QMAP Administering Controlled Substances

Question 1

A QMAP and an off-going staff member are performing a shift-change count of a resident's controlled substances.
They discover that the number of oxycodone tablets in the package does not match the number documented on the controlled substance record sheet.
What is the immediate, priority action?

Accepted Answer

Report the discrepancy to the facility supervisor or nurse immediately before any doses are given.

Answer

Document the correct count on the record sheet and have both staff members sign it.

Answer

Administer the next scheduled dose to avoid a delay in the resident's pain management.

Answer

Borrow a tablet from another resident's supply to make the count correct and report it later.

Question 2

In compliance with Colorado regulations for assisted living residences, what is the proper storage requirement for a resident's Schedule II controlled substances, such as fentanyl patches or morphine?

Accepted Answer

In a separately locked, fixed container located inside another locked storage area.

Answer

In a locked tackle box at the resident's bedside for their convenience.

Answer

In a locked medication cart along with all other routine medications.

Answer

In the facility administrator's office for maximum security.

Question 3

Which of the following is a specific documentation requirement for administering a controlled substance that is different from documenting a non-controlled medication like an antibiotic?

Accepted Answer

Maintaining a perpetual inventory or running count on a separate controlled substance record sheet.

Answer

Recording the date and time of administration on the Medication Administration Record (MAR).

Answer

Documenting the resident's allergies before giving the first dose.

Answer

Initialing the MAR after the medication has been successfully administered.

Question 4

A resident has an order for 2.5 mL of a liquid controlled substance. The medication is supplied in a 5 mL single-use vial. After drawing up and administering the correct dose, what must the QMAP do with the remaining 2.5 mL?

Accepted Answer

Recap the vial and save the remaining amount for the resident's next dose to prevent waste.

Answer

Pour the remaining liquid down the drain and document the waste by themself.

Answer

Have another qualified staff member witness the wasting of the medication and co-sign the documentation.

Answer

Place the vial with the leftover medication into the regular trash can.

Question 5

To ensure accountability and prevent diversion, what is the standard, minimum frequency for conducting a physical count and reconciliation of all controlled substances in a facility?

Accepted Answer

At the beginning and end of every shift.

Answer

At the beginning of every work week.

Answer

Once a month when the pharmacy delivery arrives.

Answer

Annually during the facility's state inspection.

Question 6

A resident with an order for a PRN (as-needed) controlled substance for pain refuses the dose when it is offered. Which of the following describes the correct actions by the QMAP?

Accepted Answer

Document the refusal on the MAR, return the medication to the double-locked storage, and ensure the count on the controlled substance record remains accurate.

Answer

Leave the medication at the resident's bedside in case they change their mind later.

Answer

Crush the medication and mix it in food to ensure the resident receives the needed pain relief.

Answer

Discard the medication in a sharps container and document it as given to keep the count correct.

A QMAP and an off-going staff member are performing a shift-change count of a resident's controlled substances.They discover that the number of oxycodone tablets in the package does not match the number documented on the controlled substance record sheet.What is the immediate, priority action?

A QMAP and an off-going staff member are performing a shift-change count of a resident's controlled substances.
They discover that the number of oxycodone tablets in the package does not match the number documented on the controlled substance record sheet.
What is the immediate, priority action?