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CRMA Regulations
Waban CRMA 24hr Regulations
| Question | Answer |
|---|---|
| A CRMA can only administer medications with a valid what? | Doctors order |
| What are the 2 types of injections you can administer as a CRMA? | Bee sting kits (Epi-pen), Insulin |
| How often do you need a new order for general health meds? | Yearly |
| How often do you need a new order for psychotropic medications? | Every 3 months |
| How often do you need a new order for Scheduled II controlled substances? | Every 30 days |
| After discharge from another facility (hospital), how long do you have to have the regular providers review and sign current orders? | 72 hours |
| Who are the 3 people that can take a telephone order? | RN (Registered nurse), LPN (licensed nurse), Pharmacist |
| How are medications stored? | Original containers in a locked cabinet |
| If members self medicate, where do they store their medications? | In their room, preferably in a drawer. |
| Internal medications and external medications should be stored how? | Separately |
| If medications are stored in the refrigerator, refrigerator temperatures should be maintained between what? | 35* - 41* F |
| The keys to the med closet should be kept where? | On the CRMA on duty, or the designated locked box |
| How long can a CRMA package medications for a leave of absence (LOA)? | less than 72 hours |
| Who packages medications for a leave of absence that is longer than 72 hours? | Pharmacist or in the original packages |
| How are medications packaged for a leave of absence by a CRMA? | Each dosage of each medication is placed in its own envelop and labeled with the following: name of resident, name and strength of each drug, directions from the label, all cautionary info, CRMA signature and date packaged. |
| According to the State of Maine, how long does a program have to get medications destroyed? | 60 days |
| According to the State of Maine, who can destroy non-controlled medications? | Administrator or a designated CRMA with another CRMA as a witness |
| Who are the 3 people who can destroy a Scheduled II controlled medication? | DEA, DHHS, Pharmacist. All with a witness |
| Who can destroy a Scheduled III, IV or V controlled medication? | RN with a CRMA witness |
| How are controlled substances stored? | Double locked |
| According to the State of Maine, how often must controlled substances be counted if they are used on a daily basis? | Daily |
| According to the State of Maine, how often must controlled substances be counted if they are not used on a daily basis? | Weekly |
| Where is the inventory of controlled substances documented? | Bound Book |
| How is a PRN medication administration documented on a paper MAR? | CRMA initials front of MAR, then completes the notes on the back of the MAR to include: date, time, medication, dosage, route, reason for administration, results, time of results, CRMA signature. |
| How are holds or refusals documented on a paper MAR? | Circle CRMA initials on the front of the MAR, then complete the notes on the back of the MAR as to why the medication was not taken as prescribed. |
| How do you transcribe a Discontinue on a paper MAR? | Draw a diagonal line from the last dose given to the end of the month, write D/C with date and time and signature or initials of the CRMA transcribing the D/C. Yellow highlight entire transcription. |
| What is a psychotropic medication? | Any mind or mood altering medication |
| What is a major side effect to monitor if someone is on an antidepressant? | suicidal tendencies |
| What is tardive dyskinesia? | A potentially permanent side effect of antipsychotic drugs that causes excessive, involuntary movements of the hands, face/tongue, and limbs. |
| What are the details that must be included in a PRN psychotropic medication order? | Detailed behavior-specific instructions for administering, exact dosage, exact time frames between dosages, maximum dosage to be given in a 24 hour period. |
| Do you need to notify the provider if a PRN psychotropic medication is administered? | Yes, within 24 hours unless otherwise stated in the order. |
| What is the regulation if a PRN anti-psychotic medication is ordered? | Must be on a regularly scheduled dose in order to have the additional PRN anti-psychotic. |
| Can a CRMA administer a breathing apparatus such as a hand-held bronchodilator, metered dose nebulizer, intermittent positive pressure breathing machine or oxygen machine? | Only with additional RN training |
| Can a member be in the program without a CRMA if the member does not self-administer their own medications? | No, a CRMA must be on site if there are any PRN medications ordered. |
| How long is the CRMA certificate valid for? | 2 years, then an 8 hour Recertification must be completed |
Created by:
jdonovancrma
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