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Maine CRMA
24hr CRMA
| Question | Answer |
|---|---|
| residents shall only receive the medications ordered by their doctor in | the correct dose, at the correct time, and by the correct route of administration |
| what injectables can unlicensed people administer? | epi pen and insulin |
| can unlicensed people administer epi pen and insulin with no training? | NO, must be trained in proper and safe use by a registered professional nurse. documentation of training included in employee record |
| can you administer meds brought to the house by family? | ONLY with a written signed order |
| what is the max length for a med order? | 12 months |
| what is max length for a psychotropic med order? | 3 months |
| what is max length for a schedule II med order? | 30 days |
| who can accept a med order over the phone? | registered nurse, licensed nurse, or pharmacist |
| how should meds be stored in a setting? | kept in original containers, in a locked cabinet with separate cubicles for each resident. key carri4ed by person in charge all times |
| what temperature should meds be kept at? | 33-41 degrees |
| is there special documentation for schedule II drugs? | YES kept in a bound book with person's name, prescription number, date, drug name, dosage, frequency and method, signature of person administering, and verification of the amount on hand |
| T/F you don't need to count schedule II meds | FALSE schedule II meds must be counted when you administer them and record in the bound book |
| can schedule II meds be stored normally? | no, they must be under a double lock |
| T/F you can throw excess meds in the trash can | FALSE take them to the police station to be destroyed |
| what are the EIGHT RIGHTS | right person right drug right dose right time right route right to know right to refuse right documentation |
| categories of meds (broad) | prescription (cannot be obtained without a prescription) and over the counter (can be obtained without a prescription) |
| what are the 4 types of names a drug is given? | chemical (composition and molecular structure), generic, brand/trade, official |
| types of medications | liquids, semi solids, solids, other |
| what do you do with a med hold? | do not give the medicaiton, write an H in th MAR box. circle the box. write on the back of MAR why med is being held |
| average body temperature | oral - 98.6 rectal - 99.6 axillary - 97.6 ear - 98.6 |
| average respirations | 12-24/minute |
| average pulse | 60-100 bmp |
| average blood pressure | 100/60 - 140/90 |
| what are the 4 links in the infection chain? | a germ, a place for the germ to live, a susceptible host, a way for the germ to enter the host |