JERELYN M.
GINETE/ UCOL CAP STUDENT
1. What would you do if the medication in the
blister pack did not macth the dosage on the
medication chart?
2. What would you do if Mr Smith refused all
medications on your round and it included his
hypertensive and analgesics?
3. A caregiver tells you that Mr Jones needs his PRN
Panadol. Explain your responsibility when
administering PRN medication and required
documentation (pt notes and medimap).
4. Explain when would you do BSL monitoring
5. What action would you take if BSL reading is 3
mmols
6. PRN medication has a charted dose variance.
How would you reflect this on medimap and
resident’s notes.
7. Explain or demonstrate how you administer
insulin , include checks and documentation.
 Hold the wrong dose of medication.
 Document to notes and fill in an Incident form
 Inform the pharmacy
 If right dose is available, administer for time being.
 Document refusal of resident
 Monitor vital signs esp. BP for hypertensive resident
 Offer warm compress for pain
 Give some time to resident to settle, then explain importance of compliance to
medication and try to offer the meds again.
 Assess the resident including the pain level
 Check in medimap the PRN meds and last dose administered
 Administer the med accordingly
 Document in medimap “Add comment” section and in resident’s notes
 Reassess resident after administering (30mins) for evaluation of efficacy.
Document efficacy of PRN med in medimap and resident’s notes.
 It is done per GP’s order
 Before giving anti-diabetic drugs like Insulin
 For residents experiencing lethargy and unconsciousness
 If resident is on antibiotic treatment
 If it will happen prior administration of anti-diabetic drug like insulin-Hold the
medication. Assess resident
 If conscious, give oral glucose/sugar (jelly beans/glucose tablet). Follow up with
carbohydrate
 If unconscious, administer glucagon hypokit (SQ or IM), follow up with
carbohydrate if responsive.
 Monitor OBS. Check 15 mins post administration of sugar.
 If still unresponsive after 5 mins call ambulance. Document and report
 Check PRN dose in medimap PRN and check the appropriate dose according to
your assessment of resident’s need. Document dose given and indication of
administration in “add comment” section
 Check BSL first (know the normal value/acceptable values of BSL) 4-8mmol
 Check tyepe and dose of Insulin. Administer SQ
 Document in medimap, result of BSL “ add comment” section
 Record result in the resident’s BSL monitoring Sheet.
 Check the pulse rate
8. What action must you take before administering
digoxin?
9. Where do you find a list of standing orders?
10. How many times may you give a medication off
the standing orders for a single event.
11. Mrs Green takes all her medication but one. How
do you document this on Medimap.
12. Miss G has joint pain and you give analgesia from
the PRN list. How do you record effectiveness
later on Medimap? Should you also add comment
to progress notes?
13. You have given Mr Blues medication to Mr Red.
Explain what your next actions will be
14. The Wi- fi is out, what would you do if the drug
round is due?
15. Miss Black’s Fentanyl patch has fallen off two
days before change date. Explain the steps
required to replace the patch. Include checking
out the procedure, administration procedure and
patch management function (replacement patch)
in your answer.
16. Mrs Black was given her teatime meds. She is
usually independent with her meds. You came
back to check on her later and she stated that she
was feeling nauseous earlier and has not taken
her teatime meds. What would you do and how
would you change it on medimap?
17. Mrs Jones is prescribed 20 mls of Lactulose on
Medimap. Can you administer 10ml? why would
it be?
 If below 60 bpm, hold the med and document
 Medication folder
 8 times
 Tick med not administered box (red), add comment for reason or non-
administration.
 Tap on the name of the PRN med and click edit to indicate the efficacy statement.
Then tap administered (if you were the one who administered)
 Yes, document on progress note
 Report the incident to the immediate superior/supervisor (CN/ RN/ Clinical
Manager)
 Refer to pharmacy/GP on required action, (hold meds of Mr Red until further
order from GP for safety
 Close monitoring of resident/OBS as required
 Document to progress note and evaluate care plan for changes made by the RN
 Fill in incident report
 Health teaching to Mr Red for any unusualities that needs to be reported
 Investigation will follow to prevent such incident
 Use the medimap linx app that may be use offline.
 Check thoroughly both sides of resident’s back. Check on medimap last location
where the patch was placed.
 If patch was really fell off, Administer the new one (alternate areas and date
patch). Noted: Double sign Fentanyl patch with another RN, singed on medimap
required.
 Tap add comment for reason of administration before due date and region where
it was placed.
 Tap onto medication that was already entered as taken and click edit – state the
reason why meds not taken and enter as not taken.
 Document in the progress notes
 No, I cannot administer 10 ml because dosage should be administerered
according to GP’s ordered.