NC DHSR/AC 4605 2014 free printable template
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Instructions for Completing the
Medication Administration Clinical Skills Checklist
Developed by the Division of Health Service Regulation, Adult Care Licensure Section
2708 Mail Center, Raleigh,
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How to fill out NC DHSR/AC 4605
01
Obtain the NC DHSR/AC 4605 form from the official website or local office.
02
Read the instructions carefully to understand the required information.
03
Fill out your personal information including name, address, and contact details.
04
Provide specific information requested about the facility, including type and capacity.
05
Answer any additional questions related to compliance and inspection history as required.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form as required.
08
Submit the form according to the provided submission guidelines (either by mail or electronically).
Who needs NC DHSR/AC 4605?
01
Healthcare facilities seeking licensure or certification in North Carolina.
02
Individuals or organizations applying for a new facility license.
03
Existing facilities that need to update their information or renew their license.
04
Providers of health services required to demonstrate compliance with state regulations.
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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 used in North Carolina for reporting various aspects related to the services provided by adult care homes.
Who is required to file NC DHSR/AC 4605?
Adult care homes and certain healthcare facilities in North Carolina are required to file NC DHSR/AC 4605.
How to fill out NC DHSR/AC 4605?
To fill out NC DHSR/AC 4605, one needs to provide specific information as mandated in the form guidelines, including facility details, services provided, and compliance with regulatory standards.
What is the purpose of NC DHSR/AC 4605?
The purpose of NC DHSR/AC 4605 is to ensure compliance with health and safety regulations for adult care homes and to facilitate oversight by the Division of Health Service Regulation.
What information must be reported on NC DHSR/AC 4605?
The information that must be reported on NC DHSR/AC 4605 includes facility name, address, type of services provided, staff qualifications, and compliance status with state regulations.
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