revised medication administration for unlicensed personnel curriculum presentation to the tennessee...
TRANSCRIPT
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REVISED MEDICATION ADMINISTRATION FOR UNLICENSED PERSONNEL
CURRICULUM
Presentation to the Tennessee Board of Nursing
August 21, 2014
Tom Cheetham, MD
Danny Ricker, RN
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Timeline
Exemption granted by the Tennessee Board of Nursing allowing unlicensed personnel to administer medications to persons served by DIDD• 1999 – Curriculum completed and classes began
• 2010 – Legislation appointing a task force to review DIDD
regulations for the purpose of relieving expensive and unnecessary
regulations on provider agencies
• 2011 – Regulatory Relief Task Force assigned specific to medication
administration
• 2013 – DIDD Nurse Educator group charged with review of
subgroup recommendations and completion of medication
administration program
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Training Data
FY 2013/2014 statewide data:
80 trainers
863 classes
9,674 people tested
failure rate 13%
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Regulatory Relief Task Force Goals and Recommendations
• Eliminate number of fails for class eligibility• Expand or eliminate recertification period• Decrease number of classroom hours• Simplify curriculum• Less time for lecture and more time for skills
demonstration and practice
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Goals of DIDD Nurse Educator Group
• Review of recommendations• Propose rule changes • Revise curriculum to focus on practical
information and skills needed to safely administer medications
• Revise trainer forms and documents• Revise agency medication policy to comply with
‘Medication Safety Policy’
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Comparison
Current• 2 fails, no longer eligible
to take test• Recertification every 2
years
• Classroom instruction
- 20 hours initial classes
- 8 hours recertification classes
Proposed• 3 fails
• Recertification every 3 years
• 20 hours with test-out option following online review with comprehensive exam and skills testing by regional nursing
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178 pages
FROM
TO
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MEDICATIONADMINISTRATION FOR UNLICENSED
PERSONNELTennessee
Department of Intellectual and Developmental Disabilities
Training Curriculum
Version 1.07.14 © Tennessee Department of Intellectual and Developmental Disabilities 8
PowerPoint Presentation with Handouts
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FromAnatomy/Physiology and
Pathologyto
Common diagnoses and Associated medications
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NERVOUS SYSTEM
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Nervous System
Consists of the brain, spinal cord and nerves to control and coordinate
body activities.
Version 1.07.14 © Tennessee Department of Intellectual and Developmental Disabilities 11
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Nervous SystemCommon diagnoses
• Seizures• Stroke• Trauma (Concussion, Contusion)• Dementia/Alzheimers
Associated medications• Anticonvulsants/antiepileptics• Antiparkinsons• Antipsychotics• Antidepressants• Antianxiety/Sedatives
Version 1.07.14 © Tennessee Department of Intellectual and Developmental Disabilities 12
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Training Sequence
• Body System
• Transcription of practitioner order to MAR
• Video demonstration of administration• Practice of administration skills and
documentation
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Training Structure
Transcription, documentation and skill practice
progresses in difficulty with each body system to
build on learning: • daily dose – alternating dose• routine documentation – PRN documentation• oral administration – vaginal/rectal
administration
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Regulatory Relief Task Force Goals and Recommendations
• Eliminate number of fails for class eligibility
• Expand or eliminate recertification period
• Decrease number of classroom hours
• Simplify curriculum
• Less time for lecture and more time for
skills demonstration and practice
X
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Goals of Nurse Educator Group
• Review of recommendations• Propose rule changes • Revise curriculum to focus on practical
information and skills needed to administer medications safely
• Revise trainer forms and documents• Revise agency medication policy to comply
with ‘Medication Safety Policy’
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Ongoing Goal
SAFE MEDICATION ADMINISTATION for people served by DIDD
• Continuous quality improvement though data tracking, instructor and participant input
• Revisions as required to assure that participants receive adequate accurate information and demonstrate competency in administering medications