MAP TRAINER WEBINAR Spring 2020 Agenda Whats new

MAP TRAINER WEBINAR Spring 2020

Agenda What’s new Issues in the field Updates D&S Diversified Technologies Reminders

Prescriber/Pharmacist Guidance

Epidiolex Rescheduled Now a schedule VI medication

Intranasal Versed Nayzilam

Issues In The Field

CBD products and MAP Currently the only CBD medication approved by the FDA is Epidiolex. The FDA has determined that CBD products ‘are excluded from the dietary supplement definition’. https: //www. fda. gov/news-events/public-healthfocus/fda-regulation-cannabis-and-cannabisderived-products-including-cannabidiol-cbd As there is only one CBD medication approved by the FDA and it is not a Dietary Supplement, then other CBD products would not be within the Medication Administration Program and MAP would not apply

Counting Fentanyl Patches Be sure when counting fentanyl patches that you ensure the patch is still in the package.

Counting Fentanyl Patches Before applying a new patch, the patch should be initialed with date and time of application; and Thereafter, each staff assigned med admin duties should check placement and initial the MAR that the patch is still on

Fentanyl Patch Documentation

Updates

DMH/DCF MOR Stats 2018 DMH- 2845 DCF- 1357 Hotlines 50

DMH/DCF MOR Stats 2019 DMH- 2633 DCF- 1318 Hotlines- 36

2018 DDS MOR Stats Total: 5826 �Omission-3526 �Wrong Dose- 1276 �Wrong Time- 685 �Wrong Medication- 225 �Wrong Individual- 111 �Wrong Route- 3

2018 DDS Hotline MOR Stats Total Hotlines: 88 �Wrong Individual- 38 �Omission-21 �Wrong Dose- 14 � Wrong Time- 9 �Wrong Medication- 6 �Wrong Route- 0

2018 Contributing Factors Most common: Medication not available Failure to document/transcribe Failure to document administration

2019 DDS MOR Stats Total: 6195 �Omission-3864 �Wrong Dose- 1253 �Wrong Time- 718 �Wrong Medication- 257 �Wrong Individual- 99 �Wrong Route- 4

2019 DDS Hotline MOR Stats Total Hotlines: 84 �Wrong Individual- 34 �Omission- 23 �Wrong Dose- 13 �Wrong Time- 10 �Wrong Medication- 4 �Wrong Route- 0

2019 Contributing Factors Most common: �Med not available �Failure to document/transcribe �Failure to document administration

“If one resulted, was DPH notified? ”

D&S Diversified Technologies Test Master Universe (TMU) �The new platform for testing which replaced Web-E-Test

www. hdmaster. com

www. ma. tmuniverse. com

www. hdmaster. com

TMU Notifications TMU has several new features �Notifications for students including Eligibility for testing; and Open testing time slots By text and/or email

TMU Notifications �Tests scheduled rescheduled �Reminders bring ID be on time to

TMU Contact �Call D&S and request that your name be added as a contact 888 -734 -6211

TMU Contact

Training Program

Remedial Training Completed by the MAP Trainer on record for the student If the MAP Trainer on record is not available, then �Another MAP trainer for the same agency may conduct the remedial training

TMU-Remedial Training

TMU-In House Recertification

hdmaster. com

RIA Under revision �Projected release date July 2020 Additional content More graphics and exercises Appendix § Documentation examples

Reminders

Epinephrine via Auto-Injector Training Devices

Counting Schedule II-V Medication The count is always conducted with 2 Certified/licensed staff when there are 2 Certified or licensed staff on duty �The count is to be conducted with 2 Certified/licensed staff each time the medication storage keys are exchanged

Counting Schedule II-V Medication Use of the coded lock box �Only to be used if/when a Certified/licensed is not on duty If 2 Certified/licensed staff are on duty however the following shift there will not be Certified/licensed staff on duty Then the 2 staff currently on duty will count the medications prior to placing the keys in the coded lock box

Counting Schedule II-V Medication When the next shift arrives for work, if there are 2 Certified/licensed staff coming on duty �then the 2 staff will remove the keys from the lock box and count the medication

Single Person Count The only time a single person count may be conducted is when �A second licensed/Certified staff is not working on site and �A required 2 person count has taken place in the last 24 hours

Recertification Attempts Three re-certification attempts �However After the first fail, the staff may no longer perform medication related duties until either: The recertification is passed on attempts 2 or 3; or A full certification training is completed with subsequent successful completion of certification testing

G/J Tube Management Form No longer required to submit to DDS �Maintain managemen t form on site

Omission(s) If the medication is not available to administer � Was not delivered from the pharmacy Omission of medication MOR must be filed

Sample Medication Schedule VI ‘Sample Medication’ may be received from an HCP and administered by MAP Certified staff to an individual only when: � No more than a one time 30 day amount � Remains in the original manufacturer’s packaging With the package insert intact � HCP creates a label (with required information) and affixes the label to the package Countable meds are limited to a single dose or quantity needed for immediate treatment

CLIA Waiver CLIA Certificate of Waiver Mass. gov �Clinical Laboratory Program Department of Public Health 67 Forest Street Marlborough, MA 01752

COVID-19 Guidance https: //www. mass. gov/infodetails/dds-map-guidance

https: //www. mass. gov/info-details/dds-mapguidance

Next Webinar Fall 2020