AMAP-RN Orientation Curriculum Overview Study Guide Part 1

Key Regulations/Legislation


  • WV State Code 16-50-1 et seq.: Governs the scope of authority and limitations of AMAP staff in administering medications.
  • Legislative Rule 64-60: Outlines the regulations for medication administration by AMAPs in West Virginia.

Key Procedures/Protocols

Procedure Description
Six Rights of Medication Administration Right resident, right drug, right dosage, right time, right route, right documentation.
Hand Washing Essential for infection control; wash hands before and after medication administration.
Documentation Record medication administration immediately on the MAR, including any refusals or errors.

Interventions


  • Monitoring Vital Signs: Measure and record vital signs (temperature, pulse, respiration, blood pressure) before administering certain medications.
  • Encouraging Medication Compliance: Explain the importance of medications to residents and encourage them to take their prescribed medications.


Key Drugs

Drug Name Purpose Common Side Effects
Digoxin Treats heart conditions Nausea, dizziness
Procardia Treats hypertension Swelling, headache
Morphine Pain relief Drowsiness, constipation
Tylenol Pain relief, fever reducer Liver damage (overdose)

Facts to Memorize


  • Approved Medication Assistive Personnel (AMAP) scope of authority and limitations
  • Six Rights of Medication Administration: Right resident, Right drug, Right dosage, Right time, Right route, Right record/documentation
  • Common medical abbreviations: ac (before meals), bid (twice a day), DNR (do not resuscitate), NPO (nothing by mouth), PRN (as needed)
  • Eligibility requirements for AMAP: High school diploma or GED, CPR and First Aid certified, not on Nurse Aide Abuse Registry
  • Types of medication administration routes: Oral, Sublingual, Topical, Ophthalmic, Otic, Nasal, Rectal, Vaginal, Inhalant
  • Controlled substances classification: Schedule I (high abuse potential, no medical use) to Schedule V (limited narcotic content)
  • Common side effects of medications: Drowsiness, nausea, rash, diarrhea, confusion

Reference Information


  • Medication Administration Record (MAR) must include: Resident name, Drug name and strength, Amount ordered, Time to be administered, Route of administration, Special instructions, Signature of person administering
  • Resources for drug information: Facility drug reference book, Pharmacy print-outs, Online drug databases
  • Poison Control Hotline:  for information on poisons and drug identification

Concept Comparisons

Concept Description
Prescription Medications Medications that require a doctor's prescription and are dispensed by a pharmacy.
Over-the-Counter Medications Medications that can be purchased without a prescription but may still require a physician's order for use in a facility.
Controlled Substances Medications classified by their potential for abuse and dependency, requiring strict regulations for prescribing and dispensing.

Problem-Solving Steps


  1. Identify the problem: Determine if the medication administration is appropriate based on the MAR and resident's condition.
  2. Check vital signs: If required, measure and record vital signs before administering medications.
  3. Verify medication: Ensure the medication matches the MAR in terms of name, dosage, route, and time.
  4. Prepare the medication: Follow the six rights of medication administration.
  5. Administer the medication: Provide the medication to the resident, ensuring they understand the process.
  6. Document the administration: Record the administration on the MAR immediately after giving the medication, noting any observations or issues.
Go to the Next Practice Section Study Guide 2
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