CMA Practice within Correctional Setting Guidelines
In the correctional setting, as a Medication Aide, you play a crucial role in administering medications to patients while adhering to legal standards and ethical guidelines. This includes understanding allowable and prohibited practices of medication administration, emphasizing professionalism and ethics in your role, and following proper medication administration procedures as per UTMB/CMC policies.
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CMA PRACTICE WITHIN THE CORRECTIONAL SETTING While employed by UTMB-CMC, it is expected that you will fulfill your job expectations by following the philosophy and ethics, responsibilities, functions, roles and skills by complying with UTMB-CMC policy and the legal standards established by your credentialing authority that guide your practice.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Objectives We will discuss the allowable practices of medication administration. We will discuss prohibited practices of medication administration and show an example. We will define Professionalism and Ethics and discuss how it fits into the role of the Medication Aide.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING As a Medication Aide, you are permitted by THHSC THHSC (Texas Health and Human Services Commission) to administer medications to patients in a correctional setting.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Administration-The provision of a prescribed and prepared dose of an identified medication to the individual for whom it was ordered, in order to achieve the desired pharmacological effect. Administration includes directly introducing the medication into or onto the patient s body. UTMB/CMC NURSING SERVICES POLICY MANUAL D UTMB/CMC NURSING SERVICES POLICY MANUAL D- -27.1 27.1
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Medications must be administered or distributed to patients in a manner consistent with applicable statues, regulations and standards. UTMB personnel should refer to UTMB CMC Nursing Policy & Procedure D27.1, Medication Administration for procedures related to medication administration and documentation specific to pill windows, restrictive housing, and inpatient areas. CMC Pharmacy Policy and Procedure Manual(11/08/18) CMC Pharmacy Policy and Procedure Manual(11/08/18)
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Medications are administered only as ordered by the provider. You are personally responsible to set-up, administer (after personally preparing) and document medications given. UTMB/CMC NURSING SERVICES POLICY MANUAL,(11/19/2019) UTMB/CMC NURSING SERVICES POLICY MANUAL,(11/19/2019)
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING The CMA who prepares the medication must be the same individual who administers the medications. At no time should anyone administer medication prepared by another individual. Medications will NOT be Pre-Set/Pre-Poured in advance of the patient presenting to the pill window. UTMB/CMC NURSING SERVICES POLICY MANUAL,(11/19/2019) UTMB/CMC NURSING SERVICES POLICY MANUAL,(11/19/2019)
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Proper preparation of a medication starts with identifying the correct patient. All medications shall be administered using the 8 rights of medication administration. The right patient The right dose The right time The right method The right medication The right documentation The right reason The right assessment for both administration and response to the medication CMC PHARMACY POLICY AND PROCEDURE MANUAL,(11/19/2019) CMC PHARMACY POLICY AND PROCEDURE MANUAL,(11/19/2019)
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Medications are only to be administered to a patient from a container labeled for that patient s use or consumption. Borrowing medications from another patient is not an alternative to proper medication administration procedures and will not be tolerated. UTMB/CMC NURSING SERVICES POLICY MANUAL,(11/19/2019) UTMB/CMC NURSING SERVICES POLICY MANUAL,(11/19/2019)
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING It is allowable to take medications from stock supplies in the case where a patient s particular medication have not been received from the Pharmacy. MANAGED HEALTH CARE CERTIFIED MEDICATION AIDE MANUAL. Section 7 MANAGED HEALTH CARE CERTIFIED MEDICATION AIDE MANUAL. Section 7
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Non-sterile gloves will be worn when preparing medications. The CMA will pop the medications from the blister cards into a medication cup and then pour the medications into the patient s hand. Be careful not the touch the cup to the patient skin. Should this occur, dispose of the medication cup and use a new one for the next patient. UTMB/CMC NURSING SERVICES POLICY D UTMB/CMC NURSING SERVICES POLICY D- -27.1 27.1
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Please note . PRN medications that are ordered NON-KOP may only be administered by a licensed nurse. UTMB/CMC NURSING POLICY MANUAL D UTMB/CMC NURSING POLICY MANUAL D- -27.1 27.1
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Please Note DOT medications may be administered by ANY staff qualified to administer medication. UTMB/CMC NURSING SERVICES POLICY MANUAL, D UTMB/CMC NURSING SERVICES POLICY MANUAL, D- -27.1 27.1
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING If floor stock is used, a log will be maintained for documenting each dose of medication or item used from floor stock. Administration should also be documented on the patient s electronic medication administration record (SMART). Both areas must be documented due to requirements mandated by pharmacy. Managed HealthCare Certified Medication Aide Manual, Section 7 Managed HealthCare Certified Medication Aide Manual, Section 7
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING It is outlined in your Practice Standards that you are not allowed to: Steal, divert, or otherwise misuse medications. UTMB-CMC Letter of Expectation Certified Medication Aide, Revised 11/2018
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Everyone is faced with days in which we feel we don t have enough time in our work day to accomplish our tasks. However, taking short cuts to make the work day more efficient, can lead to mistakes potentially causing harm to patients. Certain kinds of short cuts are also against THHSC, CMA practice standards and UTMB-CMC policy.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING One example of this type of short cut is Cheater Bins Makerbot Thingiverse.(nd).
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Cheater Bins are used for popping medications out of unclaimed KOPs or expired blister packs into individual bins specific for that medication. The bins are set up in rows and then the CMA would administer the medications to the patients as they arrived to the pill window in single doses from the bins acting more as a dispensing agent rather than a CMA. This is not allowed per policy. This is not allowed per policy. utmb utmb/ /cmc cmc nursing policy d nursing policy d- -27.1 27.1
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Many issues arise from this type of infraction and other short cuts a med aide may take to make their work seem more efficient. The legal issues involved could jeopardize employment, your medication aide permit, and possibly cost you jail time, fines, and fees.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Medication orders shall not be disregarded. If there are any questions concerning orders, healthcare staff must consult the prescribing practitioner or nurse in charge. Managed Health Care Certified Medication Aide Manual, Section 3
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Beyond legal issues, professionalism and ethical practices should also guide your practice while carrying out your medication administration duties.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Professionalism is the degree to which an individual possess and uses the knowledge, skills, and qualifications of the profession and adheres to its values and ethics when serving the patient. NPI 2019 LESSON PLAN
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Ethics are moral principles that govern a person's behavior or the conducting of an activity www.dictionary.com
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING All staff must understand that they have a responsibility to act as accountable professionals.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING This means putting the needs of those we serve above our own through accountability, compassion, integrity and respect. Your decisions should support UTMB-CMC s core values and purpose.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Question your practice and report others to your supervisor if you must ask Would this be allowed in another medical setting? Can I legally document this in the medication administration record?
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Can this practice be extended to all patients? Would I want to receive this type of treatment or is this practice in compliance with THHSC? Am I worried about who is watching me?
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Integrity is doing the RIGHT RIGHT thing even when you Think Think no one is watching!
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING UTMB-CMC and its management team value each and every one of the staff members that are employed within the organization. Safety for staff and patients is of the utmost importance.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING It is your duty to practice in the correctional setting as a medication aide to the best of your abilities without knowingly violating ethical codes within your certification under THHSC.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING You are expected to follow policy and procedures outlined in the Managed Health Care Certified Medication Aide Orientation Manual.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING If you should witness unethical activity related to patient care by fellow co-workers, you must report the activity immediately or you will be held equally responsible if you knew and failed to report such violations. You could face disciplinary action up to and including termination.
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING If you should encounter a question or concern related to your job duties, you must contact your shift supervisor or Nurse Manager for guidance. Thank you for your time!
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Correctional Managed Care (CMC) Pharmacy Policy and Procedure Manual 40-10;(11/08/18). Administration & Distribution of Patient Medications. Makerbot Thingiverse.(nd). https://cdn.thingiverse.com/renders/ca/24/a9/c7/dc/54578611656798245210940077c32ced_preview_featured.j pg Managed Health Care Certified Medication Aide Manual. Section 3, Administration and Distribution of Patient Medications. Managed Health Care Certified Medication Aide Manual. Section 7, Ordering Stock Medication UTMB-Correctional Managed Care (CMC) Nursing Services Policy Manual D-27.1; (11/19/19) Medication Administration UTMB-CMC Nursing Services Policy Manual D-27.1 Attachment A;(05/18). Medication Administration-Pill Window. UTMB-CMC Letter of Expectation Certified Medication Aide, Revised 11/2018
CMA PRACTICE WITHIN THE CORRECTIONAL SETTING Please return to the CLP and complete the Evaluation form and the Test. THANK YOU!
