Med Demo 4: Topical Lotion for MORC Medication Training

Med Demo 4: Topical Lotion for MORC Medication Training


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, at
what time and then we want to bring some order to that. So what we want to do is look at our medications and we’re going to put them in order by time and who are giving our meds too. Then of course we’re going to be looking at
giving medications from the easiest medication to the hardest medication, cleanest medication
to the dirtiest medication starting with oral medications first. We then want to check out every
medication that we’re giving. We should always know about medications that we
giving and what they do to the individual that’s going to be taking them. We need
to review the therapeutic effects, 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, that it’s clean and then we’re
going to begin. First thing we want to do is we want
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 of the five rights. 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 bottle 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 medications from the pharmacy label to
the med record. Then, 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. We always check from the pharmacy label to the medication record. After I’ve done my second check, then I
want to remove all of the equipment that I need in order to pass my topical
lotion. I’m going to need tissue so that I can clean the top of the bottle before
and after I pour the medications. I’m going to need something to apply those
medications with and in this situation it would be appropriate to use cotton
balls. In this situation we have two areas of irritation so we only need two
cotton balls. Then I’m going to need gloves. Again we’re going to be dealing with blood and bodily fluids so we always wear gloves. After I have everything that
I need on my tray that I’m going to use to help me stay organized I’m going to make sure that my area is secured, that everything’s locked up and I’m
gonna find my individual so that I can pass the medications. 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 too.
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 medication too. 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, what my role is
in the workplace. This also assists us in creating a relationship with this
individual while we give those medications. Because this is an area of
irritation I’m going to let the individual know that I’m putting this
medication on, what it’s for and how it might feel. We always want to honor
ones privacy and dignity. Also what the expectations are and then will proceed to get everything that I need ready to pass the medication. In this particular situation the lotion
is a suspension, it’s part powder and part water. I want to put the bottle in
my hand with the label facing my palm, I’m going to put my finger on top of the
cap to make sure that there’s no chance that the top can come off and
contaminate other areas. I’m going to shake the bottle up vigorously. Then, I’m
going to get my medications ready. Because we’re putting lotion on two
particular wounds this medication is not a measured dose which means that we’re
only going to pour the amount of medications that we need based on the
size of the wounds. I’m going to take the top off the bottle I’m going to lay the
top down on my tray at that time I’m going to clean off the
top of the bottle with a tissue making sure not to touch the lip and
contaminate it. I’m going to lay my tissue on the side of my tray where I
have my dirty supplies and then I’m going to pour the amount of
medication that I need. Because this is not a measured dose, I’m only going to pour what I think I’m going to need to put on the wound
appropriately after I’ve poured it in my medication cup. I want to make sure that my
medication cup is secured on a level surface I’m going to clean around the
top of the bottle making sure that I’ve cleaned off any contamination, I’m going
to put the top securely back on the bottle and place the bottle of
medication on my work space or tray. At this time I’m going to need to put on my
gloves on. When I’m putting on gloves I want to make sure that the gloves are
touched minimally. Then I put them on away from my body and above my waist. Once the gloves are on I want to let my
individual now just exactly what I’m going to do and prepare him for the
medication administration. At this time I’m going to pick up a cotton ball, I’m
going to place it into the medication cup and absorb some of the lotion onto the
cotton ball. At this time I’m going to administer the lotion to the
irritated area from the cleanest/least infected area to the dirtiest/most
infected area. I’m going to do that in one clean motion, take the cotton ball
off of that area, place it on the dirty side of my tray and then I’m going to
pick up the other cotton ball and do the same procedure to the other irritated
area. Again making sure that I put the medication on from the cleanest/least
infected area of the wound to the dirtiest/most infected area of the wound, in ,one motion making sure that I get all of the irritated area. Once I’m done I’m
going to put the cotton ball on the dirty side of my tray. I want to get
together all of my waste and I’m going to place it all in my glove and take my gloves off. Dirty to dirty,
glove to glove. Then I’m going to take off the other glove and again making sure
that I don’t cross contaminate I’m going to take this glove off. Clean to clean,
skin to skin. I’m going to take all of my waste that is double wrapped in the
gloves place them on my tray or work area. I want to make sure that my individual is doing all right. I’m going to ask him how he’s doing and I’m going to stay with
him making sure that he doesn’t touch that area and allow for that
medication to dry. After I’m going to excuse myself from the individual that I’ve just administered the medications too. I’m going to take all of my dirty
products, along with my lotion back to my medication area and I’m going to throw away all of my waste into the appropriate receptacle. I’m going to wash my hands
and immediately do my third and final 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 medications from the pharmacy label to the medication 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. We always check from the pharmacy label to the medication record. I’m going to place the lotion bottle
back into the storage unit. I’m going to shut and lock the storage unit and document that I gave those medications
on the medication record.

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