π§ ATRIA MEDICATION TRAINING β FINAL MASTER NOTES
π₯ 1. MEDICATION PROGRAM (CORE RULES)
π― Your Role (Med Tech):
π Offer β Observe β Document β Report
Offer meds at scheduled time
Watch resident take them
Document in eMAR
Report anything wrong
π¨ MAIN GOALS:
Prevent medication errors
Protect resident privacy
Follow infection control
π PRIVACY RULES:
β Donβt say resident names out loud
β Donβt talk about meds in public
β Use room numbers
β Hide eMAR screen when stepping away
π§Ό INFECTION CONTROL:
Wash/sanitize hands before + after
Gloves for:
Eye drops π
Ear drops π
π 2. TYPES OF MEDICATION HELP
1β£ Assistance with Self-Administration
π MOST COMMON
You prepare meds
Resident takes them
You watch + document
2β£ Self-Administration
Resident manages their own meds
Needs:
Doctorβs order
RSD approval
π¨ Report if unsafe:
Loose pills
Bad storage
Confusion
3β£ Nurse Administration
Nurse gives meds (depends on community)
π· 3. PRESCRIPTION LABEL (VERY IMPORTANT)
β MUST HAVE:
π Resident name
π Medication name
π Dose (ex: 20 mg)
π Route (PO, topical, etc.)
π Directions (how/when to take)
π Physicianβs name β TEST FAVORITE
π Date filled β TEST FAVORITE
π Pharmacy name
π¨ RULES:
β NEVER use meds with missing info
β NEVER fix/alter a label yourself
β Send back to pharmacy if wrong
π§ TEST TIP:
π If they ask βwhatβs missing?β
β‘ Most common answers:
Physician name
Date filled
β° 4. MEDICATION ABBREVIATIONS (TEST GOLD)
π FREQUENCY
Abbrev | Meaning | Memory |
QD | Once daily | Daily |
BID | Twice daily | Morning + night ππ |
TID | 3x daily | Breakfast, lunch, dinner |
QID | 4x daily | 4 times |
Q4H | Every 4 hours | Time-based |
π TIME
Abbrev | Meaning | Trick |
HS | Bedtime | Hit the Sheets π΄ |
AM | Morning | Morning |
PM | Evening | Night |
π½ FOOD
Abbrev | Meaning |
AC | Before meals |
PC | After meals |
π ROUTE
Abbrev | Meaning |
PO | By mouth |
PR | Rectal |
SL | Under tongue |
Top | On skin |
IM | Muscle |
IV | Vein |
π¨ SPECIAL
Abbrev | Meaning |
PRN | As needed |
STAT | Immediately |
NPO | Nothing by mouth |
π§ EXAMPLES (IMPORTANT)
π βTake 1 tab PO BIDβ
= 1 pill, by mouth, morning + night
π βTake 1 tab PO HS PRNβ
= 1 pill, by mouth, bedtime as needed
π§ͺ 5. MEDICATION TYPES
π Prescription
Needs doctor order
π OTC (Over-the-Counter)
No prescription needed to buy
π¨ BUT at Atria:
π STILL needs doctor order
π‘ Examples:
Tylenol
Advil
Aspirin
Mucinex
Claritin
Vitamins
π¨ 6. MEDICATION ERRORS
Examples:
Wrong med
Wrong dose
Missed dose
Extra dose
π¨ WHAT YOU DO:
π Report IMMEDIATELY
π Complete incident report
π§ RULE:
βIf something is off β REPORTβ
π 7. MEDICATION RELEASE (GIVING TO FAMILY)
πͺ STEPS:
Verify person
Count meds WITH them
Write quantity
They sign + date
You sign + date
File form
π§ EXAMPLE:
14 days away β give 14 pills
π 8. RETURNING MEDICATIONS
πͺ STEPS:
Record date/time
Count WITH them
Write amount
They sign
You sign
Verify correct
π¨ If wrong:
π Report immediately
π Incident report
π 9. MEDICATION DESTRUCTION
π§ RULE:
π ALWAYS 2 STAFF π₯
β± TIMING:
Regular meds β 30 days
Controlled meds β 3 days
β‘ IMMEDIATE:
Remove meds
Count
Document
Destroy
Both sign
β³ DELAYED:
Fill MOST of form
Skip:
Disposal date
Signature
Store safely
Finish later
π 10. CONTROLLED SUBSTANCES
π¨ HIGH SECURITY
Double locked ππ
Count EVERY shift
Document in eMAR
π§ SCHEDULES
Schedule | Meaning | Examples |
1 | Illegal | Heroin |
2 | High abuse | Oxycodone |
3 | Moderate | Codeine |
4 | Low (COMMON) | Xanax |
5 | Lowest | Cough meds |
π΅ 11. ELDERLY + MEDS (VERY IMPORTANT)
π§ Body changes:
β Kidney function
β Liver function
β Body fat
β RESULT:
Drugs stay longer
Higher risk of overdose
π― RULE:
π LOW DOSE + SLOW
π£ 12. PAIN SIGNS
π Look for:
Grimacing
Restless
Crying
Aggression
Holding body part
π§ ACTION:
π Ask questions
π Report to supervisor
π§ FINAL CHEAT CODE (REMEMBER THIS)
π βCheck β Count β Document β Report β Protectβ
Check labels
Count meds
Document everything
Report problems
Protect privacy