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Medication Administration class for Non-Licensed Personnel (QMAP).

Training Process.

Course Goal:

This course is intended for non-licensed personnel who provide direct care of individuals receiving supports or services in:

  1. Assisted living residences.
  2. Adult foster care facilities.
  3. Alternative care facilities.
  4. State certified adult day programs.
  5. Residential Child Care Facilities.
  6. Secure residential treatment centers.
  7. Program approved service agencies (PASA) serving people with intellectual and developmental disabilities.

 At the completion of this course, the successful student will be able to attain skills and demonstrate: 

-- Proper reading, understanding and transcribing of physician’s orders;

-- Knowledge of safe administration of medications via multiple "routes" (ingested, applied, inhaled, inserted) in designated settings using written physician orders according to the "7 rights of administration”;

-- Accurate calculations of drug dosages. Understanding intended effects of medications, as well as, the potential for adverse side effects;

-- Proper documentation of the administration of prescription and non-prescription drugs according to current standards of practice;

-- Safe and accurate dispensing of medications to Medication Reminder Boxes (MRB);

-- Mastery of the following:

 

-Comprehension of important guidelines;
-Use and forms of drugs;
-Medication orders;
-Documentation;
-Steps of procedures;
-Medication errors;
-Medication storage.

 

 Upon successful completion of this course the non-licensed personnel would prove competency, as determined by a registered nurse-trainer, in administration of an individual’s medication, and when appropriate, observation of an individual's self-administration of medications as Qualified Medication Administration Person.

Stage One: 

- Online study only.

Stage Two:

- Practicum and Final Exam (Live testing, by appointment only).

- Not open book, proctored by direct trainer RN.

- Student must score 85% in the written test and 100% in practicum exam.

- If student fails the competency evaluation or the final exam, they must repeat the entire course.

- Skill check-offs are performed after demonstration and student practice have taken place.

- Skills check-offs for infection prevention and administration medications by the various routs (oral, ophthalmic, otic, nasal, inhalant, transdermal and topical, suppository medications are considered basic medication administration skills to which the unlicensed person must demonstrate competency validation).

 

Course Overview

 Course Objectives:

 To train non-licensed personnel in:

- Safely and accurately administering medication.
- Demonstrating competency

Module 1: The scope of practice of QMAP (qualified medication administration person). Legal authority and responsibility. Difference between monitoring, administrating and Client self- administration of medications. 7 “Rights” of medication administration. Client/Resident‘s rights to refuse medications. Communication and interpersonal for addressing needs behaviors of elderly, clients with impaired physical capacity and cognitive ability, behavioral issues, dementia and/or Alzheimer’s. Preventing and reporting abuse, neglect and misappropriation of resident or client property.

At the completion of this section, the student should:

1. Understand the difference between an RN, an LPN, and Prescribe authority: physician (MD), physician’s assistant (PA), nurse practitioner (NP), dentist. 

2. Be familiar with agency policies and procedures related to medication administration and know where to find them. 

3. Understand a difference between Monitoring medications taken by the client, administering medication to a client, Self-administration of medication by a client. 

4. Be familiar of the seven rights of medication administration and the 4 "routes" of giving medications. 

5. Understand patient/resident rights.

Evaluation of progress:

1. View the table of contents in the policy and procedure manuals at the adult care home and look up and read about at least two policies/procedures regarding medication administration. 

2. Module1 test - review.

Module 2: Uses (routes) and form of drugs. Controlled substances (narcotics). Counting, administrating controlled substances. Drug diversion awareness. Desired or therapeutic effect. The difference between side effect and adverse reactions. The purpose of prescribed medications. Medication reference resources.

 At the completion of this section, the student should:

1. Describe some of the purposes for drugs.
2. Define the meaning of forms of drugs.
3. Define controlled substances (narcotics).
4. Understand desired or therapeutic effect
5. Define medication “allergy” and describe responsibility in relation to identified allergies and suspected side effects.
6. How, when and where to properly navigate appropriate medication reference resources.

Evaluation of progress:  

- Module 2 test /review.

Module 3: Medication orders. Translating physician orders (including six parts of a medication order, components of a complete order and difference between dose and dosage). Metric system. Common medical abbreviations translated into everyday terms.

At the completion of this section, the student should:

1. Match common medical abbreviations with their meaning. List commonly used abbreviations and terminology related to medication administration.

2. Definition of an Order. Understand six parts of a medication order and components of a Complete Order.

3. List and describe common dosage forms of medications. Explain “strength of preparation”.

4. Understand metric system and measuring devices compare and contrast the different measuring devices used to administer oral, liquid medications. Pay special attention to ml versus mg.

5. Be familiar of the QMAP’s role in starting, changing or stopping medication orders

Evaluation of progress: 

1. Review the different types of medication orders, examples and the difference between a routine medication order and a PRN medication order. Review the conversion table.

2. Module 3 test /review.

Module 4: Medication Administration records (MAR).Rules and practice for documenting. Transcription of orders onto MAR. Documentation for PRN medications and controlled substances administrations. Contains of medication labels including expiration and refill dates. Maintaining proper documentation of the administration of both prescription and nonprescription drugs.

At the completion of this section, the student should:

1. Understand the rules for documenting medications. Describe correct documentation of medication. 

2. Be familiar of The Medication Administration Record (MAR). 

3. Compare and contrast the documentation of routine medication administration and PRN medication administration. Recognize the need to document in the resident’s record when necessary. 

4. List commonly used abbreviations and terminology related to medication administration. 

5. Understand Medication Labels. Demonstrate proficiency in reading a medication label.

Evaluation of progress: 

1. Practice to document, transcribe using proper abbreviations or written out completely; include all components of a medication order. 

2. Review directions on medication label from pharmacy are checked against the MAR. Demonstrate how the medication administration record and medication label are compared to ensure safe and accurate administration. 

3. Module 4 test /review.

Module 5: Medication remainder boxes (MRB) and day trip/packs. Safely and accurately fill and administer medications to and from medication reminder boxes with oversight from a licensed person or qualified manage. MRB labels.

At the completion of this section, the student should:

1. Define MRB; 

2. Understand the procedure ofadministration of medications from MRBs; 

3. Review the guidelines for filling MRBs and/or day/trip packs.

Evaluation of progress: 

- Module 5 test / review.

Module 6: Standards, precautions and safe practice of administration of medications according to written practitioner's orders and manufacturer’s instructions. Use of proper techniques when administering medications by the various routes. Seven “R”. Cross- check the label on medication container with the MAR and physician order three times. Infection control, safety and emergency procedures.

At the completion of this section, the student should:

1. Give examples of good practice to implement each of 7 “Rights”.
2. Define standard ("universal") precautions. Demonstrate correct infection control concepts during medication administration.
3. Use the 7 Rights to administer oral, eye, ear, nasal, inhalant topical, and suppository medications – Right RESIDENT, Right MEDICATION, Right DOSE, Right ROUTE, Right TIME, Right REASON and Right DOCUMENTATION.
4. Identify proper action to take when special circumstances occur in relation to medication administration and equipment needed for the different type, routes of medication to be administered.
5. Demonstrate the use of the Medication Administration Record (MAR).

Evaluation of progress: 

1. Hands-on steps, procedures and practice for the different routes of medication administration.
2. Demonstrate/evaluate how the medication administration record and medication label are compared to ensure safe and accurate administration.
3. Practice on proper documentation of Medication Administration (MAR).

Module7: Medication errors. Determining documenting and reporting medication errors. Medication storage and disposal.

At the completion of this section, the student should:

1. Describe what constitutes a medication error, examples of medication errors, and actions to take when a medication error is made or detected.
2. Learn storage requirements for medications kept in labeled containers or medication reminder boxes.
3. Review the procedure for storage of non-refrigerated and refrigerated medications.
4. Review the procedures for storage of controlled substances.

Course Schedule:

 
1. Stage One. (Online only). 

 

Module                           

Estimated Allotted Time in Minutes/hours            

 Module 1  20 minutes/10 minutes test.
 Module 2  20 minutes/10 minutes test.
 Module 3  30 minutes/30 minutes practicum and test.
 Module 4  30 minutes/30 minutes practicum and test.
 Module 5  20 minutes/10 minutes test
 Module 6  2 hours/2 hours practicum and test.
 Module 7  30 minutes.

 

2. StageTwo: 8 hours. (Practicum and Live Test).

 

Marina Nelson, RN license # 171982 (instructor and developer of course instruction).

APLMED.com “QMAP class” for web based materials.

 

Module 7. Medication errors. 

At the completion of this section, the student should:

- Describe what constitutes a medication error, examples of medication errors, and actions to take when a medication error is made or detected.

 

Module 8. Medication storage.

At the completion of this section, the student should: 

1. Learn storage requirements for medications kept in labeled containers or medication reminder boxes.

2. Review the procedure for storage of non-refrigerated and refrigerated medications.

3. Review the procedures for storage of controlled substances.

 

Evaluation of progress:  

- Module 7-8 test-review.

 

Stage Two:

 

1. Final Written test.
2. General Medication Administration skills performance. (Practicum exam).