Medication Management Oversight Flashcards
7 cards from real CSA 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 Oversight flashcards as text
A nursing facility administrator is developing a policy to reduce polypharmacy. Which strategy is MOST effective as an administrative oversight measure?
Answer: Mandating monthly medication regimen reviews by a consultant pharmacist
Monthly medication regimen reviews by a consultant pharmacist are a regulatory requirement and a proven strategy for identifying and reducing unnecessary medications.
Staff who administer medications in a long-term care facility must demonstrate competency through:
Answer: Initial training and periodic competency evaluations per state and federal standards
Regulations require documented initial and ongoing competency evaluations for all staff involved in medication administration to ensure resident safety.
A facility receives a surveyor citation related to medication labeling. The MOST likely root cause an administrator should investigate is:
Answer: Medications dispensed without resident name, drug name, strength, dose, and directions
Proper medication labeling must include the resident's name, drug name, strength, dose, frequency, and route; omissions in these elements are the most common labeling citation.
The administrator's role in the facility's pharmacy services agreement is to ensure the contract includes provisions for:
Answer: Emergency medication access, MRR services, and timely delivery standards
The pharmacy services agreement must address emergency medication availability, consultant pharmacist MRR services, and timely delivery to meet CMS requirements.
PRN (as-needed) medication orders in a nursing facility must include:
Answer: The specific indication, maximum dose, frequency, and route
PRN orders must specify the clinical indication, maximum dose, frequency limits, and route to ensure safe and appropriate use.
Which of the following best describes an administrator's responsibility during a CMS survey focused on medication management?
Answer: Ensuring all medication storage, documentation, and administration practices align with current regulations
The administrator is responsible for facility-wide regulatory compliance, including ensuring medication practices meet CMS standards and that surveyors have appropriate access to records.
A newly hired medication aide (CMA) may administer medications in states that permit the CMA role ONLY after:
Answer: Successfully completing state-approved training and passing a competency examination
In states that allow CMAs, they must complete a state-approved training program and pass a competency test before independently administering medications.