AMAP Study Guide Part 2: Medication Administration Procedures

Key Assessment Techniques

• Vital Signs Measurement: Includes temperature, pulse, respiration, and blood pressure, which must be accurately recorded and reported to the RN if abnormal.
• Stethoscope Use: Proper technique for measuring heart rate and blood pressure, ensuring cleanliness and accuracy.

Key Drugs

• Controlled Substances: Drugs with a high potential for abuse, requiring strict documentation and handling (e.g., narcotics).
• Non-controlled Drugs: Prescription and over-the-counter medications that do not fall under controlled substance regulations.
  

Facts to Memorize

• The Six Rights of Medication Administration: Right Resident, Right Drug, Right Dosage, Right Time, Right Route, Right Record.
• Common medication abbreviations: ac (before meals), bid (twice a day), prn (as needed), npo (nothing by mouth).
• Normal vital signs: Temperature: 96.6 to 98.6°F (oral), Pulse: 60 to 90 bpm, Respiration: 12 to 20 breaths/min, Blood Pressure: <120/80 mmHg.
  

Reference Information

• Medication Administration Record (MAR) must include resident name, drug name, dosage, route, and time of administration.
• Controlled substances must be stored in a locked cabinet with two different keys.
• The RN must be notified of any medication errors or discrepancies in the MAR.
  

Problem-Solving Steps



Steps for Administering Medications:

1. Review MAR: Check for the correct resident, medication, dosage, time, and route.
2. Prepare Medication: Gather the medication and ensure it matches the MAR.
3. Check for Allergies: Confirm the resident's allergies before administration.
4. Administer Medication: Follow the prescribed route and dosage.
5. Document Administration: Record the administration on the MAR immediately after giving the medication.
6. Monitor for Effects: Observe the resident for any adverse reactions or side effects.