Medications

Question 1

How should the medications be stored?

Answer 1

• Centrally stored
• Kept in a safe and locked place
• Not accessible to persons other than employees responsible for supervision of meds

Question 2

What must b.e stored inaccessible to dementia residents?

Answer 2

• Over the counter medications
• Nutritional supplements
• Vitamins

Question 3

What is the regulation regarding the labeling of medications?

Answer 3

• Shall be labeled
• Maintained in compliance with state and federal laws
• Dispensing pharmacists are only ones allowed to alter prescription label.
• Medication should be stored In its originally receive container.
• No medication should be transferred between containers.

Question 4

What information is required to be specified on CSM containers?

Answer 4

• Date of Filling
• Expiration date
• Number of refills
• The name of the pharmacy and address
• The serial number of the medicine
• The name of the patient
• The name of the prescribing practitioner
• Direction for use and cautionary statement

Question 5

When should the Prescription Medication be destroyed? ,

Answer 5

• Termination of the services
• Not returned to the issuing pharmacy
• Not retained in the facility as ordered by the physician
• Documented in the residents record
• Not disposed of according to the hospice established procedure.

Question 6

Who are responsible for destroying medication?

Answer 6

• Facility Administrator

- One adult who is not resident

Question 7

How was the destruction of the medication recorded?

Answer 7

• Persons who destroyed the Medication should sign the records to be retained for at least 3 years.
• Name the residents
• The prescription number and name of the pharmacy
• The drug name, strength and quantity destroyed
• The date of the destruction

Question 8

What shall the licensee be responsible for in regards to medications?

Answer 8

• Assure a record of CSMs are kept for each resident
• Records should include:
  
  • Name of Resident
  • Name of prescribing physician
  • Drug name, strength and quantity
  • Date filled
  • Prescription number
  • Name of pharmacy
  • Instructions, if any, regarding control and custody of medication
• Records must be maintained for at least one year

Question 9

Persons may assist the residents with PRN medication

Answer 9

• Licensee

- Designated staff

Question 10

Assistance with Self-medication does not include

Answer 10

• Forcing the residents to take the medication
• Hiding or camouflaging the medications in other substance without the residents knowledge and consent.
• Infringing the right of the residents to refuse medications.

Question 11

When shall the facility Staff be permitted to assist the residents with PRN Self-medication w/o restriction?

Answer 11

If the residents physician has stated in writing that the resident is able to determine and communicate the need for a prescription or non prescription PRN medication.

Question 12

What is required for facility Staff to be permitted to assist the residents with PRN Self-medication when the resident is unable to determine his/her own their need for self-medication but can communicate their symptoms clearly?

Answer 12

• There is a written direction from the physician, on a prescription blank
• specifying of the name the residents
• The name of the medication
• usage of medication
• Exact dosage
• Minimum number of hour between doses
• Maximum number of doses allowed in 24- hour period
• Maintained in the residents record, include the date, dosage and residents response.

Question 13

What is required for facility Staff to be permitted to assist the residents with PRN Self-medication when the resident is unable to determine his/her own their need for self-medication and unable to communicate their symptoms?

Answer 13

• Facility Staff shall contact the resident ‘s physician prior to each dose, symptoms.
• date & time of each contact with the physician and direction the physician and residents response
• Shall be documented and maintained in the residents facility records .

Question 14

How must you disposed the syringes and needles in accordance of CACOR concerning blood-borne diseases

Answer 14

-Shearing or breaking of contaminated needles is prohibited.
-Contaminated needles shall not be bent or recapped.
-Waste containers shall not be opened or emptied manually.
Contaminated needles shall be placed in appropriate container with a labeled as BIOHAZARDOUS WASTE OR SHARPS WASTE.