LNA Medication-Certified Curriculum

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LNA Medication-Certified CurriculumThe curriculum will be a minimum of 4 hours and will include the following elements: Medication Assisting Techniques9 Remind patient/client to take (apply, instill) the right dose ofmedication at the right time9 Place the medication container within reach of the patient/client9 Remain with the patient/client to observe taking the medication9 Hand over Hand Technique9 Storage and handling of medications Infection control (Provided through agency orientation/continuingeducation)9 Proper hand washing techniques prior to facilitating medicationadministration9 Universal Precautions9 Management of patients/clients with infectious or contagiousdiseases9 Handling, storage, transportation and disposal of infectiouswaste Observational and Documentation Techniques (Provided throughagency orientation/continuing education)9 Record in the patient/client’s clinical record that they havesupervised the patient/client taking his/her medicationsincluding signature of LNA9 Document in the patient/client’s clinical record any observed orreported side effects, adverse reactions and refusal to takemedications or medications not taken1Disclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without written permissionof the Home Care Association of NH.

9 Information appropriate to report to supervisor Patient /Client Rights9 The Right Patient/Cliento Verify correct patient/cliento Read name in the medication labelo If in doubt, contact supervisor9 The Right Medication9 Take time to verify medication name(s) or correct (What andwhen to report)9 Documentation of this behavior Recognizing and Reporting Patient/Client Changes9 Precautions9 Interactions Safety and Emergency Procedures (Provided through agencyorientation/continuing education)9999Heimlich ManeuverCPR Certification recommendedPoison ControlReporting to supervisorLNA Medication-Certified OrientationThe delegating licensed nurse will review individual patient/client medication(s) withLNA Medication-Certified staff and will supervise the LNA Medication-Certifiedaccording to the patient/client care plan, agency policies and procedures, and stateand federal regulations.2Disclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without written permissionof the Home Care Association of NH.

Supplemental Information (May be copied for use by course instructors andparticipants) Principles of Medication AdministrationRoutes of AdministrationDrug Actions and InteractionsVitamins and MineralsHerbal TherapySkills ChecklistClass RegistrySample Certificate of CompletionNH Board of Nursing Faculty Approval ApplicationReferencesNH Board of Nursing Chapters 400, 600-800NH He-P 809 Home Health Care Providers (HHCP)NH Health Care Association3Disclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without written permissionof the Home Care Association of NH.

STATE OF NEW HAMPSHIRENEW HAMPSHIRE BOARD OF NURSING21 S FRUIT ST STE 16CONCORD NH 03301-2431TDD Access: Relay NH 1-800-735-2964Webpage: urse Asst. 603-271-6282APPLICATION FOR FACULTY APPROVALBOARD APPROVED EDUCATION PROGRAMSApplicant Name:Applicant Address:Program Name:Program Address:Phone Number:Fax Number:E-mail address:Please check the type of educational program for which faculty approval is being requested. If you are requestingmore than one type of faculty approval, please complete a separate faculty approval form for each request.Registered Nurse Education ProgramLicensed Nursing Assistant ProgramLicensed Practical Nurse Education ProgramMedication Nursing Assistant ProgramLicensed Practical Nurse IV TherapyPaid Feeding Assistant ProgramRe-entryLNA Program Train the TrainerNurse ExternLNA Medication Certification ProgramPlease indicate what type of faculty approval you are requesting1. RN-BS: Director10. LPN-IV: Instructor2. RN-BS: Educator11. Re-Entry: Coordinator3. RN-AD: Director12. Re-Entry: Instructor4. RN-AD: Educator13. LNA: Coordinator5. LPN: Director14. LNA: Instructor6. LPN: Educator15. MNA: Reviewer7. LNA MedicationCertification instructor16. MNA: Instructor8. LPN- IV: Coordinator17. Paid Feeding Assistant:Instructor18. LNA: Train the TrainerInstructor/CoordinatorEmployment StatusFull Time Part TimePer Diem AdjunctPart time: permanent position ofless than 40 hours per week with proratedbenefits.Per Diem/Adjunct: limited position with noattached benefits.License/Registration Type:RN LPNST OT RD PTLicense/RegistrationNumber:Expiration Date:Date of Birth:

Name:Clinical Specialty Area(Check all areas in which you have clinical experience and are ental HealthParent/ChildCommunityOB/GYN/Women’s HealthTraumaGerontologyOncologyBasic Nursing Education:Name of ProgramCityStateDate CompletedDiploma/DegreeGraduate Nursing Education:Name of ProgramCityStateDate CompletedDiploma/DegreeRN and LPN Education Program Faculty:Please be sure to attach a copy of the final college transcript documenting compliance withNur 602.05 and 602.07 (a),(b) or (c).(Transcript NOT required for other education program faculty requests)Describe how you meet the experience requirements for the faculty approval that you are requesting. Pleasesubmit copy of resume with this application.Applicant Signature:Date:Program Official Signature:Date:Board of Nursing Approval:Date:Temporary Approval:Educator Approval Form Updated: 12.17.08Expiration Date:Date:2

1Home Care Association of New HampshireLNA Medication‐Certified Post‐Test1. What are the 6 “Rights” pertaining to medication administration?a.b.c.d.e.f.2. A patient who is allergic to shellfish is not likely to be allergic to some medications.a. Trueb. False3. Water‐soluble vitamins are excreted in urine shortly after they are absorbed.a. Trueb. False4. An undesired outcome of a medication is called:a. An emergencyb. A risk factorc. An adverse reaction to a medicationd. A side effect of a medication5. Which route of administration would the LNA‐MC not be allowed to assist the patient with?a. Aerosolb. Inhalantc. Dropsd. Injectablee. Tabletf. CreamDisclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without writtenpermission of the Home Care Association of NH.

26. What is your role in preparation for Medication Assistance?a. Wash handsb. Review medications on patient care planc. Review the 6 “Rights”d. Documente. All of the above7. The desired action of a medication is called itsa. Medication reactionb. Safety actionc. Addictive actiond. Therapeutic effect8. A patient shows he knows how to self‐medicate bya. Explaining to his family how to medicateb. Knowing the name of the medicationc. Demonstrating to the nurse how to self‐medicate9. Which would be considered medication administration rather than medication assistance?a. Opening the medication pill planner for the patientb. Pouring two tablets into the client’s hands from the pill plannerc. Handing a medication container to the patientd. Taking medications from a prescription bottle and giving to the patiente. Reminding the patient to take the medication10. What vitamin is acquired through sunlight?a. Vitamin Ab. Vitamin Ec. Vitamin Dd. Vitamin C11. The best practice to store medications is in the bathroom cabinet since that is a convenientlocation for most people.a. Trueb. False12. Herbal therapiesa. Do not require FDA approvalb. Are safe to self‐medicate as long as the patient is undergoing regular therapyc. Require a prescription from a specially certified physiciand. None of the AboveDisclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without writtenpermission of the Home Care Association of NH.

313. A patient is having a difficult time swallowing one of their pills because they are too large. TheLNA‐MC should:a. Crush the tablet and put it in applesauceb. Break the tablet in halfc. Call the nursed. Tell the patient to try to swallow it14. Which of the following is true regarding administration of medications by the oral route?a. It is convenient and relatively inexpensiveb. Oral administration is best for all patientsc. Gastrointestinal upset rarely occursd. Water given with medication retards drug absorption15. Using a prescribed pain management routine:a. Helps prevent a patient from becoming dependent on a drugb. Helps the patient afford the medicationc. Increases the risk of becoming drug dependentd. Is most likely to give the patient pain relief16. Music cannot help relieve pain.a. Trueb. False17. Which statement regarding medications should the LNA‐MC report to the nurse?a. I do not want to take that one. It upsets my stomach.b. These drugs are very expensive and I cannot afford them.c. I will run out of my medications in a few days.d. I do not think this medication is helping me.e. All of the above18. Antibiotics fight off viruses.a. Trueb. False19. The nurse should instruct the patient to monitor for adverse side effects of herbal therapies.a. Trueb. False20. When assisting a patient with medications, the patient reports, “I do not usually take thismedication until later.” The LNA‐MC shoulda. Put the medication away for the patient to take laterb. Encourage the patient to take the medication since it is on the listc. Ask the patient’s family when he should take the medicationd. Call the nurseDisclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without writtenpermission of the Home Care Association of NH.

421. A good source of dietary potassium isa. Breadb. Milkc. Eggsd. Bananas22. To maintain safety when assisting patients with medications do all except:a. Talk to the patient about your day to keep them calm while you are assisting them totake their correct medicationb. Instruct the patient not to take medication that looks discoloredc. Instruct the patient to keep medications out of reach of children that may be in thehomed. Instruct the patient to follow the nurse’s instructions on whether to take medicationswith foode. Stay with the patient until medication is swallowed and then document that assistancewas completed23. Spinach is a good source of iron.a. Trueb. False24. Commonly used medications for relieving headaches are aspirin, acetaminophen and ibuprofen.a. Trueb. False25. If the patient asks you to get her an OTC medication for a headache you would:a. Go and get the medication and give it to the patientb. Be sure the patient hasn’t had any medication in at least 6 hoursc. Call the nursed. Ask the patient’s spouse if it is OK to give the medication.26. The nurse informs you that the patient is taking a narcotic for pain. Which of the followingsymptoms is a common side effect to report to the nurse?a. Constipationb. Diarrheac. Increased respirationsd. Hand tremors27. It is important to assist the patient to take medication at scheduled times to ensure:a. Use of all packaged medicationb. Therapeutic blood levelsc. Minimal adverse effectsd. Patient compliancee. All of the aboveDisclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without writtenpermission of the Home Care Association of NH.

528. The most effective method of preventing infection is:a. Accurate administration of medicationb. The use of isolation proceduresc. Keeping the skin clean and dryd. Hand washing29. When assisting with medications, when should the LNA‐MC review the patient’s care plan?a. When preparing to assist the patient with medicationsb. Before handing the container to the patientc. When returning the container after the patient has taken the medicationd. All of the above30. When a patient appears depressed, which of the following should the LNA‐MC note and reportto the nurse?a. Suicidal thoughtsb. Blood pressurec. Social skillsd. HabitsDisclaimer: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without writtenpermission of the Home Care Association of NH.

Home Care Association of New HampshireLNA Medication‐Certified Post‐Test Answer 19.20.21.22.23.24.25.26.27.28.29.30.Right patient, right medication, right dose, right route, right time, right er: Adapted to home care by the Home Care Association of NH from the NH Healthcare Association’s MNA programcurriculum.Copyright: Copyright May 2009‐ Home Care Association of NH. These materials may not be reproduced without writtenpermission of the Home Care Association of NH.

LNA Medication-Certified Orientation The delegating licensed nurse will review individual patient/client medication(s) with LNA Medication-Certified staff and will supervise the LNA Medication-Certified accordi

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