- Gather the client’s medication from storage and verify that the medication has not expired;
- Check the resident’s MAR for allergies;
- Sufficient fluids available to administer medications;
- Gather other equipment needed for the type of medication to be administered:( Keep supplies and equipment used in administering medications clean and orderly, such as medication carts, trays and pill crusher):
— Medication administration records (MAR)
— Oral medications (tabs, caps): gloves (if needed), pill cutter (if needed), tweezers, paper medicine cup
— Oral medications (liquids): gloves (if needed), medicine cup, plastic or glass measuring cup
— Ear drops, eye drops or ointment, nose drops or nasal spray: gloves, cotton balls or tissues
— Suppositories: gloves, medicine cup, a lubricant such as K-Y jelly
— Transdermal skin patches: gloves.
In case of emergency follow facility policies and procedures.
If the person can cough or make sounds, let him or her cough to try to get the object out. If you are worried about the person’s breathing, call 911.
If the person can’t breathe, cough, or make sounds, then Heimlich thrusts:
- Stand or kneel behind the person and wrap your arms around his or her waist. If the person is standing, place one of your legs between his or her legs so you can support the person if he or she faints.
- Make a fist with one hand. Place the thumb side of your fist against the person’s belly, just above the belly button but well below the breastbone.
- Grasp your fist with the other hand. Give a quick upward thrust into the belly. This may cause the object to pop out. You may need to use more force for a large person and less for a child or small adult.
- Repeat thrusts until the object pops out or the person faints.
If a person faints.
- Start CPR (cardiopulmonary resuscitation) if you are know-how.
- If you do rescue breaths, look for an object in the mouth or throat each time the airway is opened during CPR. If you see an object, remove it.
- Do not do any more Heimlich thrusts.
- Keep doing CPR until the person is breathing on his or her own or until help arrives.
In case of other clients or employee’s emergency conditions or occurrences follow facility policies and procedures.