Providing Medication Assistance

Providing Medication Assistance 

The purpose of this course is to familiarize the learner with important components of a medication service. Information about different types of medications orders are discussed. The management of controlled substances is reviewed. An overview of medication label components and labeling requirements are provided. The importance of documentation along with methods of delivery and routes of medications consumption are explained. The difference between adverse effects and side effects is presented. The learner is engaged in the six rights of medication management.


Hours: 1.00


Certificates provided by accrediting body (7 Match)

Washington State Department of Social and Health Services (ALL Direct Care Workers)


Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 1.00 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO1933265

North Carolina Department of Health and Human Services Division of Facility Services


This course is approved by the North Carolina Department of Health and Human Services Division of Facility Services - Group Care Licensure Section (NC-DHHS)
Program Sponsor ID #032316
This activity is approved for 1.00 contact hours.

Florida Board of Nursing - Certified Nursing Assistants


This is not an accredited course for professional license renewal. Florida CNAs may use this inservice toward meeting their annual inservice requirement.This activity is approved for 1.00 contact hours.

Oregon Health Authority


Approved for Oregon In-Home Care Medication Training for Oregon Health Authority as a qualified entity.

National Association of Long Term Care Administrator Boards (RCAL)


This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.00 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]

Oregon Department of Human Services (AFH)


Oregon Department of Human Services


This course is approved as continuing education by the Oregon Department of Human Services in accordance with state regulation 411-057-0140 for Assisted Living Administrators, Residential Care facility Administrators and Memory Care Communities within the State of Oregon. This activity is approved by Oregon Department of Human Services for 1.00 contact hours.

Course Details

Course Code: REL-PAC-0-PMAS
Hours: 1
Type: Online Course
Content Expiration Date: 5/31/2025
Learning Objectives:
Define the terminology related to medication assistance
Identify different types of medication orders
Identify controlled substances and how to document the use and wasting of
Recognize what is written on a pharmacy label and on over-the-counter medications
Identify the types of forms used for communication and documentation of medication services
Identify routes for medication consumption
List common side effects of medications and discuss the difference between a side effect and an adverse drug effect
Recognize the proper steps in assisting a resident or client with medication administration


II.Terminology and phrases

A.Independent administration

B.Adverse effect

C.Assisting with medication administration

D.Medication administration

E.Medication reminding

F.Authorized person

G.Controlled substance



J.Medication administration record (MAR)

K.Medication organizer

L.Legend drug

M.Narcotic medication

N.Over-the-counter (OTC)medication

O.Prescribed medication


Q.PRN medication order

R.Side effect

III.What is a medication?

A.Generic names

(1)Given by manufacturer

(2)Usually chemical name of drug

(3)One generic name for each drug

B.Brand names

(1)Given by drug company that produces the drug

(2)Identify medications by brand or generic name

(3)Use a medication resource book for information

C.Controlled substances

(1)Numeric system to identify level of abuse and/or addiction potential

(2)Secure storage

(3)Shift to shift accountability

(4)Wasting and partial dose

(5)Verbal orders

(6)Learning engagement: multiple choice questions

D.Schedule 1

(a)High-abuse potential and are illegal in U.S.

(i)Examples: heroin

E.Schedule 2

(a)High-abuse potential, but are legal in U.S.

(i)Example: Medications for pain, such as Fentanyl, Morphine, Oxycodone, Dilaudid

F.Schedule 3

(a)High-abuse potential though not as high as schedule 2; legal in U.S.

(i)Examples: Hydrocodone, Tylenol with codeine

G.Schedule 4

(a)Less abuse potential than Schedule 3

(i)Examples: Ativan, Xanax, Valium

H.Schedule 5

(a)Minimal abuse potential

(i)Examples: Lomotil

(ii)Usually not double locked or counted

b)Learning engagement: True/False questions

IV.Forms and routes of medications


















17.Sustained release







V.Routes for medication delivery











VI.Orders for medications

A.Who can prescribe

B.Regularly scheduled medication

C.PRN medication

1.Prescription medication

2.Non-prescription medication

VII.Medication Labels

A.Information on a prescription medication bottle



3.Resident name

4.Name of medication

5.Exact dose of medication

6.Route of delivery




B.Labels for PRN medications

1.Name of resident

2.Name of medication

3.Exact dosage

4.Route of delivery

5.Reason for medication

6.Minimum hours between doses

7.Maximum hours between doses

8.Maximum doses to be given in a 24-hour period

C.Information on OTC medication labeling

1.Active ingredient

2.Purpose or type of drug

3.Uses (symptoms or diseases being treated)


D.Do not alter the label

VIII.Medication Services


1.Differ by state

2.Differ by care environment

3.Documentation of training

B.Administering versus assisting

a)Transferring medications from containers

b)Injectable medications

c)Medication alteration

2.Learning engagement activity: true/false

IX.Steps to medication assistance

A.Prescription order/physician authorization

B.Order to pharmacy

1.Dispensed and delivered

C.Receipt and storage of medication

1.Maintain log of centrally stored medications

a)Conduct count of medication received

b)Compare with order

c)System for refills

2.Medication storage

a)Central and locked

b)Not accessible to others

c)Storage of non-prescription medication

D.Documentation of self-administration of medications

1.Medication administration requirements

2.Regularly scheduled


E.Prepared for self-administration at correct time

1.Order and label/prescription verification

2.Removal from container

3.Transporting medication to resident

4.Respecting privacy

5.Document on the MAR

F.Wasting Medications

G.Refusal of medications

H.Destroying, disposing, donating medications

1.Medication log

2.Medication errors

I.PRN medications

1.Able to communicate

2.Unable to communicate

X.Promoting medication safety

A.Requirements for safe medication assistance and management


2.Report problems and concerns

3.Provide all medications as ordered

4.Know why person is taking medications (reason it was prescribed)

a)Monitor for medication effectiveness

(1)For example, blood pressure medication; measure blood pressure, monitor for reduced or elevated blood pressure, side effects

5.Side effect versus adverse effect.

a)Examples of an adverse effect

b)Examples of a side effect

6.Learning engagement activity: Questions (multiple choice and true/false)

XI.Case studies

A.Case: John Jones

1.Wears nitroglycerin patch

B.Case: Bessie Burton

1.Has Parkinson’s disease, uses eye drops

C.Learning engagement activity: Case study questions true/false

D.Case: Marjorie Maxwell


E.Self-administration with assistance

1.Opening containers

2.Reading labels

3.Applying or instilling (skin, nose, eye, ear)

4.Placing in person’s hands

5.Alteration of medication

6.Active participation

7.Right to refuse

8.Learning engagement activity: Questions true/false

F.Case: Frank Ford

1.Unable to remember meds or why taking them, not able to self-administer

a)Medication Administration

(1)If cannot safely self-administer

G.Case: Alberta Callahan-multiple medication service needs




XII.The six rights

A.The six rights

1.Right person

2.Right drug

3.Right dose

4.Right time

5.Right route

6.Right documentation

XIII.Conclusion and summary

Instructor: Holly Carlson, MS, RN, CCRN
Holly Carlson, MS, RN, CCRN, was a subject matter expert for Relias. She has 25 years of healthcare experience in both acute and post-acute healthcare environments. Her experience includes leadership and management across the healthcare spectrum. She has owned and operated an assisted living business. Carlson's clinical practice includes acute care, long-term acute care, home health and hospice. Carlson has served for over a decade in various board positions for State Nursing Associations, including president. She has been a nurse planner for multiple continuing education events and has experience as a leader in the design and implementation of an ANCC-CNE accredited approver unit for a multi-state nursing consortium. Carlson is certified as Critical Care Registered Nurse.    Disclosure: Holly Carlson, MS, RN, CCRN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.