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