SAMPLE POLICY WORK

– Staff prepare medications using aseptic techniques, ensuring that every dose is measured accurately. – Following the "five rights" of medication administration (right patient, right drug, right dose, right route, right time), the medication is delivered via the appropriate route. – The administrator signs off in the MAR immediately after successful administration, including any observations or client feedback. 3. Post-Administration Monitoring: – After medication administration, clients are monitored per protocol for any signs of side effects or adverse reactions. – All observations are immediately recorded. If an abnormal reaction is observed, the Medication Safety Officer is contacted promptly and emergency procedures are initiated if required.

4.

Documentation and Reconciliation:

– Complete detailed entries in the MAR, ensuring that any discrepancies (e.g., missed doses, extra doses) are documented along with reasons for the error. – At key transitions (e.g., shift change, discharge, transfer), medication reconciliation is performed. Discrepancies are resolved immediately. – All revised orders or adjustments are logged with full version control. 5. Staff Training and Post-Incident Review: – Training sessions are scheduled regularly to reinforce administration skills and review new guidelines. – In the event of a medication error or adverse reaction, immediate incident reporting is mandatory. The Quality Assurance Team reviews the incident, conducts root cause analysis, and organizes a follow-up training session if systemic issues are identified. – Periodic competency evaluations are recorded and reviewed by supervisors to ensure ongoing adherence to procedures. 6. Inventory and Disposal Management: – Weekly inventory checks are conducted by Pharmacy Staff. Any medications that are nearing expiration are flagged for disposal. – Secure disposal is conducted in accordance with state and federal guidelines, and a disposal log is updated accordingly. – Temperature logs for refrigerated medications are reviewed daily by assigned personnel and incidents of temperature deviation are reported and corrected immediately.

7. Emergency and Incident Reporting Protocol:

– In cases of emergency, the direct support professional and nurse initiate the medication error protocol, ensuring that the Medication Safety Officer and Care Coordinator are notified immediately.

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