Proper Medication and Treatment Administering Videos

  1. Hi Everyone!

    So my facility is beginning to prepare us for state surveyors who are expected to be arriving this summer. I've never had a surveyor observe my medication/treatment administrations. So I'm a bit nervous. I feel I am performing my duties as they are to be done, but I still think its wise to brush up and prepare.

    I was wondering if anyone has any links to sites that have videos on proper medication and treatment administrations.

    Im looking for videos that show the correct technique for administering medications (with a EMAR), and also administering treatments.

    I found a few videos on YouTube but they seem to be old, and none are using a EMAR.

    If anyone knows of any sites, I would greatly appreciate it.

    Thanks in advance!
  2. Visit xxMichelleJxx profile page

    About xxMichelleJxx, ASN, LPN, RN

    Joined: Apr '12; Posts: 272; Likes: 161
    RN; from US
    Specialty: 4 year(s) of experience

    4 Comments

  3. by   edmia
    I don't think a video is what you need. I would talk to the educator at your workplace and ask them to observe you and see if you're missing something.

    The EMAR doesn't change the basic checks you need to do -- you know, right patient, right drug, right dose, right route, etc. You always follow medication safety no matter what the delivery or charting system. So, if you feel confident in that, you'll be ok.
  4. by   misstrinad
    This year was my 2nd year having my med administration watched and it's really not as bad as I thought it would be, it was the same lady both years and she was actually quite pleasant during the process.
    First thing to do now and at least once a week when you work is go through every single thing in your cart and check for expired meds and open/expiration dates on every bottle. Make sure your insulins have their 28 day date on them.
    They will very likely request to go through the med cart and also do a random narc count check.

    Make sure you check 3 times every med, I usually verbalize under my breath so the surveyor can tell I'm doing it. Hold the card up to the screen as you do so. I pulled the meds, checking as I went, then went through my pile again checking as I went, then the last time after each one was checked I popped it out.
    I know with paper mars we can not actually put our initials until the med has Been administered so I put a line for each one as I go so I know I popped it out.
    Also with paper mars we have to sign out all the narcs a 2nd time in the narc books and when I work my home unit where I almost know the pass by heart I have a bad habit of signing all my narcs out near the end of my shift, this really should be done as you go.
    Standard things like don't touch the pills with your fingers at all, wear gloves for bg, injections, and eye drops.
    Make sure to wait the appropriate amount of time between multiple drops in one eye.
    I hop to and get my difficult pts meds done asap when I get there so I don't have to fret about being watched while I deal with my most difficult administrations (i work with dementia pts)....I usually have until 730-8 until the surveyors are on the floor.

    Just take a deep breath and don't rush and you will be okay.
  5. by   xxMichelleJxx
    Quote from misstrinad
    This year was my 2nd year having my med administration watched and it's really not as bad as I thought it would be, it was the same lady both years and she was actually quite pleasant during the process.
    First thing to do now and at least once a week when you work is go through every single thing in your cart and check for expired meds and open/expiration dates on every bottle. Make sure your insulins have their 28 day date on them.
    They will very likely request to go through the med cart and also do a random narc count check.

    Make sure you check 3 times every med, I usually verbalize under my breath so the surveyor can tell I'm doing it. Hold the card up to the screen as you do so. I pulled the meds, checking as I went, then went through my pile again checking as I went, then the last time after each one was checked I popped it out.
    I know with paper mars we can not actually put our initials until the med has Been administered so I put a line for each one as I go so I know I popped it out.
    Also with paper mars we have to sign out all the narcs a 2nd time in the narc books and when I work my home unit where I almost know the pass by heart I have a bad habit of signing all my narcs out near the end of my shift, this really should be done as you go.
    Standard things like don't touch the pills with your fingers at all, wear gloves for bg, injections, and eye drops.
    Make sure to wait the appropriate amount of time between multiple drops in one eye.
    I hop to and get my difficult pts meds done asap when I get there so I don't have to fret about being watched while I deal with my most difficult administrations (i work with dementia pts)....I usually have until 730-8 until the surveyors are on the floor.

    Just take a deep breath and don't rush and you will be okay.
    Thanks a lot for all the tips! If you have any more, I'd love to hear them =)
  6. by   xoemmylouox
    Make sure you know your facilities policy of gtube medication admin and flushes; like do you need to admin each medication individually, and how many ml do you need to flush with after each medication? I agree with getting the most difficult patients/medications out of the way first. Also make sure you handle the insulin correctly (rolling it, keeping it in the fridge as needed, etc). Lastly make sure the carts are well stocked and clean.
    Last edit by xoemmylouox on Jul 2, '14

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