🧠 ATRIA MEDICATION TRAINING β€” FINAL MASTER NOTES

πŸ₯ 1. MEDICATION PROGRAM (CORE RULES)

🎯 Your Role (Med Tech):

πŸ‘‰ Offer β†’ Observe β†’ Document β†’ Report

  • Offer meds at scheduled time

  • Watch resident take them

  • Document in eMAR

  • Report anything wrong

🚨 MAIN GOALS:

  • Prevent medication errors

  • Protect resident privacy

  • Follow infection control

πŸ” PRIVACY RULES:

  • ❌ Don’t say resident names out loud

  • ❌ Don’t talk about meds in public

  • βœ” Use room numbers

  • βœ” Hide eMAR screen when stepping away

🧼 INFECTION CONTROL:

  • Wash/sanitize hands before + after

  • Gloves for:

    • Eye drops πŸ‘

    • Ear drops πŸ‘‚

πŸ’Š 2. TYPES OF MEDICATION HELP

1⃣ Assistance with Self-Administration

πŸ‘‰ MOST COMMON

  • You prepare meds

  • Resident takes them

  • You watch + document

2⃣ Self-Administration

  • Resident manages their own meds

  • Needs:

    • Doctor’s order

    • RSD approval

🚨 Report if unsafe:

  • Loose pills

  • Bad storage

  • Confusion

3⃣ Nurse Administration

  • Nurse gives meds (depends on community)

🏷 3. PRESCRIPTION LABEL (VERY IMPORTANT)

βœ… MUST HAVE:

πŸ‘‰ Resident name

πŸ‘‰ Medication name

πŸ‘‰ Dose (ex: 20 mg)

πŸ‘‰ Route (PO, topical, etc.)

πŸ‘‰ Directions (how/when to take)

πŸ‘‰ Physician’s name ⚠ TEST FAVORITE

πŸ‘‰ Date filled ⚠ TEST FAVORITE

πŸ‘‰ Pharmacy name

🚨 RULES:

  • ❌ NEVER use meds with missing info

  • ❌ NEVER fix/alter a label yourself

  • βœ” Send back to pharmacy if wrong

🧠 TEST TIP:

πŸ‘‰ If they ask β€œwhat’s missing?”

➑ Most common answers:

  • Physician name

  • Date filled

⏰ 4. MEDICATION ABBREVIATIONS (TEST GOLD)

πŸ•’ FREQUENCY

Abbrev

Meaning

Memory

QD

Once daily

Daily

BID

Twice daily

Morning + night πŸŒžπŸŒ™

TID

3x daily

Breakfast, lunch, dinner

QID

4x daily

4 times

Q4H

Every 4 hours

Time-based

πŸŒ™ TIME

Abbrev

Meaning

Trick

HS

Bedtime

Hit the Sheets 😴

AM

Morning

Morning

PM

Evening

Night

🍽 FOOD

Abbrev

Meaning

AC

Before meals

PC

After meals

πŸ’Š ROUTE

Abbrev

Meaning

PO

By mouth

PR

Rectal

SL

Under tongue

Top

On skin

IM

Muscle

IV

Vein

🚨 SPECIAL

Abbrev

Meaning

PRN

As needed

STAT

Immediately

NPO

Nothing by mouth

🧠 EXAMPLES (IMPORTANT)

πŸ‘‰ β€œTake 1 tab PO BID”

= 1 pill, by mouth, morning + night

πŸ‘‰ β€œTake 1 tab PO HS PRN”

= 1 pill, by mouth, bedtime as needed

πŸ§ͺ 5. MEDICATION TYPES

πŸ’Š Prescription

  • Needs doctor order

πŸ›’ OTC (Over-the-Counter)

  • No prescription needed to buy
    🚨 BUT at Atria:
    πŸ‘‰ STILL needs doctor order

πŸ’‘ Examples:

  • Tylenol

  • Advil

  • Aspirin

  • Mucinex

  • Claritin

  • Vitamins

🚨 6. MEDICATION ERRORS

Examples:

  • Wrong med

  • Wrong dose

  • Missed dose

  • Extra dose

🚨 WHAT YOU DO:

πŸ‘‰ Report IMMEDIATELY

πŸ‘‰ Complete incident report

🧠 RULE:

β€œIf something is off β†’ REPORT”

πŸ”„ 7. MEDICATION RELEASE (GIVING TO FAMILY)

πŸͺœ STEPS:

  1. Verify person

  2. Count meds WITH them

  3. Write quantity

  4. They sign + date

  5. You sign + date

  6. File form

🧠 EXAMPLE:

14 days away β†’ give 14 pills

πŸ” 8. RETURNING MEDICATIONS

πŸͺœ STEPS:

  1. Record date/time

  2. Count WITH them

  3. Write amount

  4. They sign

  5. You sign

  6. Verify correct

🚨 If wrong:

πŸ‘‰ Report immediately

πŸ‘‰ Incident report

πŸ—‘ 9. MEDICATION DESTRUCTION

🧠 RULE:

πŸ‘‰ ALWAYS 2 STAFF πŸ‘₯

⏱ TIMING:

  • Regular meds β†’ 30 days

  • Controlled meds β†’ 3 days

⚑ IMMEDIATE:

  1. Remove meds

  2. Count

  3. Document

  4. Destroy

  5. Both sign

⏳ DELAYED:

  1. Fill MOST of form

  2. Skip:

    • Disposal date

    • Signature

  3. Store safely

  4. Finish later

πŸ” 10. CONTROLLED SUBSTANCES

🚨 HIGH SECURITY

  • Double locked πŸ”’πŸ”’

  • Count EVERY shift

  • Document in eMAR

🧠 SCHEDULES

Schedule

Meaning

Examples

1

Illegal

Heroin

2

High abuse

Oxycodone

3

Moderate

Codeine

4

Low (COMMON)

Xanax

5

Lowest

Cough meds

πŸ‘΅ 11. ELDERLY + MEDS (VERY IMPORTANT)

🧠 Body changes:

  • ↓ Kidney function

  • ↓ Liver function

  • ↑ Body fat

⚠ RESULT:

  • Drugs stay longer

  • Higher risk of overdose

🎯 RULE:

πŸ‘‰ LOW DOSE + SLOW

😣 12. PAIN SIGNS

πŸ‘€ Look for:

  • Grimacing

  • Restless

  • Crying

  • Aggression

  • Holding body part

🧠 ACTION:

πŸ‘‰ Ask questions

πŸ‘‰ Report to supervisor

🧠 FINAL CHEAT CODE (REMEMBER THIS)

πŸ‘‰ β€œCheck β†’ Count β†’ Document β†’ Report β†’ Protect”

  • Check labels

  • Count meds

  • Document everything

  • Report problems

  • Protect privacy