| Medication Administration in Assisted Living Research Brief : Medication Administration in Assisted Living from the Center for Excellence in Assisted Living (CEAL)-University of North Carolina (UNC) Partnership; April 2009 - This project examined medication administration in South Carolina, which allows unlicensed but trained medication technicians (“aides”) to administer medications, and Tennessee, which requires licensed nurses to administer medications. - Medication preparation and administration were observed for three consecutive days, resulting in 4403 medications observed being given during 83 passes for 320 residents. - 35% of all medication administrations involved an error; - 71% of these errors involved the drug being administered more than two hours outside the requested administration time; - Fewer than 3% of all medications passed involved errors with moderate to significant potential to cause harm; - Only 14 of the 4403 medication administrations involved an error with significant potential for harm. These medications included: - Warfarin (wrong dose) - Insulin (wrong dose or wrong time) - Risperidone (wrong dose) - Glyburide/metformin (wrong dose) - Oxybutynin (wrong dose) - Medication technicians did not have a higher rate of medication errors with a moderate to significant potential to cause harm than did nurses. Rutgers Report on Nurse Delegation of Medication Administration in Assisted Living ASCP’s Policy Statement on Administration of Medications in Long-Term Care by Unlicensed Personnel ASCP Issue Paper: Assuring Accuracy of Medication Administration in Assisted Living Geriatric Medication Handbook ASCP Video and In-Service Programs: Principles of Medication Administration Medication Study Guide for Unlicensed Personnel in Adult Care Homes from the North Carolina Department of Health and Human Services Medication Administration Clinical Skills Checklist from the North Carolina Department of Health and Human Services Coelho, Rohan. “Leveraging Technology for Medication Administration Accuracy.” Assisted Living Consult; May/June 2007 ASCP’s Clinical Reference Cards, such as:
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