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 DESCRIPTION OF REGULATIONS: As with all prescriptions, inspect container(s) to ensure all information on the label is correct. The same thing applies to good medication management as well. These services may be provided in an RCFE, or by a licensed Home Health Agency to residents in public housing. 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. Resident Refusal of Medication A resident has a right to refuse to take a medication Document refusal with proper time and date Physician must be contacted. A resident may store and consume his own medications if it was. Medication management ceu Incidental Medical and Dental Care Services (22 CCR 87465) Scenarios, Regulations and Best Practices RCFE CARE CONSULTANTS, LLC EDUCATION. Assistance with self-administered medications does not include hiding or camouflaging medications in other substances without the resident's knowledge or consent A medication can be crushed with a written physician order.
The form should clearly indicate if the resident RCFE CARE CONSULTANTS, LLC EDUCATION. A resident may store and consume his own medications if you'd. Medication management ceu Medication Management by State In a state-by-state analysis of 2007 regulations related to medication management in AL, researchers calculated the following statistics (unpublished research): RCFE CARE CONSULTANTS, LLC EDUCATION. Medication management ceu SCENARIO: Medications are placed on hold (physician has instructed the resident to stop taking the medication for a limited amount of time) RCFE CARE CONSULTANTS, LLC EDUCATION. CALIFORNIA'S ASSISTED LIVING WAIVERS (ALW) For Assisted Living Services in either a Residential Care Facility or Publicly Subsidized Housing Setting Tier 1 $52.
Community Care Licensing Division Issues licenses for residential facilities which provide 24-hour non-medical care for children, adults and the elderly Health & Safety Code Title 22 Regulations CCL Policy RCFE CARE CONSULTANTS, LLC EDUCATION. A high number of seniors take multiple medications throughout the day. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Verify on the LIC 602A or other signed document from the physician that the resident is able to administer his/her own medication (including eye, ear and nose drops) RCFE CARE CONSULTANTS, LLC EDUCATION. As with all medications, the physician order must specify the name and dosage of the medication to be crushed. Pay close attention to medications taken "as needed" (PRN) since they are not in the regular medication rotation. 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. 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. In 2017, for participants with monthly SSI income of $1, 158. Things to Watch Out for. So this must be with supplements, over-the-counter medicines and vitamins. For centrally stored medications, ensure the refilled medication is locked. Medications for Seniors in Senior Care Facilities - BoomersHub Blog. MEDICATION ORDERS Types of Orders Physicians give many different types of orders Regarding a resident's medications. There are a few pharmacies with free prescription delivery services, so you won't have to pick them up.
O Refrigerated medication needs to be locked in a receptacle, drawer, or container RCFE CARE CONSULTANTS, LLC EDUCATION. Common Medication Errors Pharmacy Errors System errors Staff errors RCFE CARE CONSULTANTS, LLC EDUCATION. Due to this, most assisted living communities do not typically provide pharmacy services. Maintain centrally stored medications in accordance with label instructions (e. g. refrigerate, room temperature, out of direct sunlight, etc. ) CALIFORNIA'S ASSISTED LIVING WAIVERS (ALW) Care Coordination: These services include identifying, organizing, coordinating and monitoring services needed by participants.
For example, some older adults might keep a few pills in their kitchen. MEDICATION MANAGEMENT CEU ROLE OF A DIRECT CARE STAFF: Coordinate quality care by expert communication/observation Assist the resident to consume the medications RCFE CARE CONSULTANTS, LLC EDUCATION. Have a facility procedure (e. card file/index card, notebook, flagging system, and/or electronic data) Never let medications run out unless directed to by the physician in writing. California's assisted living waivers (alw) Choosing a Facility Participants select the facility or provider of their choice. Medication management ceu Antibiotics and Elderly: Side Effects: vomiting, severe watery diarrhea, abdominal cramps, allergic reaction (shortness of breath, hives, swelling of lips, face, or tongue, fainting), rash vaginal itching or discharge, white patches on the tongue (oral thrush) REPORT ANY OF THESE SIDE EFFECTS TO THE DOCTOR IMMEDIATELY! Medication management ceu BEST PRACTICES: (COMMUNITY POLICY & PROCEDURE) Create a form for the resident's physician to complete which identifies the resident's capacity to determine and communicate their need for PRN medications, as well as their capacity to communicate his/her symptoms clearly. Medication management ceu Pain Medication and Elderly: Medications Used to Manage Pain: Non-steroidal anti-inflammatory drugs- (NSAIDS) example: Ibuprofen, Advil, Aleve Acetaminophen- example: Tylenol Narcotics (controlled)- example: Vicodin, Norco RCFE CARE CONSULTANTS, LLC EDUCATION. If a Medication Error Occurs: Don't panic; don't attempt to cover up Don't give the medication at the wrong time if you missed a dose Contact your supervisor immediately Contact the physician Carefully document the error, physician's instructions, condition of the resident, and your actions Complete an incident report RCFE CARE CONSULTANTS, LLC EDUCATION.
Activity: Read the Pharmacy Label Fill in the blank (Next page) RCFE CARE CONSULTANTS, LLC EDUCATION. Medication Orders YOU TOUCH IT, YOU OWN IT Where are they placed when received? Gather all vitamins, medications, OTC meds and supplements into one location. Whether the medications are short-term or long-term. Research linking these drugs with falls has mixed results. As with all training, documentation of completed training must be kept in the individual's employee file.
MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Direct care staff with medication training shall assist residents with self-administered medications as needed. Common drugs include Ambien, Sonata, and Lunesta. 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. These drugs can also help with anxiety. MEDICATION MANAGEMENT CEU BEST PRACTICES (COMMUNITY POLICY & PROCEDURE) Discuss the dosage change with resident and responsible person/authorized representative Have a facility procedure (e. card file/index card, notebook, flagging system, and/or electronic data management system) to alert staff of changes and ensure they understand the change. MEDICATION MANAGEMENT CEU BEST PRACTICES (COMMUNITY POLICY & PROCEDURE) Check prescriptions and over-the-counter medications containers regularly for expiration dates. Day TWO Medication Management RCFE CARE CONSULTANTS, LLC EDUCATION. The shift initiated the service capacity and consumer-centered care model.
What Are the Most Common Medications for Seniors in Senior Care Facilities? MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Ensure the written order identifies the name of the resident, the name of the PRN medication, instructions regarding when the medication should be discontinued, and an indication when the physician should be contacted for re-evaluation. Allow greater resident control in other areas The resident is agitated or confused. Make sure proper storage of medication.
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. About us: WE OFFER THE FOLLOWING SERVICES: EDUCATION COMPLIANCE CONSULTING FOCUS ON MEDICATION MANAGEMENT & PERSONAL CARE IN-SERVICES NETWORKING COMMUNITY ALLIANCE & RESOURCES FOR ELDERCARE RCFE CARE CONSULTANTS, LLC EDUCATION. By what factor will this resolution be changed? • 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. BLOOD PRESSURE AND PULSE Unlicensed professionals may take vital sign readings as long as the readings are not used to determine need for medication. MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: Per Title 22, section 87463, update the resident's appraisal when significant changes to their physical, medical, mental, and/or social condition occur. MEDICATION MANAGEMENT CEU BEST PRACTICES (COMMUNITY POLICY & PROCEDURE) A form consenting to crushing the medication signed by the resident. MEDICATION MANAGEMENT CEU ROLE OF RESPONSIBLE PARTY IN MEDICATION MANAGEMENT THERE WILL BE TIMES WHEN A FAMILY MEMBER WILL BE AN ADVOCATE FOR THE RESIDENT IN YOUR COMMUNITY, ESTABLISHING A GOOD RELATIONSHIP WITH THEM IS A GREAT WAY FOR THEM TO BE AN ACTIVE PART OF THE RESIDENT'S DAILY LIFE. Call the appropriate medical professional, advice nurse or poison control center and follow their directives. Tips for Taking Medications for Seniors. How often do seniors take each of the medicine?
Medication Storage The facility has the responsibility to properly store and maintain security of all medications centrally stored All meds should be locked up Adhere to labeling requirements on medication container (i. e.. Refrigerate) Refrigerated meds should be separated from perishable products and clearly marked Avoid co-mingling of external and internal meds and ear and eye drops RCFE CARE CONSULTANTS, LLC EDUCATION. Medication management ceu Role, responsibilities & limitations of staff who assist residents with self-administration, including tasks limited to licensed medical professionals. O Have the pharmacy either fill a separate prescription or separate the existing prescription into two bottles. Medication management ceu BEST PRACTICE (COMMUNITY POLICY & PROCEDURE) Every OTC medication centrally stored in the facility should be logged similar to prescribed medications.
MEDICATION MANAGEMENT CEU DESCRIPTION OF REGULATIONS: If the resident appears to be in distress or complains of symptoms, call 9-1-1 and seek immediate medical attention. CALIFORNIA'S ASSISTED LIVING WAIVERS (ALW) SCOPE OF PROGRAM: The ALW is currently operating in the counties of Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, San Mateo, Santa Clara and Sonoma. Prevention of Medication Errors Avoid using unnecessary symbols on medication orders Include indication for each medication. 0 CEU) Day Three: Managing Alzheimer's and Related Dementias (8. Do not use an empty used prescription container RCFE CARE CONSULTANTS, LLC EDUCATION. 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.
The LIC 622 is available for this purpose. One reason is that many are now seen as culprits in costly hospital readmissions. MEDICATION MANAGEMENT CEU: DESCRIPTION OF REGULATIONS: Do not alter prescription labels Record all medications centrally stored in the facility. Opioids often cause drowsiness and other side effects. Consequently, most come to these communities in a clinically complex and fragile state. California's assisted living waiver (alw) To Apply or For More Information: Assisted Living Waiver Department of Health Care Services Long-Term Care Division 1501 Capitol Avenue, MS 4503 PO Box 997437 Sacramento, CA 95899-7437 Phone: 916-552-9105 Source: Updated: 1/3/17 RCFE CARE CONSULTANTS, LLC EDUCATION.
1 a & a 2 a & a 3 a & a 4 a & a a 1 a & a 2 a & a 3 a & a a 4 a & a. e-----8-----------------------------|-----------------------------------|. The note at the 4th fret is bend slightly. Uh oh, overflow, population, common group, but it'll do.
You say you make her feel all right. A -3--------------3-. and the G on the other bass solo: e ---3---------. If you had to guess or make bet, would you place yourself inside of it? Keep it in a parking lot. E)---3-----|----|-----|-------|... 1st time. Act nice and gentle chords sheet music. I NEED YOU SO THAT I COULD DIE. Oooh.................................. Fmaj7 Em Fmaj7 G D. E-0----0----0------|-0---0----0-------|------0----0------|-333--3---22-2----|. I don't care if you're not here with me.
I had to decompress. Magic Potion (2006). Subject, call it fate. I don't know what you mean to me, but I want to turn you on. It's really negligible, but for the sake of (trainspotterish) completeness, here it is (the first verse is identical): I threw the I-Ching yesterday, it said there'd be some thunder at the well. 8-10b-------10b---8-10b---11\8-10-10-10b--------|. Act nice and gentle. What noisy cats are we. I'd have done anything. Managed to figure out the chords for the rythm guitar (at least I hope I. did so! ) Chords over main riff: measure by measure. Just turn around now, you're not welcome anymore.
There are actually two guitars playing together in this song; I just. I hate where I wound up. To hear you speak of it. D-5--5----5-5-5----|-5--5----5-5-5----|-10--10--10-10-10-|-10-10--10-10--9--|. 2------(back to main riff). CAPO ON 1st FRET TO PLAY WITH THE ALBUM!!! Lately just bad linger. Act nice and gentle chords guitar chords. Play the first measure 7 times). Now I'm not feeding off you I will rearrange your scales. You can never return again. Decide yourself, calling all of the medias too fast. He's mighty bad to visit home. Crazy, all the lovers have been tagged.
Keep your eyes glued to the floor. We've got to moogie moogie move on this one. Picking and string skips working together. Step down, step down. I have got to find the river, bergamot and vetiver. A--7-7-7-7s9--9--9------5-5-5-5s7-7-7------. You've been sad for a while. E------------------------------ "You don't owe me anything... ".
A A E D D A G D A B. B---repeat 'C' measure-------|-----5-----------------5-----|. Crowbar spine, dot, dot, dot and I feel fine, Let it rain, rain, rain, Bring my happy back again, Dm Am Em Dm Em Dm. C Cmaj7 C. The Chords of Life on the Spiritual Path. I cried the other night. Tell me with the rapture and the reverent in the right - right. F# A D C. Crazy crazy world crazy crazy times. You're honorable more honorable than me. Feathers hit the ground before the weight can leave the air.
F C We grew up together G From the cradle to the grave F C We died and were reborn G D (/c-b-a) And then mysteriously saved. B========1/3=========3=1=3=======0/1=3==! N. ~~~ = hold note using e-bow. From: Daniel Longmire (). I lost an arm, no one harmed, you diplomatically alarmed. Riff: (Measures 1, 2, and 3).
Anyone could scratch your surface now, it's all amphetamine. I struck that picture ninety times, I walked that path a hundred ninety, Long, low time ago, people talk to me.