abdominal cramps or diarrhea: Continue to monitor to determine severity, Yogurt with probiotics, Anti-diarrheal medication if not contra indicated, Consult doctor. Indigestion: Always consult before using antacids. Dry mouth: Common side effect of antidepressant, Good oral care products available, Candy or gum. Hyperplasia: Over growth of gums. Ensure better dental; care to prevent complications. Nausea/vomiting: Monitor severity. Consult before using any medication antiemetic – gravel |
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Term
| Respiratory Side Effects And Adverse Reactions |
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Definition
| Shortness of breath, wheezing, difficulty breathing, Stuffy nose, nasal congestion, cough, Dry membranes – use lubricants |
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Term
| Central Nervous System Side Effects And Adverse Reactions |
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Definition
| Brain, spinal cord and nerve, Paradoxical or rebound effects- side effects which are the same as, or possibly worse than the symptoms for which the drug was prescribed, Sleep disturbances – insomnia and somnolence, Confusion – can include memory loss, Mood swings – common with bipolar meds, Visual disturbances- blurred vision, loss of vision, lights before eyes, Coordination problems – consider safety precautions, may require additional medications, Appetite change, Suicidal tendencies, |
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Term
| Integumentary System Side Effects And Adverse Reactions |
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Definition
| Pigment changes, Loss of hair, Loss of nails |
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Term
| Cardiovascular And Circulatory System Side Effects And Adverse Reactions |
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Definition
| Blood pressure changes, Hemorrhage, Changes to heart beat, Medication and emergency response, Anaphylaxis and poisoning |
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Term
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Definition
| Call 911 immediately, May observe: Itching or hives, Swelling of face, lips and throat, Intense anxiety, Sweating, Coughing or wheezing, Weakness, Shortness of breath, Rapidly increasing sore through, Nausea or vomiting, Dizziness, Bluish color to skin, Vomiting. How to respond: Immediate action to signs and symptoms, Call 911, Follow 911 operators instructions, Monitors client constant, Tell 911 if client loses consciousness, Remain with client until emergency services arrives |
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Term
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Definition
| Due to: Overdose, Wrong drug, None prescribed drugs. How to respond: Immediate action to signs and symptoms, Call poison center, Follow operator instructions, Monitor client constantly, Tell operator to call 911 if loss of conciseness or breathing , Remain with client |
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Term
| Compendium Of Pharmaceuticals And Specialties (Cps) |
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Definition
| Most commonly used at doctors’ offices and pharmacies. Included: Brand name, Generic name, How does it work, How should I use, What form does it come in, What side effects are possible, Are there other precautions or warnings, What drugs interact |
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Term
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Definition
| Health canoe is a Canadian website that provides product information. Included: Brand name, Generic name, How does it work, How should I use, What form does it come in, What side effects are possible, Are there other precautions or warnings, What drugs interact |
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Term
| Manufactures Detailed Product Monograph |
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Definition
| Take the important information and add it to the basic monograph. Absorption, Distribution, Steady state, therapeutic level, Metabolism, Elimination, Half-life, Symptoms of sudden discontinuation, Drug interactions |
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Term
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Definition
| Always keep wellbeing of client as primary focus, Remember policy and procedures, Be safe |
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Term
| Factors That Influence Problems Solving |
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Definition
| Personal values, philosophies, cultural or religious beliefs of client, support staff or other person, Experience and knowledge |
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Term
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Definition
| A feeling of security or self-satisfaction, often while unaware of a potential danger or deficiency. It reflect a casual or careless approach which lacks focus and can result in important signs and symptoms or problems being overlooked. Effects or response to drugs can change over time – influence by aging |
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Term
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Definition
| With client – shows respect – increases probability of compliance. With team – what does or doesn’t work – develop a consistent approach. Quality of verbal and written |
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Term
| 4 Basic Components To Problem Solving |
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Definition
| 1) Define the problem, 2) Develop a plan, 3) Implement the plan, 4) Evaluate the plan |
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Term
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Definition
| Uses assessment and evaluation skills to ask questions and learn facts, Be aware that people are different, Be sensitive to opinions of others, Use common sense – pay attention to gut feelings, Be aware of side effects and adverse reaction, Who is the problem for? |
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Term
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Definition
| What can you do about the problem? Planning, communication, implementation, Team approach – all must buy in, Full agreement, Answer these questions: How can we fix the problem? How can we prevent the problem from happening again? What needs to be done and by whom? What resources are needed? Set a timeline |
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Term
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Definition
| Put plan into action, Team approach, Document observations, Communication is very important |
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Term
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Definition
| The problem solving team need to review the plan and determine, What is working, What isn’t working, Why or why not, Involves: Modifying the plan, Implementing changes if required, Setting timelines for the next review, Problem solving scenario, |
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Term
| Dealing With Incidents And Errors |
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Definition
| Do not complete documentation until you complete administration, Client late - what should you do. Contact pharmacy – outside one hour window, Follow advice, Observe client, Complete incident report |
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Term
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Definition
| 7 rights of Medication administration, 3 check system, Consistent practices, 24 hour clock, Good communication, Timely documentation, Knowledgeable resources |
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Term
| What Should You Do When An Error Occurs |
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Definition
| Notify pharmacy and or PADS, Ensure timely documentation, Observe client for signs or symptoms, Follow agency policy and procedures |
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Term
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Definition
| Two types: Solutions – completely dissolved, Suspensions – mixes needs to be shaken. Before administer gather: Bottle, A calibrated medication cup, Alcohol swab, Meniscus- medication approves curved, Concave – read at bottom, Convex – read at top. Steps: Ensure client upright, Shake medication if indicated, Remove cap and place upside down on clean surface, Medication cup on flat service, If poor too much can return to container, Wipe lid or container if spillage, Dissolving effervescent – give immediately, ensure completely dissolved, Plastic cups disposed, |
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Term
| Liquid Preparations Oral Syringe |
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Definition
| For client who can’t handle medication cup. Steps: Pour small amount into clean cup or glass, Pull to just beyond appropriate marking, Remove air bubbles, Direct towards inside of check and gums towards back of mouth, Deliver in several small portions, Dosage cork bung, Remove lid and push into bottle, turn upside down, Rinse in warm water, Dysphagia – swallowing problem, require swallowing assessment, Calibrated spoons |
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Term
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Definition
| Hold upright, do not shake, prime before first use, Follow instructions |
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Term
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Definition
| Not meant to be swallowed, Use syringe or calibrated cup, Oral sponge soaked in mouthwash can be used if needed, Wait 30 min before drinking, eating or brushing, Store at room temperature |
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Definition
| Place cup and pop bubble, Confirm all released |
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Term
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Definition
| Slide cover, place medication cup upside down, flip, check, Must include complete pharmacy label |
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Definition
| Pour into cap then into cup, keep inside of cap clean |
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Definition
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Definition
| Assess that the client is alert, upright and able to swallow safely, Sit upright, Head position, Take with full glass of water, Do not crush enteric coats, and sugar coated or slow release. Crushed medication: Place pills, grind, mix, and administer mixture, Clean tool thoroughly. Chewable- must be chewed first then offer water, lozenge – melt in mouth not chewed or swallowed. Buccal tablets, Not eat drink or smoking, Do not rinse mouth for a few minutes. Moisten mouth if dry use gloved hand, direct to close mouth, and do not swallow until dissolved. Sublingual: No food drink or smoke, Under tongue, No swallow or chew |
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Term
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Definition
| Used to: Provide safe route for drug admin, Relieve irritation, Treat infection, Maintain lubrication. Before: Wash hands thoroughly, Remove glasses or contacts, Wear gloves. Steps: Clean with warm cloth, Place hand under chin and pull down on lower lid to create small pocket, Heel of hand on forehead, Ask client to close gently for 10-15 seconds, For medicated drops apply slight pressure to tear duct with gloved finger. After: Wash hands, Wait 5 min before applying another eye medication, If stored in the fridge warm before administering, Warn client of possible side effects such as blurred vision |
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Term
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Definition
| Can be used to: Provide safe route for drug admin, Relieve local irritations, Treat infection, and Maintain lubrication. Before: Wash thoroughly, Remove glasses or contact, Wear gloves, When open for first time discard first .5 cm of ointment, Steps: Clean lids and lashes, Apply ribbon of ointment about one cm twist writs to break ointment strip, Close eye gently for 1-2 min and roll eye. After: Wipe away excess, Wash hand, Wait 10 min in-between application, Drops first, Warn client of side effects |
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Term
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Definition
| Can: Relieve local inflammation and discomfort, Soften ear wax, Treat infection. Before: Warm bottle, Wash thoroughly and gloves. Steps: Clean, Client on side, Straighten ear canal by pulling gently on pinna upward and outward, Give drops, Gently press or massage tragus, Client remain in position for 3-4 minutes, Must not: Put dropper into canal, Forces solution, Use cotton dipped applicator, Put cotton ball into ear |
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Term
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Definition
| Provide rapid and sustained release form airway obstruction due to bronchospasm, inflammation or secretions, provide alternate route of drug admin, Before: Ensure clients mouth is clear, Ensure in correct order, Open mouth method: Shake well, Ask client to tilt head back, Position 2 finger widths, Breath out, Inhale slowly and deeply. Closed mouth method: Breath out completely, Place tip between clients teeth create seal, Inhale to maximum inhalation, Hold breath for 10 sec, Wait 1-2 minutes between puffs, Rinse clients mouth well with water, Wash mouth piece twice a week |
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Term
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Definition
| Increased heart rate, Restlessness, Insomnia |
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Term
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Definition
| Allow more medication to get to lungs. Steps: Shake, Breath slowly, Maintain seal for 2-3 breaths, Whistle to quickly breathing, Do not use if damage or missing, Clean at least once a week, Reduce bacteria growth. Maintain equipment: Remove back piece only, soak for 15 min, rinse in clean water, shake out water, let air dry |
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Term
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Definition
| Open, Click, Inhale, Rinse and spit, Always use level, Don’t: Breath out into discus, Try to take apart, Wash. Dose indicator |
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Term
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Definition
| Load and prepare, Exhale, Place mouth around tilt head slightly, Fast deep full inhalation, Hold in lungs 5- 10 seconds, Breath slowly, Wait 30 seconds in-between, rinse and spit |
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Term
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Definition
| Must blow nose before, Pump bottle, Shake and prime, Tilt head forward, Close other nostril, Try not to sneeze or blow after, |
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Term
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Definition
| Must blow nose before, Pump bottle, Shake and prime, Tilt head forward, Close other nostril, Try not to sneeze or blow after, aim towards back of head |
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Term
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Definition
| Maintain hydration, Protect skin, Reduce irritation, Treat infection, Steps, Clean, Dry thoroughly pat, Gloves, No double dipping, Sparingly, Leave thin layer, Spread in order of hair growth, Apply covering as necessary, Avoid swimming |
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Term
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Definition
| Remove old first, Discard in dead drugs, Rotate site, Never cut or trim, Steps: Dry non hairy part of skin, Clip do not shave hair, Gloves not recommended, Press firm with palm 30 sec was thoroughly, Avoid lotions powders and creams, after if necessary, If patch does not stick use tape, If patch falls off use new patch as recommended by doctor or pharmacist |
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Term
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Definition
| Outer thigh, Steps: Orange tip down, Pull blue release, Swing away then jab firmly at 90 degree angle, Remove and rub area. After: Call 911, Go to hospital, Pen goes with client |
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Term
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Definition
| the amount of care an average rational person would take for the safety of oneself and others under particular circumstances |
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Term
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Definition
| Good documentation is a basis for change, and prevents similar incidents from occurring in the future. Must be: Clear and factual, Legible, Written in ink, Timely, Use the 24 hour clock, Follow policy and procedure, Answers what, when, where, how, why and who. Do not leave any blank spaces. Still document not change has been observed and sign to prove follow up |
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Term
| Documenting And Reporting Medication Errors Helps To |
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Definition
| Identify causes, Reinforces accountability, Identify corrective actions, Determine if system changes are needed, Promote best practices |
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Term
| Incident Report Should Include Answer |
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Definition
| Who: Is the client, Was responsible, and Was incident reported to. When: Did it happen, Discovered. What: Type of error, Medication involved, Contributing factors, Action taken, Advice was given and by whom, Observed effect on client. Where: Did it occur? How or why: Did it happen |
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Term
| Medication Administration Records |
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Definition
| Includes: Month and year, Name and contact for pharmacy, Legend for codes of why medication not given, Signature identification, Medication information, Drug name, dose, route and schedule, Medication times, Reason for using prn, Sign box or enter code if medication not given |
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Term
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Definition
| Draw a single line through medication, Write date and time of last dose, Draw line through boxes for rest of month |
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Term
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Definition
| Enter medication information, Include drug, dose, route, schedule, and reason for use, Date and time of first dose and Draw line through boxes until starting date |
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Term
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Definition
| Cross out the boxes with x for the days of the month that you are not required to administer medication |
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Term
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Definition
| Enter as new, Draw lines through boxes before and after dates, |
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Term
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Definition
| Record the specific dose about the initial box |
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Term
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Definition
| Note date of time change, Draw line through boxes which are not used for the days of the month after the change, Add new time and draw lines through the boxes before the change |
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Term
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Definition
| Do not sign for individual medications when providing reminders, Initial that reminder was given |
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Term
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Definition
| Do not sign for individual medications when monitoring, Initial that client was monitored and medication checked |
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Term
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Definition
| Draw single line through error and circle in red ink, Document the erred on the back of the mar, or according to policy |
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Term
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Definition
| Document site placed, and previous patch removal |
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Term
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Definition
| Right on regular MAR, Draw lines through all the boxes for the month, Document on PRN MAR only. 4 judgments of PRN Medication Administration must be recorded on PRN mar. Symptoms, Amount, Time, Effectiveness. |
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