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Related article: e. Sufficient equipment and supplies in readily usable form. f. Adequate security. g. A clean environment. 2. Medication cabinets and medication carts must be secured by lock and key except when authorized personnel are preparing medications. These areas are the responsibility of the designated Nursing personnel. They should limit accessibility to these areas at all times. 3. Disinfectants and drugs for external use must be stored separately from medications intended for internal or injectable use. 4. Poisons, cleaning agents, general disinfectants and antiseptics must be stored separately from all medications in a locked storage area. 5. Medications requiring special conditions for storage to assure stability are properly stored i.e. refrigerator. 6. Only drugs and equipment for their preparation and administration shall be stored in medication cabinets and carts. 7. Discontinued and outdated drugs are disposed of properly according to procedures outlined in this manual. Outdated drugs are not stocked. 8. Containers with worn, illegible or missing labels must be returned to the pharmacy for proper disposition. 9. Distribution and administration of controlled drugs are properly stored and documented. 10. Drugs and medication orders that are being transferred between the Living Areas and the Pharmacy are to be placed in a locked cabinet or drawer, designated for only this purpose and located in the Living Area. Generic Diazepam This must be locked and assessable to only designated Nursing and Pharmacy personnel. III-7 GUIDELINES FOR THE ADMINISTRATION OF MEDICATIONS 1. General rules a. Only licensed nursing personnel or physicians/dentists can administer medications. b. Provide for the maximum safety throughout the preparation, administration and recording process. c. Never give a medication from an unlabeled bottle or one that is, illegibly labeled. Never re-label medications. d. Ensure that medications are given only upon a written order of a physician. e. All medication orders must be clearly defined before drug administration is to occur. Question any order that is not completely clear. f. Know: 1. Class of the drug 2. Usual dosage range 3. Dosage forms 4. Methods and techniques of administration 5. Expected effects and side effects 6. Symptoms Generic Diazepam of overdose 7. Purpose of drug 8. If the drug is compatible with other drugs the client receives. 9. If client has history of allergy or reaction to drug g. Medications are to be prepared, administered and charted by the same person. h. Never leave medications unattended. i. Safely discard all items used in the preparation/administration of a drug (syringes/needles) disgard needles in the sharp box container. j. Medications cannot be used for a client other than the one they were dispensed for. 2. Care in the preparation of medications. a. Review current physician's orders and check against Medication Administration Record (MAR) to detect discrepancies. b. Avoid conversation and distractions during the entire process. c. Check the label of the medication container 3 times. 1. When removing it from it's storage location. 2. When removing the medication from its container. 3. Before returning the container to its storage location.