Direct Support Professionals •
Medication Support: Assist with non-invasive medication administration, monitor client behavior, and communicate any discrepancies to nursing staff. • Documentation: Record assistance provided in the MAR under direct supervision. Pharmacy and Inventory Staff • Ordering and Supply Maintenance: Oversee the ordering, inventory management, and secure storage of medications. • Verification: Perform regular audits of medication stock and ensure consistent adherence to temperature and security requirements. Quality Assurance and Compliance Teams • Auditing and Monitoring: Conduct regular internal audits of medication administration and documentation practices. • Incident Review: Lead investigations into medication errors, develop corrective action plans, and monitor their implementation. • Regulatory Liaison: Ensure that all medication management practices meet state and federal guidelines and facilitate communication with regulatory bodies. IT and Records Management • Digital Systems Support: Maintain a secure electronic records system that houses MARs, inventory logs, training records, and incident reports. • Version Control: Ensure that updates to protocols are logged, and historical data are accessible for audits and reviews. • Data Security: Enforce HIPAA and data protection policies to secure all medication-related information.
d. Procedural Guidance and Step-by-Step Workflow
The following step-by-step workflow outlines the Medication Management process from order receipt to documentation and follow-up:
1.
Medication Order and Verification:
– The physician prescribes medications using an approved electronic order system. – Nursing staff verify the medication order by cross-referencing it with the client’s MAR and notification of any allergies or contraindications. – The Pharmacy Team double-checks the order prior to dispensing to ensure accuracy. 2. Medication Preparation and Administration:
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