Medication Management & Pharmacy Services Flashcards
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Read the first 7 Medication Management & Pharmacy Services flashcards as text
In an assisted living facility, who is ultimately responsible for ensuring that medication administration policies comply with state regulations?
Answer: The Licensed Administrator
The Licensed Administrator bears ultimate accountability for all facility operations, including ensuring medication policies meet state regulatory requirements.
What term describes the process of comparing a resident's medication orders against all medications the resident is actually receiving to identify discrepancies?
Answer: Medication reconciliation
Medication reconciliation is the formal process of comparing medication orders against what a resident is receiving to catch omissions, duplications, or dosing errors.
Under the Controlled Substances Act, which DEA schedule includes medications with the highest accepted medical use but also high potential for abuse, such as hydrocodone combinations?
Answer: Schedule III
Hydrocodone combination products are classified as Schedule III substances, which have accepted medical use and moderate-to-low potential for physical dependence.
A resident refuses to take a prescribed medication. What is the legally and ethically correct first action for facility staff to take?
Answer: Document the refusal and notify the prescribing physician
Respecting resident autonomy requires documenting the refusal and notifying the physician so the care plan can be updated; covert administration is illegal and unethical.
Which type of medication order authorizes staff to administer a drug only when a specific condition or symptom occurs, rather than on a fixed schedule?
Answer: PRN order
PRN (pro re nata) orders direct staff to administer medication 'as needed' when a defined condition, such as pain above a threshold, is present.
When a resident is admitted to an assisted living facility, best practice requires that all current medications — including over-the-counter drugs and supplements — be reviewed by which professional?
Answer: Consulting Pharmacist
A consulting pharmacist conducts a comprehensive medication review at admission to identify interactions, duplications, contraindications, and inappropriate dosing.
What is the standard minimum frequency for a pharmacist to conduct drug regimen reviews for residents in a licensed assisted living facility under most state regulations?
Answer: Quarterly
Most state regulations require a consulting pharmacist to review each resident's drug regimen at least quarterly to detect problems and make recommendations.