NC DHSR/AC 4605 2008 free printable template

Tasks listed in the left column of the guidelines match the tasks on Medication Administration Clinical Skills Checklist and the right column of the guidelines provides information for training and validation. It will be the instructor s responsibility to determine that the employee has demonstrated competency in performing the tasks or skills by using the guidelines and checklist. The employee and instructor are to sign and date the checklist af...

How to fill out nc medication aide practice

How to fill out NC DHSR/AC 4605

1. Obtain the NC DHSR/AC 4605 form from the North Carolina Department of Health Service Regulation website.
2. Carefully read the instructions provided with the form to understand the requirements.
3. Fill out the applicant's name and address at the top of the form.
4. Provide the name and address of the facility or service for which the application is being submitted.
5. Indicate the type of service you are applying for by checking the appropriate box.
6. Complete the sections required about ownership and management structure.
7. Provide pertinent details such as licensing history and any affiliations or partnerships.
8. Attach any required supporting documents, such as insurance information or financial statements.
9. Review the completed form to ensure all information is accurate and complete.
10. Submit the form along with any required fees to the appropriate North Carolina DHSR office.

Who needs NC DHSR/AC 4605?

1. Individuals or organizations that are seeking licensure or certification for a healthcare facility in North Carolina.
2. Operators of adult care homes, child care facilities, and other types of health services that require state approval.

People Also Ask about

What are the 10 R's of medication administration?

The 10 Rights of Drug Administration Right Drug. The first right of drug administration is to check and verify if it's the right name and form. Right Patient. Right Dose. Right Route. Right Time and Frequency. Right Documentation. Right History and Assessment. Drug approach and Right to Refuse.

What are the three medication checks?

WHAT ARE THE THREE CHECKS? Checking the: – Name of the person; – Strength and dosage; and – Frequency against the: Medical order; • MAR; AND • Medication container.

What are the 7 rights of medication?

To ensure safe medication preparation and administration, nurses are trained to practice the “7 rights” of medication administration: right patient, right drug, right dose, right time, right route, right reason and right documentation [12, 13].

What is the description of skills for medication administration?

Medication administration skills were classified under nine areas: (1) safe ordering, handling, storing and discarding of medications, (2) preparing of medications, (3) the administration of medications to patients, (4) documentation, (5) evaluation and assessment of medication-related issues, (6) drug calculation

Which of the following is the responsibility of the medication aide?

Working as a Medication Aide Manage daily medications and ensure they are given to patients (prescription or non-prescription). Record medication dosages and times they should be administered. Observe patients and document any changes (and respond to any calls or signals identifying patient needs).

What are the R's of medication administration?

One of the recommendations to reduce medication errors and harm is to use the “five rights”: the right patient, the right drug, the right dose, the right route, and the right time.

Why are the 10 rights of medication administration important?

Understanding and practicing the 10 Rights of Medication Administration helps promote safe administration of medications, prevent incidents and harm, and support safe patient/client/resident care.

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What is NC DHSR/AC 4605?

NC DHSR/AC 4605 is a form issued by the North Carolina Division of Health Service Regulation that pertains to the reporting requirements for adult care homes regarding their operations and compliance.

Who is required to file NC DHSR/AC 4605?

Adult care homes in North Carolina that are licensed and operate within the regulations set forth by the Division of Health Service Regulation are required to file NC DHSR/AC 4605.

How to fill out NC DHSR/AC 4605?

To fill out NC DHSR/AC 4605, the provider must complete all sections of the form thoroughly, ensuring accurate information is provided about the facility, services offered, and compliance with health and safety regulations.

What is the purpose of NC DHSR/AC 4605?

The purpose of NC DHSR/AC 4605 is to collect necessary information from adult care homes to ensure compliance with state regulations, improve quality of care, and report on operational and financial status.

What information must be reported on NC DHSR/AC 4605?

The information required on NC DHSR/AC 4605 includes the facility's name and address, type of care provided, staffing information, operational policies, financial data, and any relevant compliance documentation.