MAP video_Administering Multiple Medications


[ Music ] The average numbers of meds an individual receives per day is 12. The following is two separate demonstrations of the same med pass.
The first demonstration shows check one being completed for all three meds before moving
on to checks two and three. Medications will be prepared for Melissa Sullivan on September
third at 8 p.m. I’m going to start my med pass for Melissa Sullivan, September third
at 8 p.m. I start by washing my hands. I have all of my supplies. I’m going to unlock the
med area. And I’m going to look in med book to see what Melissa Sullivan has ordered.
First if find Melissa Sullivan. And then I look at the med sheet to see that I’m on September
third at 8 p.m. Melissa has due Mysoline, Colace liquid and Percocet. So I’m going to
locate the meds. I find Melissa. I’m going to look for her Mysoline. And next need to
find her Colace. And now I’m going to look for her Percocet. The Percocet are in a double-locked
box. So I need to open that. And then I find Melissa’s meds. Now that I have all of her
meds, I can start check number one. I need to go to the HCP order, and I’m going to choose
my first med and I’ll do check number one. I’ll do the Colace liquid. I have Melissa
Sullivan, Colace liquid 100 milligrams twice a day by mouth. Now my pharmacy label. I have
Melissa Sullivan docusate 50 milligrams per 5 mL, IC Colace liquid. Take two teaspoons,
10 mL twice a day by mouth. I’ve completed check one for the Colace. I’m going to move
to check one for the Mysoline. I have Melissa Sullivan, Mysoline 50 milligrams twice a day
by mouth. My pharmacy label. Melissa Sullivan Mysoline 50 milligrams take one tablet by
mouth twice a day. I’ve completed check one for the Mysoline. I’m now going to do check
number one for the Percocet. I have Melissa Sullivan, Percocet 5-325 milligrams, two times
a day by mouth. Now my pharmacy label. Melissa Sullivan, Percocet 5-325 milligrams take one
tablet by mouth twice daily. I’ve completed check number one for all three meds. I’m going
to move on to checks two and three. So I need to go to my med sheet. I’m going to start
with my first med, which is the Mysoline. And I’ll start with check number two between
my pharmacy label and my med sheet. I have Melissa Sullivan, Mysoline 50 milligrams,
take one tablet my mouth twice a day. Melissa Sullivan, the brand is Mysoline, the strength
is 50 milligrams, the dose is 50 milligrams. The amount is one tablet. Route, by mouth.
Frequency two times a day. I’ve completed check two. I can put the medicine into the
cup. Get one tab. I can complete check three. Melissa Sullivan Mysoline 50 milligrams, take
one tablet by mouth twice a day. My med sheet, Melissa Sullivan, Mysoline, the strength is
50 milligrams. The dose is 50 milligrams, the amount is one tablet, route by mouth.
Frequency two times a day. That was checks two and three for the Mysoline. I’m going
to move on to the Colace. I have Melissa Sullivan, docusate, 50 milligrams per 5 mL IC Colace
liquid. Take two teaspoons, 10 mL twice a day by mouth. Melissa Sullivan, docusate sodium.
The brand is Colace, strength is 50 milligrams per 5 mL. The dose is 100 milligrams. The
amount is 10 mL. The route by mouth. Frequency is two times a day. That was check two, I
can put the medicine in the cup. It’s a liquid. I’ll give it a shake. I’ll make sure that
I hold on to the label, in case I spill any, I won’t ruin the label. I’ll use a liquid
measuring device. Look at the 10 mL first. Keep it on a flat surface. And then I look
at it at eye level when I pour. I get my 10 mL. Then I can move on to check three. Melissa
Sullivan, docusate 50 milligrams per 5 mL IC Colace liquid. Take two teaspoons, 10 mL
twice a day by mouth. My med sheet, Melissa Sullivan. Docusate sodium is the generic,
the brand is Colace, the strength is 50 milligrams per 5 mL. The dose is 100 milligrams. The
amount of 10 mL. The route by mouth. Frequency two times a day. I’ve completed checks two
and three for the Colace. I’ll move on to my third med, the Percocet. I have Melissa
Sullivan Percocet 5-325 milligrams, take one tablet by mouth twice daily. My med sheet.
Melissa Sullivan the brand is Percocet, the strength is 5-325 milligrams. The dose is
5-325 milligrams. The amount is one tablet. The route is by mouth. The frequency is two
times a day. I can now put the medicine in the cup since I completed check two. Make
sure I get the medicine in there. I’ll complete check three. Melissa Sullivan, Percocet 5-325
milligrams. Take one table by mouth twice daily. My med sheet. Melissa Sullivan. The
brand is Percocet the strength is 5-325 milligrams. The dose is 5-325 milligrams. The amount is
one tablet the route by mouth, frequency two times a day. I’ve completed all three checks
for all three of my meds. Which means at this point I can administer these meds to Melissa.
I want to make sure when I do that, I observe her swallow. And now I can do my documenting.
I’m going to do for each med, my silent look again, and then I’ll put my initials in the
date and time box. I’ll start with the Mysoline. Next is my Colace. I do my silent look again.
And document. And last is my Percocet. I want to make sure I sign the signature list at
the bottom. I’m done with the med book. I can move on to the count book. In the index
I can see that Melissa Sullivan’s Percocet is on page four. I go to page four. And I’ll
subtract the med from the count. It is September third it’s 8 p.m. The route was by mouth.
I had 29 tabs on hand. I administered one tab. I’ll write out the word, o-n-e. There
are 28 tabs remaining. And I’ll sign my full name. I’m done with the documenting. I now
need to secure my medications. I will lock this. And double lock. I wash my hands. And
I’ve completed my med pass. I’m now going to pass meds to Melissa Sullivan, September
third at 8 p.m. I’m going to start by washing my hands. I have all of my supplies. I’m going
to unlock the med area. I’m going to open the med book and find Melissa Sullivan so
I can see what she has ordered September third at 8 p.m. According to my med sheet she has
Mysoline, Colace liquid and Percocet all due. So now I need to find the meds. Locate Melissa’s
drawer. I need Mysoline, her Colace. And now the Percocet. The Percocet is accountable,
so I have a double lock box. I have her Percocet. And now that I have all three of her meds,
I can start check number one between the HCP order and the pharmacy label. I’m going to
start with the Percocet. I have Melissa Sullivan Percocet 5-325 milligrams, two times a day
by mouth. Now the pharmacy label. I have Melissa Sullivan, Percocet 5-325 milligrams. Take
one tablet by mouth twice daily. I’ve completed check one. I’m going to move on to check two
between my pharmacy label and my med sheet. I have Melissa Sullivan, Percocet 5-325 milligrams.
Take one table by mouth twice daily. Now my med sheet Melissa Solomon Percocet, the strength
is 5-325 milligrams. The dose is 5-325 milligrams. The amount is one tablet, route by mouth.
Frequency two times a day. I’ve completed my second check I can put the medicine into
the cup. Make sure I have the tab. And I can move on to check number three. Melissa Sullivan,
Percocet 5-325 milligrams. Take one table by mouth twice daily. My med sheet. Melissa
Sullivan, Percocet, the strength is 5-325 milligrams. The dose is 5-325 milligrams.
The amount is one tablet. The route is by mouth. Two times a day. So I’m going to move
on to my next medication. I’ll do the Mysoline next. Check number one is between the HCP
order and the pharmacy label. I have Melissa Sullivan Mysoline 50 milligrams twice a day
by mouth. My pharmacy label I have Melissa Sullivan Mysoline 50 milligrams, take one
table by mouth twice a day. Check one is complete. I can move on to check number two between
the pharmacy label and the med sheet. I have Melissa Sullivan, Mysoline 50 milligrams take
one tablet by mouth twice a day. Now my med sheet. Melissa Sullivan, Mysoline. The strength
is 50 milligrams. The dose is 50 milligrams. The amount is one tablet. The route is by
mouth. The frequency is two times a day. I’ve completed my second check which means I can
prepare the medication. I need one tablet. And now I can complete check three. Melissa
Sullivan, Mysoline 50 milligram, take one tablet by mouth twice a day. My med sheet.
Melissa Sullivan, Mysoline. The strength is 50 milligrams. The dose is 50 milligrams.
The amount is one tablet. The route is by mouth. And the frequency is two times a day.
I’ve completed all three checks for the Mysoline. I’m going to move on to the Colace liquid.
I’ll start check number one between the HCP order and the pharmacy label. I have Melissa
Sullivan, Colace liquid 100 milligrams twice a day by mouth. Now my pharmacy label. I have
Melissa Sullivan, docusate 50 milligrams per 5 mL IC Colace liquid. Take two teaspoons,
10 mL twice a day by mouth. Check number one is complete. I can move on to check number
two between my pharmacy label and my med sheet. I have Melissa Sullivan, docusate 50 milligrams
per 5 mL IC Colace liquid. Take two teaspoons, 10 mL twice a day by mouth. My med sheet.
Melissa Sullivan, the generic is docusate sodium, the brand is Colace. The strength
is 50 milligrams per 5 mL. The dose is 100 milligrams. The amount is 10 mL. The route
is by mouth. The frequency is two times a day. I’ve completed two checks. I can put
the medicine in the cup. This is a liquid. I’ll give it a shake. I’ll make sure that
the label is in my palm, in case any drips I don’t ruin the label. I want to make sure
on my med cup I know where I’m going to pour to. I see the 10 mL. I put it on a flat surface
and I look at it at eye level when I pour. I have the 10 mL. I can move on to check three.
I have Melissa Sullivan docusate 50 milligrams per 5 mL IC Colace liquid. Take two teaspoons,
10 mL twice a day by mouth. Now my med sheet. Melissa Sullivan, docusate sodium, the brand
is Colace. The strength is 50 milligrams per 5 mL. The dose is 100 milligrams. The amount
is 10 mL. The route is by mouth. And the frequency is two times a day. I’ve completed all three
checks for all three of my meds. So at this point I can administer the meds to Melissa.
I make sure when I do that I observe her for her swallow. When I’m done I want to do my
look back. And as I do my look back I document. I’ll start with my first med, the look back
is a check between the label and the med sheet to make sure I did everything right. And I
sign. I’ll move on to the Colace. And I’ll sign it. And now the Percocet. I want to make
sure I’ve signed the bottom of the med page for the signature list. I’m done documenting
in the med book. I now need to document in the count book. I’ll look at the index and
see that Melissa Sullivan’s Percocet is on page 4. And then I’ll document in the count
book. It was September third at 8 p.m. The route was by mouth. The amount on hand I had
was 28, I administered one tab. I write out the word o-n-e. I have 27 tabs left. I’ll
sign my full name. And I’m done documenting in the count book. I now need to secure all
of my medications. I’ll lock the box. And double lock. I’ll wash my hands. And I’ve
completed my med pass.>>The goal of the demonstration is to show
that there is more than one correct way to complete the three checks of the five rights
when preparing multiple medications for one individual. [ Music ]