Medication Management Oversight Flashcards
7 cards from real CSA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Management Oversight flashcards as text
An administrator is required to report a medication error that caused serious harm to a resident. Under OBRA regulations, this report must be made to:
Answer: The state survey agency and, if applicable, the ombudsman program
Serious adverse events, including harmful medication errors, must be reported to the state survey agency and potentially the long-term care ombudsman per OBRA requirements.
Which federal regulation governs the pharmaceutical services requirements in Medicare/Medicaid certified nursing facilities?
Answer: 42 CFR Part 483 Subpart B
42 CFR Part 483 Subpart B establishes the requirements for long-term care facilities, including pharmaceutical services standards.
A resident experiences a suspected adverse drug reaction (ADR) following a new medication. The administrator's responsibility includes ensuring that:
Answer: The event is documented, the prescriber is notified, and an incident report is filed
Suspected ADRs require thorough documentation, immediate prescriber notification, and completion of an incident report as part of the facility's quality assurance process.
The Beers Criteria is a clinical tool used in long-term care to:
Answer: Identify medications that are potentially inappropriate for older adults
The Beers Criteria is an evidence-based list of medications that are potentially inappropriate for use in older adults due to increased risk of adverse effects.
Under CMS F-Tag F758, unnecessary medications in a nursing facility are defined as medications that are used:
Answer: Without adequate monitoring, in excessive dose, for excessive duration, or without a clinical indication
F758 defines unnecessary medications as those used without adequate indication, in excessive dose, for excessive duration, without monitoring, or in the presence of adverse consequences.
A consultant pharmacist conducting a medication regimen review (MRR) in a nursing facility is required to report irregularities to:
Answer: The attending physician and the Director of Nursing
Regulations require the consultant pharmacist to report medication irregularities to the attending physician and the Director of Nursing for follow-up action.
When disposing of unused controlled substances in a long-term care facility, the regulatory requirement is to:
Answer: Witness the disposal with a second authorized staff member and document in the controlled substance log
Controlled substance disposal requires witnessed destruction by two authorized staff members with complete documentation in the controlled substance log to prevent diversion.