I am an mds co ordinator in a small rural facility in northwestern indiana. Recently our nursing consultation recommended that my care plan be more detailed in regards to side effects of psycotropic meds. She advised i should detail most common side effects of these medications individually on the care plans.(example.....resident receives ativan for anxiety/restlessness...common side efffects of this medication is anxiety and restlessness) I can hear my state surveyors asking me when they come how do you know if the behaviors exhibited are from the medication or the condition they receive it for??? can anyone help me with an answer so i can be ready for them????
Quote from dbsue1954
awesome smiles thank you........i am new at this so......i never thought about the relief part...however my superiors wanted the adverse effects emphasized survey team says........."observe for adverse side effects....what are they.... how will your cna's know what to watch for?? i will talk to my nursing consultant and see what she has to say i think it is a great idea
"observe for side effects that might cause resident to fall"
"observe for adverse drug reactions / changes in cognition / ADL performance" You could add sx r/t GI bleed ( tarry stools,etc) or allergic reactions........depending on the kind of drugs being used.
CNAs are not trained for adverse drug reactions (that is the nurses job) but a good aide will see a lot of things anyway. Keep it simple ....The care plan is NOT the PDR, nor is it a substitute for the MAR or policy and procedure manual.
I don't list specific drugs....just classifications ( ex. admin. antianxiety agents as ordered. monitor for adverse reactions that might lead to falls). Specifics will hang you.
Last edit by fluffwad on Jun 16, '07