| OCR Text |
Show Effectiveness of a Medication Education Program in Residential Treatment Homes Heather Krambule, BSN, DNP student and Nancy A. Allen PhD, ANP-BC Key Findings: The medication training was feasible, usable and had high satisfaction. There was minimal change in hand washing or sanitizer use, comparison of the medication record with the client, and medications touched by staff prior to administration. There was an improvement in medication errors. Background ~ 7,000 deaths in the pediatric population every year related to medication errors in the U.S. No state or federal regulations to mandate training protocols for medication administration in RTF’s Medication errors can occur due to lack of training, unclear guidelines, and not following the ‘5 rights’ of medication administration Unfamiliarity with medications or medication administration guidelines can increase medication errors Methods Setting: Five residential treatment homes in Cache Valley area Observation for medication errors pre- and posteducation for 1 day at each of the five homes (n=16) Pre-education: Assessed residential treatment staff members perceived barriers and knowledge of the medication administration and medication safety Developed and implemented training of the knowledge deficits and perceived barriers identified in pre-education using discussion, PPT, and case studies Post-education: Determined feasibility, usability, and satisfaction one month following training for medication administration and medication safety toolkit Results Figure 1 – Pre-education survey Pre-education survey 81% (n=13) of staff members completed the pre-education survey, 94% (n=15) attended training, and 69% (n=11) completed the post-education survey Supported to report a med error Supported to ask for help Comfortable w/controlled meds Comfortable w/psychotropic Worried about med error Well trained Comfortable 0 Strongly agree Agree 1 2 3 4 5 6 7 Neither agree or disagree 8 9 10 Disagree Figure 2 – Post-education survey Medication observation: (pre-education vs. post-education) Hand washing/hand sanitizer 0/16 vs. 3/16 Medication error - time 4/16 vs. 0/16 Compared med w/client 1/16 vs. 0/16 Touched medication 2/16 vs. 1/16 Pre-education themes: - Need more support - Less distractions - Need more training - Electronic charting - Better understanding of protocols Post-education themes: - Need more training - Need more Education about medications Pre-education/post-education results (see figures 1 & 2) Conclusions Post-education survey The educational training was well received from participants that completed the survey Medication toolkit is easy The study is feasible to conduct in residential treatment facilities Training satisfaction Utilize training RTF administrators and managers need increased engagement of new medication protocols to determine sustainability of ongoing medication administration training and monitoring for compliance Understand process Usefulness 0 Strongly agree 1 2 Agree 3 4 5 6 7 8 Neither agree or disagree 9 10 Further QI cycles are needed to determine if increased medication training and monitoring for compliance would lead to better outcomes COLLEGE OF NURSING |
