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OAP7051

Course
OAP7051
Course Title
Medication Technician

Description

Learn to be a medication technician.  Under supervision of General Duty Nurse, this professional administers prescribed medications to patients and maintains related medical records. The medication technician also verifies the identity of the patient receiving medication and records the name of drug, dosage, and time of administration on specified forms or records.

Objectives

Learn to be a  medication technician and prepare for state certification examination.

Content

  • Medication Technician Training Outline:

 

  • Overview of Med Tech Duties and Responsibilities:

 

  • Essential Job Functions:

 

  • Medication Assistance: 
    • Assist residents with administration of medications in accordance with physician orders
    • Maintain proper records in the Medication Administration Record (MAR)
    • Record appropriate information in the resident medical chart
    • Report any changes and observations in resident health status and daily functioning to the Resident Care Director.

       

  • Communications
    • Practice respectful communication skills with residents
    • Build working relationships with families by informing them of resident’s needs and changes according to their job function
    • Inform other staff members of resident medication and care issues
    • Communicate in a timely and professional manner with physicians and other health care providers.

 

  • Safety
    • Follow safety and infection control measures in accordance to facility guidelines and Occupational and Safety Health Administration regulations.

 

  • Personal Care Function
    • Assist residents with activities of daily living to include     bathing, dressing, grooming, toileting, mobility and other tasks as defined in the individualized care plan.

 

  • Light cleaning and laundry:
    • Participate in housekeeping and laundry services as determined by community needs

 

  • Food Service
    • Help provide meals and snacks in compliance with community guidelines and diet orders
    • Report changes in resident eating habits and appetite to Food Service Director and Resident Care Director

 

  • Training and Competency:
    • Med Tech Training/Orientation
    • Earn 6 medication-specific continuing education units annually (including insulin and psychotropic medication training annually)
    • In-services as mandated by community
    • Trainee is to shadow on med cart with experienced Med Tech
    • Med Tech trainee is not allowed to pass medication until an RN or Pharmacist completes the Medication Administration Clinical Skills Checklist. In NC, the state written exam must be taken and passed within ninety (90) days of completing the Medication Administration Clinical Skills Checklist.

 

  • Job Duties of Medication Process
    • Medical Appointments
      • Forms/documents to take to each appointment (location, who fills them out prior to visit).
      • Communication of critical information to MD/Dentist, etc.
      • Obtaining a written physician’s order for any medication
      • Scheduling return appointments and follow-up

 

  • Obtaining Prescription Medication
    • Name and location of primary pharmacy and how to contact
    • Use of resident preferred pharmacy
    • Ordering medications or refills from pharmacy
    • Communication of new orders to staff
    • Documentation of new orders in Resident Care Notes
    • Medications supplied by family
    • Staff to notify family when meds running low
    • Staff to document calls to family in resident care notes
      • Obtaining meds after normal business hours
      • Review new order tracking form

 

  • Pharmacy delivery of medication
    • Confirm accurate receipt of medications
    • Process to follow if error in medication delivery

 

  • Storage of Medications
    • Individual Containers
    • Internal and external medications stored separately on the cart
    • Control drugs under double lock
    • Control drug sheets
    • Counting of control drugs per shift and sign
    • How to report count discrepancy
      • Control of keys
      • Storage of newly ordered or excess medications
      • Storage of refrigerated medications

 

  • Transcribing Orders
    • Location of MARs
    • Community practice to dictate
    • Practice placing a sample order on MAR
    • Review new order tracking form

 

  • Self-Administered Medications
    • Physician’s order required
    • Checklist completed quarterly
    • Weekly compliance assessed and documented on MAR
    • Secure location in room

 

  • Over the Counters (OTC)

    • Required MD order
    • Drugs labeled with resident’s name
    • Expiration dates checked for currency (esp. prn’s)
    • Encourage family to use pharmacy for OTC and why

 

  • Medication Errors

    • What constitutes an error?
    • Who to notify:
      • RCD
      • Physician
      • Family
      • Pharmacist
    • Completion of error report
    • Documentation in resident care notes
    • Follow-up as directed

 

  • Process for Discarding Medication
    • Responsibility for disposition of discontinued or out of date medication
    • Disposition of control drugs
    • Require paperwork for pharmacy
    • Routine audit of medication storage area to find discontinued or out-of-date medications

 

  • Monitoring of Drug Supply
    • Community process for monitoring
    • Obtaining refills
    • Stock medications

 

  • Meds Administered Outside of Community
    • Obtaining medications as part of the original prescription
    • Monitoring drug supply
    • Obtaining and release of medication for home visits or trips
    • Relaying critical information to person accepting responsibility for medications
    • Medication release and return form
    • Documentation on MAR and in Resident Care Notes
    • Transporting of medications outside of community by qualified community staff

 

  • Maintaining Records
    • FL2
    • Medication Administration Record (MAR)
    • TB screening
    • Quarterly drug reviews
    • Progress notes
    • Physician’s orders, including telephone orders
    • Standing Orders
    • Vital signs and weight record
      • Procedure for obtaining and documenting vital signs and weights
    • Home Health, Physical and Occupational Therapy
    • Orientation to “hot box” and required documentation

 

  • Resident Emergencies

    • Potential Life Threatening Conditions
    • Steps to take
      • Calling an ambulance
      • Whom to notify
      • Information to accompany resident (forms/documentation)
      • Documentation
    • Review of Emergency Equipment
    • CPR standard
    • DNR/MOST paperwork
    • Accident/Incident Report
    • Hospice
    • Elopement/Missing Resident Procedure

 

  • General Orientation of Med Tech

    • Understand and comply with HIPPA guidelines
    • Medication Storage Area
      • Audit Checklist
    • First Aid Supplies and Resources
      • First Aid
      • PPE
      • Diagnostic Equipment (temp, BP, etc)
      • Exposure Control Manual
      • Current Drug References and Books
      • Pharmacy policy and procedure manual
      • Important Emergency Phone Numbers
  •  
  • Medical Terminology and Abbreviations
    • Pre-test/Med Tech Trivia
    • Common Abbreviations
    • Pertinent Medical Terminology
  •  
  • Medication Administration
    • Medication Administration Checklist Review
    • Rights of Med Administration
    • Seven Steps to a Complete Order
    • Reading Prescription Labels
    • Administration Techniques
    • Transcribing Orders
    • Various Forms of Medications
      • Oral
      • Rectal
      • Topical
      • Sublingual
      • Subcutaneous
      • Inhalers
      • HHN
    • Oxygen Administration
    • Adverse Drug Reactions
    • Drug Allergies
    • Infection Control
    • Resident Refusals
    • PRN documentation

 

  • Diseases and Medical Conditions
    • Common diseases and medical conditions in elderly
    • Common meds for the conditions reviewed
    • Diabetes
      • Type I
      • Type II
      • Hypoglycemia
      • Hyperglycemia
      • Insulin Administration
      • FSBS
      • Sliding Scale
      • Medications
      • Documentation

 

 

  • Practice Skills Labs
    • Labs for Med Administration Skills
      • Injections
      • Oxygen
      • HHN
      • Vital Signs
      • Forms of Medications
      • Liquid
      • Patches
      • Topical
      • Ear/Eye drops
      • FSBS
      • Clean Dressings
      • HHN
      • Nasal Sprays/Inhalers
      • Tablets/Capsules/Sublingual
      • Administration Demonstration
      • Documentation Demonstration

 

  • Review

 

  • Post Test and Evaluations

 

 

Prerequisites

None; CNA certification recommended

Method of Instruction

Classroom lecture and participation

Evaluation

Exam:  yes

Classroom Participation:  yes

Demonstration of Skills:  no