Medication Management & Pharmacy Services Flashcards
7 cards from real CALA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Management & Pharmacy Services flashcards as text
An assisted living facility must store Schedule II controlled substances in a manner that meets DEA requirements. Which storage condition is mandatory?
Answer: Double-locked, substantially constructed cabinet
The DEA requires Schedule II controlled substances to be stored in a securely locked, substantially constructed cabinet to prevent diversion and unauthorized access.
Which federal agency regulates the registration of assisted living facilities that store and dispense controlled substances?
Answer: Drug Enforcement Administration (DEA)
The DEA enforces the Controlled Substances Act and requires facilities that handle controlled substances to register and comply with federal regulations.
When a controlled substance is wasted or a partial dose is administered, best practice in assisted living requires:
Answer: Two authorized staff members to witness and co-sign the waste documentation
Two-person witness and co-signature for controlled substance waste is the industry standard to prevent diversion and ensure accurate accountability records.
A resident's physician calls to authorize a new medication verbally. What must assisted living staff do according to standard medication management protocols?
Answer: Document the verbal order and obtain a written or electronic order within the timeframe specified by state regulations
Verbal orders must be documented immediately, signed by the receiving staff member, and followed up with a written or electronic order within the state-required timeframe.
Which of the following best describes polypharmacy, a major concern for assisted living administrators managing resident health outcomes?
Answer: The routine use of five or more medications simultaneously by one resident
Polypharmacy typically refers to the concurrent use of five or more medications, which increases the risk of drug interactions, adverse effects, and medication errors in older adults.
An administrator discovers that a staff member has been diverting controlled substances from the facility. The correct immediate action is to:
Answer: Remove the employee from access, report to law enforcement and the DEA, and cooperate fully with the investigation
Controlled substance diversion is a federal crime requiring immediate reporting to law enforcement and the DEA, as well as removal of access to protect residents and the facility.
What is the purpose of a medication administration record (MAR) in an assisted living facility?
Answer: To provide a legal, chronological documentation of each medication given, refused, or held for each resident
The MAR is a legal document providing a complete, time-stamped record of medication administration, refusals, and holds, ensuring accountability and continuity of care.