QMAP course
Monitoring medication being taken by a client means: - Answer-Reminding a specific individual client to
take medication at the time ordered
Delivering a container of medication lawfully labeled to a specific client, if needed
Observing a specific individual client to make sure s/he took medications
Making a written record of each medication, with the note "monitored"
Notifying the authorized practitioner if the resident refuses or is unable to comply with the practitioner's
instructions regarding the medication.
Note: Regulations do not require successful completion of a QMAP course if staff only "monitors" and
does not "administer" medications to the client.
Administering medication to a client: - Answer-Assisting a client in the ingestion, application, inhalation,
or
Insertion of a rectal or vaginal medication according to written directions of an authorized practitioner
Handing staff-prepared medications to a client
Making a written record of each medication administered, including both prescription and over the
counter drugs
Self-administration of medication by a client: - Answer-"Self-administration" means the ability of a
person to take medication independently without any assistance from another It is okay to make a
general "reminder" to self- administering clients.
The client is completely responsible for taking his/her own medications. Staff is not involved other than
to ensure safety of other clients and encourage notification of updated
There is no requirement for daily documentation of self-administered
,There should be a note on the plan of care at least once yearly, updated as appropriate, documenting
the facility's knowledge of medications being self-administered.
If a facility administers some medications and a client self-administers some medications the facility
must have written physician approval for each self-administered medication.
7 rights of medication administration - Answer-right client
right time
right medication
right dose
right route
right documentation
right to refuse
Wrong doings:
wrong Medicine: giving Tagamet instead of Tegretol
wrong Dose: giving 1 tab of 250 mg instead of ordered 500 mg (2 tabs)
wrong Route: giving eye drops in the ear - Answer-NOTE: If a specific time is given on physician order, a
"window" of ½ hour before and ½ hour after the stated time must be followed. If no time is specified on
physician order, a facility may choose to use "am" and "pm" or assign a specific time for administration;
if this is done, the window does not apply. The facility should institute a medication policy defining what
AM times are and what PM times are.
4 routes of giving medication
1. Ingestion - Answer-oral tablets, capsules or liquids lozenges (in the mouth, not swallowed)sublingual
tablets (under the tongue, not swallowed) Note: QMAPs are allowed to utilize the barrel of a syringe to
administer oral medications.
, 4 routes of giving medication
2. Application - Answer-skin ointments, gels, lotions, liniments skin sprays or aerosols throat gargles
transdermal skin patches eye ointment or drops ear drops nose drops or nasal sprays
4 routes of giving medication
3. Inhalation - Answer-respiratory = inhaling medications
4 routes of giving medication
4. Insertion - Answer-Insertion rectal suppositories vaginal suppositories or creams
QMAPs are NOT allowed to: - Answer-A QMAP is NOT allowed to administer medications through any
kinds of tubes, including a gastrostomy tube (which is a tube placed through the abdomen), or a
nasogastric tube (which is a tube placed through the nose, and into the stomach).
A QMAP is NOT allowed to administer medications by injection, including drawing up the medication
from a vial or dialing the dosage of a medication pen.
----Only a QMAP who administers medications in a developmentally disabled group home setting is the
exception, and this QMAP receives additional training.
A QMAP is NOT authorized to perform assessments or make judgments regarding clients.
A QMAP is NOT allowed to perform assessments or make judgments when administering medications
that are ordered on a PRN basis. PRN means "as needed."
Monitoring medication being taken by a client means: - Answer-Reminding a specific individual client to
take medication at the time ordered
Delivering a container of medication lawfully labeled to a specific client, if needed
Observing a specific individual client to make sure s/he took medications
Making a written record of each medication, with the note "monitored"
Notifying the authorized practitioner if the resident refuses or is unable to comply with the practitioner's
instructions regarding the medication.
Note: Regulations do not require successful completion of a QMAP course if staff only "monitors" and
does not "administer" medications to the client.
Administering medication to a client: - Answer-Assisting a client in the ingestion, application, inhalation,
or
Insertion of a rectal or vaginal medication according to written directions of an authorized practitioner
Handing staff-prepared medications to a client
Making a written record of each medication administered, including both prescription and over the
counter drugs
Self-administration of medication by a client: - Answer-"Self-administration" means the ability of a
person to take medication independently without any assistance from another It is okay to make a
general "reminder" to self- administering clients.
The client is completely responsible for taking his/her own medications. Staff is not involved other than
to ensure safety of other clients and encourage notification of updated
There is no requirement for daily documentation of self-administered
,There should be a note on the plan of care at least once yearly, updated as appropriate, documenting
the facility's knowledge of medications being self-administered.
If a facility administers some medications and a client self-administers some medications the facility
must have written physician approval for each self-administered medication.
7 rights of medication administration - Answer-right client
right time
right medication
right dose
right route
right documentation
right to refuse
Wrong doings:
wrong Medicine: giving Tagamet instead of Tegretol
wrong Dose: giving 1 tab of 250 mg instead of ordered 500 mg (2 tabs)
wrong Route: giving eye drops in the ear - Answer-NOTE: If a specific time is given on physician order, a
"window" of ½ hour before and ½ hour after the stated time must be followed. If no time is specified on
physician order, a facility may choose to use "am" and "pm" or assign a specific time for administration;
if this is done, the window does not apply. The facility should institute a medication policy defining what
AM times are and what PM times are.
4 routes of giving medication
1. Ingestion - Answer-oral tablets, capsules or liquids lozenges (in the mouth, not swallowed)sublingual
tablets (under the tongue, not swallowed) Note: QMAPs are allowed to utilize the barrel of a syringe to
administer oral medications.
, 4 routes of giving medication
2. Application - Answer-skin ointments, gels, lotions, liniments skin sprays or aerosols throat gargles
transdermal skin patches eye ointment or drops ear drops nose drops or nasal sprays
4 routes of giving medication
3. Inhalation - Answer-respiratory = inhaling medications
4 routes of giving medication
4. Insertion - Answer-Insertion rectal suppositories vaginal suppositories or creams
QMAPs are NOT allowed to: - Answer-A QMAP is NOT allowed to administer medications through any
kinds of tubes, including a gastrostomy tube (which is a tube placed through the abdomen), or a
nasogastric tube (which is a tube placed through the nose, and into the stomach).
A QMAP is NOT allowed to administer medications by injection, including drawing up the medication
from a vial or dialing the dosage of a medication pen.
----Only a QMAP who administers medications in a developmentally disabled group home setting is the
exception, and this QMAP receives additional training.
A QMAP is NOT authorized to perform assessments or make judgments regarding clients.
A QMAP is NOT allowed to perform assessments or make judgments when administering medications
that are ordered on a PRN basis. PRN means "as needed."
