MACE: Medication Concepts & Measurements

Schedule II controlled substances (such as certain opioids and stimulants) have a high potential for abuse and can lead to severe psychological or physical dependence, requiring strict security and documentation. This is incorrect because Schedule II medications are strictly regulated and require a specific prescription; they are never available over-the-counter. This option is tempting if confusing standard OTC drugs with controlled ones. This is incorrect because Schedule V (not Schedule II) has the lowest potential for abuse among controlled substances. This option is tempting if the aide misunderstands the numbering system. This is incorrect because Schedule I drugs are those with no currently accepted medical use and high abuse potential. Schedule II drugs are approved for medical use under severe restrictions.

When the MAR and the pharmacy label use different names (generic vs. brand), the Medication Aide must verify they are the same medication by checking a reliable drug reference or asking the delegating nurse before administration. This is incorrect because administering a medication without confirming that the brand and generic names represent the exact same drug violates the 'Right Drug' principle. It is tempting because the dosages match. This is incorrect because pharmacies frequently dispense brand or generic equivalents based on availability; returning it immediately delays care. It is tempting because exact label matching is usually preferred. This is incorrect because holding a scheduled medication without first attempting to verify the drug name can cause the resident to miss a necessary dose. It is tempting because aides are taught to hold meds when unsure, but verification is the correct first step here.

Correct — even an OTC item requires a prescriber's order in the facility before it can be administered. The aide accepts the bottle but does not give the vitamins until the nurse obtains that order; a family request alone is not authorization. This is incorrect because in a care facility, all medications—including OTC vitamins and supplements—require a physician's order and must be added to the MAR. It is tempting because OTCs do not require a prescription for home use. This is incorrect because facilities routinely administer OTC medications as long as there is a valid physician's order. It is tempting because facilities do strictly control outside medications. This is incorrect because leaving unauthorized medications at the bedside violates facility safety policies and bypasses the nurse's assessment. It is tempting as a way to promote resident independence.