MEDICATION ASSISTANT CERTIFICATION MAC PROGRAM

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MEDICATION ASSISTANT CERTIFICATION (MAC) PROGRAM

• STUDENT TRAINING MANUAL 3.2 (MI/SA)

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MAC PROGRAM INTRODUCTION

• WHAT IS A MAC WORKER?
• WHO DOES THE PROGRAM HELP?
• WHAT IS A MAS NURSE?

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MAC PROGRAM INTRODUCTION

• ALABAMA BOARD OF NURSING RULING 610-X-6-.15
• LIMITATIONS OF MAC WORKER

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MAC PROGRAM INTRODUCTION

• RIGHTS AND RESPONSIBILITIES OF THE MAC WORKER
• RIGHTS AND RESPONSIBILITIES OF THE MAS
  (MEDICATION ASSISTANT SUPERVISING) NURSE
• RIGHTS AND RESPONSIBILITIES OF THE ADMINISTRATIVE
  STAFF

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MAC PROGRAM INTRODUCTION

• MAC TEACHING PROGRAM
• UNDERSTANDING MENTAL SUBSTANCE ABUSE AND MENTAL
  ILLNESS

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MAC PROGRAM UNIT 1

• YOUR ROLE IS IMPORTANT
• THE DIRECT CARE OR MAC WORKERS ARE THE EYES,
  EARS, VOICE AND HEART OF YOUR MI CLIENT
• YOU KNOW YOUR CLIENTS BETTER THAN ANYONE
• WATCH FOR CHEEKING
• YOU OFTEN RECOGNIZE PROBLEMS BEFORE ANYONE ELSE

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MAC PROGRAM UNIT 1

• KNOW YOUR LIMITATIONS
• REPORT TO YOUR MAS NURSE WITH ANY PROBLEMS OR
  CONCERNS
• ENCOURAGE YOUR CLIENTS TO BE COMPLIANT
• MAC TRAINING REQUIRES 12 HOURS OF CLASSSROOM
  INSTRUCTION AND 12 HOURS OF PRACTICAL EXPERIENCE

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MAC PROGRAM UNIT 1

• UNDERSTANDING MENTAL ILLNESS
• THE BIG PICTURE
• MENTAL ILLNESS
• PROBLEMS WITH THINKING
• MOOD DISORDERS
• ANXIETY DISORDERS
• THE CAUSE OF MENTAL ILLNESS

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MAC PROGRAM UNIT 1

• ASSISTING WITH MEDICATIONS
• UNDERSTANDING SERIOUS MENTAL ILLNESS
• UNDERSTANDING HALLUCINATIONS
• ENCOURAGING MEDICATION COMPLIANCE

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MAC PROGRAM UNIT 1

• UNDERSTANDING SERIOUS MENTAL ILLNESS
• UNDERSTANDING DELUSIONS
• HOW MEDICINE WORKS
• OBSTACLES TO CARE

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MAC PROGRAM UNIT 2

• WHAT ARE THE DIFFERENT FORMS OF MEDICATIONS?
• WHAT ARE SOME IMPORTANT RULES FOR STORAGE OF
  MEDICATIONS?
• WHY ARE THESE RULES IMPORTANT?

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MAC PROGRAM UNIT 2

• WHATS THE DIFFERENCE BETWEEN PRESCRIPTION
  MEDICATIONS AND DRUGS?
• WHAT ARE OTC MEDICATIONS?
• WHATS THE DIFFERENCE BETWEEN GENERIC AND BRAND
  NAME MEDICATIONS?

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MAC PROGRAM UNIT 3

• WHAT ARE THE 6 RULES OR RIGHTS THAT MUST BE
  FOLLOWED WHEN ASSISTING WITH YOUR CLIENTS
  MEDICATIONS?
• WHY ARE THE RIGHTS IMPORTANT?

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MAC PROGRAM UNIT 3

• 1. THE RIGHT PERSON
• 2. THE RIGHT MEDICATION
• 3. THE RIGHT DOSE

• 4. THE RIGHT ROUTE
• 5. THE RIGHT TIME
• 6. THE RIGHT DOCUMENTATION

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MAC PROGRAM UNIT 3

• WHAT ARE THE THREE EFFECTS OF MEDICATIONS?
• 1. THE DESIRED EFFECTS
• 2. THE UNDESIRED OR SIDE EFFECTS
• 3. NO EFFECT

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MAC PROGRAM UNIT 3

• UNDERSTANDING MEDICATION SIDE EFFECTS IN PERSON
  WITH SERIOUS MENTAL ILLNESS
• 1. GETTING THE BIG PICTURE
• 2. WHAT ARE THE DIFFERENT LEVELS OF RISK?
• 3. WHEN DO I HOLD A MEDICATION?

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MAC PROGRAM

• SAMPLE TEST QUESTIONS

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MAC PROGRAM UNIT 4

• ASSISTING WITH ORAL MEDICATIONS
• ORAL MEDICATIONS COME IN MANY DIFFERENT FORMS
• 1. LIQUIDS
• 2. TABLETS OR CAPSULES
• 3. QUICK DISSOLVING WAFERS

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MAC PROGRAM UNIT 4

• WHAT HAPPENS WHEN I SWALLOW A MEDICATION?

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MAC PROGRAM UNIT 4

• WASH YOUR HANDS!

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MAC PROGRAM UNIT 4

• SOME QUICK CONVERSIONS
• 1, TEASPOON EQUALS 5 ML OR CC
• 1, TABLESPOON EQUALS 15 ML OR CC
• 1, OUNCE EQUALS 30 ML OR CC
• 1, 8 OUNCE CUP EQUALS 240 ML OR CC

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MAC PROGRAM UNIT 4

• WHY CANT I USE SILVERWARE SPOONS?

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MAC PROGRAM UNIT 4

• SPECIAL POINTS
• RULES FOR MORE THAN ONE MEDICATION
• RULES FOR MORE THAN ONE PERSON
• SECURE THE MEDICATIONS
• GIVE MEDICINES WITH WATER

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MAC PROGRAM UNIT 4

• DOCUMENTATION
• WHAT IS A MAR?
• 2. IMPORTANCE OF ACCURATE DOCUMENTATION

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MAC PROGRAM UNIT 4

• DO THE STEPS
• HANDWASHING
• ASSISTING WITH TABLETS OR CAPSULES
• LIQUIDS
• SUBLINGUAL OR BUCCAL
• DOCUMENTING ON THE MAR

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MAC PROGRAM UNIT 4

• MEDICINES FOR STOMACH AND BOWEL DISORDERS
• 1. GETTING THE BIG PICTURE
• 2. CHEWING
• 3. HOW DOES SWALLOWING WORK?
• 4. STOMACH PROBLEMS

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MAC PROGRAM UNIT 4

• MEDICINES FOR STOMACH AND BOWEL DISORDERS
• 5. MEDICINES FOR COLON FUNCTION
• 6. MEDICATIONS FOR STOMACH PROBLEMS

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MAC PROGRAM UNIT 5

• ASSISTING WITH TOPICAL MEDICATIONS
• TOPICAL MEDICATIONS COME IN MANY FORMS INCLUDING
• CREAMS, LOTIONS, OINTMENTS, PASTES,
• SOLUTIONS, SUSPENSIONS, POWDERS,
• SPRAYS, PATCHES, MEDICINAL WASHES
• OR SOAPS, AND SHAMPOOS

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MAC PROGRAM UNIT 5

• WHAT MAKES UP OUR SKIN?
• HOW DOES IT WORK?

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MAC PROGRAM UNIT 5

• SPECIAL POINTS
• DONT TOUCH THE SKIN WITH CONTAINER
• AVOID THE EYES AND NOSTRILS
• FOLLOW DIRECTIONS
• EXAMINE SKIN
• USE GLOVES
• CLEAN THE SKIN

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MAC PROGRAM UNIT 5

• DO THE STEPS
• CREAMS, OINTMENTS AND PASTES
• POWDERS SPRAYS
• PATCHES
• SCALP MEDICATIONS SHAMPOOS

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MAC PROGRAM UNIT 6

• ASSISTING WITH EAR PREPARATIONS
• EAR DROPS ARE USED
• FOR EAR INFECTIONS
• TO SOFTEN EAR WAX
• TO SOOTHE PAIN

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MAC PROGRAM UNIT 6

• HOW DOES THE EAR WORK?

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MAC PROGRAM UNIT 6

• DO THE STEPS
• CREAMS, OINTMENTS FOR EXTERNAL EAR PROBLEMS
• EAR DROPS

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MAC PROGRAM UNIT 6

• DISORDERS OF THE EAR
• GETTING THE BIG PICTURE
• DISORDERS OF THE OUTER EAR
• DISORDERS OF THE EAR CANAL
• DISORDERS OF THE INNER EAR
• HEARING AIDES

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MAC PROGRAM

• SAMPLE TEST QUESTIONS

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MAC PROGRAM UNIT 7

• ASSISTING WITH NOSE DROPS AND OTHER NASAL
  PREPARATIONS
• NOSE DROPS AND NASAL INHALERS ARE USED
• TO OPEN NASAL PASSAGES
• TO CURE SINUS INFECTIONS
• TO AID HEALING AFTER SURGERY

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MAC PROGRAM UNIT 7

• WHAT ARE THE PARTS OF THE OLFACTORY SYSTEM?
• HOW DOES IT WORK?

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MAC PROGRAM UNIT 7

• SPECIAL POINTS
• NO OTC INHALERS OR DROPS WITHOUT A DOCTORS ORDER
• INSTRUCTIONS MAY VARY

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MAC PROGRAM UNIT 7

• DO THE STEPS
• NOSE DROPS
• NASAL SPRAYS OR INHALERS

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MAC PROGRAM UNIT 7

• MEDICATIONS FOR THE NOSE AND SINUSES FOR PERSONS
  WITH SERIOUS MENTAL ILLNESS
• GETTING THE BIG PICTURE
• MEDICINES FOR THE NOSE AND SINUSES
• BLOODY NOSES

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MAC PROGRAM UNIT 7

• FACT SHEET MEDICATIONS FOR THE NOSE AND SINUSES

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MAC PROGRAM UNIT 8

• ASSISTING WITH EYE DROPS, EYE PATCHES AND OTHER
  EYE PREPARATIONS

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MAC PROGRAM UNIT 8

• HOW DOES THE EYE WORK?

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MAC PROGRAM UNIT 8

• DO THE STEPS
• EYE DROPS
• EYE OINTMENTS
• EYE PATCHES

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MAC PROGRAM UNIT 8

• UNDERSTANDING DISORDERS OF THE EYE
• THE BIG PICTURE
• UNDERSTANDING VISION AND THE EYE
• EYE CONDITIONS IN OLDER CLIENTS
• BLINDNESS

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MAC PROGRAM UNIT 9

• ASSISTING WITH INHALED MEDICATIONS

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MAC PROGRAM UNIT 9

• WHAT IS THE RESPIRATORY SYSTEM?
• HOW DOES IT WORK?

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MAC PROGRAM UNIT 9

• SPECIAL POINTS
• WHAT DO I DO IF THE CLIENT HAS MORE THAN ONE
  INHALER?
• WHAT ARE SPACERS?
• WHAT ABOUT INHALERS FOR EMERGENCIES?
• WHAT SHOULD I DO IF THE CLIENT HAS TO USE THE
  INHALER MORE OFTEN THAN EVERY FOUR HOURS?

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MAC PROGRAM UNIT 9

• DO THE STEPS
• INHALERS

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MAC PROGRAM UNIT 9

• UNDERSTANDING BREATHING PROBLEMS
• GETTING THE BIG PICTURE
• HOW WE BREATHE
• PROBLEMS WITH BREATHING
• WHAT IS YOUR JOB
• DETECTING BREATHING PROBLEMS
• BREATHING MEDICATIONS
• UNDERSTANDING SMOKING

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MAC PROGRAM

• SAMPLE TEST QUESTIONS

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MAC PROGRAM UNIT 10

• RECOGNIZING AND RECORDING MEDICATION ERRORS
• INCLUDE ANY MISTAKE MADE WHILE USING THE 6
  RIGHTS FOR ASSISTING CLIENTS WITH MEDICATIONS

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MAC PROGRAM UNIT 10

• WHY IS IT IMPORTANT TO REPORT ERRORS TO MY NURSE?
• WILL I GET IN TROUBLE IF I DONT REPORT THE
  ERROR?
• DO I HAVE TO FILL OUT ANY PAPERWORK?

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MAC PROGRAM UNIT 10

• UNUSUAL OCCURRENCE REPORT
• DATE_________________________ TIME
  ______________________
• CLIENTS NAME ____________________________________
  ________
• LOCATION_________________________________________
  ________
• PHYSICIANS NAME_________________________________
  _______
• DESCRIPTION OF UNUSUAL OCCURRENCE
  ___________________
• __________________________________________________
  ___________
• __________________________________________________
  ___________ ________________________________
  _____________________________
• __________________________________________________
  ___________
• __________________________________________________
  ___________
• __________________________________________________
  ___________
• PERSONS NOTIFIED _______________________________
  ____________
• __________________________________________________
  ___________
• INSTRUCTIONS AND ACTIONS TAKEN
  ____________________________
• __________________________________________________
  ___________
• __________________________________________________
  ___________
• __________________________________________________
  ___________
• __________________________________________________
  ___________

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MAC PROGRAM UNIT 11

• RESPECTING YOUR CLIENTS PRIVACY AND
  CONFIDENTIALITY
• GETTING THE BIG PICTURE
• WHAT IS PRIVATE INFORMATION?
• WHAT INFORMATION IS CONFIDENTIAL?
• WHAT ARE COMMON MISTAKES MADE IN PRIVACY AND
  CONFIDENTIALITY?

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MAC PROGRAM UNIT 12

• MAKING A DECISION TO WITHHOLD MEDICATIONS
• 10 MOST COMMON REASONS

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MAC PROGRAM UNIT 12

• COMPLETE CHECK LIST 1, 2, AND 3
• WITH SUPERVISING NURSE

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MAC PROGRAM UNIT 12

• VITAL SIGNS
• REVIEW CHECK LIST 4

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MAC PROGRAM

• SAMPLE TEST QUESTIONS

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MAC PROGRAM UNIT 13

• SUPPLEMENTAL INFORMATION ON MENTAL ILLNESS AND
  SUBSTANCE ABUSE

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MAC PROGRAM UNIT 14

• SPECIAL PROCEDURES