One challenging situation I encountered was when a resident refused to take their prescribed medication due to fear of side effects. I calmly explained the importance of the medication and its benefits, addressing their concerns with empathy. I also consulted with the supervising nurse to explore alternative administration methods, such as changing the dosage timing or using a different form of the medication. This approach not only ensured the resident received their medication but also built trust and rapport with them.

To ensure accuracy, I follow a systematic approach. Before administering any medication, I double-check the resident's name, medication, dosage, and time against the medication administration record (MAR). I also use a color-coded system to differentiate between different types of medications and keep a log of any discrepancies or changes. Additionally, I maintain open communication with the nursing staff to stay updated on any changes in medication orders.

To manage time effectively, I prioritize tasks based on urgency and follow a structured schedule. I group similar tasks together, such as administering medications at the same time for multiple residents, to minimize interruptions. I also utilize technology, such as electronic MAR systems, to streamline the process and reduce manual errors. Regular breaks and delegating non-essential tasks help maintain focus and efficiency throughout the shift.

If a resident experiences adverse effects, my first step is to immediately stop the medication and notify the supervising nurse. I document the symptoms and time of occurrence in the resident's medical record. I then work with the nurse to determine the next steps, which may include contacting the prescribing physician for further instructions or administering an antidote if necessary. Ensuring the resident's comfort and safety is my top priority during such situations.

Staying updated on new medications and guidelines involves continuous learning. I regularly attend in-service training sessions, webinars, and workshops provided by the facility or professional organizations. I also subscribe to reputable medical journals and newsletters to stay informed about the latest research and best practices. Additionally, I participate in online forums and discussion groups to exchange knowledge and experiences with other healthcare professionals.