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Texas Medication Aides Basic Course Curriculum for Nursing Facilities and Related Institutions

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Texas Medication Aides Basic Course Curriculum for Nursing Facilities and Related Institutions Texas Medication Aides Basic course curriculum for Nursing Facilities and related institutions Effective Date: January 2017 Texas Health and Human Services Commisson (HHSC) Medication Aide Program, E‐416 P.O. Box 14930, Austin, Texas 78714‐9030 Communicate before you medicate! Helping people make the best of medications REVISED JUNE 2016 | Texas Health and Human Services Commisson (HHSC) HHSC Licensing and Credentialing TEXAS MEDICATION AIDE AND BASIC COURSE CURRICULUM 100‐hour curriculum Acknowledgements We would like to extend a very special thank you to the following people who worked many hours in revising and updating this curriculum. Your cooperation and dedication is appreciated. Darren Christian, R.N., Texas Health and Human Services Commisson, Elizabeth Demps, Texas Health and Human Services Commisson, Katherine Hafner, B.S, R.Ph, Fellow in the American Society of Consultant Pharmacists, Kim Lammons Texas Health and Human Services Commisson, Debi Majo, BSN R.N., TMF Health Quality Institute, Elizabeth McManamy, R.Ph, Texas Health and Human Services Commisson, Joyce Meredith, Texas Health and Human Services Commisson, Carolyn Reese, MSN, R.N., Blinn College, Brenda Renfro‐King, R.N., McLennan Community College, Jacqueline Smith, Texas Health and Human Services Commisson, Camden Frost, Texas Health and Human Services Commisson, Sean Steele, Texas Department on Aging and Disability Services, Sunny Stout, R.N., Senior Care Centers, Mavon Tidwell, R.N., Marble Falls High School, Kingsland Hills Care Center, Anne Trejo, Texas Health and Human Services Commisson. © 2016 Texas Health and Human Services Commisson (formerly Texas Department of Human Services) TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC) 1 TEXAS MEDICATION AIDE AND BASIC COURSE CURRICULUM 100‐hour curriculum Table of Contents: Medication Aide and basic course curriculum Unit I. Introduction, orientation and basic concepts ..................................................................... 4 Unit II. Infection control ............................................................................................................... 25 Unit III. Administration of medication ........................................................................................... 44 Unit IV. Drugs affecting the Cardiovascular System ...................................................................... 61 Unit V. Drugs affecting the Urinary System .................................................................................. 68 Unit VI. Drugs affecting the Respiratory System............................................................................ 70 Unit VII. Drugs affecting the Digestive System ............................................................................... 77 Unit VIII. Drugs affecting the Central Nervous System .................................................................... 83 Unit IX. Drugs affecting the Musculoskeletal System .................................................................... 92 Unit X. Drugs affecting the Endocrine System .............................................................................. 94 Unit XI. Antibiotics and other anti‐infective agents ...................................................................... 99 Unit XII. Drugs affecting the eye ................................................................................................... 104 Unit XIII. Drugs affecting the ear ................................................................................................... 106 Unit XIV. Drugs affecting the skin .................................................................................................. 107 Unit XV. Cognitive Impairment ..................................................................................................... 108 Unit XVI. Pediatric Patients ............................................................................................................ 113 Unit XVII. Care Planning Assistance ................................................................................................ 114 Unit XVIII. Teaching Procedures ....................................................................................................... 115 Unit XIX. Handouts ......................................................................................................................... 125 Unit XX. References ...................................................................................................................... 143 Appendices A through N ..................................................................................................................... 145 2 TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC) TEXAS MEDICATION AIDE AND BASIC COURSE CURRICULUM 100‐hour curriculum Course activities: The following activities are optional. Activity #1: Group think ......................................................................................................................... 6 Activity #2: It is all in the cards! ‐ Homework assignment (Medication Flash Cards)* .......................... 7 Activity #3: Mnemonic meds* ............................................................................................................. 10 Activity #4: Jeopardy game (action/reaction game round) ................................................................. 13 Activity #5: How do you measure up? (Introduction of Medication Box contents)* .......................... 18 Activity #6: Chain of infection game .................................................................................................... 28 Activity #7: Fits like a glove (two‐part) ................................................................................................ 38 Activity #8: Suit up and prevent infection! .......................................................................................... 43 Activity #9: Do not mar the MAR – Introduction and demonstration ................................................. 46 Activity #10: This MAR is from Mars (error check) ............................................................................... 59 Activity #11: Getting to the heart of the matter (role‐play) Medication Box and cardiovascular system problem solving* ......................................... 66 Activity #12: An inspirational conversation (role‐play) Medication Box and respiratory system problem solving* .............................................. 75 Activity #13: See a difference with C‐Diff. (role‐play) Medication Box and digestive system problem solving* .................................................. 81 Activity #14: A case of nerves (role‐play) Medication Box and central nervous system problem solving* ....................................... 90 * An asterisk signifies the use of the Medication Flash Cards in the activity. TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC) 3 TEXAS MEDICATION AIDE AND BASIC COURSE CURRICULUM 100‐hour curriculum Course outline Teaching aids/plans Unit I. Introduction, orientation and basic concepts Medication Aide Training Program Rules. Section A. Secure most current Basic Roles and Responsibilities of the Medication Aide. rules and regulations. 1. Overall requirements, course objectives. Discuss Students a. Self‐evaluation and review. b. Achievements expected. perception of the c. Course examinations and final examination. medication aide role. d. Prerequisites for enrolling in the training program. Medications are 2. Comprehend acts or practices prohibited by medication administered only as aides. ordered by practitioner. 3. Understand functions authorized to be performed by the Stress: medication aide. • the importance that 4. Identify the legal and ethical implications for the medication medication aides act aide. under supervision of a. Need to administer medications as ordered by a licensed nurse – practitioner. not independently; b. Administer medications limited under medication aide and rules. • c. Responsibilities for own actions. the students are responsible for their d. Additional roles and responsibilities as taught by the instructors. own actions. 5. Discuss the types of clinical experiences that the students Indicate that the clinical will gain during the portion of the training program. portion of the 6. Treat residents as individuals and be aware of their medication aide training medication and treatment orders. is “hands‐on” rather than a. Identify each resident in any setting in the facility. observation. b. Know each patient’s normal activity and recognize that Review program training deviations from this may be a result of their medication rules regarding training therapy. requirements. 7. Discuss ethical conduct, ethical responsibilities, treatment of residents, Health Insurance Portability and Accountability Provide students with: Act (HIPAA). • ethics handout; and 8. Discuss what is normal aging: (e.g., physical, social, and • normal aging emotional). handout. 4 TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC) TEXAS MEDICATION AIDE AND BASIC COURSE CURRICULUM 100‐hour curriculum Course outline Teaching aids/plans Section B. Medication overview Identify and know drugs 1. Drugs commonly used in facilities are grouped according to: from the three groups. a. scheduled (controlled) – Medication which has the Discuss current websites potential to be abused and which must be counted available to use for drug and controlled. Log kept for each medication. references such as www.epocrates‐drugs.com b. legend – Require prescription.
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