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What should a CMA do before administering any medication?
Verify the right resident, medication, dose, route, and time.
Why is resident identification important?
To ensure medications are given to the correct resident.
What should a CMA check before administering a medication?
The medication label and medication administration record (MAR).
What are the Five Rights of Medication Administration?
Right resident, right medication, right dose, right route, and right time.
What is a medication administration error?
Any deviation from the medication order or facility policy.
Should medications be prepared for more than one resident at a time?
No.
What should a CMA do if they have a question about a medication order?
Ask the supervising nurse before administering the medication.
What should a CMA do if a medication looks different than expected?
Check with the nurse or pharmacy before administering it.
What should a CMA do if a resident refuses a medication?
Do not force it; report and document according to policy.
Can a CMA decide not to give a medication that is ordered?
No. The nurse must be notified.
What is the MAR?
Medication Administration Record.
When should medication administration be documented?
Immediately after administration.
Why should medications never be documented before administration?
Because the medication may not actually be given.
What should a CMA document if a resident refuses a medication?
The refusal and appropriate notification according to policy.
What should a CMA do if an error occurs?
Report it immediately according to facility policy.
What should a CMA observe after administering medication?
The resident's response and any side effects.
What information should be reported to the nurse?
Changes in condition, adverse reactions, refusals, or medication errors.
Why are older adults more sensitive to medications?
Age-related changes affect absorption, metabolism, and excretion.
What is polypharmacy?
The use of multiple medications by one resident.
Why are older adults at increased risk for adverse drug reactions?
They often take multiple medications and process drugs differently.
What is the most common adverse drug reaction in older adults?
Confusion.
What should a CMA observe when administering medications to older adults?
Changes in behavior, alertness, appetite, mobility, and function.
Why is hydration important in older adults receiving medications?
It helps support medication effectiveness and excretion.
What should a CMA do if a resident has difficulty swallowing medications?
Report it to the nurse.
Can enteric-coated medications be crushed?
No.
Can time-release medications be crushed?
No.
Why should medications be stored properly?
To maintain safety, potency, and effectiveness.
Who is ultimately responsible for supervising the CMA?
The licensed nurse.
What is the CMA's most important responsibility during medication administration?
Administer medications safely and accurately while observing and reporting resident responses.