Med Tech Training Manual – Revised 05/31/2017 Revised 11-2016 Page 1 of 93 Ageia Health Services – Med Tech Training Contents SECTION I: MEDICATION RULES & GUIDELINES ................................................................................. 8 PROGRAM OVERVIEW .............................................................................................................................................. 8 STATE REGULATIONS ................................................................................................................................................ 8 DEFINITIONS ............................................................................................................................................................. 8 MEDICATION SERVICE……………………………………………………………………………………………………………………..………………….9 DELEGATED OR TRAINED TASK GUIDELINE ............................................................................................................ 10 SECTION II: RESOURCES AND TOOLS ............................................................................................... 11 CLASSIFICATION OF MEDICATIONS RELATED TO BODY SYSTEMS AND COMMON ACTIONS ................................. 11 MEDICATION ROUTES……………………………………………………………………………………………………………………………………….12 COMMON ABBREVIATIONS……………………………………………………………………………………………………………………………….13 COMMON DRUG MEASUREMENTS…………………………………………………………………………………………………………………..14 SIX COMPONENTS OF A PHYSICIAN ORDER ............................................................................................................ 15 SOURCES OF INFORMATION ABOUT DRUGS .......................................................................................................... 16 EFFECTIVE HAND WASHING TIPS TO PREVENT THE SPREAD OF DISEASE .............................................................. 17 SECTION III: MEDICATION DOCUMENTS & PROCESSING ................................................................ 18 MAR BINDER ORGANIZATION ................................................................................................................................. 18 Summary ........................................................................................................................................................... 18 Binder ................................................................................................................................................................. 18 Signature Page ................................................................................................................................................. 18 Photograph Page ............................................................................................................................................. 18 Mar Sheets ........................................................................................................................................................ 19 MAR GENERAL INSTRUCTION ................................................................................................................................. 20 Summary ........................................................................................................................................................... 20 Preparing Medication ....................................................................................................................................... 20 MAR DOCUMENTATION ......................................................................................................................................... 21 RESIDENT RIGHTS .................................................................................................................................................... 21 Revised 12-2016 Page 2 of 93 Ageia Health Services – Med Tech Training ROUTINE MEDICATION PASS .................................................................................................................................. 22 Summary ........................................................................................................................................................... 22 Procedure .......................................................................................................................................................... 22 PRN MEDICATIONS ................................................................................................................................................. 23 Summary ........................................................................................................................................................... 23 Procedure .......................................................................................................................................................... 23 REFUSED MEDICATION ........................................................................................................................................... 24 Summary ........................................................................................................................................................... 24 Procedure .......................................................................................................................................................... 24 DISCONTINUED MEDICATION ................................................................................................................................. 25 Summary ........................................................................................................................................................... 25 Procedure .......................................................................................................................................................... 25 NEW MEDICATION ORDERS .................................................................................................................................... 26 Summary ........................................................................................................................................................... 26 Procedure .......................................................................................................................................................... 26 CHANGE IN MEDICATION ORDERS ......................................................................................................................... 27 TIME-LIMITED MEDICATION ................................................................................................................................... 28 Summary ........................................................................................................................................................... 28 Procedure .......................................................................................................................................................... 28 MEDICATION ERROR ............................................................................................................................................... 29 Procedure .......................................................................................................................................................... 29 MEDICATION NOT AVAILABLE ................................................................................................................................ 30 Summary ........................................................................................................................................................... 30 Procedure .......................................................................................................................................................... 30 ORDERING / REORDERING MEDICATIONS .............................................................................................................. 31 Ordering From an Outside Pharmacy ........................................................................................................... 32 Pre-Authorization for Medication Example ................................................................................................... 33 MEDICATION CYCLE FILL ......................................................................................................................................... 34 Summary ........................................................................................................................................................... 34 Procedure .......................................................................................................................................................... 34 MEDICATION ALLERGY / ADVERSE REACTION ........................................................................................................ 35 Summary ........................................................................................................................................................... 35 Revised 12-2016 Page 3 of 93 Ageia Health Services – Med Tech Training Procedure .......................................................................................................................................................... 35 MEDICATION STORAGE ........................................................................................................................................... 36 Summary ........................................................................................................................................................... 36 Guidelines