Administering Controlled Substances Flashcards
6 cards from real QMAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Administering Controlled Substances flashcards as text
A QMAP notices a discrepancy in the controlled substance count during shift change. What should they do FIRST?
Answer: Immediately notify the supervisor without altering documentation
Report immediately without altering documentation, as this could be evidence of diversion.
How should controlled substances be physically stored in a residential care facility?
Answer: In a separately locked container within the locked medication area with limited key access
Controlled substances require double-lock: a separately locked container inside the locked medication storage area.
Which is a common sign of opioid overdose?
Answer: Extremely slow or stopped breathing with pinpoint pupils
The classic triad: respiratory depression, pinpoint pupils (miosis), and decreased consciousness.
A prescriber changes a resident from Schedule II to Schedule IV medication. How does this affect documentation?
Answer: Schedule IV may have slightly reduced requirements depending on state and facility policy
While all controlled substances need accountability, Schedule IV may have somewhat less stringent requirements depending on regulations.
What is the purpose of a perpetual inventory log for controlled substances?
Answer: To provide a continuous running count of every transaction so the current balance is always known
A perpetual inventory records every transaction with a running balance so the exact count is documented at all times.
A resident has both routine and PRN orders for the same controlled pain medication. Which statement is correct?
Answer: Routine dose as scheduled, PRN only when additional relief is needed and the interval has elapsed
Routine maintains baseline control; PRN provides additional relief following prescribed intervals.