– Medication reconciliation is to be performed during key transitions (e.g., admission, inter-facility transfer, and discharge) to ensure that accurate and updated medication lists are maintained. – The reconciliation process involves verifying client medication inventories against current medication orders, with any discrepancies resolved immediately. – Use standardized reconciliation forms to record both pre-admission medication lists and current medications. 3. Documentation of Changes: – Any changes in medication orders — including new prescriptions, dosage adjustments, or discontinuations — must be documented in the MAR and communicated to all relevant staff and external providers. – A change log should accompany every updated MAR, indicating the rationale for changes, the date of modification, and the person responsible for the update.
D. Staff Training and Competency Assessments
Policy Statement: Only staff who have completed the requisite medication management training and demonstrated ongoing competency are permitted to administer medications. Regular training sessions, competency evaluations, and certification updates are mandatory to maintain high standards of care.
Procedural Guidelines:
1.
Initial Training:
– New hires involved in medication administration must complete an intensive orientation that covers all aspects of medication management, including administration techniques, storage protocols, documentation standards, and error management. – Training materials include video tutorials, in-person workshops, simulation exercises, and written manuals based on the latest regulatory guidelines.
2.
Ongoing Competency Assessments:
– Staff must undergo periodic competency evaluations (at least annually) that assess knowledge of medication protocols, emergency response procedures, and documentation practices. – Assessment methods include written tests, direct observation during medication rounds, and simulated emergency scenarios. – Results of competency assessments are recorded in the employee’s training file and inform any necessary refresher training sessions.
3.
Mandatory Refresher Training:
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