Medication Administration Record (MAR):

• Medications are properly stored and organized.
• Order on MAR matches physician’s order.
• Administers medications and topical treatments to each individual as prescribed and according to individual medication protocols and follows the procedures each time.
• Documents immediately following med administration.
• Records any med errors and submits reports according to policy.
• Observes individuals for possible side effects or med adm. Problems to the RN.
• Follows proper drug disposal procedures regarding outdated meds, d/c’d meds, and controlled substances.
• Clients with controlled substances: a (narc) count is done at the beginning and end of each shift. Documents missed meds or over count and follows reporting procedures.

Hygiene:

• Supports individuals in maintain good oral hygiene.
• Assures that individuals who are incontinent are changed immediately using proper peri-care and observe for rashes. Monitor bowel movements and record on individual flow chart according to individual protocols for intake and output.
• Bathe or shower individuals according to individual protocols and observe for signs of skin breakdown when necessary.
• Men and women are shaved as necessary.
• Nails are clean and well-manicured.
• Assure that wheelchairs, prosthetics, adaptive equipment, and exercise supplies are kept clean.
• LPNS’s must be properly trained and pass competency prior to performing any therapies.
• Tube Feeding and Care, Oxygen Therapy, Ventilator Use, Tracheostomy Care:
• Training and demonstrated competency must be successfully completed before the LPN is assigned to work at any client home.