Guidelines For The Administration Of Medications
In Michigan Assisted Living Facilities

IV. CLINICAL RECORD REQUIREMENTS

Each resident should have a clinical record that contains a current evaluation/assessment of the resident's condition, needs, skills, abilities and medications. A plan of assistance, service, and/or care should be included in the resident's clinical record to address the resident's needs.

V. TRAINING REQUIREMENTS FOR UNLICENSED STAFF

A. Outline of training content

The training curriculum for unlicensed staff should include, but is not limited to, the following key content areas:

1. Relevant resident rights and responsibilities.
2. Job responsibilities and limitations regarding medication administration.
3. Prescription order policies and procedures.
4. Pharmacy system and services.
5. Infection control practices: hand washing and universal precautions.
6. Medication names, purpose, & effects.
7. How to read prescription labels.
8. Accurate interpretation of metric and apothecary measurements.
9. How to monitor residents and report changes.
10. Five Rights of medication administration when handling, preparing, administering and documenting.
11. Administering PRN (as needed) medications.
12. Documentation systems, including Medication Administration/Observation Record (MAR/MOR), Proof of Use Record and Incident Reports.
13. Proper medication administration techniques:
    - Oral medications
    - Eye drops and ointments
    - Ear drops
    - Nose sprays and drops
    - Inhalants
    - Topical medications for skin, scalp, or hair
    - Vaginal medications
    - Rectal medications
    - Topical patches
14. Diabetic care considerations (including blood sugar monitoring and significance of hypo- and hyperglycemia).
15. Cardiovascular care considerations (Blood pressure and pulse monitoring; significance of abnormal findings).
16. Seizure Disorder care considerations (medication and blood level monitoring; identifying seizure activity; intervention(s).
17. Medication storage, disposal, and inventory.

B. Additional Resources

Resources are readily available through groups such as the American Assisted Living Association, the American Society of Consultant Pharmacists and educational institutions such as community colleges.

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