<p> Medications: Recording and Reporting Answer Sheet</p><p>Name: ______Date: ______Name of Trainer: ______Name of Company Developing Material: Clinical Update (NZ) Ltd</p><p>Segment - Recording and Reporting List 10 things you must record and report with medications administration (any 10 of these or others that are satisfactory to you) • Sign for all medications when administered • Any medications that are wasted or discarded for any reason • Medications refused by resident or client • If a person isn’t there for the medication round • If a medication has been discontinued • If a person says they took the medication but you didn’t actually see them take it • Wrong medication given • Incorrect dose given • Medication lost, dropped on floor and you destroyed it • Medication vomited up, spat out, found in the toilet pan or discarded • Any discrepancy in amount of medication remaining • Change in persons behaviour or health status • All prn medication must be signed and time and date given and the effect of the medication noted • When stock is getting low i.e. Paracetamol elixir is nearly finished</p><p>When recording and reporting it is important that you provide the facts regarding? • What happened? • Where it happened? • Who was involved? • How it happened? • Why it happened? List 6 common medications errors (any 6 of theses) • Given to wrong resident • Wrong medicine -especially if similar sounding name • Wrong dose or strength • Medication given at wrong time • Medication not given • Medication given by the wrong route • Duplication of medication • Errors in packaging • Medication not SIGNED for. Medication must be signed immediately after it has been sighted as taken</p><p>What is the process for reporting and recording a medication error? • Make sure your patient is safe 1 • Perform first aid if necessary • Notify Registered Nurse &/or prescriber • Receive instructions • Inform resident or activated EPOA • Complete Incident/Accident Report • Receive instructions • Inform resident or activated EPOA • Complete Incident/Accident Report</p><p>What do you do if you make a medication error? • Write in personal or progress notes • Don’t panic • Do not trivialise the error. Never say, “it was only a ……..”</p><p>Are medication errors or adverse events avoidable? Yes/No </p><p>A high % of A & I Reports are on medication errors or adverse events</p><p>What is the major cause of medication errors? Distractions</p><p>When giving out medications you must take your time</p><p>What must you know the difference between?  Side effects  Adverse Events</p><p>How can you minimise errors or incidents? By being organised</p><p>What should you do if you feel you are working in an unsafe environment? Talk to your manager</p><p>Explain what polypharmacy is? When a person is on 2 or more medications</p><p>With polypharmacy what is more likely to happen? Get a drug interaction</p><p>Who does polypharmacy affect the most? The most vulnerable and frail people in society</p><p>2</p>