Qureos Mentor

Avery Village

<div><ul><li>Routine Administration: Giving late-night or early-morning medications, such as thyroid treatments that must be taken on an empty stomach.</li><li>
PRN (As Needed) Medications: Evaluating resident needs for pain relief or sleep aids and administering them according to physician orders.</li><li>
Narcotic Counts: Conducting a formal &quot;count&quot; of all controlled substances with the outgoing shift at 11:00 p.m. and the incoming shift at 7:00 a.m. to ensure accuracy.</li><li>
Documentation: Immediately charting all administered medications and noting any refusals or adverse reactions.</li></ul><h2 class="jobSectionHeader">
Resident Monitoring &amp; Care</h2>
Because staffing is lower at night, vigilant monitoring is a high priority.<ul><li>
Safety Rounds: Conducting regular checks (usually every 1 to 2 hours) to ensure residents are safe in their rooms and have not fallen.</li><li>
Assistance with ADLs: Helping residents who wake up during the night with toileting, incontinence care, or repositioning to prevent pressure injuries.</li><li>
Emergency Response: Acting as a first responder to pull-cords or pendant alarms and initiating emergency protocols if a resident is in distress.</li><li>
Clinical Observation: Recognizing physical or cognitive changes, such as increased confusion or labored breathing, that warrant seeking medical attention.</li></ul><h2 class="jobSectionHeader">
Facility &amp; Administrative Tasks</h2>
The quiet nature of the night shift allows for critical tasks that keep the clinical department organized.<ul><li>
MAR Auditing: Reviewing records from the previous shifts to ensure no signatures were missed and all medications were properly accounted for.</li><li>
Pharmacy Coordination: Identifying medications that are running low and communicating with the pharmacy to ensure refills arrive before the supply is exhausted.</li><li>
Shift Report: Preparing a detailed hand-off for the morning management team regarding any incidents, &quot;sundowning&quot; behaviors, or changes in condition.</li><li>
Infection Control: Maintaining a clean med room and cart, following general infection control principles.</li></ul><h3 class="jobSectionHeader">
Core Requirements</h3>
As emphasized in recent regulatory findings, night shift Med Techs must have completed their initial orientation within their first 30 days, specifically including:<ul><li>
Emergency Preparedness and First Aid.</li><li>
Cardiopulmonary Resuscitation (CPR).</li><li>
Resident Rights and Abuse Prevention.</li></ul></div>

Night Shift Med Tech

<div><h3 class="jobSectionHeader">1. Medication Administration &amp; Documentation</h3>
The morning shift is centered around the &quot;Morning Med Pass,&quot; which is often the largest of the day.<ul><li>
Morning Med Pass: Administering scheduled medications for breakfast and mid-morning, ensuring the &quot;Six Rights&quot; of medication administration are followed for every resident.</li><li>
PRN Management: Assessing residents who request &quot;as needed&quot; medications for pain or indigestion and documenting the effectiveness of those medications later in the shift.</li><li>
Blood Glucose Monitoring: Performing finger-sticks for diabetic residents and administering insulin as prescribed before or after meals.</li><li>
MAR Accuracy: Ensuring every medication given is initialed in the Medication Administration Record (MAR) immediately to prevent double-dosing.</li></ul><h3 class="jobSectionHeader">
2. Clinical Monitoring &amp; Reporting</h3>
Because you are present during the most active part of the resident's day, your observations are critical for the nursing team.<ul><li>
Vital Signs: Taking and recording blood pressure, pulse, or temperatures as required before administering specific heart or blood pressure medications.</li><li>
Change in Condition: Monitoring for &quot;sundowning&quot; recovery or new symptoms such as confusion, cough, or skin redness, and reporting these to the Resident Care Coordinator (RCC) or Administrator.</li><li>
Shift Report: Participating in a &quot;hand-off&quot; with the outgoing night shift to learn about any incidents, falls, or PRNs given overnight.</li></ul><h3 class="jobSectionHeader">
3. Resident Care &amp; Social Support</h3>
In many facilities, the Med Tech also assists with Activities of Daily Living (ADLs) during the busy morning hours.<ul><li>
ADL Assistance: Helping residents with morning grooming, dressing, and escorting them to the dining room for breakfast and lunch.</li><li>
Meal Supervision: Monitoring residents in the dining room for choking risks or changes in appetite, which can be an early sign of illness.</li><li>
Hydration: Encouraging fluid intake throughout the morning to prevent dehydration, which is a common cause of falls and UTIs in the elderly.</li></ul></div>

Med Tech

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Night Shift Med Tech

Med Tech