Medication Administration Process and Staff Responsibilities Overview

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Medication Module
.
06
February 
2022
 
Updated September 2023
 
Melody Baker,
Staff trainer
Kalix
undefined
 
MEDICATION:
 
A SUBSTANCE OR MIXTURE (OTHER THAN FOOD)
THAT IS USED TO:
 
PREVENT DISEASE
     AID IN DIAGNOSIS
     TREAT A DISEASE OR REDUCE SYMPTOMS
     MAINTAIN/RESTORE NORMAL FUNCTION
undefined
 
MEDICATION ADMINISTRATION PROCESS
 
Observation
Prescription
Administration
Documentation
undefined
 
PEOPLE IN MEDICATION
ADMINISTRATION PROCESS
 
Physician prescribes medication
 
Pharmacist
 
fills prescription and 
dispenses
 
medication
 
 
Nurse monitors the person
 
Staff assist in administration
 
(A pharmacist is the only one who can 
dispense
 medication.)
undefined
 
Individual
 
MEDICATION CYCLE
undefined
STAFF RESPONSIBILITIES
observation
note __________
inform physician of changes
take prescription to pharmacy
administration the medication as ordered
   then document
 
C
H
A
N
G
E
S
undefined
 
1.
Know and adhere to laws and agency 
policy
 
2.
Apply normalization and teach independence
 
3.
Know and observe effects
 
4.
Ensure 
safety
 and sanitation procedures
 
4 GENERAL RESPONSIBILITIES OF STAFF
undefined
 
1.
KNOW AND
ADHERE TO
LAWS AND
AGENCY
POLICY
undefined
 
KNOW YOUR ______________
PERFORM ONLY SKILLS TRAINED IN AT THIS AGENCY
FOLLOW AGENCY POLICIES
WORK UNDER AGENCY ___________ LICENSE
KNOW ____________ REQUIREMENTS
 
B
O
U
N
D
A
R
I
E
S
 
N
U
R
S
E
S
 
S
T
O
R
A
G
E
S
T
A
F
F
R
E
S
P
O
N
S
I
B
I
L
I
T
I
E
S
VERBAL ORDERS
IN ND ONLY A LICENSED
 
MEDICAL PERSON (AGENCY
NURSE) CAN TAKE VERBAL ORDERS OVER THE
_______
IF PHYSICAN CALLS, STAFF REFER TO THE AGENCY
__________
 
P
H
O
N
E
 
N
U
R
S
E
undefined
CONTROLLED SUBSTANCE
CONTROLLED MEDICATION ARE THOSE WHICH ARE
LIKELY TO BE ___________
WHAT DOES THIS MEAN FOR STAFF?
A WARNING LABEL
________ REFILLS
USUALLY ONLY ONE MONTH SUPPLY
SCHEDULE II - _________________
DOCUMENT NUMBER
 
A
D
D
I
C
T
I
V
E
 
L
I
M
I
T
E
D
 
D
O
U
B
L
E
 
L
O
C
K
undefined
 
2.
APPLY
NORMALIZATION
AND TEACH
INDEPENDENCE
 
undefined
APPLYING NORMALIZATION &
TEACHING TOOLS
use least restrictive methods
let ________  do as much for themselves as
possible
their interdisciplinary _________ decides
what should be taught
 
p
e
o
p
l
e
 
T
E
A
M
undefined
Ways Active Support can be used to
engage people in the med process:
use the phone to make appointments
arrange _____________    to appts
pick up prescription
Bring a glass of water to the med room
Know the __________ of medication
knowing when to take their meds
 
T
R
A
N
S
P
O
R
T
A
T
I
O
N
 
E
F
F
E
C
T
S
undefined
 
3.
 
KNOW AND
OBSERVE
EFFECTS
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WE NEED TO KNOW
how the person looks and _________
what medications they are on and
___________ effects & response time
what potential _________ effects
 
A
C
T
S
 
D
E
S
I
R
E
D
 
S
I
D
E
 
U
s
e
 
a
l
l
 
y
o
u
r
 
s
e
n
s
e
s
f
o
r
 
c
l
u
e
s
 
t
o
 
s
i
d
e
e
f
f
e
c
t
s
:
visual
auditory
smell
touch
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THREE PRIMARY EFFECTS
1. ___________ EFFCTS
WHAT WE WANT THE MEDICATION TO DO
i.e. reduce temperature
 
D
E
S
I
R
E
D
When the medication is working correctly,
the desired effect is produced.
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THREE PRIMARY EFFECTS
2. _______________   EFFECTS
  
NO SIGNS OF AN EFFECT
TYLENOL FOR FEVER AND FEVER STILL
THE SAME
 
N
O
 
A
P
P
A
R
E
N
T
3.  SIDE EFFECTS 
     (
EFFECTS OTHER THAN DESIRED)
MILD – SEVERE (POTENTIALLY ______________)
EXPECTED or UNEXPECTED
 
F
A
T
A
L
 
 
OBSERVE FOR _______________ REACTION.
REACTIONS CAN OCCUR ANYTIME BUT MOST
OFTEN  AFTER THE _____________ FEW DOSES
SKIN RASH,DIARRHEA, ITCHING, WATER
DISCHARGE FROM NOSE, IRRITABILITY,
TIREDNESS, HIVES
 
A
L
L
E
R
G
I
C
 
F
I
R
S
T
A severe allergic reaction is
ANAPHYLACTIC SHOCK  It is a
medical 
___________________
 
E
M
E
R
G
E
N
C
Y
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MEDICATION INTERACTIONS
POTENTIATION
AN ____________ IN THE EFFECT
BEER + MUSCLE RELAXANT
ANTAGONISM
A _______________ IN THE EFFECTS
TETRACYCLINE with MILK
UNIQUE EFFECT
A NEW & DIFFERENT EFFECT
 
I
N
C
R
E
A
S
E
 
D
E
C
R
E
A
S
E
FOLLOW AGENCY POLICY
FOLLOW AGENCY POLICY WHEN NO
APPARENT EFFECT AFTER RESPONSE TIME
STAFF RESPONSIBILITY IF SUSPECT
MEDICATION INTERACTION IS TO:
_____________ TO NURSE/SUPERVISOR
_____________ SYMPTOMS
 
R
E
P
O
R
T
 
D
O
C
U
M
E
N
T
 
Medication
response
 
Medication response can
be influenced by:
Illness or disease
Body weight
Age
Gender
 
CHARACTERISTICS TO
KNOW ABOUT PEOPLE:
 
 
1) GENERAL APPEARANCE
2)BODY ________________
3) GENERAL STATE OF
HEALTH
4) PHYSICAL ACTIVITY
LEVEL
5) PHYSICAL CONDITION OF
SKIN
6) PHYSICAL CONDITION OF
_______ AND SCALP
7) PHYSICAL CONDITION OF
SENSES
8)
__________________________
 
P
O
S
T
U
R
E
 
H
A
I
R
 
S
P
E
E
C
H
 
9)____________,
GUMS AND TEETH
10) FACIAL
EXPRESSIONS
11) VITAL SIGNS
12) _____________
13) BOWEL AND BLADDER
14) APPETITE AND EATING HABITS
15) GENERAL ____________ STATE
16) STATE OF AWARENESS
 
M
o
u
t
h
 
W
E
I
G
H
T
 
E
M
O
T
I
O
N
A
L
undefined
 
4. ENSURE
SAFETY
 AND
SANITATION
PROCEDURES
undefined
 
 
Wash hands before and
after administering any
medication
 
Safety
 
 
 
Never recap a needle
Use gloves when taking blood
sugar
Protective barriers-
Gloves
protective eye wear
protective clothing
undefined
 
6 RIGHTS OF MEDICATION
ADMINISTRATION
 
RIGHT
 
PERSON
 
RIGHT
 
DOSE
 
RIGHT
 
TIME
 
 
RIGHT
 
ROUTE
 
RIGHT
 
MEDICATION
 
RIGHT
 DOCUMENTATION
undefined
RIGHT PERSON
IDENTIFY THE PERSON __________ GIVING MEDICATION
KNOW THE PERSON
ONLY GIVE MEDICATIONS TO _______ PERSON AT A TIME
 
B
E
F
O
R
E
 
O
N
E
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RIGHT MEDICATION
MATCH __________ AND __________
2 WAY CHECK
FOLLOW AGENCY POLICY TO ________
 
DISCREPANCIES (DIFFERENCES)
 
L
A
B
E
L
 
M
A
R
 
R
E
P
O
R
T
WHAT THESE MEDICATIONS ARE FOR:
ANTICONVULSANT -CONTROL ______________
ANTIBIOTICS - TREAT 
INFECTIONS
ANTIDEPRESSANTS – RELIEVE DEPRESSION
INSULIN - TREATS ___________________
STEROIDS REDUCE INFLAMATION
ANTACIDS - RELIEVE  ______________________
LAXATIVE - RELIEVE _________________
 
S
E
I
Z
U
R
E
S
 
D
I
A
B
E
T
E
S
 
U
P
S
E
T
 
S
T
O
M
A
C
H
 
C
O
N
S
T
I
P
A
T
I
O
N
 
RIGHT DOSE
 
undefined
RIGHT DOSE
______________
RANGE:  A RANGE
OF DOSES THAT
CAN PRODUCE
DESIRED EFFECTS
WITH MINIMUM
SIDE EFFECTS
 
T
h
e
r
a
p
e
u
t
i
c
undefined
RIGHT DOSE
MAKE SURE TO
____________________
NUMBER OF TABLETS or
CAPSULES
 
R
E
A
D
 
A
N
D
 
C
O
U
N
T
 
Right Time
 
TAKING THE MEDS AT THE SAME
TIME EVERY DAY KEEPS
CONSISTENT LEVELS
 
ONE HOUR BEFORE TO ONE
HOUR AFTER (FOLLOW
AGENCY 
POLICY)
 
CONTACT NURSE IF OUTSIDE
OF MED TIME
Right Time
MEDS TAKEN ON
AN_______________
STOMACH ENTER SYSTEM
QUICKER
(Medications required to be
taken before eating means the
medication should be taken on
an empty stomach)
MEDS TAKEN ON
A_____________ STOMACH
AVOIDS IRRITATION
 
E
M
P
T
Y
 
F
U
L
L
undefined
TIME ABBREVIATIONS
 
  
           as needed
 
P
R
N
undefined
RIGHT ROUTE
THE PART OF THE ______________ TO WHICH THE
 
MEDICATION IS ADMINISTERED
INTERNAL
TAKEN BY MOUTH AND __________________
EXTERNAL
APPLIED TO THE _____________ OF THE BODY
CREAMS
EYE DROPS
EAR DROPS (
otic
 
)
INTERNAL AND EXTERNAL STORED _______________
 
B
O
D
Y
 
S
W
A
L
L
O
W
E
D
 
O
U
T
S
I
D
E
 
S
E
P
A
R
A
T
E
L
Y
undefined
ABBREVIATIONS
____ by mouth
  
Opth
- pertaining to the eye
 
________ pertaining to the ear
I.V. 
intravenous injection
  
_______ 
sublingual
 
(under the tongue)
 
 
p
.
o
.
 
o
t
i
c
 
S
L
 
Right
documentation
Documentation is done
immediately after the
medication is given.
Only the person who gives
the medication can initial
the MAR
undefined
 
Procedure for
Medication
administration
MEDICATION ADMINISTRATION
 
T
I
M
E
 
U
N
L
O
C
K
 
M
A
R
 
L
A
B
E
L
MEDICATION ADMINISTRATION PROCEDURES:
1. REMOVE RIGHT DOSE
2. OBSERVE THE PERSON ______________
3. REPLACE MEDICATION IN LOCKED STORAGE
4. _______ THE MEDICATION
5. _________ FOR DESIRED/SIDE EFFECTS
 
 
S
W
A
L
L
O
W
 
C
H
A
R
T
 
O
B
S
E
R
V
E
LIQUID MEDICATION ADMINISTRATION
1. __________  BEFORE POURING
2. POUR AWAY FROM LABEL SIDE
3. POUR AT ________ LEVEL
4. POUR JUST BEFORE GIVING
5. DO NOT _______ MEDICATIONS
6. OBSERVE SWALLOWING
 
S
H
A
K
E
 
E
Y
E
 
M
I
X
undefined
MEDICATION ADMINISTRATION RECORD
M
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MAR
 
S
T
A
N
D
I
N
G
undefined
MEDICATION ADMINISTRATION RECORD
MEDICATIONS GIVEN ARE RECORDED ON THE MAR
DOCUMENT:
________ GIVEN
_________
STAFF INITIALS
MAR
 
T
I
M
E
 
D
O
S
E
MEDICATION ADMINISTRATION RECORD
On the MAR
Use _________________
Write __________.
Do NOT use ____________, make
   erasures, felt-tip pens
Do not document for someone else
 
i
n
k
 
l
e
g
i
b
l
y
 
w
h
i
t
e
-
o
u
t
If the person has difficulty swallowing:
MAKE SURE THEY ARE IN A ______________ POSITION
THEY CAN TAKE SMALL SIPS OF WATER ____________
TAKE ONE TABLET AT A TIME
SIPS OF WATER __________ EACH TABLET
TAKE THE MEDICATION WITH FOOD
 
S
I
T
T
I
N
G
 
B
E
F
O
R
E
 
A
F
T
E
R
IF THE PERSON REFUSES MEDICATIONS
Try again later
offer
 
_______________
ask preferred staff
Use “sandwich technique”
___________________                action              benefit
“premack principle”
favorite activity _____________ taking medication
accept refusal
their ___________
our responsibility  to follow doctor’s orders
 
r
i
g
h
t
 
C
H
O
I
C
E
S
 
C
O
M
P
L
I
M
E
N
T
 
A
F
T
E
R
 
CONTINUE TO REFUSE
 
People have a right know why a
medication is prescribed, the benefits and
potential side effect and any changes in
medication orders.
 
 
 
 
CONTINUE TO REFUSE
If they continue to refuse:
____________________ 
NURSE/SUPERVISOR
_________________ REFUSAL
OPTIONS TO CONSIDER
WHY ARE THEY REFUSING?
EXPLAIN IMPORTANCE OF THE MED.
ALLOW TIME TO THINK
IF REPEATED REFUSALS CALL A __________ MEETING
 
N
O
T
I
F
Y
 
C
H
A
R
T
 
T
E
A
M
MEDICATION ERRORS
A ______________OF ANY ONE OF THE  RIGHTS
WRONG 
INDIVIDUAL
WRONG 
MEDICATION
WRONG 
TIME
WRONG 
DOSE
WRONG 
ROUTE
WRONG 
DOCUMENTATION
WRONG PROCEDURE
(Procedure is not one of the 6 rights)
 
V
I
O
L
A
T
I
O
N
MEDICATION ERRORS
_
_
_
_
_
 
M
E
D
I
C
A
T
I
O
N
 
E
R
R
O
R
S
 
M
U
S
T
 
B
E
R
E
P
O
R
T
E
D
 
I
M
M
E
D
I
A
T
E
L
Y
FOLLOW AGENCY ___________
_______ Supervisor or THE AGENCY NURSE
FILL OUT _________
 
A
L
L
 
P
O
L
I
C
Y
 
C
A
L
L
 
G
E
R
MEDICATION AND BEHAVIOR
When there is challenging behavior:
ASSESS THE _________________
What is the behavior telling us
What adaptive behavior could we teach that
person serve the same________________
Look at changing the environment before
considering medication.
 
E
N
V
I
R
O
N
M
E
N
T
 
F
U
N
C
T
I
O
N
MEDICATION AND BEHAVIOR
Medication is not the first choice or a
_________________ solution.
Teaching 
adaptive
 behavior along with
medication can be considered a complete
solution.
 
P
E
R
M
A
N
E
N
T
 
4 general
responsibilities
of staff:
 
Medication certification
 
After the med test and practicum are
passed, then the staff can begin the
training in their program.
 
When they are properly trained, a nurse
will certify them.
 
Standard precautions
 
Handwashing
Use of protective barriers
Avoiding accidental needle sticks
Cleaning and disinfecting contaminated surfaces
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Detailed information on medication administration process, responsibilities of staff members, and general guidelines for ensuring safe and effective medication management. The process involves prescribing medication, filling prescriptions, monitoring the individual, assistance in administration, and documentation. Staff responsibilities include observation, noting changes, informing physicians, pharmacy visits, and proper documentation. General responsibilities focus on adherence to laws and policies, normalization, independence, safety, and sanitation procedures. Boundaries, verbal orders, and storage requirements are also highlighted in this comprehensive guide.


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  1. Medication Module .06 February 2022 Melody Baker, Staff trainer Kalix Updated September 2023

  2. MEDICATION: A SUBSTANCE OR MIXTURE (OTHER THAN FOOD) THAT IS USED TO: PREVENT DISEASE AID IN DIAGNOSIS TREAT A DISEASE OR REDUCE SYMPTOMS MAINTAIN/RESTORE NORMAL FUNCTION

  3. MEDICATION ADMINISTRATION PROCESS Observation Prescription Administration Documentation

  4. PEOPLE IN MEDICATION ADMINISTRATION PROCESS Physician prescribes medication Pharmacistfills prescription and dispenses medication (A pharmacist is the only one who can dispense medication.) Nurse monitors the person Staff assist in administration

  5. MEDICATION CYCLE physician nurse staff Individual staff pharmacist

  6. STAFF RESPONSIBILITIES observation note __________ CHANGES inform physician of changes take prescription to pharmacy administration the medication as ordered then document

  7. 4 GENERAL RESPONSIBILITIES OF STAFF Know and adhere to laws and agency policy 1. Apply normalization and teach independence 2. Know and observe effects 3. Ensure safety and sanitation procedures 4.

  8. 1. KNOW AND ADHERE TO LAWS AND AGENCY POLICY

  9. BOUNDARIES KNOW YOUR ______________ PERFORM ONLY SKILLS TRAINED IN AT THIS AGENCY FOLLOW AGENCY POLICIES WORK UNDER AGENCY ___________ LICENSE KNOW ____________ REQUIREMENTS STORAGE NURSE S NURSE STAFF RESPONSIBILITIES RESPONSIBILITIES

  10. VERBAL ORDERS IN ND ONLY A LICENSED MEDICAL PERSON (AGENCY NURSE) CAN TAKE VERBAL ORDERS OVER THE _______ PHONE IF PHYSICAN CALLS, STAFF REFER TO THE AGENCY __________ NURSE

  11. CONTROLLED SUBSTANCE CONTROLLED MEDICATION ARE THOSE WHICH ARE LIKELY TO BE ___________ ADDICTIVE WHAT DOES THIS MEAN FOR STAFF? A WARNING LABEL ________ REFILLS USUALLY ONLY ONE MONTH SUPPLY SCHEDULE II - _________________ DOCUMENT NUMBER LIMITED DOUBLE LOCK

  12. 2. APPLY NORMALIZATION AND TEACH INDEPENDENCE

  13. APPLYING NORMALIZATION & TEACHING TOOLS use least restrictive methods let ________ do as much for themselves as possible their interdisciplinary _________ decides what should be taught people TEAM

  14. Ways Active Support can be used to engage people in the med process: use the phone to make appointments arrange _____________ to appts pick up prescription Bring a glass of water to the med room Know the __________ of medication knowing when to take their meds TRANSPORTATION EFFECTS

  15. 3. KNOW AND OBSERVE EFFECTS

  16. WE NEED TO KNOW ACTS how the person looks and _________ what medications they are on and ___________ effects & response time DESIRED what potential _________ effects SIDE

  17. Use all your senses for clues to side effects: visual auditory smell touch

  18. THREE PRIMARY EFFECTS DESIRED 1. ___________ EFFCTS WHAT WE WANT THE MEDICATION TO DO i.e. reduce temperature When the medication is working correctly, the desired effect is produced.

  19. THREE PRIMARY EFFECTS NO APPARENT 2. _______________ EFFECTS NO SIGNS OF AN EFFECT TYLENOL FOR FEVER AND FEVER STILL THE SAME

  20. 3. SIDE EFFECTS (EFFECTS OTHER THAN DESIRED) FATAL MILD SEVERE (POTENTIALLY ______________) EXPECTED or UNEXPECTED

  21. OBSERVE FOR _______________ REACTION. REACTIONS CAN OCCUR ANYTIME BUT MOST OFTEN AFTER THE _____________ FEW DOSES SKIN RASH,DIARRHEA, ITCHING, WATER DISCHARGE FROM NOSE, IRRITABILITY, TIREDNESS, HIVES ALLERGIC FIRST

  22. A severe allergic reaction is ANAPHYLACTIC SHOCK It is a medical ___________________ EMERGENCY

  23. MEDICATION INTERACTIONS POTENTIATION AN ____________ IN THE EFFECT BEER + MUSCLE RELAXANT INCREASE ANTAGONISM DECREASE A _______________ IN THE EFFECTS TETRACYCLINE with MILK UNIQUE EFFECT A NEW & DIFFERENT EFFECT

  24. FOLLOW AGENCY POLICY FOLLOW AGENCY POLICY WHEN NO APPARENT EFFECT AFTER RESPONSE TIME STAFF RESPONSIBILITY IF SUSPECT MEDICATION INTERACTION IS TO: _____________ TO NURSE/SUPERVISOR _____________ SYMPTOMS DOCUMENT REPORT

  25. Medication response can be influenced by: Illness or disease Body weight Age Gender Medication response

  26. CHARACTERISTICS TO KNOW ABOUT PEOPLE:

  27. 5) PHYSICAL CONDITION OF SKIN 1) GENERAL APPEARANCE 2)BODY ________________ POSTURE 6) PHYSICAL CONDITION OF _______ AND SCALP HAIR 3) GENERAL STATE OF HEALTH 7) PHYSICAL CONDITION OF SENSES 4) PHYSICAL ACTIVITY LEVEL 8) __________________________ SPEECH

  28. Mouth 9)____________, GUMS AND TEETH 13) BOWEL AND BLADDER 14) APPETITE AND EATING HABITS 10) FACIAL EXPRESSIONS 15) GENERAL ____________ STATE EMOTIONAL 11) VITAL SIGNS 16) STATE OF AWARENESS 12) _____________ WEIGHT

  29. 4. ENSURE SAFETY AND SANITATION PROCEDURES

  30. Wash hands before and after administering any medication

  31. Safety Never recap a needle Use gloves when taking blood sugar Protective barriers- Gloves protective eye wear protective clothing

  32. 6 RIGHTS OF MEDICATION ADMINISTRATION RIGHT PERSON RIGHTROUTE RIGHT MEDICATION RIGHTDOSE RIGHT DOCUMENTATION RIGHTTIME

  33. RIGHT PERSON IDENTIFY THE PERSON __________ GIVING MEDICATION BEFORE KNOW THE PERSON ONE ONLY GIVE MEDICATIONS TO _______ PERSON AT A TIME

  34. RIGHT MEDICATION MATCH __________ AND __________ LABEL MAR 2 WAY CHECK REPORT FOLLOW AGENCY POLICY TO ________ DISCREPANCIES (DIFFERENCES)

  35. WHAT THESE MEDICATIONS ARE FOR: SEIZURES ANTICONVULSANT -CONTROL ______________ ANTIBIOTICS - TREAT INFECTIONS ANTIDEPRESSANTS RELIEVE DEPRESSION INSULIN - TREATS ___________________ STEROIDS REDUCE INFLAMATION ANTACIDS - RELIEVE ______________________ LAXATIVE - RELIEVE _________________ CONSTIPATION DIABETES UPSET STOMACH

  36. RIGHT DOSE

  37. RIGHT DOSE Therapeutic ______________ RANGE: A RANGE OF DOSES THAT CAN PRODUCE DESIRED EFFECTS WITH MINIMUM SIDE EFFECTS

  38. RIGHT DOSE MAKE SURE TO ____________________ NUMBER OF TABLETS or CAPSULES READ AND COUNT

  39. Right Time TAKING THE MEDS AT THE SAME TIME EVERY DAY KEEPS CONSISTENT LEVELS ONE HOUR BEFORE TO ONE HOUR AFTER (FOLLOW AGENCY POLICY) CONTACT NURSE IF OUTSIDE OF MED TIME

  40. Right Time MEDS TAKEN ON AN_______________ STOMACH ENTER SYSTEM QUICKER (Medications required to be taken before eating means the medication should be taken on an empty stomach) EMPTY MEDS TAKEN ON A_____________ STOMACH AVOIDS IRRITATION FULL

  41. TIME ABBREVIATIONS PRN as needed

  42. RIGHT ROUTE BODY THE PART OF THE ______________ TO WHICH THE MEDICATION IS ADMINISTERED INTERNAL TAKEN BY MOUTH AND __________________ EXTERNAL APPLIED TO THE _____________ OF THE BODY CREAMS EYE DROPS EAR DROPS (otic ) INTERNAL AND EXTERNAL STORED _______________ SWALLOWED OUTSIDE SEPARATELY

  43. ABBREVIATIONS p.o. ____ by mouth Opth- pertaining to the eye ________ pertaining to the ear I.V. intravenous injection _______ sublingual(under the tongue) otic SL

  44. Right documentation Documentation is done immediately after the medication is given. Only the person who gives the medication can initial the MAR

  45. Procedure for Medication administration

  46. MEDICATION ADMINISTRATION CORRECT ________ TIME WASH HANDS ________ MEDICATION STORAGE UNLOCK CHECK _______ & ________ (2 times) MAR LABEL TEACH THROUGHOUT PROCESS

  47. MEDICATION ADMINISTRATION PROCEDURES: 1. REMOVE RIGHT DOSE SWALLOW 2. OBSERVE THE PERSON ______________ 3. REPLACE MEDICATION IN LOCKED STORAGE 4. _______ THE MEDICATION CHART 5. _________ FOR DESIRED/SIDE EFFECTS OBSERVE

  48. LIQUID MEDICATION ADMINISTRATION SHAKE 1. __________ BEFORE POURING 2. POUR AWAY FROM LABEL SIDE 3. POUR AT ________ LEVEL 4. POUR JUST BEFORE GIVING 5. DO NOT _______ MEDICATIONS 6. OBSERVE SWALLOWING EYE MIX

  49. MEDICATION ADMINISTRATION RECORD MAR Medication can only be given when ordered by a physician. _____________ orders are used for medications for headaches or a cold or something that the person doesn t need every day. That could be an over-the- counter (OTC) medication prescribed for specific reasons. STANDING

  50. MEDICATION ADMINISTRATION RECORD MAR MEDICATIONS GIVEN ARE RECORDED ON THE MAR DOCUMENT: ________ GIVEN _________ STAFF INITIALS TIME DOSE

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