Staff Name (print): Program: Date of Quiz: Medication administration is a key role of support staff, and must be performed correctly and in accordance with CARF accreditation standards, PDCRS policy, procedures and correct practice. As part of your training, the is designed and given to determine your medication administration competency. It is based only on current medication policies, procedures and correct practice. Open-book is permitted. You must obtain 100% upon correction (upon correction means you review any incorrect answer(s) until correct) to achieve a pass. In the event of incorrect answers, your supervisor will review those questions and answers with you. Instructions: Circle either T (true) or F (false), for EACH one, as indicated. Staff Signature Date /_50_ Total Quiz Score /_50_ Corrected Quiz Score Supervisor Signature Date Copy to: Personnel file J:/CCSS/CCSSSupervisors/Staff/Training/CIRQuiz2012 Page 1 of 5
Medication Control and Monitoring 1 T F PDCRS will ensure that programs have appropriate controls to ensure safe administration of medication. 2 T F Administered medications do not need to comply with federal laws. 3 T F You only need verbal, informed consent of the individual, or his/her legal guardian for monitoring medication administration. Service Planning and Consents for Medication 4 T F Participants don t have to be supervised to take their own medications. 5 T F The participant s legal guardian signs the CCSS Consent to Administer Medication form. 6 T F The CCSS Consent to Administer Medication is only reviewed each medication change. 7 T F CCSS medication control and monitoring will be reviewed at least annually. 8 T F New authorized staff will be oriented to the medication administration procedures before their first shift with a program. 9 T F The supervisor will address and correct any medication safety or security risks that have been reported, or that they have become aware of, when they get around to it. 10 T F The term PRN medication, means: medication when necessary or as needed 11 T F Staff will check and compare all medications/blister packs received against the Medication Administration Log (MAR sheets) to make certain that the 8 Rs are met. The 8 R s are (circle correct): 12 A B Right A) STAFF or B) PERSON 13 A B Right A) SIDE EFFECTS or B) MEDICATION 14 A B Right A) REASON or B) COLOR 15 A B Right A) DOSE or B) BOX J:/CCSS/CCSSSupervisors/Staff/Training/CIRQuiz2012 Page 2 of 5
16 A B Right A) FREQUENCY or B) WHENEVER 17 A B Right A) SITE (arm, hip, etc.) or B) ROOM 18 A B Right A) CHOICE or B) TIME 19 A B Right A) ROUTE (oral, eye, ear, injection, anal) or B) SUBJECT In case of emergencies related to the use of medications, staff will engage the following procedures: 20 T F Call 911 if needed 21 T F Inform the program supervisor 22 T F Anyone can contact parent/guardian 23 T F ALL medications brought in by participants or by their families MUST be ordered by the participant s doctor/medical professional. 24 T F The Medication Administration Log (MAR sheet) will be kept out in the open. 25 T F There will be one Medication Administration Log per child regardless of the number of medications that child requires. 26 T F Staff must document in the participant s case notes the reason why the medication was not administered. 27 T F Spoiled or wasted medication must be placed in a bottle or pill container marked Waste Medication Only - Help yourself and will be stored in a locked cabinet until it can be returned to the pharmacy or parent/guardian where it will be safely disposed of. As part of risk management, the following will be considered to be (but not limited to) medication errors: 28 T F Unauthorized drug use 29 T F Failure to document an unusual occurrence on the Medication Administration Log (MAR sheet) 30 T F Medication errors will be reported to the participant s parent/guardian. 31 T F Staff must report each occurrence of a medication error on an PDCRS Incident Report Form J:/CCSS/CCSSSupervisors/Staff/Training/CIRQuiz2012 Page 3 of 5
Protocols and Controls 32 T F CCSS programs will keep all prescribed and over-the-counter medications and medical supplies (except for first aid kits) in an unlocked medication cabinet. 33 T F A Medication Administration Log (MAR sheet) will be kept in a different place away from the medication. Labeling and Packaging of Medication 34 T F An up-to-date Medication Administration Log (MAR sheet) of all medications, including prescription and non-prescription medications, used by the participant will be kept. The records and labeling of all medications, where possible, will include: 35 T F the prescribing doctor name 36 T F the doctor s orders, when given by the pharmacy 37 T F a number or code identifying the written order, when available 38 T F the time to call home 39 T F the expiration date of the medication Disposal of Medications, Supplies and Waste 40 T F Empty blister packs and other containers will be returned by authorized personnel to the parent/guardian for disposal. 41 T F Until they are returned, empty blister packs and other containers will be stored in an unlocked cabinet. Written Orders 42 T F Program staff will accept verbal orders for monitoring the administration of medication. 43 T F Participants, families and other care providers will be required to have written orders accompany any medication to be monitored and administered. J:/CCSS/CCSSSupervisors/Staff/Training/CIRQuiz2012 Page 4 of 5
Assessing the Effects of Medication Assessments of the effects of medication will be based on: 44 T F Documentation in the participant s case notes 45 T F His/her family facial profile 46 T F The observations of personnel, the participant and his/her family The frequency of medication reviews will depend on: 47 T F Whether multiple medications are provided and other contraindications exist 48 T F Guidelines related to the medication itself 49 T F Family dynamics 50 T F The degree of severity of the participant s skin condition J:/CCSS/CCSSSupervisors/Staff/Training/CIRQuiz2012 Page 5 of 5