Chap 53 Medical Assisting Administrative & Clinical Competencies 7th AMA

State each of the Seven Rights and explain what each of them means. 3. Dose: Check to be sure the dose prepared matches the dose ordered. It should also be within the usual range of dosing for that medication and is appropriate for the age of the patient (adult dose versus pediatric dose).

3. Dose: Check to be sure the dose prepared matches the dose ordered. It should also be within the usual range of dosing for that medication and is appropriate for the age of the patient (adult dose versus pediatric dose).

State each of the Seven Rights and explain what each of them means. 4. Route: Ensure that the correct route is to be used as ordered and that there is no contraindication for using that route.

4. Route: Ensure that the correct route is to be used as ordered and that there is no contraindication for using that route.

State each of the Seven Rights and explain what each of them means. 5. Technique: Give the medication the right way by the correct route.

5. Technique: Give the medication the right way by the correct route.

State each of the Seven Rights and explain what each of them means. 6. Time: Administer the medication at the appropriate time as ordered and with respect to other activities such as meals or therapy or with respect to test that might be planned.

6. Time: Administer the medication at the appropriate time as ordered and with respect to other activities such as meals or therapy or with respect to test that might be planned.

What is a prescription?

A legal document that provides instructions defined by the physician or licensed provider for preparation of a medication and authorizes its dispensing to a patient for self-administration.

dissolvable

A medication supplied as a dissolvable solid for rectal administration is called a suppository.

prescription

A prescription is a written or transmitted instruction to the pharmacist for preparing and dispensing a medication to a patient for self-administration.

medication order

A written instruction composed by a physician or licensed practitioner for administering medications directly to a patient is a medication order.

enema

A(n) enema could be used to introduce contrast material rectally for imaging of the lower intestinal tract.

Transdermal:

An adhesive patch containing medication worn on the skin.

To avoid medication errors, when should the medical assistant check the order and the medication?

Before and after preparing the medication, and before and after giving the medication.

Buccal

Buccal: Placed between the cheek and gum for absorption through the mucous membranes in the mouth

What should the medical assistant always do when preparing a prescription for signature?

Compare all elements of the prescription with the order and verify that the information is complete and accurate.

dispense as written

DAW stands for dispense as written.

What does DAW mean?

Dispense as written. It is an instruction to the pharmacist not to make any substitutions or alterations in the dosing or instructions supplied to the patient.

What information is required, in addition to the standard information, when documenting immunizations?

Documenting Immunization: Manufacturer's name, lot number, serial number, and expiration date.

What must be performed before giving medications by ANY route?

Hand washing and verifying any and all the Seven Rights.

Inhalation

Inhalation: Breathed in

What legislation requires health care providers to report adverse events following a vaccination? What is its purpose?

Legislation Report Vaccination Adverse Events: The National Childhood Vaccine Injury Act (NCVIA): its purpose is to detect new or unusual adverse events, monitor increases in adverse events, identify potential risk factors, identify an increase in events associated with certain lot numbers, and track safety of new vaccines.

When should a medication entry be completed? Immediately after the medication is given.

Medication Entry Completion: Immediately after the medication is given.

What steps should the medical assistant take in the event of a medication error?

Medication Error Steps: Ensure the patient's safety, notify the physician or ordering provider, document in the patient's record what occurred, completely and accurately, and document the patient's response.

Ophthalmic:

Medication applied to the eyelid or opening in the corner of the eye

Why are different medications used to treat the same symptoms?

Medications can work through different mechanisms of action and might not produce the same side effects in different patients. Others might not be effective because the same symptom can be caused by a different underlying problem.

Ointment

Ointment: Emulsion of medication applied topically.

Why is oral administration the most commonly used route for medications?

Oral administration most commonly used route: It involves less risk, discomfort, and expense than other routes of administration.

Oral; parenteral

Oral medications are intended for absorption through the digestive system; other methods are said to be parenteral, or intended for absorption from outside the digestive system.

Otic:

Otic: Medication given in the ear canal.

transdermal

Patches give medications by the transdermal route.

6. What information is required for a complete and accurate medication order?

Patient name, medication name, dosage, route of administration, frequency, date and time the order was written, specific instructions, prescriber's signature.

What action should be taken to avoid errors when calling in prescriptions to a pharmacy?

Require the pharmacist or technician to read back all the information given to verify accuracy.

Identify the routes by which a medical assistant is permitted to administer medications, unless otherwise designated by state laws.

Routes CMA can administer: 1. Oral 2. Inhaled 3. Topical 4. Injectable Additionally, it is important to be ready to provide patient education regarding medications that are generally self-administered vaginally, urethrally, and rectally.

State each of the Seven Rights and explain what each of them means. 1. Patient:

State each of the Seven Rights and explain what each of them means. 1. Patient: Verify that you have the correct person by using two identifiers (birthdate, address, social security number, etc).

buccal

Sublingual medications are placed under the tongue; buccal medications are placed between the cheek and gum.

Sublingual

Sublingual: Under the tongue

Seven Rights

The Seven Rights are the rules that ensure safe medication administration.

Topical:

Topical: Applied directly to the skin.

By following the signature with a straight line to the edge of the page.

When signing off a medication or other chart entry, how should you signify the end of the entry to prevent anyone else making an unauthorized addition to your note?

The Seven Rights of Medication Administration:

1. Patient 2. Medication 3. Dose 4. Route 5. Technique 6. Time 7. Documentation

State each of the Seven Rights and explain what each of them means. 2. Medication: Make sure the drug being prepared matches the order but also matches the patients problem.

2. Medication: Make sure the drug being prepared matches the order but also matches the patients problem.