STATE OF CONNECTICUT Department of Children and Families

1. STATE OF CONNECTICUT • Department of Children and Families • Medication Administration Certification Training • Based on the Basic Medication Administration Curriculum • 2010 Edition Recertification Review Guide

2. Unit 1 2 Recertification Review Guide, Unit 1

3. 5 1.Right Child 2.Right Medication 3.Right Dose 4.Right Route 5.Right Time RIGHTS of Medication Administration 3 Recertification Review Guide, Unit 1

4. Three Documents Necessary for Safe Medication Administration • Licensed Practitioner’s Order • Pharmacy Label • Medication Administration Record (MAR) 4 Recertification Review Guide, Unit 1

5. The Rule of Three is: Documents Licensed Practitioner’s Order MAR Pharmacy Label 3 • Comparing the licensed practitioner’s order, MAR and the pharmacy label for the five rights three times every timeyou administer the medication Rights Child Medication Dose Route Time 5 Times everytime you administer the medication 3 5 Recertification Review Guide, Unit 1

6. Roles of LP, Pharmacist, Medication Certified Staff and Nurse • Licensed Practitioner:may diagnose and prescribe treatment/medications. May dispense medication. • Pharmacist:dispenses medications according to a licensed practitioner’s order. • Medication Certified Staff:may administer medications according to a licensed practitioner’s order to children in any DCF licensed or operated child-caring facility or extended day program. • Nurse (RN, LPN or APRN):provides ongoing supervision of medication administration program/staff. 6 Recertification Review Guide, Unit 1

7. Responsibilities of the DCF Medication Administration Staff • Alwaysfollow DCF Med Admin Procedure • Alwaysuse the Five Rights and the Rule of Three before medication administration • Know the desired effects of a medication and report any side effects • Adhere to any precautions • Follow instructions from the LP • Contact the Chain of Command whenever you have a question or concern 7 Recertification Review Guide, Unit 1

8. When you have a question about a LP’s order, a pharmacy label or MAR There is change in the condition of a child When to Contact the Chain of Command A child does not receive his medications as ordered Any incident where medication is not properly safeguarded Any time you have a question or concern 8 Recertification Review Guide, Unit 1

9. Unit 1 Quiz 9 Recertification Review Guide, Unit 1

10. Answers to Unit 1 Quiz 10 Recertification Review Guide, Unit 1

11. STATE OF CONNECTICUT • Department of Children and Families • Medication Administration Certification Training • Based on the Basic Medication Administration Curriculum • 2010 Edition Recertification Review Guide 11 Recertification Review Guide, Unit 2

12. Unit 2 12 Recertification Review Guide, Unit 2

13. Define the terms trade name and generic name for medications 13 Recertification Review Guide, Unit 2

14. Define active ingredientsand inactive ingredients 14 Recertification Review Guide, Unit 2

15. Define controlled medication Controlled medications have the potential to be abused or addictive 15 Recertification Review Guide, Unit 2

16. Define unlabeled (off-labeled)use of medication • Unlabeled/Off-labeled use of a medicationis the use of a medication for a purpose that has not been approved of by the FDA 16 Recertification Review Guide, Unit 2

17. Describe the different routesof administration • Oral medication • Eye drops and ointments • Ear drops • Nasal sprays • Inhaled medication • Topical medication 17 Recertification Review Guide, Unit 2

18. List the steps of the DCF Medication Administration Procedure • Approach the task in a calm manner allowing no distractions • Wash hands before and after medication administration • Assemble appropriate equipment 18 Recertification Review Guide, Unit 2

19. List the steps of the DCF Medication Administration Procedure (Cont.) • Perform the rule of three: • Compare the LP’s order with the pharmacy label • Compare the pharmacy label with the MAR • Compare the MAR with the LP’s order to see if the five rights match 19 Recertification Review Guide, Unit 2

20. List the steps of the DCF Medication Administration Procedure(Cont.) • Pour the correct dose of medication • Identify the correct child • Administer the medication utilizing the proper techniques • Perform a mouth check • Document • Return the medication to the locked area and clean up 20 Recertification Review Guide, Unit 2

21. Unit 2 Quiz 21 Recertification Review Guide, Unit 2

22. Answers to Unit 2 Quiz 22 Recertification Review Guide, Unit 2

23. Answers to Unit 2 Quiz (Cont.) 23 Recertification Review Guide, Unit 2

24. STATE OF CONNECTICUT • Department of Children and Families • Medication Administration Certification Training • Based on the Basic Medication Administration Curriculum • 2010 Edition Recertification Review Guide 24 Recertification Review Guide, Unit 3

25. Unit 3 25 Recertification Review Guide, Unit 3

26. Identify what you must know about a medication before you administer it • Medication’s name • Medication’s use • Medication's action • Controlled or non-controlled • Usual dose • Precautions and considerations • Side effects Recertification Review Guide, Unit 3

27. Describe the process that must occur in thebody for a medication to have an effect • Enter • Absorb • Distribute • Metabolize • Eliminate Recertification Review Guide, Unit 3

28. List and describe the effects a child may have to a medication • Individual effect • Desired/Therapeutic effect • No effect • Side effect • Allergic effect Recertification Review Guide, Unit 3

29. Define the term “side effects”and give examples • A response to a medication that is not the desired effect; may be mild to severe and includes: nausea headache difficulty sleeping fever muscle twitching and tics Recertification Review Guide, Unit 3

30. Identify the correct steps to take if a child experiences a side effect • Hold the medication • Contact Chain of Command • Document Recertification Review Guide, Unit 3

31. Describe anaphylaxis and the appropriate steps to follow Severe potentially fatal allergic reaction CALL 911 (Follow your facility’s Policies and Procedures re: medical emergencies) Recertification Review Guide, Unit 3

32. Age Weight Route of Administration Drug and Food Interactions Size Gender General Health Status Genetics List factors that affect a child’s response to medication Recertification Review Guide, Unit 3

33. Define drug to drug interaction • The effects of one medication are changed by the presence of another medication. • May occur whenever there is more than one medication in the child’s system. Recertification Review Guide, Unit 3

34. Describe drug to food interaction • The presence of food in the stomach affects how medication is absorbed Recertification Review Guide, Unit 3

35. Factors that affect a child’s compliance with taking medication • Taste • Smell • Color • Consistency of the medication • Parental approval Recertification Review Guide, Unit 3

36. Define commonly usedmedical abbreviations Recertification Review Guide, Unit 3

37. Define commonly usedmedical abbreviations (Cont.) Recertification Review Guide, Unit 3

38. Define commonly usedmedical abbreviations (Cont.) Recertification Review Guide, Unit 3

39. Define commonly usedmedical abbreviations (Cont.) Recertification Review Guide, Unit 3

40. Unit 3 Quiz Recertification Review Guide, Unit 3

41. Answers to Unit 3 Quiz Recertification Review Guide, Unit 3

42. STATE OF CONNECTICUT • Department of Children and Families • Medication Administration Certification Training • Based on the Basic Medication Administration Curriculum • 2010 Edition Recertification Review Guide 42 Recertification Review Guide, Unit 4

43. Unit 4 43 Recertification Review Guide, Unit 4

44. Identify the componentsof a licensed practitioner’s order • Five Rights • Signature • Date (within the last 90 days) • Special instructions Recertification Review Guide, Unit 4

45. LP’s order must be renewed … Every 90 days (per DCF regulations) Recertification Review Guide, Unit 4

46. Documentation necessaryfor OTC medication • CT statutes and regulations require a LP’s order for any medication to be administered to a child. That includes OTC medications. • Orders must include the Five Rights, be dated within the last 90 days and signed by a LP. Recertification Review Guide, Unit 4

47. Define “standing orders” • Standing orders are licensed practitioner’s orders that include PRN OTC medications used to help treat or manage routine, minor childhood illnesses or symptoms Recertification Review Guide, Unit 4

48. General rules of documentation • Use permanent ink – no pencils or erasable pens • Write legibly • Only approved abbreviations • No white-out • Do not obliterate a documentation error – draw a single line through the mistake, write your initials and date above it • Use full, proper names and titles • Do not use one child’s full name in another child’s record • The time and date should be noted in all documentation Recertification Review Guide, Unit 4

49. DocumentingNon-controlled medications • Every child who is prescribed medication must have his own MAR for each medication he is prescribed Recertification Review Guide, Unit 4

50. Documenting Controlled Medications • When you administer a controlled medication you must document how much of that medication remains • All controlled medications must be counted and the count documented at the beginning of each shift or whenever responsibility for the controlled medication is transferred from one staff member to another Recertification Review Guide, Unit 4