Med Demo 3:  Topical Ointment for MORC Medication Training.
13
October

By Adem Lewis / in , , , , , , , , , , , /


The first thing that we want to do when we were passing medications during the course of our day is we want to go over our medications in respect to what medications we’re going to be giving and at what time. Then we want to bring some order to that. Then what we’re going to look at our medications. We’re going to put them in order by time and who are giving the meds to. Then of course we’re going to be looking at giving medications from the easiest medication to the hardest med, cleanest medication to the dirtiest medication, Starting with oral medications first. You then want to check out every medication that we’re giving. We should always know about medications that we give and what they do to the individual that’s going to be taking them. We need to review the therapeutic effect, side effects, adverse effects, review contraindications and related information We’re going to check that information against the individuals’ allergies to make sure that the medication is safe to give. Wash our work area and wash our hands. We want to make sure that our environment is organized and that it’s clean. Then we’re going to begin. First thing we want to do is we wanted to unlock our cabinet, find our medication and before we take the medication out of our storage unit we’re going to do our first check. We’re going to check first by checking the name of the individual from the pharmacy label to the medication record. We’re going to check the medication from the pharmacy label to the med record. We’re going to look at the dose of the medication, then we’ll be checking the route and the time that we’re giving the medication. That is our first check, we always check from the pharmacy label to the medication record. After we’ve done that first check, we’re going to take the medication out of the storage unit and immediately do the second check. We’re going to check first by checking the name of the individual from the pharmacy label to the medication record. We’re going to check the medication from the pharmacy label to the med record. We’re going to look at the dose of the medication and then we’ll be checking the route and the time that we’re giving the medication. We always check from the pharmacy label to the medication record. After I’ve done my second check I’m going to take my ointment and I’m going to place it on my tray and make sure that I now gather the appropriate supplies. So with that being said, I’m going to bring two four by fours (gauze). I’m going to gather some tissue so that I can clean the top of my ointment tube before I put the medication on the four by fours (gauze) and after and I’m also going to gather up my gloves. Then because I don’t know who the individual is that I am giving the medications to I want to make sure that I appropriately identify the individual I’m giving medications to. In this case I’m going to go to a senior staff person, someone who has a relationship with the individual that they’ve known for a long time and I’m going to ask that individual, the staff person to assist me in helping me identify the individual that I’m passing the medications to. Once I’ve done that and I know who it is that I’m passing the medications to I’m going to introduce myself, let them know who I am and what my role is in the workplace. This also assists us in creating a relationship with this individual while we give those medications I’m going to explain to the individual what these medications are and why I’m giving them. I’ll be introduced to this individual and at that time I’m going to make sure that I honor that person’s privacy and suggest that we dispense these medications in his bedroom. While in the bedroom I’m going to have him lay on his back. I’m going to let him know what we’re doing. Then I’m going to be applying this medication to his groin on his buttocks. I’m going to also bring something with me so that I can cover him up with, maybe a clean towel or his bed linens, so that we always want to honor his privacy and dignity. At this time now that I have him on his bed laying on his back, I need to get everything ready. First I’m going to get my 4×4 (gauze) in place. I’m going to put them on my work area individually and next to each other. I’m going to take the tube of ointment that I’m going to be using and at this time I’m going to take the top off. I’m going to check for any cracks, breaks, or contamination. I’m going to take a tissue and I’m just going to go around the lip of the tube to make sure that it’s clean. I’m going to also check and make sure that there’s no unusual odors or anything that may identify that the medication might be contaminated. Then I’m going to put the medication on the four by fours (gauze) and I’m only going to need a little bit. I’m going to squeeze it into the middle of the 4×4 making sure that the top of the tube never touches the 4×4. Once I get the medication on to the four by fours, I’m going to clean the top of that tube, making sure that I don’t leave any contamination for the next individual passing the medications. I’m going to put the top back on and I’m going to lay it on my tray or work area At this time, I’m going to need to put on my gloves keeping in mind that we always are going to be cautious of blood and bodily fluids, so we will be using and wearing gloves at all times. When I put on my gloves, I want to make sure that I’m careful to touch them minimally. I’m going to take the first glove. I’m going to pick it up and I’m going to put my hand in that glove. Once I get my hand in the glove and if I do miss a finger or two, I can go back and correct that once I have both gloves on. I never want to fix a glove in which did not go on the right way with an ungloved hand. Once I’ve done that, then that glove is considered to be contaminated and I would have to take it off and throw it away. Once I have both gloves on Making sure that when I put those gloves on I always have them away from my body and above my waist That’s a safe area in which we decrease the risk of contamination Once I have both gloves on I’m going to pick up my 4×4 (gauze), I’m going to bring all the corners together and hold it in a way in which the only thing that’s going to touch the wound is going to be the area of the 4×4 with the ointment. But, before I put that medication on, I always want to make sure that I’m speaking with my individual as I give those medications. To assure him that he’s safe and that he is always aware of what is going to happen while administering the medication onto a wound. We always want to make sure that again we do not cross contaminate. We want to look at the wound and know which area is the area which is the cleanest or the least infected which area is what we refer to as the dirtiest or most infected. We always work from the cleanest, least infected to the dirtiest, most infected area whenever we’re dispensing medications. especially in ointment and lotion form. I want to do it in one motion. If there’s an area that I miss with the 4×4 while I’m doing that I’m not going to go back with the 4×4 (gauze) because now the 4×4 is contaminated. I’m going to take the 4×4 at this point and I’m going to put it on what I refer to as the dirty side of my work area and then I’m going to proceed to do the other wound. When doing wound care, we also want to make sure that not only are we not cross contaminating the wound as we’re putting the medication on but while we’re doing wound care that were going from the cleaner area of the body to the dirtier part of the body. Once I’ve done my medication administration, I’m going to take all of the garbage that’s on my work area which would include the 4×4’s (gauze) and the tissues and I’m going to gather them up and place them in my glove. Then I’m going to take the first glove off. When I take the glove off it’s always from dirty to dirt,y glove to glove. Then I’m going to take That glove once I have it off and I’m going to make it sure that it’s securely in the remaining hand in which I still have the glove on. I’m going to tuck that dirty glove into the palm of my remaining glove and then the remaining, glove will be taken off clean to clean, skin to skin. At this point all of my waste is double wrapped in the gloves and It is contained. I’m going to put it on my tray or work area and then I’m going to make sure that I assist my individual by helping him get dressed, making him comfortable, having some conversation with him and When the time is appropriate I’m going to excuse myself and go back to my medication area. At that time, I’m going to throw away all of my dirty contaminated waste in the proper receptacle. I’m going to wash my hands and at this time I’m going to do my third check. Comparing all five rights from the pharmacy label to the medication record. I’ll be checking the name, the medication, the dose, the route in which I gave it and the time in which I gave the medications. After I’ve checked my five rights for the third time, I’m going to put my medication away in the storage unit. I’m going to lock that unit, make sure that my keys are on me and then I’m going to document that I gave those medications.


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