Retain on file a copy of the prescriptions for centrally stored medications in the resident's file. The Centrally Stored Medication and Destruction Record (LIC 622) is available for this purpose. Opioids, antibiotics and antipsychotics are now under mounting scrutiny. This needs to be spaced out to prevent negative side effects. Note: Medication can be destroyed by a healthcare waste management company with an approved waiver. O Assistance can include measuring liquid medication into calibrated cups, droppers, oral syringes without needles and dosing spoons for the resident to self-administer orally. Medication management ceu Assistance with Self-Administration: Is delegated to a direct care staff that has been trained by a qualified trainer on medication management based on Title 22 Regulations and California Health & Safety Code 1569. CALIFORNIA'S ASSISTED LIVING WAIVERS (ALW) (f) Nasogastric tubes; (g) Wound Vac therapy (a system that uses controlled negative pressure, vacuum therapy, to help promote wound healing); (h) Restraints except as permitted by the licensing agency; (i) Stage 3 or 4 pressure ulcers; and (j) Ventilator dependency. Also, make sure you are not using similar prescriptions for the same health condition. It could cause even more harm from suddenly discontinuing a drug. A resident may store and consume his own medications if he is a. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Maintain a record of centrally stored medications for each resident for at least one (1) year. • Four states have special conditions: Kentucky and New York require AL residents to self-administer their medications, and Louisiana and Minnesota require AL residents to contract with an outside source for medication administration if they cannot self-administer RCFE CARE CONSULTANTS, LLC EDUCATION.
That minimizes the risk of side effects or reduces the drug's effectiveness. For example, some older adults might keep a few pills in their kitchen. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Obtain the physician's signed, dated, written order on a prescription blank or the physician's business stationery which is maintained in the resident's file. 35 residents X 10 medications each=350 a day 350 meds per day X 30 days per month=10, 500 medications passed each month! The LIC 622 is available for this purpose. Licensees must maintain documentation on procedures and on the training provided by the hospice agency RCFE CARE CONSULTANTS, LLC EDUCATION. Resident Refusal of Medication Contact responsible party Inquire why a resident is refusing medications Address barriers to acceptance, prior to discontinuing medication RCFE CARE CONSULTANTS, LLC EDUCATION. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS Residents may store and administer their own medication with written approval from the physician on file if licensee procedures allow for this. Allow greater resident control in other areas The resident is agitated or confused. PRN Order are not given on a set schedule; they are given "as needed. A resident may store and consume his own medications if cell. " California's assisted living waivers (alw) Payment Rates: Medi-Cal pays the RCFEs and home health agencies for five levels of care and services, with daily rates ranging from $52 per day for tier 1 to $200 per day for tier 5. Obtain the physician's signed, dated, written order for the medication on a prescription blank or the physician's business stationery and maintain it in the resident's file. They know that medications will improve health, and the only way that can happen is with proper intake.
That's precisely why it's so important always to have an up-to-date list of their medications. RCFE Care Consultants ABOUT US: WE ARE CONSULTANTS ASSISTING BOARD AND CARE PROVIDERS IN THE CENTRAL AND TRI-VALLEY AREAS. Current Status AND THE NEED FOR MORE REGULATIONS Assisted living expanded largely through the private or out-of-pocket pay market. Ensure clear medication instructions.
Controlled Medications Schedule I contains drugs with very high abuse potential with no medical use Schedule II contains drugs with accepted medical use but with very high abuse potential Schedule III contains drugs with less abuse potential Scheduled IV contains drugs with somewhat less abuse potential than Schedule III Schedule V contains drugs with little potential for abuse RCFE CARE CONSULTANTS, LLC EDUCATION. O Place the mixture in a sealable bag, empty can or other container into the outside trash receptacle to prevent the drug from leaking or breaking out into the facility's garbage can. Medications for Seniors in Senior Care Facilities - BoomersHub Blog. COMMUNITY CARE LICENSING DIVISION EVALUATOR MANUAL (CCL POLICY) ONE REFERENCE SOURCE THAT ENSURES STATEWIDE CONSISTENCY IN ADMINISTRATION OF LICENSING PROGRAM, ENFORCEMENT OF LAWS, POLICIES AND PROCEDURES. But it would be best if you did not make any changes without consulting the doctor. So what does this mean?
CCLD policies do not require facilities to obtain an exception for staff to assist in the administration of eye, ear or nose drops under specific circumstances. A resident may store and consume his own medications if he needs. Medication management ceu Psychotropic Medications and Elderly: Different Types of Psychotropic Medication Stimulants-example: Adderall Antidepressants-example: Zoloft Antipsychotics-example: Haldol Mood stabilizers-example: Depakote Antianxiety agents-example: Ativan RCFE CARE CONSULTANTS, LLC EDUCATION. Recent flashcard sets. MEDICATION MANAGEMENT CEU Train all staff responsible for medications as described in the facility's Department approved plan of operation. Medication management ceu DESCRIPTION OF REGULATIONS: Ensure the resident's physician provides written authorization for each OTC medication for which facility staff will provide self-administration assistance RCFE CARE CONSULTANTS, LLC EDUCATION.
Medication management ceu Working with pharmacy: ordering, refills & receipts Dementia & psychotropic drugs: Side effects, adverse reactions, errors, adverse effects/increased risk of death RCFE CARE CONSULTANTS, LLC EDUCATION. Medication management ceu SCENARIO: Medications need to be crushed or altered RCFE CARE CONSULTANTS, LLC EDUCATION. HOURS: 2:21) CREDIT/SOURCE: Alzheimer's Association RCFE CARE CONSULTANTS, LLC EDUCATION. Medication Orders YOU TOUCH IT, YOU OWN IT Where are they placed when received?
Medication management ceu Destroy the medications in compliance with local, state, and federal laws. Strict rules and regulations have been imposed on hospitals and nursing homes to dispose of unused medications for years properly. By what factor will this resolution be changed? MEDICATION MANAGEMENT Given that assisted living residents take an average of 10 prescription medications, let's do the some math to see how many medications may get passed to residents every month. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Discuss with the resident the reason for refusing the medication. Medication management ceu DESCRIPTION OF REGULATIONS: Once ordered by the physician, the medication is given according to the physician's directions. These drugs can also help with anxiety. Working Effectively with Pharmacy Order medications in a timely organized fashion Provide accurate billing and responsible party info Know how to reach the pharmacy at all times Keep physician and lab appointments Check medications when delivered Set/meet pharmacy delivery schedule Be prepared when speaking to health care professionals Advise pharmacy of licensing and QA issues Always keep good lines of communication RCFE CARE CONSULTANTS, LLC EDUCATION.
Revise policies and procedures as needed and submit to Department for approval. Consequently, most come to these communities in a clinically complex and fragile state. MEDICATION MANAGEMENT CEU BEST PRACTICES (COMMUNITY POLICY & PROCEDURE) For donated medication, include in the resident's file: o Name of the resident o The prescription number and the name of the pharmacy RCFE CARE CONSULTANTS, LLC EDUCATION. Document refusal of medication in the resident's medication record and notify the prescribing physician RCFE CARE CONSULTANTS, LLC EDUCATION. O Have the resident's family obtain a separate supply of the medication for use when the resident visits the family RCFE CARE CONSULTANTS, LLC EDUCATION. Medication Obstacles Multiple new generic meds Risperdal – Risperidone Depakote – Divalproex Norvasc – Amlodipine Coreg – Carvedilol Zoloft – Sertraline Zocor – Simvastatin Seroquel – Quetiapine Multiple Manufactures – various sizes, shapes RCFE CARE CONSULTANTS, LLC EDUCATION. Recently, the EPA considered imposing strict restrictions on assisted living facilities.
Document when the medication is transferred with the resident. Medication management ceu BEST PRACTICES (COMMUNITY POLICY & PROCEDURE) Implement procedures for situations such as medication spillage, contamination, assisting with liquid medication, interactions of medications, etc. MEDICATION MANAGEMENT CEU BEST PRACTICES: COMMUNITY POLICY & PROCEDURE Create a form for the resident's physician to fill out that identifies the resident's capacity to determine and communicate his/her need for PRN medications. The healthcare provider information who prescribed medications. MEDICATION MANAGEMENT CEU BEST PRACTICES: COMMUNITY POLICY & PROCEDURE Give the full prescription container to the resident or responsible person/authorized representative. 9 Average resident income: $27, 260 Source: National Survey of Residential Care Providers, CDC 2010 (National) Community Care Licensing, 2013 (California) RCFE CARE CONSULTANTS, LLC EDUCATION. There could still be adverse drug reactions when you combine them with prescription medications. Document the phone call in the resident's record, including the date, time and name of the person at physician's office Have a facility procedure (e. card file/index card, notebook, flagging system, and/or electronic data) to alert staff of the changes Discuss the discontinuation with the resident and the resident's responsible person/authorized representative RCFE CARE CONSULTANTS, LLC EDUCATION. Medication management ceu Anticonvulsants and Elderly (continuation) Medications used to treat seizures: Valproic acid Tegretol Neurontin Gabitril RCFE CARE CONSULTANTS, LLC EDUCATION. Find the missing pressures and temperatures in the cycle of Problem oblem 10.
For centrally stored medications, ensure the refilled medication is locked. See guidelines for crushing medications. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Per Title 22, section 87209, the licensee may use alternative techniques, which could include contracting with a commercial medication destruction company or other alternatives such as a county operated "drop off program" provided: RCFE CARE CONSULTANTS, LLC EDUCATION. Medication management ceu TOPICAL MEDICATIONS: Different Types Lotions produces local effect Creams produces local effect Ointments produces local effect Patches produces systemic effect RCFE CARE CONSULTANTS, LLC EDUCATION. Do not use an empty used prescription container RCFE CARE CONSULTANTS, LLC EDUCATION. MEDICATION MANAGEMENT CEU SCENARIO: Medication from another country RCFE CARE CONSULTANTS, LLC EDUCATION. Prescription medications that are long-term require on-time refills. Medication training must be in compliance with Health and Safety Code section 1569.
Medication management ceu Anticonvulsants and Elderly: medications used to treat epilepsy (seizures) seizure disorders increase in incidence and prevalence after the age of 60 years 32 percent of the seizures were caused by strokes, 14 percent by brain tumors and 25 percent had no identifiable cause. The National Center for Assisted Living (NCAL) reports that more than 50% of assisted living residents are 85 or older. However, some of the counties in which the ALW program is operating do not currently have any RCFEs participating in the program. OTC medication given on a PRN basis must meet all PRN requirements RCFE CARE CONSULTANTS, LLC EDUCATION. Introduction to Assisted Living National: Communities: over 31, 000 (4+beds) Licensed beds: over 971, 900 Average resident age: 86. There are a few pharmacies with free prescription delivery services, so you won't have to pick them up. But that was when assisted living was not an option. The CDC recommends that seniors should consider medications only when necessary. Maintain a record of each dose in the resident's records, including the date, time, dosage taken, and the resident's response RCFE CARE CONSULTANTS, LLC EDUCATION. RCFE MEDICATION TRAINING For administrators (8.
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